K Number
K182244
Device Name
Voyant Electrosurgical Generator
Date Cleared
2018-10-11

(52 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Voyant electrosurgical generator is indicated for use with Voyant devices in open and laparoscopic surgical procedures where the electrosurgical ligation of vessels or tissue bundles is desired.
Device Description
The Applied Medical Voyant Electrosurgical Generator (ESG) is a tabletop radiofrequency (RF) power supply designed for use in electrosurgery. It operates outside the sterile field and is equipped with a receptacle for Voyant hand piece devices. The ESG enclosure is constructed of various metals and polymers and houses all electrical hardware and software components. The front panel features an LCD and buttons for the navigation, adjustment, and selection of ESG settings.
More Information

Not Found

No
The document does not mention AI, ML, or any related concepts like deep learning, neural networks, or training/test sets for algorithms. The description focuses on standard electrosurgical generator technology and performance testing against a predicate device.

No
The device is an electrosurgical generator designed to ligate vessels or tissue bundles, which is a surgical tool, not a therapeutic device.

No
The device is described as an electrosurgical generator used for the ligation of vessels or tissue bundles, which is a therapeutic surgical function, not a diagnostic one.

No

The device description explicitly states it is a tabletop radiofrequency (RF) power supply with an enclosure constructed of metals and polymers, housing both electrical hardware and software components. It is a physical device, not software only.

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

Here's why:

  • Intended Use: The intended use is for "electrosurgical ligation of vessels or tissue bundles" during surgical procedures. This is a direct surgical intervention on the patient's body.
  • Device Description: The device is an "electrosurgical generator" that provides power for surgical handpieces. It operates outside the sterile field but is used to power instruments that perform surgery.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to be used in vitro (outside the body) to analyze biological samples. This device is clearly designed for in vivo (within the body) surgical procedures.

N/A

Intended Use / Indications for Use

The Voyant electrosurgical generator is indicated for use with Voyant devices in open and laparoscopic surgical procedures where the electrosurgical ligation of vessels or tissue bundles is desired.

Note: For indications specific to each Voyant device used with the Voyant generator. refer to each device's Instructions for Use (IFU).

Product codes

GEI

Device Description

The Applied Medical Voyant Electrosurgical Generator (ESG) is a tabletop radiofrequency (RF) power supply designed for use in electrosurgery. It operates outside the sterile field and is equipped with a receptacle for Voyant hand piece devices. The ESG enclosure is constructed of various metals and polymers and houses all electrical hardware and software components. The front panel features an LCD and buttons for the navigation, adjustment, and selection of ESG settings.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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

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Summary of Performance Studies

System Testing: Burst pressure testing was conducted using the subject and predicate Voyant ESGs in conjunction with each legally marketed Voyant hand piece device. The results of the study demonstrated that the subject generator has substantially equivalent performance to the predicate generator with each Voyant hand piece.

Thermal spread testing was performed to evaluate the thermal spread damage produced by the subject and predicate Voyant ESGs when coupled with each legally marketed Voyant hand piece device. Analysis of the measurements demonstrated that the subject generator has substantially equivalent performance to the predicate generator with each Voyant hand piece.

Software functional testing was performed on each software subsystem to verify that all software requirements were met. Unit, integration, and system level software testing were conducted to evaluate the design, implementation, and performance of the device software scripts.

Key Metrics

Not Found

Predicate Device(s)

K141288

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.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

October 11, 2018

Applied Medical Resources Corp. Mr. Andrew Nguyen Regulatory Affairs Specialist I 22872 Avenida Empresa Rancho Santa Margarita, California 92688

Re: K182244

Trade/Device Name: Voyant Electrosurgical Generator Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting and Coagulation Device and Accessories Regulatory Class: Class II Product Code: GEI Dated: September 24, 2018 Received: September 25, 2018

Dear Mr. Nguyen:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone

(1-800-638-2041 or 301-796-7100).

Sincerely,

Long H. Chen -S 2018.10.11 15:42:40 -04'00'

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)

K182244

Device Name Voyant Electrosurgical Generator

Indications for Use (Describe)

The Voyant electrosurgical generator is indicated for use with Voyant devices in open and laparoscopic surgical procedures where the electrosurgical ligation of vessels or tissue bundles is desired.

Note: For indications specific to each Voyant device used with the Voyant generator. refer to each device's Instructions for Use (IFU).

