K Number
K213612
Device Name
SYLFIRM X
Manufacturer
Date Cleared
2022-06-23

(220 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SYLFIRM X™ is intended for use in dermatologic procedures for electrocoagulation and hemostasis.
Device Description
The SYLFIRM X™ includes a system main device, a hand-piece equitable with a bi-polar electrode, and a foot switch. The RF signal is generated from the main device which is then delivered to the handpiece and then to bi-polar electrode. The RF signal is delivered to the target tissue using penetrating needle electrodes in the consumable tip. The bi-polar electrode is placed in light contact with the epidermis while the hand-piece is being held at right angles to the target tissue. As the RF signal passes through the skin, it generates an electro thermal reaction which is capable of coagulating the tissue. Using the consumable tip, SYLFIRM X™ creates heat within the target skin tissue via needle electrodes from the bi-polar electrode.
More Information

Not Found

No
The description focuses on the physical components and the mechanism of action (RF energy for electrocoagulation and hemostasis). There is no mention of AI, ML, image processing, or data-driven decision making.

Yes
The device is used for electrocoagulation and hemostasis in dermatologic procedures, which are medical treatments.

No

The device is described as an electrocoagulation and hemostasis device that generates heat to treat dermal conditions, not to diagnose them.

No

The device description explicitly details hardware components including a system main device, hand-piece, bi-polar electrode, and foot switch, which generate and deliver an RF signal. This is not a software-only device.

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

Here's why:

  • Intended Use: The intended use is for "dermatologic procedures for electrocoagulation and hemostasis." This describes a procedure performed directly on a patient's tissue, not on samples of biological material outside the body.
  • Device Description: The device description details how the device delivers RF energy to the skin tissue using needles for therapeutic purposes (coagulation and hemostasis). This is a direct treatment method.
  • Lack of IVD Characteristics: IVD devices are designed to examine specimens (like blood, urine, tissue samples) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening. The SYLFIRM X™ does not perform this function.

The SYLFIRM X™ is a therapeutic device used for performing procedures on the skin.

N/A

Intended Use / Indications for Use

The SYLFIRM X™ is intended for use in dermatologic procedures for electrocoagulation and hemostasis.

Product codes

GEI

Device Description

The SYLFIRM X™ includes a system main device, a hand-piece equitable with a bi-polar electrode, and a foot switch. The RF signal is generated from the main device which is then delivered to the handpiece and then to bi-polar electrode. The RF signal is delivered to the target tissue using penetrating needle electrodes in the consumable tip. The bi-polar electrode is placed in light contact with the epidermis while the hand-piece is being held at right angles to the target tissue. As the RF signal passes through the skin, it generates an electro thermal reaction which is capable of coagulating the tissue. Using the consumable tip, SYLFIRM X™ creates heat within the target skin tissue via needle electrodes from the bi-polar electrode.

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

Preclinical test: The study was designed to evaluate the safety and effectiveness of SYFLIRM X™ as a radiofrequency(RF) heating device to treat dermal conditions and hemostasis. Three (3) Yucatan Mini-pigs were used in this study. Animal G1 was euthanized 3 h after treatment on Day 1; Animal G2 was euthanized on Day 5; and Animals G3 was euthanized on Day 22. Treatment with the SYLFIRM X™ device did not result in erythema or edema formation within 1-hour post treatment, nor at any other scheduled time points on all animals. The treatment-related microscopic findings consisted of minimal to moderate, multifocal deep dermal collagen necrosis in animals euthanized on Days 1 and 5, and minimal to mild multifocal deep dermal fibrosis on animal euthanized on Day 22. Test results including histology data demonstrated that the subject device is substantially equivalent to the predicate devices in the market for its intended use.

Key Metrics

Not Found

Predicate Device(s)

K200185

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 for the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. Food & Drug Administration".

