K Number
K970993
Device Name
DEROYAL INDUSTRIES, INC. DISPOSABLE BIPOLAR ELECTROSURGICAL CABLE
Date Cleared
1997-05-22

(64 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable is indicated for use during electrosurgical procedures to provide transmission of electrical power from an electrosurgical generator to a bipolar instrument.
Device Description
The DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable functions in the same manner as predicate devices in that it is intended to be used in electrosurgical procedures to provide transmission of electrical power from an electrosurgical generator to a bipolar instrument. Device Design/ Materials Used/Physical Properties: The DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable is made of materials commonly used for their purpose. The primary material components are made of polyvinyl chloride.
More Information

Not Found

Not Found

No
The summary describes a simple electrosurgical cable and makes no mention of AI or ML technology.

No.
The device is a cable that transmits electrical power from a generator to a surgical instrument; it does not directly provide therapy.

No
The device is described as an electrosurgical cable for transmitting electrical power from a generator to an instrument, not for diagnosing medical conditions.

No

The device is described as a physical cable made of polyvinyl chloride, intended for transmitting electrical power. This indicates it is a hardware device, not software only.

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

Here's why:

  • Intended Use: The intended use is to "provide transmission of electrical power from an electrosurgical generator to a bipolar instrument" during electrosurgical procedures. This describes a device used during a surgical procedure on a patient, not a device used to examine specimens in vitro (outside the body) to obtain diagnostic information.
  • Device Description: The description focuses on its function in transmitting electrical power and the materials used, which are consistent with a surgical accessory.
  • Lack of IVD Indicators: There is no mention of analyzing biological samples, detecting analytes, providing diagnostic information, or any other characteristics typically associated with IVD devices.

Therefore, the DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable is a surgical accessory, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable is intended for use in electrosurgical procedures to provide transmission of electrical power from an electrosurgical generator to a bipolar instrument.

Product codes

GEI

Device Description

The DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable functions in the same manner as predicate devices in that it is intended to be used in electrosurgical procedures to provide transmission of electrical power from an electrosurgical generator to a bipolar instrument.

Device Design/ Materials Used/Physical Properties: The DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable is made of materials commonly used for their purpose. The primary material components are made of polyvinyl chloride.

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)

Not Found

Reference Device(s)

Not Found

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

MAY 2 2 1997

DeRoyal Industries, Inc.

DISPOSABLE BIPOLAR ELECTROSURGICAL CABLE

510(k) Summary

K970993

Summary of the Safety and Effectiveness Information Upon Which An Equivalence Determination Could Be Based

SUBMITTER INFORMATION

NAME:DeRoyal Industries, Inc.
ADDRESS:200 DeBusk Lane
Powell, TN 37849
TELEPHONE:(423) 938-7828
CONTACT:Maria Ebio
DATE OF PREPARATION:March 18, 1997

DEVICE NAMES

NAME:

DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable COMMON/USUAL NAME: Bipolar Cable/Cord Electrosurgical Cutting & Coagulation Device and Accessories CLASSIFICATION NAME (if known): (79 GEI)

PREDICATE OR LEGALLY MARKETED DEVICES

American Biosurgical, Apple Medical, Birtcher Medical Systems, Codman, Conmed, Kirwan, Olsen, Pilling Weck, and Valleylab

DEVICE DESRIPTION

The DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable functions in the same manner as predicate devices in that it is intended to be used in electrosurgical procedures to provide transmission of electrical power from an electrosurgical generator to a bipolar instrument.

Device Design/ Materials Used/Physical Properties: The DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable is made of materials commonly used for their purpose. The primary material components are made of polyvinyl chloride.

DEVICE INTENDED USE

The DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable is intended for use in electrosurgical procedures to provide transmission of electrical power from an electrosurgical generator to a bipolar instrument.

TECHNOLOGICAL COMPARISON WITH PREDICATE OR LEGALLYMARKETED DEVICE(S)

CharacteristicDeRoyal DeviceOther Devices
Length of Cable12 ft. (366 cm.)12 ft. (366 cm.)
Material of Outer Cable InsulationPVCPVC
DisposableYesYes
SterilitySterileSterile

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized image of a caduceus, which is a symbol of medicine and healing, with a staff and two snakes.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 2 2 1997

Ms. Maria Ebio Regulatory Affairs DeRoval Industries. Inc. ... 200 DeBusk Lane Powell, Tennessee 37849

Re: K970993

Trade Name: DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable Regulatory Class: II Product Code: GEI Dated: March 18, 1997 Received: March 19, 1997

Dear Ms. Ebio:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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 (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations. Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections. the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

2

Page 2 - Ms. Maria Ebio

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4595. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours.

Apisella

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

Page of

510(k) Number (if known):

Device Name:

DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable

11

Indications for Use:

The DeRoyal Industries, Inc. Disposable Bipolar Electrosurgical Cable is indicated for use during electrosurgical procedures to provide transmission of electrical power from an electrosurgical generator to a bipolar instrument.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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Division of General Restorative Devices [