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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3

Coagulation

510(k) Summary

| 510(k) Submitter: | Applied Medical Resources Corporation
22872 Avenida Empresa
Rancho Santa Margarita, CA 92688
(949) 713 – 8000 |
|-----------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Andrew Nguyen
Regulatory Affairs Specialist I
Applied Medical Resources Corporation
Tel: (949) 713-5458
Fax: (949) 713-8205
Email: andrnguyen@appliedmedical.com |
| Preparation Date: | 17 August 2018 |
| Trade Name: | Voyant® Electrosurgical Generator |
| Common Name: | Electrosurgical Generator |
| Classification: | General and Plastic Surgery Devices - Electrosurgical Cutting and
Device and Accessories
Regulation: 21 CFR 878.4400
Device Class: Class II
Product Code: GEI |
| Legally Marketed
Device: | Voyant® Electrosurgical Generator
510(k)#: K141288
Product Code: GEI |
| Device Description: | The Applied Medical Voyant Electrosurgical Generator (ESG) is |

  • De is a tabletop radiofrequency (RF) power supply designed for use in electrosurgery. It operates outside the sterile field and is equipped with a receptacle for Voyant hand piece devices. The ESG enclosure is constructed of various metals and polymers and houses all electrical hardware and software components. The front panel features an LCD and buttons for the navigation, adjustment, and selection of ESG settings.
    • Intended Use: The Voyant electrosurgical generator is indicated for use with Voyant devices in open and laparoscopic surgical procedures where the electrosurgical ligation of vessels or tissue bundles is desired.

4

Summary of Technological Characteristics between Subject and Predicate Devices:

The subject and predicate generators are technologically similar in that both are reusable, electrically isolated, microprocessor controlled power supplies that deliver radiofrequency (RF) energy to connected Applied Medical Voyant hand piece devices for the sealing of vessels and tissue bundles. Both devices operate outside of the sterile field and support compatible devices that operate within the sterile field. They are made of similar materials (i.e. metals and polymers) and have a graphical user interface that displays information to the user regarding device connection, seal cycle status, and alarm conditions. It also contains menu screens and option settings that can be navigated using the soft button keys.

The subject device features a number of upgrades, including a reduction in overall size, a redesigned device connection receptacle, an increased maximum voltage limit, and an enhanced system maintenance verification test.

The overall performance of the subject and predicate generators are substantially equivalent as the sealing algorithms of the Voyant system are not affected by the aforementioned upgrades.

Discussion of Performance Testing:

The FDA guidance documents Premarket Notification (510(k)) Submissions for Electrosurgical Devices for General Surgery (2016), Premarket Notification (510(k)) Submissions for Bipolar Electrosurgical Vessel Sealers for General Surgery (2016), and Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices (2005) were considered in evaluating the subject device's electrical, software, and functional capabilities. The tests addressed below were utilized to demonstrate safety and efficacy of the subject device and substantial equivalence to the predicate device.

EMC and Electrical Safety Testing

The Voyant ESG was designed and evaluated in accordance with relevant standards of the IEC 60601 series for electromagnetic compatibility and electrical testing.

System Testing

Burst pressure testing was conducted using the subject and predicate Voyant ESGs in conjunction with each legally marketed Voyant hand piece device. The results of the study demonstrated that the subject generator has substantially equivalent performance to the predicate generator with each Voyant hand piece.

Thermal spread testing was performed to evaluate the thermal spread damage produced by the subject and predicate Voyant ESGs when coupled with each legally marketed Voyant hand piece device. Analysis of the measurements demonstrated that the subject generator has substantially equivalent performance to the predicate generator with each Voyant hand piece.

5

Clinical

No chronic survival or clinical studies were required to demonstrate the safety and efficacy of the subject device in support of this application for premarket clearance. The performance data detailed in this submission supports the substantial equivalence of the subject device.

Software

Software functional testing was performed on each software subsystem to verify that all software requirements were met.

Unit, integration, and system level software testing were conducted to evaluate the design, implementation, and performance of the device software scripts.

Conclusion:

The subject Voyant Electrosurgical Generator is substantially equivalent in performance to the predicate Voyant Electrosurgical Generator with respect to intended use (i.e. vessel sealing performance and local tissue effects) and does not raise any new issues of safety and efficacy.