K Number
K163442
Device Name
Single Use Micro Electrode (Brass with gold plated shaft); Single Use Micro Electrode (Stainless Steel shaft)
Date Cleared
2017-09-28

(294 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The electrode is used to cut and / or coagulate soft tissues by means of high frequency electrical current during an electrosurgical procedure
Device Description
The Single Use Micro Electrodes are the monopolar active device which consist of a conductive electrode tip, an insulated shaft and a conductive post. The conductive electrode tip configuration includes micro needles, scalpel blade, ball, broadbent, wire, triangle loop, diamond loop and round loop. The conductive electrode tip is the conductive portion of the electrode which delivers high frequency current onto a soft tissue for cutting and coagulation during an electro-surgery The insulated shaft is the mid portion of the electrode. It is insulated with non-conductive material included Polyolefin and /or PTFE Shrink Wrap, overmold, in order to prevent accidental conduction of the electrosurgical current from this point to the patient. The conductive post is used to pluq the electrode into the nozzle of an electrosurgical pencil from which it receives the electrical current. The diameter of the conductive post is available in 2.36mm and 1.6mm. This device is used in conjunction with electrosurgical pencil, a compatible monopolar electrosurgical generator and patient grounding pad during electrosurgical procedure.
More Information

Not Found

No
The description focuses on the physical components and function of a standard electrosurgical electrode, with no mention of AI or ML capabilities.

No.
The device is used for cutting and coagulating soft tissues, which are surgical interventions, not necessarily therapeutic in the sense of treating a disease or condition directly through therapy.

No

Explanation: The device is an electrosurgical electrode used to cut and/or coagulate soft tissues, which are therapeutic actions, not diagnostic. Its function is to deliver high-frequency current for surgery, not to identify or monitor medical conditions.

No

The device description clearly outlines physical components like a conductive electrode tip, insulated shaft, and conductive post, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use is to "cut and / or coagulate soft tissues by means of high frequency electrical current during an electrosurgical procedure." This describes a surgical procedure performed directly on a patient's tissues, not a test performed on a sample taken from the body.
  • Device Description: The description details a surgical electrode designed to deliver electrical current for cutting and coagulation. It does not mention any components or functions related to analyzing biological samples (like blood, urine, tissue biopsies, etc.).
  • Operation: The device is used in conjunction with an electrosurgical generator and patient grounding pad, which are typical components of an electrosurgical system used for direct surgical intervention.
  • Performance Studies: The performance studies described involve testing on porcine tissue to evaluate the thermal effect and tissue stickiness during cutting and coagulation, which are relevant to surgical performance, not diagnostic testing.

In Vitro Diagnostics (IVDs) are devices intended for use in the examination of specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that definition.

N/A

Intended Use / Indications for Use

The electrode is used to cut and / or coagulate soft tissues by means of high frequency electrical current during an electrosurgical procedure

Product codes (comma separated list FDA assigned to the subject device)

GEI

Device Description

The Single Use Micro Electrodes are the monopolar active device which consist of a conductive electrode tip, an insulated shaft and a conductive post.

The conductive electrode tip configuration includes micro needles, scalpel blade, ball, broadbent, wire, triangle loop, diamond loop and round loop.

The conductive electrode tip is the conductive portion of the electrode which delivers high frequency current onto a soft tissue for cutting and coagulation during an electro-surgery

The insulated shaft is the mid portion of the electrode. It is insulated with non-conductive material included Polyolefin and /or PTFE Shrink Wrap, overmold, in order to prevent accidental conduction of the electrosurgical current from this point to the patient.

The conductive post is used to pluq the electrode into the nozzle of an electrosurgical pencil from which it receives the electrical current. The diameter of the conductive post is available in 2.36mm and 1.6mm.

This device is used in conjunction with electrosurgical pencil, a compatible monopolar electrosurgical generator and patient grounding pad during electrosurgical procedure.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissues

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)

Validation and Verification testing was performed on the device and its packaging.

Operation Tests include comparative testing was performed on porcine tissue: kidney, liver, and muscle for both Cut mode and Coagulation mode. It demonstrates that the thermal effect and tissue stickiness on the tip of electrode are no significant difference between proposed device and predicate device.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K071343, K944265

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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 a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized human figure with three faces in profile, one behind the other. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the figure in a circular pattern.

