K Number
K231749
Device Name
Radio Frequency System
Date Cleared
2023-10-19

(126 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Radio Frequency System is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis.
Device Description
The Radio Frequency System consists of a host with an LCD touch screen control panel, moving base, treatment handle and pedal switch. The treatment handle includes a handpiece and a sterilized tip. And the sterilized tip is classified into two type, microneedle electrodes and RF electrodes. The treatment parameters are entered via the touchscreen control panel that also displays system output information during treatment. Microneedle electrodes come in light contact with the epidermis of the patient and minimally penetrate the epidermis while RF electrodes not penetrate. RF POWER, ON TIME (RF POWER×ON TIME = RF Energy), DEPTH, are user-selectable via the control panel. The RF Power output is controlled to insure for a given time that a determinate RF Energy is delivered to the bipolar electrodes. The handpiece is held at right angles to the target tissue. As the RF energy passes into the skin, it generates an electro-thermal reaction capable of coagulating the tissue surrounding the uninsulated portion of the electrodes.
More Information

No reference devices were used in this submission.

No
The document does not mention AI, ML, or related concepts, and the device description focuses on user-controlled parameters and standard RF energy delivery.

Yes.
It is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis, which makes it a therapeutic device.

No

The device is described for "electrocoagulation and hemostasis" in dermatologic and general surgical procedures, which are treatment functions, not diagnostic ones.

No

The device description clearly outlines multiple hardware components including a host, LCD touch screen, moving base, treatment handle, pedal switch, handpiece, and sterilized tips (microneedle and RF electrodes). The software is described as controlling the hardware and displaying information, but it is not the sole component of the medical device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "dermatologic and general surgical procedures for electrocoagulation and hemostasis." This describes a therapeutic or surgical intervention performed directly on the patient's body, not a test performed on a sample taken from the body.
  • Device Description: The description details a system that delivers radio frequency energy to tissue via electrodes. This is a physical treatment method, not a diagnostic test that analyzes biological samples.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening based on sample analysis.

The device is clearly designed for therapeutic and surgical purposes, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Radio Frequency System 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 Radio Frequency System consists of a host with an LCD touch screen control panel, moving base, treatment handle and pedal switch. The treatment handle includes a handpiece and a sterilized tip. And the sterilized tip is classified into two type, microneedle electrodes and RF electrodes. The treatment parameters are entered via the touchscreen control panel that also displays system output information during treatment. Microneedle electrodes come in light contact with the epidermis of the patient and minimally penetrate the epidermis while RF electrodes not penetrate. RF POWER, ON TIME (RF POWER×ON TIME = RF Energy), DEPTH, are user-selectable via the control panel. The RF Power output is controlled to insure for a given time that a determinate RF Energy is delivered to the bipolar electrodes. The handpiece is held at right angles to the target tissue. As the RF energy passes into the skin, it generates an electro-thermal reaction capable of coagulating the tissue surrounding the uninsulated portion of the electrodes.

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

Prescription Use

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)

The following performance data were provided in support of the substantial equivalence determination:

Biocompatibility testing: The patient contacting component of the subject device is the biocompatibility tests were conducted in accordance with ISO 10993-1.

  • In Vitro Cytotoxicity Test: ISO 10993-5: 2009
  • Skin Sensitization Test: ISO 10993-10:2021
  • Intracutaneous Reactivity Test: ISO 10993-23:2021
  • Acute Systemic Toxicity Test: ISO 10993-11:2017
  • Pyrogen Test: ISO 10993-11:2017

Sterilization Validation: Sterilization validation of the tip has been conducted per the standard ISO 10993-7:2008 for Ethylene Oxide(standard ISO 11135:2014).

Shelf-life Validation: The shelf-life validation of the device has been conducted using the accelerated aging method in accordance to ASTM F1980-16.

Electrical safety and electromagnetic compatibility (EMC): Electrical safety testing and EMC testing were conducted on the Radio frequency System complying with the IEC 60601-1 standard, the IEC 60601-1-6 standard for safety and the IEC 60601-1-2 standard for EMC.

Software Verification and Validation Testing: Software Verification and Validation Testing were conducted and documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a "moderate" level of concern, since a failure or latent flaw in the software could indirectly result in minor injury to the patient or operator.

No preclinical and clinical data was provided in this submission.

