K Number
K183538
Device Name
VIVA combo RF System
Manufacturer
Date Cleared
2019-01-17

(29 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The VIVA combo RF System is intended for use in percutaneous and intraoperative coagulation and ablation of tissue.
Device Description
The VIVA combo RF System consists of RF generator, active electrode, grounding pad and peristaltic pump for electrode cooling. This device is designed to produce local tissue heating at the tip of the electrodes causing the coagulation of tissue. The VIVA combo RF System is capable of delivering up to 200 W of RF power and the available power is limited through software control. This system monitors the power, resistance, current and temperature. The active electrodes are a sterile, single-use, hand-held electrosurgical instrument designed for use with VIVA combo RF System. Cooling of the electrode is provided by chilled water which is pumped through the inflow tubing, the electrode and out through the outflow tubing. This is an enclosed system within the electrode and the water is not to be in contact with the patient. The VIVA combo RF system consists of S VCS F, MRFALogger and VIVALogger software. The S_VCS_F software continuously monitors impedance, current, power and temperature. The unit automatically monitors rises in impedance and adjust RF output accordingly. MRFALogger software can be stored and monitored on PC the RF output parameter (power, impedance, current, temperature and energy). VIVALogger software can be stored and monitored on a tablet PC the RF output parameter (power, impedance, current, temperature and energy).
More Information

Not Found

No
The description mentions software control and monitoring of parameters (power, resistance, current, temperature) and automatic adjustment based on impedance, but this appears to be standard algorithmic control rather than AI/ML. There is no mention of learning, training data, or complex pattern recognition characteristic of AI/ML.

Yes
The device is intended for coagulation and ablation of tissue, which are therapeutic medical interventions.

No

The device is intended for therapeutic use (coagulation and ablation of tissue) by producing local tissue heating, not for diagnosis.

No

The device description explicitly lists hardware components such as an RF generator, active electrode, grounding pad, and peristaltic pump, in addition to the software.

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

Here's why:

  • Intended Use: The intended use is "percutaneous and intraoperative coagulation and ablation of tissue." This describes a therapeutic procedure performed directly on the patient's body, not a test performed on a sample taken from the body.
  • Device Description: The device description details a system for delivering radiofrequency energy to heat and coagulate tissue. It involves an active electrode, grounding pad, and a cooling system. This is consistent with a surgical or therapeutic device, not a diagnostic device that analyzes biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any other components typically associated with in vitro diagnostics.

In summary, the VIVA combo RF System is a therapeutic device used for tissue ablation and coagulation, not a diagnostic device used to test samples outside the body.

N/A

Intended Use / Indications for Use

The VIVA combo RF System is intended for use in percutaneous and intraoperative coagulation and ablation of tissue.

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

GEI

Device Description

The VIVA combo RF System consists of RF generator, active electrode, grounding pad and peristaltic pump for electrode cooling. This device is designed to produce local tissue heating at the tip of the electrodes causing the coagulation of tissue. The VIVA combo RF System is capable of delivering up to 200 W of RF power and the available power is limited through software control. This system monitors the power, resistance, current and temperature.

The active electrodes are a sterile, single-use, hand-held electrosurgical instrument designed for use with VIVA combo RF System. Cooling of the electrode is provided by chilled water which is pumped through the inflow tubing, the electrode and out through the outflow tubing. This is an enclosed system within the electrode and the water is not to be in contact with the patient.

The VIVA combo RF system consists of S VCS F, MRFALogger and VIVALogger software.

The S_VCS_F software continuously monitors impedance, current, power and temperature. The unit automatically monitors rises in impedance and adjust RF output accordingly.

MRFALogger software can be stored and monitored on PC the RF output parameter (power, impedance, current, temperature and energy).

VIVALogger software can be stored and monitored on a tablet PC the RF output parameter (power, impedance, current, temperature and energy).

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

Not Found

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

Bench tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated that the proposed device complies with the following standards:

  • Testing to confirm compliance with the safety requirements of standard AAMI ANSI ES60601-1
  • Testing to confirm compliance with particular requirements of standard IEC 60601-2-2
  • Testing to confirm compliance with EMC requirements of standard IEC 60601-1-2

The VIVA combo RF System contains MODERATE level of concern software. The software was designed and developed according to a software development process and was verified and validated.

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.

K163450

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.

0

Image /page/0/Picture/0 description: The image contains two logos. The logo on the left is the Department of Health & Human Services - USA logo. The logo on the right is the FDA U.S. Food & Drug Administration logo. The FDA logo is in blue.

