K Number
K961647
Device Name
DEROYAL INDUSTRIES, INC. ELECTROSURGICAL CAUTERY PENCIL
Date Cleared
1996-10-08

(161 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The DeRoyal Cautery Pencil is indicated for use whenever an electrosurgical procedure requires the removal of tissue or the control of bleeding by either cutting or coagulation.
Device Description
The DeRoyal Industries, Inc. Electrosurgical Cautery Pencil functions in the same manner as predicate devices in that it is intended to be used in electrosurgical procedures to remove tissue and control bleeding. The device can be used for both cutting and coagulating. Device Design/Materials Used/Physical Properties: The DeRoyal Industries, Inc. Electrosurgical Cautery Pencil is made of materials commonly used for their purpose. The concept of use is intended to remove tissue and control bleeding by use of high frequency electrical current.
More Information

Not Found

Not Found

No
The summary describes a standard electrosurgical cautery pencil and makes no mention of AI or ML capabilities.

Yes
The device is used to remove tissue and control bleeding, which are therapeutic actions performed on a patient.

No

Explanation: The device is described as an electrosurgical cautery pencil used for removing tissue and controlling bleeding, which are therapeutic rather than diagnostic functions. It does not mention any ability to identify or characterize medical conditions.

No

The device description clearly states it is an "Electrosurgical Cautery Pencil" and describes its physical properties and function using high-frequency electrical current, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use is for "electrosurgical procedures [requiring] the removal of tissue or the control of bleeding by either cutting or coagulation." This describes a surgical procedure performed directly on a patient's body.
  • Device Description: The description reinforces its use in "electrosurgical procedures to remove tissue and control bleeding."
  • Lack of IVD Characteristics: IVD devices are used to examine specimens (like blood, urine, or tissue) outside of the body to provide information about a patient's health. The DeRoyal Cautery Pencil does not perform this function.

Therefore, the DeRoyal Cautery Pencil is an electrosurgical device used for surgical procedures, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The DeRoyal Cautery Pencil is indicated for use whenever an electrosurgical procedure requires the removal of tissue or the control of bleeding by either cutting or coagulation.

Product codes

79 GEI

Device Description

The DeRoyal Industries, Inc. Electrosurgical Cautery Pencil functions in the same manner as predicate devices in that it is intended to be used in electrosurgical procedures to remove tissue and control bleeding. The device can be used for both cutting and coagulating. Device Design/Materials Used/Physical Properties: The DeRoyal Industries, Inc. Electrosurgical Cautery Pencil is made of materials commonly used for their purpose. The concept of use is intended to remove tissue and control bleeding by use of high frequency electrical current.

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

DeBusk Technology Corporation

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

DEROY AL INDUSTRIES, INC. ELECTROSURGICAL CAUTERY PENCIL

K 961647

510(k) Summary

OCT - 8 1996 SUMMARY OF THE SAFETY AND EFFECTIVENESS INFORMATION UPON WHICH AN EQUIVALENCE DETERMINATION COULD BE BASED

SUBMITTER INFORMATION

ﻨﻬﺎ

NAME:DeRoyal Industries, Inc.TELEPHONE:(423) 938-7828
ADDRESS:200 DeBusk LaneCONTACT:Debra F. Manning
Powell, TN 37849DATE OF PREPARATION:April 22, 1996

DEVICE NAMES DeRoyal Industries, Inc. Electrosurgical Cautery Pencil NAME: COMMON/USUAL NAME: Cautery Pencil CLASSIFICATION NAME (if known): Electrosurgical Cutting & Coagulation Device and Accessories (79 GEI)

PREDICATE OR LEGALLY MARKETED DEVICES

DeBusk Technology Corporation

DEVICE DESCRIPTION

The DeRoyal Industries, Inc. Electrosurgical Cautery Pencil functions in the same manner as predicate devices in that it is intended to be used in electrosurgical procedures to remove tissue and control bleeding. The device can be used for both cutting and coagulating. Device Design/Materials Used/Physical Properties: The DeRoyal Industries, Inc. Electrosurgical Cautery Pencil is made of materials commonly used for their purpose. The concept of use is intended to remove tissue and control bleeding by use of high frequency electrical current.

DEVICE INTENDED USE

The DeRoyal Cautery Pencil is indicated for use whenever an electrosurgical procedure requires the removal of tissue or the control of bleeding by either cutting or coagulation.

TECHNOLOGICAL COMPARISON WITH PREDICATE OR LEGALLY MARKETED DEVICE(S)

CharacteristicDeRoyal DeviceDeBusk Technology DeviceRationale
Length of Pencil Body6.0"6.0"
Length of Cable10'0"10'0"
Material of Outer Cable InsulationPVCPVC
Method of Manufacturing of TipStamped and formed from
sheet of stainless steelStamped and formed from sheet
of stainless steel
Tip CoatingTitanium NitrideNoneProvides a non-toxic, anti-stick, lubricated surface.