K Number
K152570
Device Name
Bovie J-Plasma Precise 360 Handpiece
Date Cleared
2015-11-02

(54 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Bovie J-Plasma Precise 360 Handpiece is used for the delivery of helium gas plasma for cutting, coagulation, and ablation of soft tissue during open and laparascopic surgical procedures. The Bovie J-Plasma Precise 360 Handpiece is compatible only with Bovie J-Plasma generators.
Device Description
The Bovie J-Plasma Precise 360 Handpiece is a sterile, single-use electrosurgical accessory intended to be used in conjunction with Bovie J-Plasma electrosurgical generators for the delivery of helium gas plasma for cutting, coagulating and ablating of soft tissue. The Bovie J-Plasma Precise 360 Handpiece is available with a retractable needle tip, or with a retractable cutting blade tip for excising tissue. Both tip configurations serve as electrodes to generate helium plasma. A 30 degree angled shaft tip provides improved visibility during use, and a rotating knob is used to orient the angled shaft tip to the optimal position. The device is available with 33cm and 45cm shaft lengths. The device can be used in laparoscopic procedures using a standard 5mm trocar.
More Information

Not Found

No
The summary describes a surgical handpiece that delivers helium gas plasma for tissue manipulation. There is no mention of AI, ML, image processing, or data analysis that would indicate the use of such technologies. The performance studies focus on mechanical, electrical, and plasma characteristics, as well as usability and biocompatibility, not algorithmic performance.

Yes
The device is used for cutting, coagulation, and ablation of soft tissue, which are actions intended to treat or affect the structure or function of the body.

No

The device is used for cutting, coagulation, and ablation of soft tissue during surgical procedures, which are therapeutic functions, not diagnostic.

No

The device description and performance studies clearly indicate this is a physical handpiece with mechanical and electrical components, not a software-only device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "cutting, coagulation, and ablation of soft tissue during open and laparascopic surgical procedures." This describes a surgical tool used directly on the patient's body.
  • Device Description: The description details a handpiece with a needle or blade tip used to deliver helium gas plasma for tissue modification. This is consistent with a surgical device.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, urine, or tissue samples) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to perform tests on samples taken from the body to provide diagnostic information. This device is a surgical instrument used for therapeutic purposes (cutting, coagulating, ablating tissue) directly on the patient.

N/A

Intended Use / Indications for Use

The Bovie J-Plasma Precise 360 Handpiece is used for the delivery of helium gas plasma for cutting, coagulation, and ablation of soft tissue during open and laparascopic surgical procedures.

The Bovie J-Plasma Precise 360 Handpiece is compatible only with Bovie J-Plasma generators.

Product codes

GEI

Device Description

The Bovie J-Plasma Precise 360 Handpiece is a sterile, single-use electrosurgical accessory intended to be used in conjunction with Bovie J-Plasma electrosurgical generators for the delivery of helium gas plasma for cutting, coagulating and ablating of soft tissue.

The Bovie J-Plasma Precise 360 Handpiece is available with a retractable needle tip, or with a retractable cutting blade tip for excising tissue. Both tip configurations serve as electrodes to generate helium plasma. A 30 degree angled shaft tip provides improved visibility during use, and a rotating knob is used to orient the angled shaft tip to the optimal position. The device is available with 33cm and 45cm shaft lengths. The device can be used in laparoscopic procedures using a standard 5mm trocar.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissue

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Performance testing to assure that the Bovie J-Plasma Precise 360 meets performance requirements was performed and is summarized in the following table:

TestObjectiveReports
Mechanical Verification and FunctionalityVerify the mechanical functionality of the device.VR-1318 VR-1324
Electrical VerificationVerify the electrical functionality and safety of the device.VR-1318
Plasma CharacteristicsMeasure effect of generator settings on the plasma stream, plasma stream characterizationVR-1324
Performance EvaluationConfirm device performance on various tissue types.VR-1324
Usability EvaluationTo verify and validate the usability of the J-Plasma Precise 360 as it relates to safety.VP-1387
Shipping StudyVerify the device meets requirements after shipping and handling.VP-1384
Evaluation of Rotation EffectsEvaluation of Shaft Rotation Effects on Plasma stream for Bovie J-Plasma Precise 360 HandpiecesVR-1383
Biocompatibility TestingVerify material safetyVR-1335
Shelf Life TestingConfirm product and package performance at labeled shelf lifeVP-1326

