K Number
K960009
Device Name
STORZ S2050 SERIES BIPOLAR FORCEPS
Date Cleared
1996-03-06

(64 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Storz S2050 series of bipolar forceps are used to control bleeding during surgical procedures, using high frequency electric current. Several of the forceps are designed for ophthalmic procedures specifically, while others are marketed for ENT procedures, neurosurgery, and/or plastic and reconstructive surgery. The forceps function by pinching tissue between the forcep tips, and allowing electric current to pass through it. The affected tissue is coagulated, and bleeding is arrested.
Device Description
The Storz S2050 series of bipolar forceps consists of twenty-one reusable devices for use with Storz DAISY™, Protege®, and PREMIERE® Microsurgical Systems, and Storz S2080 Bipolar Coagulator. All forceps are of the same basic design with differences in tip configurations and handle dimensions. The patient contact portion of the S2050 series of forceps is composed of stainless steel. Some models have a nylon insulation on the handle region of the forceps.
More Information

The Kirwan Bipolar Forceps, Mentor O&O WET-FIELD Bipolar Forceps

Not Found

No
The description focuses on the mechanical and electrical function of the forceps for coagulation, with no mention of AI or ML capabilities.

Yes

The device is used to control bleeding during surgical procedures by coagulating tissue, which is a therapeutic action.

No

Explanation: The device description states its function is to control bleeding during surgical procedures by coagulating tissue using electric current. This is a therapeutic function focused on treating or arresting physiological processes (bleeding), not on identifying or diagnosing a disease or condition.

No

The device description clearly states it is a series of bipolar forceps, which are physical instruments made of stainless steel and nylon, used in surgical procedures. This indicates it is a hardware device, not software only.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Function: The Storz S2050 series of bipolar forceps are used during surgical procedures to control bleeding by applying electric current directly to tissue within the body.
  • Intended Use: The intended use is to control bleeding during surgery, not to analyze specimens for diagnostic purposes.

The device is a surgical instrument used for therapeutic purposes (controlling bleeding), not for diagnostic testing of samples.

N/A

Intended Use / Indications for Use

The Storz S2050 series of bipolar forceps are used to control bleeding during surgical procedures, using high frequency electric current. Several of the forceps are designed for ophthalmic procedures specifically, while others are marketed for ENT procedures, neurosurgery, and/or plastic and reconstructive surgery. The forceps function by pinching tissue between the forcep tips, and allowing electric current to pass through it. The affected tissue is coagulated, and bleeding is arrested.

Product codes

GEI

Device Description

Storz S2050 series of bipolar forceps consists of twenty-one reusable devices for use with Storz DAISY™, Protege®, and PREMIERE® Microsurgical Systems, and Storz S2080 Bipolar Coagulator. All forceps are of the same basic design with differences in tip configurations and handle dimensions. The patient contact portion of the S2050 series of forceps is composed of stainless steel. Some models have a nylon insulation on the handle region of the forceps.

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)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

The Kirwan Bipolar Forceps (Kirwan Surgical Products, Inc.); and the Mentor O&O WET-FIELD Bipolar Forceps (Mentor O&O, Inc.).

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

960009

MAR - 6 1996

Image /page/0/Picture/2 description: The image shows the word "storz" in white letters on a black background. The letters are stylized and have a modern look. There is a registered trademark symbol in the upper right corner of the image. The logo is simple and eye-catching.

510(k) Summary of Safety and Effectiveness

The following information is submitted in accordance with 21 CFR 807.92:

Submitted by:

Audrey Swearingen

Audrev G. Swearingen Storz Instrument Company 3365 Tree Court Industrial Blvd. St. Louis, MO 63122 314/225-5051

Revised 510 (k) Sum

STM/2/16/96

| Contact Person: | Audrey G. Swearingen
Regulatory Affairs Associate | |
|----------------------|------------------------------------------------------------------|---------|
| Date Prepared: | February 12, 1996 | |
| Proprietary Name: | Storz S2050 series Bipolar Forceps | |
| Common/Usual Name: | Bipolar coagulation forceps | |
| Classification Name: | Electrosurgical Device, Cutting and Coagulation, and Accessories | 79(GEI) |

Storz S2050 series of bipolar forceps consists of twenty-one reusable Device Description: devices for use with Storz DAISY™, Protege®, and PREMIERE® Microsurgical Systems, and Storz S2080 Bipolar Coagulator. All forceps are of the same basic design with differences in tip configurations and handle dimensions. The patient contact portion of the S2050 series of forceps is composed of stainless steel. Some models have a nylon insulation on the handle region of the forceps.

Intended Use: The Storz S2050 series of bipolar forceps are used to control bleeding during surgical procedures, using high frequency electric current. Several of the forceps are designed for ophthalmic procedures specifically, while others are marketed for ENT procedures, neurosurgery, and/or plastic and reconstructive surgery. The forceps function by pinching tissue between the forcep tips, and allowing electric current to pass through it. The affected tissue is coagulated, and bleeding is arrested.

Predicate Devices: The Kirwan Bipolar Forceps (Kirwan Surgical Products, Inc.); and the Mentor O&O WET-FIELD Bipolar Forceps (Mentor O&O, Inc.).

Predicate Comparison: A table comparing the Storz S2050 series Bipolar Forceps to predicate devices, demonstrating substantial equivalence, is attached

1

ManufacturerStorz Instrument CompanyKirwan Surgical Products, Inc.Mentor O & O, Inc.
DeviceStorz Bipolar ForcepsKirwan Bipolar ForcepsMentor WET-FIELD™ Bipolar
Forceps
Model(s)S2050-XX seriesComplete list of model numbers
unknown22-12XX series
Intended UseVessel coagulation during surgeryVessel coagulation during surgeryVessel coagulation during surgery
Patient-Contact Material
Composition410 and 17-7 Stainless steelStainless steel; material of "non-stick"
models unknownUnknown
System(s) for which
Device is DesignedStorz DAISY®, Protegé®, and
PREMIERE® Microsurgical Systems;
and S2080 Bipolar CoagulatorNo specific system knownMentor WET-FIELD II™ Coagulator
Connector typeTwo-pin male connectorTwo-pin male connectorTwo-pin male connector
Reusable/Single Use?ReusableReusableReusable
Provided Sterile?NoNoNo

Storz S2050 Bipolar Forceps Substantial Equivalence Comparison

ستريد

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