K Number
K201735
Device Name
PlaDuo System
Manufacturer
Date Cleared
2020-12-14

(172 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PlaDuo is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis.
Device Description
The ShenB Co Ltd PlaDuo is an electro-surgical device for use in dermatological applications. The effect of the device is achieved by heating the outer layer of the skin so that part or all of the epidermis becomes non-viable and there is controlled damage to the underlying dermis. The PlaDuo system consists of a system console, footswitch, handpiece, and tip with 3 interchangeable guides.
More Information

Rhytec Portrait PSR (K)060948

No
The 510(k) summary describes a standard electro-surgical device with no mention of AI, ML, image processing, or any related concepts. The performance studies are limited to bench testing of basic device parameters.

Yes
The device is used for electrocoagulation and hemostasis in surgical procedures, which are therapeutic interventions. Its effect—heating the skin to cause non-viability of the epidermis and controlled damage to the dermis—is also a direct physical treatment, characteristic of a therapeutic device.

No

The device is described as an electro-surgical device for electrocoagulation and hemostasis, which are therapeutic procedures. It is used to heat the skin for controlled damage, not to diagnose a condition.

No

The device description explicitly lists hardware components: a system console, footswitch, handpiece, and tip.

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

Here's why:

  • Intended Use: The intended use clearly states "for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis." This describes a device used on the patient's body during a procedure, not a device used to test samples outside the body.
  • Device Description: The description details how the device works by heating the skin, which is a direct interaction with the patient's tissue.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), performing tests on these samples, or providing diagnostic information based on such analysis.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The PlaDuo's function is therapeutic (electrocoagulation and hemostasis) and involves direct interaction with the patient's skin.

N/A

Intended Use / Indications for Use

The PlaDuo is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis.

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

GEI

Device Description

The ShenB Co Ltd PlaDuo is an electro-surgical device for use in dermatological applications. The effect of the device is achieved by heating the outer layer of the skin so that part or all of the epidermis becomes non-viable and there is controlled damage to the underlying dermis.

The PlaDuo system consists of a system console, footswitch, handpiece, and tip with 3 interchangeable guides.

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 Testing
ShenB conducted bench testing to assure that the PlaDuo operates safely and within the predefined design specifications. Tested parameters included: Output Energy, Durability of the tip, Thermal testing in accordance with FDA's “Guidance for Industry and FDA Staff: Premarket Notification (510(k)) Submissions for Electrosurgical Devices for General Surgery”

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.

Potenza (K)192545

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.

Rhytec Portrait PSR (K)060948

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 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.

December 14, 2020

ShenB Co. Ltd. % Connie Hoy Consultant Hoy and Associates 3916 N. Potsdam Ave #4676 Sioux Falls, South Dakota 57104

Re: K201735

Trade/Device Name: PlaDuo System Regulation Number: 21 CFR 878,4400 Regulation Name: Electrosurgical Cutting and Coagulation Device and Accessories Regulatory Class: Class II Product Code: GEI Dated: November 29, 2020 Received: December 1, 2020

Dear Connie Hoy:

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 Actinclude 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

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/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) 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 https://www.fda.gov/medical-devices/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance)and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-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 Chen, Ph.D. Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K201735

Device Name

PlaDuo System

Indications for Use (Describe)

The PlaDuo is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

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

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

510k SUMMARY

A summary of 510k safety and effectiveness information in accordance with the requirements of 21 CFR 807.92.

K201735

807.92(a)(1) - Submitter Information
NameShenB Co Ltd.
AddressShenb Bldg 148
Seongsui-ro
Seongdong-Gu, Seoul , KR 04796
Phone number82 70.4912.2702
Emailoskar@shenb.com
Establishment Registration Number3010226575
Name of contact personMr. Oskar Lee
Date preparedJune 15, 2020
807.92(a)(2) - Name of device
Trade or proprietary namePlaDuo System
Common or usual nameElectrosurgical, cutting and coagulation device and accessories
Classification nameElectrosurgical, cutting and coagulation device and accessories
Classification panelGeneral and Plastic Surgery
Regulation21 CFR 878.4400
Product Code(s)GEI
Regulatory ClassClass II Prescription Use
807.92(a)(3) - Legally marketed device(s) to which equivalence is claimed
Predicate devicePotenza (K)192545
Reference deviceRhytec Portrait PSR (K)060948
807.92(a)(4) - Device description
The ShenB Co Ltd PlaDuo is an electro-surgical device for use in dermatological applications. The effect of the device is achieved by heating the outer layer of the skin so that part or all of the epidermis becomes non-viable and there is controlled damage to the underlying dermis.

