K Number
K974138
Device Name
ROCKET ELECTRODE
Date Cleared
1998-01-30

(88 days)

Product Code
Regulation Number
884.4120
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Rocket Electrode is to be used as a gynecologic electrocautery device for tissue excision. It is designed to destroy tissue with high temperatures by tissue contact with an electrically heated probe. This is to excise cervical lesions, perform biopsies, or treat chronic cervititis under direct visual observation
Device Description
This group of electrodes consists basically of a metal shaft partly insulated with two extensions connected by means of a metal wire (square and loop types). Or in case of the other types, it may be connected by blade, ball or needle. All the electrodes are supplied with different sizes
More Information

Not Found

No
The 510(k) summary describes a simple electrocautery device with no mention of AI or ML capabilities, image processing, or data-driven performance metrics.

Yes
The device is used to destroy tissue with high temperatures to excise cervical lesions, perform biopsies, or treat chronic cervicitis, which are therapeutic interventions.

No
Explanation: The device is described as a gynecologic electrocautery device used to destroy and excise tissue, not to diagnose a condition.

No

The device description explicitly states it consists of metal shafts, insulation, and metal wires/blades/balls/needles, which are physical hardware components.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. These tests are performed outside of the body (in vitro).
  • Device Function: The Rocket Electrode is described as a gynecologic electrocautery device used for tissue excision. It directly interacts with tissue within the body to destroy or remove it using heat. This is an in vivo procedure, not an in vitro test.

The description clearly indicates a surgical tool used for direct tissue manipulation, not a device for analyzing samples.

N/A

Intended Use / Indications for Use

Each Rocket Electrode is to be used as a gynecologic electrocautery device for tissue excision. It is designed to destroy tissue with high temperatures by tissue contact with an electrically heated probe. This is to excise cervical lesions, perform biopsies, or treat chronic cervitiis under direct visual observation

Product codes

85 HGI

Device Description

This group of electrodes consists basically of a metal shaft partly insulated with two extensions connected by means of a metal wire (square and loop types). Or in case of the other types, it may be connected by blade, ball or needle. All the electrodes are supplied with different sizes

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cervical

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)

K942986

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.4120 Gynecologic electrocautery and accessories.

(a)
Identification. A gynecologic electrocautery is a device designed to destroy tissue with high temperatures by tissue contact with an electrically heated probe. It is used to excise cervical lesions, perform biopsies, or treat chronic cervicitis under direct visual observation. This generic type of device may include the following accessories: an electrical generator, a probe, and electrical cables.(b)
Classification. Class II (performance standards).

0

1173 K974138

510(k) Summary As Required by 21 section 807.92 ( c )

A & A Medical, Inc. 1-Submitter Name: 4100 Nine McFarland Drive, suite B 2-Address: Alpharetta, GA 30004 3-Phone: (770) 343- 8400 (770) 343- 8985 4-Fax: 5-Contact Person: Jihad Mansour 6-Date summary prepared: October 31tt, 1997 7-Device Trade or Proprietary Name: Rocket Electrode 8-Device Common or usual name: Electrode (Blade, Ball, Needle, Square and Loop) Gynecologic electrocautery and accessories 9-Device Classification Name:

10-Substantial Equivalency is claimed against the following devices:

*Electrodes (Blade, Ball, Needle, Square and Loop) from AARON MEDICAL INDUSTRIES

11-Description of the Device:

This group of electrodes consists basically of a metal shaft partly insulated with two extensions connected by means of a metal wire (square and loop types). Or in case of the other types, it may be connected by blade, ball or needle. All the electrodes are supplied with different sizes

12-Intended use of the device: (ALSO PRINTED SEPARATELY ON FDA FORM)

Each Rocket Electrode is to be used as a gynecologic electrocautery device for tissue excision.

It is designed to destroy tissue with high temperatures by tissue contact with an electrically heated probe. This is to excise cervical lesions, perform biopsies, or treat chronic cervitiis under direct visual observation

1

11974138

13-Safety and Effectiveness of the device:

PLU)

Rocket Electrode is as safe and effective as the other predicate devices cited above. This is better expressed in the tabulated comparison ( Paragraph 14 below )

14-Summary comparing technological characteristics with other predicate devices:

Please find below a tabulated comparison supporting that Rocket Electrode is substantially equivalent to other medical devices in commercial distribution. Also, Equivalency overview chart path is attached

P.S. Abbreviations used below: E=Equivalent, S=Similar, D=Different, N/A= Not Applicable, DES=Description available, N/I=No Information available, 510(k)Sum=510(k)Summary available, 510(k)=510(k) available, web=fda web printout enclosed

TECHNOLOGICAL CHARACTERISTICS
FDA file reference numberAttachments inside NotificationIndications for useTarget populationDesignMaterialsPerformanceSterilityBiocompatibilityMechanical SafetyChemical SafetyAnatomical sitesHuman FactorsEnergy used and/or deliveredCompatibility w/ environment & other devicesWhere usedStandards metElectrical SafetyThermal SafetyRadiation Safety
Electrodes (Blade, Ball, Needle, Square
& Loop) from Aaron Medical IndustriesK942986web 510kmmmmmmmmN/AmmmmmmmmN/A

2

Image /page/2/Figure/2 description: This image is a flowchart titled "510(k) "Substantial Equivalence" Decision-Making Process (Overview)". The flowchart outlines the steps involved in determining whether a new device is substantially equivalent to a marketed device. The process begins with comparing the new device to a marketed device and proceeds through a series of questions about intended use, technological characteristics, and performance information. The flowchart indicates that if the new device is not substantially equivalent, additional information may be required.

A more Detailed version is also available in ndf version or found directly below.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES - USA

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 3 0 1998

Jihad Mansour A & A Medical, Inc. 4100 Nine McFarland Drive Suite B Alpharetta, GA 30004

Re: K974138 Rocket Electrode (Gynecological Electrocautery and accessories) Dated: October 31, 1997 Received: November 3, 1997 Regulatory Class: II 21 CFR 884.4120/Procode: 85 HGI

Dear Mr. Mansour:

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 Devices that have been reclassified in accordance with the provisions of the Federal Food, Drog-and Eosmetic Act (Act): You may, therefore, 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, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (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 Current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (OS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS 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 Radiation Control provisions, or other Federal laws or regulations.

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) 594-4613. Additionally, for question 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,

h.T.Liau Yi

Lillian Yin, Ph.D. Director, Division of Reproductive, Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Page__________ of __________
--------------------------------

K914158 510(k) Number (if known):

Rocket Electrode Device Name:

Indications For Use:

Rocket Electrode is to be used as a gynecologic electrocautery device for tissue excision.

It is designed to destroy tissue with high temperatures by tissue contact with an electrically heated probe. This is to excise cervical lesions, perform biopsies, or treat chronic cervititis under direct visual observation

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Peter R Satling (Division Sign-Off)
-----------------------------------------------------------------------------------

Division of Reproductive, Abdominal, ENT, and Radiological Devices

510(k) NumberK974138
------------------------
Prescription UseOROver-The-Counter Use ______
(Per 21 CFR 801.109)(Optional Format 1-2-96)