The Bovie J-Plasma Precise 360 Handpiece, and the predicate Bovie J-Plasma Handpiece, were designed in accordance with the following standards:

International StandardDescription
IEC-60601-1, Edition 3.1Medical Electrical Equipment - Part 1: General Requirements For Safety
IEC 60601-1-2:2007Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests
IEC-60601-2-2 : 2009Particular requirements for the safety of high frequency surgical equipment
ANSI / AAMI / ISO 10993-1:2009Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing
ANSI/AAMI/ISO 11135-1: 2007Sterilization of Healthcare Products - Ethylene Oxide - Part 1: Requirements for the development, validation, and routine control of a sterilization process for medical devices.
ANSI / AAMI / ISO 10993-7:2008Biological Evaluation of Medical Devices – Part 7: Ethylene Oxide Residuals

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K151325

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4400 Electrosurgical cutting and coagulation device and accessories.

(a)
Identification. An electrosurgical cutting and coagulation device and accessories is a device intended to remove tissue and control bleeding by use of high-frequency electrical current.(b)
Classification. Class II.

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Image /page/0/Picture/1 description: The image is the logo for the U.S. Department of Health and Human Services. The logo features the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged in a circular fashion around a central emblem. The emblem consists of a stylized caduceus, which is a symbol often associated with medicine and healthcare, with three human profiles incorporated into the design.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

November 2, 2015

Bovie Medical Corporation Mr. Brian Kunst Vice President, Regulatory Affairs and Quality Assurance 5115 Ulmerton Road Clearwater, Florida 33760

Re: K152570

Trade/Device Name: Bovie J-Plasma Precise 360 Handpiece Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: Class II Product Code: GEI Dated: September 4, 2015 Received: September 10, 2015

Dear Brian Kunst:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801 and Part 809); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the

1

electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 . and Part 809), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Joshua C. Nipper -S

For Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K152570

Device Name Bovie J-Plasma Precise 360 Handpiece

Indications for Use (Describe)

The Bovie J-Plasma Precise 360 Handpiece is used for the delivery of helium gas plasma for cutting, coagulation, and ablation of soft tissue during open and laparascopic surgical procedures.

The Bovie J-Plasma Precise 360 Handpiece is compatible only with Bovie J-Plasma generators.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

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Image /page/3/Picture/0 description: The image is a logo for the brand "Bovie". The logo is written in a cursive font and is a light blue color. The logo is slanted upwards from left to right. There is a registered trademark symbol to the right of the word.

510(k) SUMMARY – K152570

(Submitted As Required per 21 CFR 807.92)

GENERAL INFORMATION:

Submitter Name:Bovie Medical Corporation
Establishment Registration
Number:3007593903
Submitter Address:5115 Ulmerton Road
Clearwater, Florida 33760-4004
United States of America
Submitter Telephone Number:(727) 803-8617
Submitter FAX Number:(727) 322-4465
Contact Person:Brian Kunst
Vice President, Regulatory Affairs and Quality
Assurance
5115 Ulmerton Road
Clearwater, Florida 33760-4004
United States of America
Contact email:brian.kunst@boviemed.com
Date Prepared:October 30, 2015
DEVICE IDENTIFICATION:
Proprietary Name:Bovie J-Plasma Precise 360 Handpiece
Common Name:Electrosurgical Generator Accessory
Classification Name:Electrosurgical Cutting and Coagulation Device and
Accessories
Model Numbers:Multiple
Classification:21CFR 878.4400; Class II; Product Code GEI

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Image /page/4/Picture/0 description: The image shows the word "Bovie" in a stylized, cursive font. The word is rendered in a bright blue color. A horizontal line underlines the word, adding to the cursive effect. A registered trademark symbol is present to the right of the word.