January 17, 2019

STARmed Co., Ltd. Mr. Jun-Young Jung OMR/ Deputy General Manager B-dong, 4F&12F, 158, Haneulmaeul-ro, IlsanDong-gu Goyang-si. Gyeonggi-do.10355. Republic of Korea

Re: K183538

Trade/Device Name: VIVA combo RF System Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting and Coagulation Device and Accessories Regulatory Class: Class II Product Code: GEI Dated: December 10, 2018 Received: December 19, 2018

Dear Mr. Jung:

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 mav, 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 avare 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

1

for

requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 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.html; 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 medical devices and radiation-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,

Image /page/1/Picture/7 description: The image shows a digital signature. The name "Long H. Chen -S" is written on the left side of the image. On the right side, it says "Digitally signed by Long H. Chen -S" and the date and time of the signature: "Date: 2019.01.17 14:18:53 -05'00'".

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) K183538

Device Name VIVA combo RF System

Indications for Use (Describe)

The VIVA combo RF System is intended for use in percutaneous and intraoperative coagulation and ablation of tissue.

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

510(k) Summary

[As required by 21 CFR 807.92]

This 510(k) summary of safety and effectiveness information is prepared in accordance with 21 CFR 807.92

1. Date Prepared [21 CFR 807.92(a) (1)]

12/10/2018

2. Submitter's Information [21 CFR 807.92(a) (1)]

Name of Sponsor:STARmed Co.,Ltd.
Address:B-dong, 4F&12F, 158, Haneulmaeul-ro, IlsanDong-gu, Goyang-si,
Gyeonggi-do, Republic of Korea
Contact Name:Mr. Jun-Young Jung
Telephone #: +82-70-4673-8657
Fax #: +82-31-816-4546
Email: jjy3412@starmed4u.com
Job Title : QMR/Deputy General Manager
Degree : Bachelor's degree in Business(BBA)
Registration Number:3013557681
Name of Manufacturer:Same as Sponsor

3. Trade Name, Common Name, Classification [21 CFR 807.92(a) (2)]

Model Name:VIVA combo RF System
Common Name:Electrosurgical Cutting and Coagulation Device and Accessories
Classification Name:Electrosurgical, Cutting & Coagulation & Accessories
Regulation Number:21 CFR 878.4400
Product Code:GEI
Device Class:II

4. Identification of Predicate Device(s) [21 CFR 807.92(a) (3)]

510(k) Number:K163450
Applicant:STARmed Co., Ltd.
Model Name:VIVA combo RF System
Common Name:Electrosurgical Cutting and Coagulation Device and Accessories
Classification Name:Electrosurgical, Cutting & Coagulation & Accessories
Regulation Number:21 CFR 878.4400
Product Code:GEI
Device Class:II

4

5. Description of the Modified Device [21 CFR 807.92(a) (4)]

  • . VIVA Combo RF System
    • Apply an isolation of USB PCB and Foot Switch PCB using DC-DC Converter and -Digital Isolators
    • Change a foot switch connector type and a data communication connector type -: The connector type has been changed from male type to female type.
    • Addition of accessories (hospital-grade power cable) -
    • Change a fuse from T 5AL 250 V to F 5AH 250 V -
  • Software
    • S VCS F Software for VIVA Combo RF System -
      • : Version Change (1.10 to 1.11F) In the temperature mode, RF current is cut-off at 15 ohms (previous version: cut off at 25 ohms)
    • -MRFALogger for PC
      • : Version Change (1.10 to 1.41) Interface Change (No functional changes)
    • VIVALogger for Tablet PC -
      • : Version Change (2.20 to 3.30) Support different screen size (No functional changes)
  • VIVA Pump ●
    • Change a SMPS board from ECS25-60 to EPL225PS12 -
    • Change a motor from OEM124-GJ600D to G550-S10 -
    • Addition a pump (VP01-1); VP01-1 is different only a header, compared to changed pump -(VP01)

The VIVA combo RF System consists of RF generator, active electrode, grounding pad and peristaltic pump for electrode cooling. This device is designed to produce local tissue heating at the tip of the electrodes causing the coagulation of tissue. The VIVA combo RF System is capable of delivering up to 200 W of RF power and the available power is limited through software control. This system monitors the power, resistance, current and temperature.

The active electrodes are a sterile, single-use, hand-held electrosurgical instrument designed for use with VIVA combo RF System. Cooling of the electrode is provided by chilled water which is pumped through the inflow tubing, the electrode and out through the outflow tubing. This is an enclosed system within the electrode and the water is not to be in contact with the patient.

