K Number
K970987
Date Cleared
1997-05-05

(48 days)

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

Intended for use by practitioners in a manner identical to similar electrosurgical electrodes of this type presently in commercial distribution. It is intended to provide electrocautery over a large surface.

Device Description

The Fusion Ball Tip Electrode is a reusable electrode for use in monopolar electrosurgical accessories.

AI/ML Overview

This 510(k) premarket notification for the Fusion Ball Tip Electrode does not contain information about acceptance criteria or a study demonstrating the device meets such criteria in the context of an AI/ML device. The provided text describes a medical device, specifically an electrosurgical electrode, and compares its technological characteristics to a predicate device for the purpose of demonstrating substantial equivalence.

Therefore, the following requested information cannot be extracted or inferred from the provided text:

  1. A table of acceptance criteria and the reported device performance: Not applicable. The document focuses on technological characteristics for substantial equivalence, not performance metrics against acceptance criteria.
  2. Sample size used for the test set and the data provenance: Not applicable. No test set for performance evaluation is mentioned.
  3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. No test set or ground truth establishment is mentioned.
  4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable. No test set or adjudication is mentioned.
  5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This is not an AI/ML device.
  6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an AI/ML device.
  7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable. No ground truth is mentioned.
  8. The sample size for the training set: Not applicable. No training set is mentioned as this is not an AI/ML device.
  9. How the ground truth for the training set was established: Not applicable. No training set or ground truth establishment is mentioned.

The document is a traditional 510(k) submission focused on demonstrating substantial equivalence to a legally marketed predicate device based on technological characteristics, indications for use, and material composition, rather than performance against specific acceptance criteria relevant to AI/ML or diagnostic performance.

{0}------------------------------------------------

K970987

510(k) Summary Fusion Medical Technologies, Inc. Ball Tip Electrode

MAY - 5 1997

1.Sponsor:Fusion Medical Technologies, Inc.1615 Plymouth StreetMountain View, CA 94043
----------------------------------------------------------------------------------------------------

Contact Person:

Debera Brown Vice President, Regulatory and Clinical Affairs

    1. Device Name:
      .

:

Trade Name:To Be Determined
Common/Usual Name:Electrosurgical Electrode
Classification Name:Electrosurgical Cutting and Coagulation Device andAccessories
  • Identification of the Predicate or Legally Marketed Devices to Which Equivalence 3. is being Claimed:
    Electrosurgical Electrode by Premier Dental Products

    1. Device Description:
      The Fusion Ball Tip Electrode is a reusable electrode for use in monopolar electrosurgical accessories.
  • ડ. Intended Use:
    Intended for use by practitioners in a manner identical to similar electrosurgical electrodes of this type presently in commercial distribution. It is intended to provide electrocautery over a large surface.

046

me

{1}------------------------------------------------

  • б. A Statement of How the Technological Characteristics of the Device Compare to Those of the Predicate or Legally Marketed Device.
ParameterFusion Ball Tip ElectrodePremier Dental ElectrodeK923332
Indications for UseIntended for use bypractitioners in a manneridentical to similarelectrosurgical electrodes ofthis type presently incommercial distribution. Itis intended to provideelectrocautery over a largesurface.Intended for use bypractitioners in a manneridentical to similarelectrosurgical electrodes ofthis type presently incommercial distribution. Itis intended for cutting andcoagulation of tissue.
Use ProfileProvided Sterile; reusableafter cleaning and autoclavesterilizationProvided non-sterile; firstuse and reuse afterautoclave or ETOsterilization
CompatibilityStandard 3/32 inch (2.4mm) shaft fits mostelectrosurgery chucks andpencils44 different configurationsprovided, all standard 3/32shaft to fit mostelectrosurgery chucks andpencils
Material CompositionStainless Steel shank,Polyphenylsulfone forinsulation, 99% Pure Silveras electrode tipStainless Steel shank,Korvex 4X Teflon TFE heatshrinkable tubing, Type 304stainless steel electrode tip
SterilizationProvided sterile by gammairradiation for first useProvided non-sterile, mustbe sterilized by user beforefirst use
BiocompatibilityMaterials used in othermedical devices; ISO10993-1Materials used in otherdevices

047

§ 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.