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

September 28, 2017

Modern Medical Equipment Manufacturing Limited Mr. Samson Woo Quality Assurance Manager 35-41 Tai Lin Pai Rd., Unit F, 5th Fl. Gold King Ind. Bldg. Kwai Chung, N.T. Hong Kong, China

Re: K163442

Trade/Device Name: Single Use Micro Electrode (Brass with gold plated shaft and Stainless Steel shaft) Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: Class II Product Code: GEI Dated: April 14, 2017 Received: August 3, 2017

Dear Mr. Woo:

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

1

CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the 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), 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" (21CFR 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/ResourcesforYou/Industry/default.htm.

Sincerely yours, Jennifer R. Stevenson -S3 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

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Indications for Use

510(k) Number (if known) K163442

Device Name Single Use Micro Electrode

Indications for Use (Describe)

The electrode is used to cut and / or coagulate soft tissues by means of high frequency electrical current during an electrosurgical procedure

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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1. 510(k) Owner
Name:Modern Medical Equipment Manufacturing Limited
Address:Modern Medical Equipment Mfg., Ltd.
35-41 Tai Lin Pai Rd., Unit F,
5th Fl., Gold King Ind. Bldg
Kwai Chung, N.T. Hong Kong, China
Telephone:86 (768) 8897 8999
Fax:86 (768) 8897 8666
Contact person:Samson Woo
Date of preparation:26 July, 2017
2. Device
Name of Device:Single Use Micro Electrode
Trade or proprietary name:Single Use Micro Electrode
Common or usual name:Single Use Micro Electrode
Classification name:Electrosurgical, Cutting & Coagulation & Accessories
Classification Panel:General & Plastic Surgery
Product Code:GEI
Class:II

3. Device description

The Single Use Micro Electrodes are the monopolar active device which consist of a conductive electrode tip, an insulated shaft and a conductive post.

The conductive electrode tip configuration includes micro needles, scalpel blade, ball, broadbent, wire, triangle loop, diamond loop and round loop.

The conductive electrode tip is the conductive portion of the electrode which delivers high frequency current onto a soft tissue for cutting and coagulation during an electro-surgery

The insulated shaft is the mid portion of the electrode. It is insulated with non-conductive material included Polyolefin and /or PTFE Shrink Wrap, overmold, in order to prevent accidental conduction of the electrosurgical current from this point to the patient.

The conductive post is used to pluq the electrode into the nozzle of an electrosurgical pencil from which it receives the electrical current. The diameter of the conductive post is available in 2.36mm and 1.6mm.

This device is used in conjunction with electrosurgical pencil, a compatible monopolar electrosurgical generator and patient grounding pad during electrosurgical procedure.

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4. Intended use

The electrode is used to cut and / or coaqulate soft tissues by means of high frequency electrical current during an electrosurgical procedure

5. Predicate device

Ellman's Ace-Tip Electrodes with 510(k) number K071343. and Unimed's Needle Electrodes with 510(k) number K944265

6. Technological characteristic

The proposed Single Use Micro Electrode has equivalent construction and performance as the predicate devices. Different electrode tip configuration accommodate various procedural conditions. There are no new questions raised regarding to effectiveness and safety.

7. Substantial Equivalence

The technological characteristic in both proposed devices and predicate devices are identical. Moreover, performance testing data verified that operation result by using proposed device and predicate device shall be the same.

8. Performance Testing Data

Validation and Verification testing was performed on the device and its packaging.

Operation Tests include comparative testing was performed on porcine tissue: kidney, liver, and muscle for both Cut mode and Coagulation mode. It demonstrates that the thermal effect and tissue stickiness on the tip of electrode are no significant difference between proposed device and predicate device.

9. Safety and Biocompatibility testing data

Electrical Safety complies with IEC60601-1:2005 + CORR. 1 (2006) + CORR. 2 (2007) IEC60601-2-2: 2009 (Fifth Ed)

The proposed device is a external device that contact tissue/bone/dentin for a limited contact duration (less than 24 hours). No biological effect resulted in below three tests

  • · Intracutaneous Reactivity
  • In vitro Cytotoxicity .
  • · Skin sensitization

10. Conclusion

Based on comparing technological characteristic and performance testing data, we believe that the proposed device, Single Use Micro Electrodes are substantial equivalence to predicate devices (K091672 and K944265).