The VIVA combo RF system consists of S VCS F, MRFALogger and VIVALogger software.

The S_VCS_F software continuously monitors impedance, current, power and temperature. The unit automatically monitors rises in impedance and adjust RF output accordingly.

MRFALogger software can be stored and monitored on PC the RF output parameter (power, impedance, current, temperature and energy).

VIVALogger software can be stored and monitored on a tablet PC the RF output parameter (power, impedance, current, temperature and energy).

6. Intended Use [21 CFR 807.92(a)(5)]

The intended use has not changed as a result of the modification and is as follows:

The VIVA combo RF System is intended for use in percutaneous and intraoperative coagulation and ablation of tissue.

7. Technological Characteristics [21 CFR 807.92(a)(6)]

510(k) Summary [008- 2/6]

5

The VIVA combo RF System is substantially equivalent to legally marketed predicate device with respect to indications for use and technology characteristics. The table below presents side by side comparisons for each major component of each device:

ParameterSubject DevicePredicate DeviceRemark
510(K) NumberNot KnownK163450-
ManufacturerSTARmed Co., Ltd.STARmed Co., Ltd.-
Model NameVIVA combo RF SystemVIVA combo RF System-
Classification NameElectrosurgical, Cutting & Coagulation & AccessoriesElectrosurgical, Cutting & Coagulation & Accessoriessame
Classification PanelGeneral and Plastic SurgeryGeneral and Plastic Surgerysame
Classification Regulation21 CFR 878.440021 CFR 878.4400same
Product CodeGEIGEIsame
Device ClassClass IIClass IIsame
Intended UseThe VIVA combo RF System is intended for use in percutaneous and intraoperative coagulation and ablation of tissue.The VIVA combo RF System is intended for use in percutaneous and intraoperative coagulation and ablation of tissue.same
Prescription or OTCPrescriptionPrescriptionsame
Energy UsedRadiofrequencyRadiofrequencysame
Electrosurgical Unit
Output Frequency480 kHz ± 10 %480 kHz ± 10 %same
Drive on TimeUp to 30 minutesUp to 30 minutessame
Maximum Power OutputUp to 200 watts @ 50 ohmsUp to 200 watts @ 50 ohmssame
Impedance MonitoringAvailableAvailablesame
Temperature MonitoringAvailableAvailablesame
Dimension
(W x L x H)260 x 348 x 115 mm260 x 348 x 115 mmsame
Isolation of USB/Foot Switch PCBApplyNot applydifferent
FuseF 5AH 250 VT 5AL 250 Vdifferent
Miscellaneous accessories
Peristaltic PumpModel
SMPS
MotorVP01 and VP01-1
EPL225PS12
G550-S10VP01
ECS25-60
OEM124-GJ600Ddifferent
Hospital-grade power cableIncludedNot includeddifferent
Foot Switch Connect TypeFemaleMaledifferent
Software
Version1.11F1.10different
S_VCS_BCut-Off in
temperature modeat 15 ohmsat 25 ohmsdifferent
MRFALog
gerVersion1.411.10different
VIVALog
gerVersion3.302.20different
Active Accessory
Monopolar/BipolarMonopolarMonopolarSame
Diameter17 Gauge17 GaugeSame
SterilizationEthylene OxideEthylene OxideSame
Shelf Life3 years3 yearsSame
BiocompatibilityISO 10993-1ISO 10993-1Same

6

| - Cytotoxicity

  • Intracutaneous Irritation
  • Sensitization
  • Systemic Toxicity
  • Pyrogen test | - Cytotoxicity
  • Intracutaneous Irritation
  • Sensitization
  • Systemic Toxicity
  • Pyrogen test | |
    |-----------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|--|
    |-----------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|--|

8. Substantial Equivalence [21 CFR 807.92(b)]

When compared to the predicate device (K163450), the VIVA combo RF System presented in this submission has the same:

  • Intended Use
  • Technological characteristics
  • · Operating principle
  • · Energy Used
  • · Design features
  • · Physical specifications
  • · Sterilization
  • Shelf Life
  • · Biocompatibility

A few differences are as follows

  • Isolation of USB/Foot Switch PCB
  • · Fuse
  • Peristaltic Pump
  • Foot switch Connect Type
  • Software

There are no significant differences between the VIVA combo RF System and the predicate device that would adversely affect the use of the product. It is substantially equivalent to these devices in design, function, materials, operational principles and intended use.