VIOL Co., Ltd. % Jong Kim Official Correspondent GMS Consulting 4th Floor, Digital Cube, 34, Sangamsan-ro, Mapo-gu Seoul. 03909 Korea, South

Re: K213612

Trade/Device Name: Sylfirm X Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting And Coagulation Device And Accessories Regulatory Class: Class II Product Code: GEI Dated: May 2, 2022 Received: May 4, 2022

Dear Jong Kim:

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/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-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (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,

for

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 Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K213612

Device Name SYLFIRM XTM

Indications for Use (Describe)

The SYLFIRM X™ is intended for use in dermatologic procedures for electrocoagulation and hemostasis.

Type of Use (Select one or both, as applicable)

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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K213612

510(K) Summary

[As Required by 21 CFR 807.92]

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

November 05, 2021

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

● Name of Manufacturer:VIOL Co., Ltd
● Address:C-808, 809, Bundang Technopark C, 744, Pangyo-ro,
Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea
(13510)
● Contact Name:Chai kyoung Woo
● Telephone No.:+8231-8017-7893
● Email Address:info@celfirm.com
● Registration No.:3009206941

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

Trade/Device NameSYLFIRM X™
Common NameRadiofrequency System
Regulation Number21 CFR 878.440
Regulation NameElectrosurgical, Cutting & Coagulation & Accessories
Regulation ClassClass II
Product CodeGEI

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

The identified predicate devices within this submission are shown as follow;

1)510(k) Number:K200185
2)Applicant:VIOL Co., Ltd
3)Trade/Device Name:SYLFIRM XTM
4)Regulation Number:21 CFR 878.440
5)Regulation Name:Electrosurgical, Cutting & Coagulation & Accessories
6)Regulation Class:Class II
7)Product Code:GEI

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

The SYLFIRM X™ includes a system main device, a hand-piece equitable with a bi-polar electrode, and a foot switch. The RF signal is generated from the main device which is then delivered to the handpiece and then to bi-polar electrode. The RF signal is delivered to the target tissue using penetrating needle electrodes in the consumable tip. The bi-polar electrode is placed in light contact with the epidermis while the hand-piece is being held at right angles to the target tissue. As the RF signal passes through the skin, it generates an electro thermal reaction which is capable of coagulating the tissue. Using the consumable tip, SYLFIRM X™ creates heat within the target skin tissue via needle electrodes from the bi-polar electrode.

5

6. Indications for use [21 CFR 807.92(a)(5)]

The SYLFIRM X™ is intended for use in dermatologic procedures for electrocoagulation and hemostasis.

7. Determination of Substantial Equivalence

Summary of technological characteristics of the device compared to the predicate device. [21 CFR 807.92(a)(6)]

The SYLFIRM X™ is substantially equivalent to legally marketed predicate devices (SYFLIRM X™(K200185)) with respect to indications for use and technology characteristics. The table below presents comparisons between subject device and predicate devices:

Subject DevicePredicate Device #1Remarks
ManufacturerVIOL Co., Ltd.VIOL Co., Ltd.
Device NameSYLFIRM X™SYLFIRM X™
510(K) No.K213612K200185
Product CodeGEIGEI
Indication for useThe SYLFIRM X™ is intended for
use in dermatologic procedures for
electrocoagulation and hemostasis.The SYLFIRM X™ is intended
for use in dermatologic and
general surgical procedures
for electrocoagulation and
hemostasis.
Input voltageAC 100-240 V, 50/60 HzAC 100-240 V, 50/60 Hz
Output powerMax 16 W(50 Ω)Max 16 W(50 Ω)
ModeConduction timeNo. of PulseModeConduction timeNo. of Pulse
CW1120
msec1CW1120
msec1
CW2160
msec1CW2160
msec1
CW3200
msec1CW3200
msec1
Conduction timeCW4300
msec1CW4300
msec1
PW1120
msec4PW1120
msec4
PW2160
msec4PW2160
msec4
PW3200
msec4PW3200
msec4
PW4240
msec4PW4240
msec4
Output
frequency2 MHz2 MHz
RF output typeBi polarBi polar
Operation typeCoagulationCoagulation
Foot switchYesYes

[Table 1. Comparison of Proposed Device to Predicate Device]