The PlaDuo system consists of a system console, footswitch, handpiece, and tip with 3 interchangeable guides. |
| | 807.92(a)(5) Intended use of the device |
| Indications for use | The PlaDuo is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis |

4

807.92(a)(6) Summary of the technological characteristics of the device compared to the predicate
CharacteristicProposed Device
PlaDuo SystemPredicate Device
Potenza (K)192545Reference Device
Rhytec Portrait PSR3
(K)060948
Mode of OperationNitrogen GasRadio FrequencyNitrogen Gas
Principal of
OperationPlasma energy is delivered to the
skin and energy is rapidly
transferred to the skin surface.
As the plasma energy passes
through the tissue it generates an
electrothermal reaction which is
capable of coagulating tissue.RF energy is delivered through
the skin into the target tissue via
a handpiece equipped with an
electrode tip. As the RF energy
passes through the tissue, it
generates an electrothermal
reaction which is capable of
coagulating the tissue.Plasma energy is delivered to the
skin and energy is rapidly
transferred to the skin surface.
As the plasma energy passes
through the tissue it generates an
electrothermal reaction which is
capable of coagulating tissue.
Frequency2.45Ghz1mHz and 2mHz2.45Ghz
Max Power (w)100W50W100W
Output Energy0.5 – 4JUp to 2J1 – 4J
Repetition Rate1 – 3 HzN/A1 – 4 Hz
Emitting Time5 – 40msN/A5 – 40ms
Depth of thermal
effectup to 400 micronsUp to 4mmUnknown
Gas RequirementMedical Grade NitrogenN/AMedical Grade Nitrogen
Electrical VoltageAC 100-230V/ 50/60HzAC 100-230V/ 50/60HzAC 100-240V/ 50/60Hz
807.92(b)(1) NONCLINICAL TESTS SUBMITTED
Discussion of
nonclinical tests:Biocompatibility
ShenB performed biocompatibility testing for the electrode tips according to FDA's "Use of International
Standard ISO-10993, 'Biological Evaluation of Medical Devices Part 1: Evaluation and testing within a
risk management process". June 6. 2016. Of the PlaDuo components, only the handpiece guide

5

table below:
Test TypeStandardResults
CytotoxicityISO 10993-05:2009, Biological
evaluation of medical devices
  • Part 5: Tests for in vitro
    cytotoxicity | Pass |
    | Sensitization: Guinea Pig
    Maximization Test (GPMT) | ISO 10993-10:2010, Biological
    evaluation of medical devices
  • Part 10: Tests for irritation
    and skin sensitization | Pass |
    | Irritation or Intracutaneous
    Reactivity [Animal
    Intracutaneous (Intradermal)
    Reactivity Test | ISO 10993-10:2010, Biological
    evaluation of medical devices
  • Part 10: Tests for irritation
    and skin sensitization | Pass |

Electrical Safety and electromagnetic compatibility (EMC)

Electrical safety, EMC and device-related electrical safety for high frequency were conducted on the PlaDuo system according to the following consensus standards:

  • IEC 60601-1:2005 (Third Edition) + CORR. 1:2006 + CORR. 2:2007 + A1:2-12, . Medical electrical equipment – Part 1-2: General requirements for basic safety and essential performance
  • IEC 60101-2-2:2017, 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
  • · IEC 60601-1-2:2014, Medical electrical equipment Part 1-2: General requirements for basic safety and essential performance – Collateral Standard: Electromagnetic disturbances - Requirements and Tests

Software Verification and Validation Testing

Software verification and validation testing was conducted for the subject device, and documentation was provided in accordance with FDA's "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices", May 11, 2005, commensurate with a moderate level of concern.

6

| | Bench Testing
ShenB conducted bench testing to assure that the PlaDuo operates safely and within the
predefined design specifications. Tested parameters included:
• Output Energy
• Durability of the tip
• Thermal testing in accordance with FDA's “Guidance for Industry and FDA Staff:
Premarket Notification (510(k)) Submissions for Electrosurgical Devices for General
Surgery” |
|---------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 807.92(b)(2) CLINICAL TESTS SUBMITTED | |
| | No Clinical study was conducted as part of this submission. |
| 807.92(b)(3) Conclusion | |
| | The substantial equivalence of the PlaDuo is demonstrated through performance testing.

The PlaDuo has equivalent intended use, indication for use and thermal characteristics to the predicate device. |

No new questions of safety and/or effectiveness are raised as a result of the differences when compared to predicate device based on the data provided in the submission. Therefore, the PlaDuo is substantially equivalent to the legally marketed predicate device.