Difference in the isolation of USB PCB and Foot Switch PCB

The changed subject device is applied an isolation of USB PCB and Foot Switch PCB using DC-DC Converter and Digital Isolators. The change in the isolation affects the electrical safety and electromagnetic compatibility. Therefore, the electromagnetic compatibility testing were conducted, the changed subject device was qualified with electrical safety according to IEC 60601-1, IEC 60601-2-2 and electromagnetic compatibility according to the IEC 60601-1-2.

Difference in the Fuse

The main fuse has been changed. The change in the fuse affects the electrical safety and electromagnetic compatibility. Therefore, the electrical safety testing was conducted, the changed subject device was qualified with electrical safety according to IEC 60601-1 and IEC 60601-2-2.

7

Difference in the peristaltic pump

The SMPS board and motor of the pump have been changed, and another pump (VP01-1) which is different only a pump header has been added. The change in the peristaltic pump affects the electrical safety and electromagnetic compatibility. Therefore, the electrical safety and electromagnetic compatibility testing were conducted, the changed subject device was qualified with electrical safety according to IEC 60601-1, IEC 60601-2-2 and electromagnetic compatibility according to the IEC 60601-1-2

Difference in the foot switch connect type

The connect type of foot switch has been changed from male to female type. The connect type does not affect the electrical safety and efficacy because the female connect type cannot be contacted with an operator; the female connect is not accessible part.

Difference in the software

S VCS F software has been changed that RF current is cut-off at 15 ohms in the temperature mode (previous version: cut off at 25 ohms). The change in the software affects the function of subject device. Therefore, the software verification and validation were conducted and performance test which verify the automatically cut-off at 15 ohms. The result of test provide that the change does not raise new safety or effective issues.

Also, the interface of MRFALogger software has been changed and VIVALogger software has been changed to support different screen size for tablet PC. The change in the software does not affect the function of subject device.

Due to these identical clauses and high similarities, the VIVA combo RF System is at least as safe as and as effective as the predicate device. The differences between the subject device and the predicate device do not raise new safety or effectiveness issues as explained above. Based on the electromagnetic compatibility and electrical safety testing, performance testing, and the comparison to predicate devices, the VIVA combo RF System is substantially equivalent to the previously cleared predicate devices.

9. Summary of Non-Clinical Data [21 CFR 807.92(b)(1)]

  • . Electrical Safety, Electromagnetic Compatibility and Performance: Bench tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated that the proposed device complies with the following standards:
    • Testing to confirm compliance with the safety requirements of standard AAMI ANSI ES60601-1
    • Testing to confirm compliance with particular requirements of standard IEC 60601-2-2
    • Testing to confirm compliance with EMC requirements of standard IEC 60601-1-2
  • Software Validation

The VIVA combo RF System contains MODERATE level of concern software. The software was designed and developed according to a software development process and was verified and validated. The software information is provided in accordance with FDA guidance: The content of premarket submissions for software contained in medical devices, on May 11, 2005.

The VIVA combo RF System complies with the following international and FDA-recognized consensus standards:

| AAMI ANSI 60601-1: | Medical electrical equipment - Part 1: General requirements for basic safety
and essential performance (IEC 60601-1:2005, MOD, Edition 3.1) |
|--------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| IEC 60601-2-2: | Medical electrical equipment - Part 2-2: Particular requirements for the basic
safety and essential performance of high frequency surgical equipment and
high frequency surgical accessories (Edition 6) |

8

  • Medical Electrical Equipment Part 1-2: General Requirements For Basic IEC 60601-1-2: Safety And Essential Performance - Collateral Standard: Electromagnetic Compatibility - Requirements And Tests (Edition 4)

10. Summary of Clinical Data [21 CFR 807.92(b)(2)]

No clinical studies were considered necessary and performed.

11. Conclusion [21 CFR 807.92(b)(3)]

The subject device is substantially equivalent to the currently marketed and predicate device in terms of design features, fundamental scientific technology, indications for use, and safety and effectiveness.

Additionally, substantial equivalence was demonstrated through the non-clinical performance, which complied with the requirements specified in the international and FDA-recognized consensus standards, IEC 60601-1, IEC 60601-2-2, IEC 60601-1-2 and bench testing, which complied with the requirements specified in the CDRH's Guidance for Premarket Notification (510(k)) Submissions for Electrosurgical Devices for General Surgery.

The results of these tests demonstrate that VIVA combo RF System meets the acceptance criteria and is adequate for this intended use. The comparison of technological characteristics, non-clinical performance data, electrical safety and electromagnetic compatibility testing demonstrates that the device is substantially equivalent to the previously cleared predicate devices.