Legally Marketed Predicate Device(s):

510(k) Number: K151325

Predicate Device Name: Bovie J-Plasma Handpiece Manufacturer: Bovie Medical Corporation

INTENDED USE/INDICATIONS

The Bovie J-Plasma Precise 360 Handpiece is used for the delivery of helium gas plasma for cutting, coagulation, and ablation of soft tissue during open and laparascopic surgical procedures.

The Bovie J-Plasma Precise 360 Handpiece is compatible only with Bovie J-Plasma generators.

DEVICE DESCRIPTION

The Bovie J-Plasma Precise 360 Handpiece is a sterile, single-use electrosurgical accessory intended to be used in conjunction with Bovie J-Plasma electrosurgical generators for the delivery of helium gas plasma for cutting, coagulating and ablating of soft tissue.

The Bovie J-Plasma Precise 360 Handpiece is available with a retractable needle tip, or with a retractable cutting blade tip for excising tissue. Both tip configurations serve as electrodes to generate helium plasma. A 30 degree angled shaft tip provides improved visibility during use, and a rotating knob is used to orient the angled shaft tip to the optimal position. The device is available with 33cm and 45cm shaft lengths. The device can be used in laparoscopic procedures using a standard 5mm trocar.

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Image /page/5/Picture/0 description: The image shows a medical device with a handle and a long, thin probe extending from it. The handle is white with blue accents, and the probe is black with a slight bend at the end. The device is likely used for minimally invasive surgical procedures, allowing doctors to access and treat areas inside the body without making large incisions. The brand name "Bovie" is visible in the upper left corner of the image.

The primary differences between the proposed J-Plasma Precise 360 Handpiece and the predicate J-Plasma Handpiece are:

  • The J-Plasma Precise 360 Handpiece is available in 33cm and 45cm shaft lengths and the predicate J-Plasma Handpiece is available in 15cm, 33cm, and 45cm shaft lengths
  • The J-Plasma Precise 360 Handpiece has a rotating knob that controls an angled shaft tip . which provides improved visibility and optimal positioning at the surgical site. The angled shaft tip uses a medical-grade which is not present in the predicate device. The rotating knob utilizes material which is present on the predicate device. The predicate J-Plasma Handpiece has a straight shaft tip.

The J-Plasma Precise 360 has the same intended use and energy source as the predicate device. There are no technological differences, no changes to the principle of operation or the method of application, and no changes to sterilization methods. Both devices require a Bovie J-Plasma electrosurgical generator and channel helium gas flow over an energized inner electrode to create a plasma stream.

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Image /page/6/Picture/0 description: The image shows the word "Bovie" in a stylized, cursive font. The word is a bright, light blue color. The font is slanted slightly upwards from left to right. There is a registered trademark symbol to the right of the word.

PERFORMANCE TESTING

Performance testing to assure that the Bovie J-Plasma Precise 360 meets performance requirements was performed and is summarized in the following table:

TestObjectiveReports
Mechanical Verification
and FunctionalityVerify the mechanical functionality of the
device.VR-1318
VR-1324
Electrical VerificationVerify the electrical functionality and safety of
the device.VR-1318
Plasma CharacteristicsMeasure effect of generator settings on the
plasma stream, plasma stream characterizationVR-1324
Performance EvaluationConfirm device performance on
various tissue types.VR-1324
Usability EvaluationTo verify and validate the usability of the J-
Plasma Precise 360 as it relates to safety.VP-1387
Shipping StudyVerify the device meets requirements after
shipping and handling.VP-1384
Evaluation of Rotation
EffectsEvaluation of Shaft Rotation Effects on Plasma
stream for Bovie J-Plasma Precise 360
HandpiecesVR-1383
Biocompatibility TestingVerify material safetyVR-1335
Shelf Life TestingConfirm product and package performance at
labeled shelf lifeVP-1326

The Bovie J-Plasma Precise 360 Handpiece, and the predicate Bovie J-Plasma Handpiece, were designed in accordance with the following standards:

International StandardDescription
IEC-60601-1, Edition 3.1Medical Electrical Equipment - Part 1: General Requirements
For Safety
IEC 60601-1-2:2007Medical electrical equipment - Part 1-2: General requirements
for basic safety and essential performance - Collateral Standard:
Electromagnetic disturbances - Requirements and tests

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Image /page/7/Picture/0 description: The image shows the word "Bovie" in a stylized, cursive font. The word is rendered in a light blue color. The "B" is capitalized and slightly larger than the other letters, with a curved flourish extending from the bottom of the "B" and underlining the rest of the word. A registered trademark symbol is located to the right of the "e".

| IEC-60601-2-2 : 2009 | Particular requirements for the safety of high frequency surgical
equipment |
|--------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ANSI / AAMI / ISO 10993-1:2009 | Biological Evaluation of Medical Devices - Part 1: Evaluation
and Testing |
| ANSI/AAMI/ISO 11135-1: 2007 | Sterilization of Healthcare Products - Ethylene Oxide - Part 1:
Requirements for the development, validation, and routine
control of a sterilization process for medical devices. |
| ANSI / AAMI / ISO 10993-7:2008 | Biological Evaluation of Medical Devices – Part 7: Ethylene
Oxide Residuals |

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Image /page/8/Picture/0 description: The image shows the word "Bovie" in a stylized, cursive font. The word is in a bright blue color, and there is a registered trademark symbol to the right of the word. The font is thick and has a flowing, handwritten appearance.

510(k) SUMMARY

SUBSTANTIAL EQUIVALENCE

| Feature/
Characteristic | Bovie J-Plasma Precise 360
Current Submission | Bovie J-Plasma Handpiece
(Predicate K151325) |
|---------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use /
Indications for Use | The Bovie J-Plasma Precise 360 is
used for the delivery of helium gas
plasma for cutting, coagulation, and
ablation of soft tissue during open and
laparascopic surgical procedures.

The Bovie J-Plasma Precise 360 is
compatible only with Bovie J-Plasma
generators. | The Bovie J-Plasma Handpiece is used
for the delivery of helium gas plasma for
cutting, coagulation, and ablation of soft
tissue during open and laparascopic
surgical procedures.

The Bovie J-Plasma Handpiece is
compatible only with Bovie J-Plasma
generators. |
| Energy Type | Helium gas plasma | Helium gas plasma |
| Output | Monopolar | Monopolar |
| User Interface | Pistol grip | Pistol grip |
| Shaft Design | Angled | Straight |
| Shaft Rotation | Yes | No |
| Shaft Working Lengths | 33cm and 45cm | 15cm, 33cm, 45cm |
| Shaft Configuration | Angled | Straight |
| Shaft Outer Diameter | 5mm | 5mm |
| Tip Configuration | Blade, Needle | Blade, Needle |
| Blade Extension | Maximum 10mm | Maximum 10mm |
| Blade Width x Thickness | 0.4mm x 0.08mm | 0.4mm x 0.08mm |
| Compatibility | Only with Bovie J-Plasma Generators | Only with Bovie J-Plasma Generators |
| Connector | Bovie Proprietary | Bovie Proprietary |

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Image /page/9/Picture/0 description: The image shows the word "Bovie" in a stylized, cursive font. The word is rendered in a bright, light blue color. A registered trademark symbol is located to the right of the word.

CONCLUSION

There is no difference between the J-Plasma Precise 360 Handpiece and the legally marketed predicate device Bovie J-Plasma handpiece described in K151325 in terms of intended use, principle of operation, and the technology used for device performance. All features of the Bovie J-Plasma Precise 360 were subjected to verification testing. There is no new technology and no difference that would raise new or different questions of safety or efficacy. The angled shaft tip and rotating knob components are mechanical in nature and do not affect the technology of the device. The purpose of the angled tip and rotating shaft is to allow better positioning of the tip and better visualization of the target tissue. The devices exhibit substantially equivalent performance during bench testing, including equivalent depth of tissue effect.