K Number
K223440
Manufacturer
Date Cleared
2023-03-02

(108 days)

Product Code
Regulation Number
878.4400
Panel
SU
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Plasma MD or Plasma + is intended for the removal and destruction of skin lesions and coagulation of tissue.

Device Description

The Plasma Pen utilizes a treatment method called plasma sublimation, which causes controlled skin damage through the generation of an electrical arc. The arc between the disposable tip and the skin is created by a radio frequency generator housed in an electrosurqical unit (handpiece) that ionizes the gas particles in the air. A straight disposable tip is available with the system. The handheld device is cordless and is charged in a docking/charging station prior to use.

The system components include the following:

  1. Plasma Pen (Plasma MD (with 2 level switch) and Plasma+ (without switch)
  2. Docking station for Plasma Pen
  3. Cable for Plasma Pen
  4. Power bank battery
  5. Cable for power bank battery
  6. Charging Block
AI/ML Overview

The provided text describes a 510(k) premarket notification for the Plasma Pen (Plasma MD and Plasma +) device. It details the device's characteristics, its intended use, and a comparison to a predicate device to establish substantial equivalence. However, the document does not contain the specific information requested regarding acceptance criteria, a study that proves the device meets those criteria, or details about test sets, ground truth establishment, or expert involvement.

The document focuses on demonstrating substantial equivalence to an existing predicate device (SubNovii Advanced Plasma Technology, K201738) based on similar indications for use, mode of operation, and performance characteristics. The "performance data" mentioned refers to non-clinical bench testing, not a clinical study involving human patients or complex AI-driven analysis.

Therefore, many of the requested fields cannot be filled from the provided text.

Here's a breakdown of what can and cannot be extracted from the provided text:

1. A table of acceptance criteria and the reported device performance:

The document doesn't explicitly state "acceptance criteria" in the format of a clinical study with metrics like sensitivity, specificity, or AUC. Instead, it compares characteristics and performance benchmarks against a predicate device to claim substantial equivalence. The closest to "acceptance criteria" are the "SAME" or "DIFFERENT" conclusions for various characteristics and the damage depth for thermal effects.

CharacteristicAcceptance Criteria (from Predicate)Reported Device Performance (Plasma Pen)Met Criteria? (Substantial Equivalence)
Indications for UseIntended for the removal and destruction of skin lesions and coagulation of tissue.Intended for the removal and destruction of skin lesions and coagulation of tissue.SAME
Prescription or OTCPrescriptionPrescriptionSAME
Mode of OperationPlasma; Radiofrequency energy ionizes the air creating a plasma streamPlasma; Radiofrequency energy ionizes the air creating a plasma streamSAME
OutputMonopolarMonopolarSAME
Power Supply110-250 VAC 50/60 Hz110-250 VAC 50/60 HzSAME
Frequency40 kHz40 kHzSAME
Max Power Output5W2WDIFFERENT (Lower max power output, with intended effect still achievable)
System ComponentsHandpiece, electrosurgical generator unit, docking station, active electrode.Handpiece, electrosurgical generator unit, docking station, active electrode.SAME
Thermal Effects on 4 porcine tissues (liver, kidney, muscle and skin) per FDA Guidance "Premarket Notification (510(K)) Submission for Electrosurgical Devices for General Surgery" (Damage Depth)Damage depth of

§ 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.