Key Results: The results of verification and validation activities, i.e., testing to standards and performance testing of the devices, have demonstrated substantial equivalence of the subject device to its predicate devices.

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.

K121481

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.

No reference devices were used in this submission.

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 shows the logo for the U.S. Food and Drug Administration (FDA). On the left is the Department of Health and Human Services logo. To the right of that is the FDA logo, which consists of the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, and then the word "ADMINISTRATION" in a smaller font size below that.

October 19, 2023

Shenzhenshi Sincoheren S&T Development Co., Ltd. Cai Jialong MD Registered Engineer Floor 4, No 2 plant, No. 14, Zhongxing Road, Xiuxin Community, Kengzi Street, Pingshan District Shenzhen, Guangdong 518000 China

Re: K231749

Trade/Device Name: Radio Frequency System Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting And Coagulation Device And Accessories Regulatory Class: Class II Product Code: GEI Dated: May 11, 2023 Received: June 15, 2023

Dear Cai Jialong:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

1

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 801); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 medical devices and radiation-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,

Mark Trumbore -S Trumbore -S Trumbore -S
Mark Trumbore -S Trumbore -S Trumbore -S

  • Date: 2023.10.19 15:32:33 -04'00'

Mark Trumbore, 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

2

Indications for Use

510(k) Number (if known)

Device Name Radio Frequency System

Indications for Use (Describe) The Radio Frequency System is intended for use in dermatologic and general surgical 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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510(k) Summarv

This 510(k) Summary is being submitted in accordance with requirements of Title 21, CFR Section 807.92.

1. General Information

| Submitter: | Shenzhenshi Sincoheren S&T Development Co., Ltd.
Floor 4, No 2 plant, No. 14, Zhongxing Road, Xiuxin
Community, Kengzi Street, Pingshan District, Shenzhen
City, Guangdong Province, China |
|---------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Cai Jialong
MD Registered Engineer
Tel: +86-13424006986
Email: caijl@medsmt.com |
| Summary Preparation Date: | August 21, 2023 |

2. Device Name and Code

Trade/Common Name: Radio Frequency System Classification Name: Electrosurgical, Cutting & Coagulation & Accessories Classification: Class II Product Code: GEI Regulation Number: 21 CFR 878.4400 Review Panel: General & Plastic Surgery

3. Predicate Device

The INFINI Radiofrequency System (K121481). This predicate device has not been subject to a design-related recall. No reference devices were used in this submission.

4. Device Description

The Radio Frequency System consists of a host with an LCD touch screen control panel, moving base, treatment handle and pedal switch. The treatment handle includes a handpiece and a sterilized tip. And the sterilized tip is classified into two type, microneedle electrodes and RF electrodes. The treatment parameters are entered via the touchscreen control panel that also displays system output information during treatment. Microneedle electrodes come in light contact with the epidermis of

4

the patient and minimally penetrate the epidermis while RF electrodes not penetrate. RF POWER, ON TIME (RF POWER×ON TIME = RF Energy), DEPTH, are user-selectable via the control panel. The RF Power output is controlled to insure for a given time that a determinate RF Energy is delivered to the bipolar electrodes. The handpiece is held at right angles to the target tissue. As the RF energy passes into the skin, it generates an electro-thermal reaction capable of coagulating the tissue surrounding the uninsulated portion of the electrodes.

5. Indications for Use

The Radio Frequency System is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis.

6. Technological Characteristics in Comparison to the Predicate Device

The subject device has the same intended use and indications for use and the same fundamental scientific technology as the Predicate device, the INFINI Radiofrequency System cleared in K121481. The subject device design, technology, and the principles of operation are the same as the predicate device. The Radio Frequency System and the Predicate device are bipolar radio frequency systems, with delivery methods through microneedles inserted from the handpiece and the tip. The Radio Frequency System and the predicate device are minimally invasive radio frequency devices employing bipolar microneedle electrode system. The subject device has the same power, same treatment duration, needle diameter, and needle depth as the predicate device. Therefore, the minor differences do not raise any new safety and effectiveness questions because the parameters of the Subject device are similar to those of the predicate device.