510(K) Summary

6

Depth0.3 mm ~ 4.0 mm0.3 mm ~ 4.0 mm
(unit: 0.1 mm)(unit: 0.1 mm)
T
PSterilization
methodEO GasEO Gas
DisposableYesYes
CONSUMABLE TIPProvidedProvided
J25BMProvidedNot provided
J25BSProvidedNot provided
J18BSProvidedNot provided
Number of
ElectrodesCONSUMABLE TIPJ25BMJ25BSJ18BSConsumable tip
25pin25pin25pin18pin25pin(5x5)
(5x5)(5x5)(5x5)(3x6)
PitchCONSUMABLE TIPJ25BMJ25BSJ18BSConsumable tip
2.0mm2.0mm1.5mm1.5mm2.0mm
Dimensions400 mm(W) x 450 mm(D) x 1580400 mm(W) x 450 mm(D) x 1580
mm(H)mm(H)

The SYLFIRM X™ has same intended uses and technical characteristics to the predicate device, SYLFIRM X™(K200185). We performed risk analysis according to the addition of an accessory, and performed necessary verification and validation accordingly. There is no additional consideration for safety and effectiveness, so subject device, SYLFIRM X is substantially equivalent to the predicated device.

8. Performance data

Sterilization validation test

To verify the sterility assurance level (10-6) for EO sterilization and biological indicator (BI) overkill method was used in accordance to ISO 11135-1, ISO 10993-1, ISO 10993-7, ISO 11138-1, ISO 11138-2, ISO 11737-1, ISO 11737-2, AAMI TIR 15, and ISO 13485:2016.

Shelf-life validation test

The tests to validate the shelf life of the device through the proposed shelf life were conducted using the accelerated aging method in accordance to ASTM F1980-07 (2011) Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices. The referenced standards for the testing are ISO 11607-1, ISO 11607-2, ISO 11737-2, ASTM F1929, ASTM F 88, and USPNF.

Biocompatibility test

The patient contacting component of the subject device is the J25BM and the biocompatibility tests were in accordance with ISO 10993-5, ISO 10993-10, ISO 10993-11, and USP 38 .

Software validation test

The level of concern of the software (firmware) of the SYLFIRM X™ is moderate and the software validation tests were performed.

EMC & Electrical safety test

7

The subject device has been evaluated for electromagnetic compatibility and electrical safety testing per applicable standards of IEC 60601-1:2005. IEC 60601-1:2012: IEC 60601-1-6:2010. IEC 60601-1-6:2010/AMD1:2013; IEC 60601-2-2:2017, CISPR 11:2009/AMD1:2010, IEC 60601-1-2:2014.

Preclinical test

The study was designed to evaluate the safety and effectiveness of SYFLIRM X™ as a radiofrequency(RF) heating device to treat dermal conditions and hemostasis. Three (3) Yucatan Mini-pigs were used in this study. Animal G1 was euthanized 3 h after treatment on Day 1; Animal G2 was euthanized on Day 5; and Animals G3 was euthanized on Day 22.

Treatment with the SYLFIRM X™ device did not result in erythema or edema formation within 1-hour post treatment, nor at any other scheduled time points on all animals. The treatment-related microscopic findings consisted of minimal to moderate, multifocal deep dermal collagen necrosis in animals euthanized on Days 1 and 5, and minimal to mild multifocal deep dermal fibrosis on animal euthanized on Day 22.

Test results including histology data demonstrated that the subject device is substantially equivalent to the predicate devices in the market for its intended use.

Verification

The bi polar tip (J25BM, J25BS, J18BS) was added without changing the safety or effectiveness of the initially approved equipment, and related performance tests were performed to confirm the same performance. It was confirmed that it has the same performance for additional accessories.

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

Based on the test results provided in this submission including Sterilization Validation, Shelf life Validation, Biocompatibility, Software Validation, EMC & Electrical Safety Test, and Animal Test, VIOL Co., Ltd. concludes that the SYLFIRM X™ is substantially equivalent to the predicate device as described herein in.