| Description | Radio Frequency System | INFINI
Radiofrequency
System(K121481) | Comments |
|---------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------|
| Manufacturer | Shenzhen Sincoheren S&T
Development Co., Ltd. | Lutronic Corporation | |
| Indication for Use | The Radio Frequency
System is intended for use
in dermatologic and
general surgical
procedures for
electrocoagulation and
hemostasis. | The INFINI
Radiofrequency System
is intended for use in
dermatologic and
general surgical
procedures for
electrocoagulation and | Same as predicate |
| Description | Radio Frequency System | INFINI
Radiofrequency
System(K121481) | Comments |
| | | hemostasis, and the
percutaneous treatment
of facial wrinkles. | |
| Prescription/Over-t
he Counter Use | Prescription Use | Prescription Use | Same as predicate |
| System Type | Bipolar RF (Radio
frequency) | Bipolar RF
(Radiofrequency) | Same as predicate |
| Frequency | 1 MHz | 1 MHz | Same as predicate |
| Max Output Power | 50 W | 50 W | Same as predicate |
| Operation Mode | Fractional RF | Fractional RF | Same as predicate |
| Treatment
Duration(Time) | 101000 ms | 101000 ms | Same as predicate |
| Tips | 49-pin: 7×7 microneedle
electrodes, 10.5 mm×10.5
mm spot size, microneedle
electrodes depth
adjustment 0.53.5 mm
25-pin: 5×5 microneedles
electrodes, 10.5 mm×10.5
mm spot size, microneedle
electrodes depth
adjustment 0.5
3.5 mm
49-RF: 7×7 RF electrodes,
10.5 mm×10.5 mm spot
size, no electrodes depth
adjustment | 49-pin:7×7
microneedles, 10×10
mm microneedle depth
adjustment 0.53.5 mm
spot size, microneedle
depth adjustment
0.5
3.5 mm | Different. Additions
of tip type in the
subject device. |
| Electrode Diameter | Microneedle
electrodes:2µm,
RF electrodes:600 µm | 200 μm | Different. Additions
of tip type in the
subject device. |
| Output Control | Foot/ Finger switch | Foot switch | Different. Additions
of output control in
the subject device. |
| Electrode Material | Gold plated stainless steel | Gold plated stainless
steel | Same as predicate
|

7. Substantial Equivalence Table

5

Shenzhen Sincoheren S&T Development Co., Ltd. has removed from the subject device the percutaneous treatment of facial wrinkles as an Indication for use. The subject device and the

6

predicate device have the same Indication for Use.

The following differences exist between the Subject Device and Predicate Device:

· The Subject Device use an additional type of tip(49-RF) and two models of microneedle electrodes(49-pin and 25-pin) but the Predicate Device only use one model of microneedle electrodes(25-pin).

· The finger switch is an addition to the Subject Device.

8. Performance Date

The following performance data were provided in support of the substantial equivalence determination:

Biocompatibility testing

The patient contacting component of the subject device is the biocompatibility tests were conducted in accordance with ISO 10993-1.

  • · In Vitro Cytotoxicity Test: ISO 10993-5: 2009
  • · Skin Sensitization Test: ISO 10993-10:2021
  • · Intracutaneous Reactivity Test: ISO 10993-23:2021
  • · Acute Systemic Toxicity Test: ISO 10993-11:2017
  • Pyrogen Test: ISO 10993-11:2017

Sterilization Validation

Sterilization validation of the tip has been conducted per the standard ISO 10993-7:2008 for Ethylene Oxide(standard ISO 11135:2014).

Shelf-life Validation

The shelf-life validation of the device has been conducted using the accelerated aging method in accordance to ASTM F1980-16.

Electrical safety and electromagnetic compatibility (EMC)

Electrical safety testing and EMC testing were conducted on the Radio frequency System complying with the IEC 60601-1 standard, the IEC 60601-1-6 standard for safety and the IEC 60601-1-2 standard for EMC.

Software Verification and Validation Testing

7

Software Verification and Validation Testing were conducted and documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a "moderate" level of concern, since a failure or latent flaw in the software could indirectly result in minor injury to the patient or operator.

No preclinical and clinical data was provided in this submission.

Conclusion

The subject device shares a similar design and intended use to its predicate device(K121481). Additionally, principles of operation, performance characteristics, technological characteristics are similar between the subject device and its predicate devices. The results of verification and validation activities, i.e., testing to standards and performance testing of the devices, have demonstrated substantial equivalence of the subject device to its predicate devices. The minor differences in the subject device do not raise new types of questions regarding safety and efficacy, and the data presented in this 510(k) Premarket Notification supports the contention that the subject device is substantially equivalent to the predicate device.