K Number
K974553
Device Name
3M UNIVERSAL ELECTROSURGICAL PAD, SPLIT (9160) 3M UNIVERSAL ELECTROSURGICAL PAD (9130)
Manufacturer
Date Cleared
1998-02-03

(78 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
3M™ Universal Electrosurgical Pads are designed to work with most electrosurgical units (ESU'S) for virtually every surgical application where electrosurgery is utilized to provide a safe return path for electrosurgical current. Solid Universal Electrosurgical Pads are for use with generators that do not have a Contact Quality Monitoring System (CQMS). Split style Universal Electrosurgical Pad is for use with ESUs that have a CQMS (i.e. REM, ARM, NESSY etc.). The 3M™ Universal Electrosurgical Pads are designed to be used on any patient where full skin contact and a suitable placement site can be obtained. There are no patient weight restrictions for use of this product. Use of this product for unintended applications could lead to an unsafe condition.
Device Description
3M™ Universal Electrosurgical Pads, 9130 & 9160 have a green shaded coating technology that more uniformly distributes electrosurgical RF current over the whole conductive surface of the pad. The more uniform distribution technology and square shape permits universal orientation of the pad at a suitable placement site. The pad has a maximum temperature rise that is similar to pads up to 25% larger in conductor surface area. The entire surface of the conductive area is covered with a soft, conformable hydro-gel conductive adhesive. The pad also has a non-conductive border adhesive surrounding the entire conductive area to isolate the conductive area from surgical fluids.
More Information

Not Found

Not Found

No
The description focuses on the physical properties and performance characteristics of an electrosurgical pad, with no mention of AI or ML.

No
Explanation: The device, 3M™ Universal Electrosurgical Pads, is designed to provide a safe return path for electrosurgical current during electrosurgery. It is an accessory to an electrosurgical unit, which itself is a therapeutic device, but the pad itself does not directly perform a therapeutic function.

No

Explanation: The device is an electrosurgical pad designed to provide a safe return path for electrosurgical current during surgical procedures. It does not perform any diagnostic functions.

No

The device description clearly describes a physical pad with a conductive surface, hydro-gel adhesive, and non-conductive border, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is designed to provide a safe return path for electrosurgical current during surgical procedures. This is a therapeutic/surgical function, not a diagnostic one performed in vitro (outside the body).
  • Device Description: The description details the physical characteristics of the pad, its conductive properties, and its adhesive. These features are related to its function in conducting electrical current on the patient's skin during surgery.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information about a patient's health status.

Therefore, the 3M™ Universal Electrosurgical Pads are medical devices used in surgical procedures, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

3M™ Universal Electrosurgical Pads are designed to work with most electrosurgical units (ESU'S) for virtually every surgical application where electrosurgery is utilized to provide a safe return path for electrosurgical current. Solid Universal Electrosurgical Pads are for use with generators that do not have a Contact Quality Monitoring System (CQMS). Split style Universal Electrosurgical Pad is for use with ESUs that have a CQMS (i.e. REM, ARM, NESSY etc.). The 3M™ Universal Electrosurgical Pads are designed to be used on any patient where full skin contact and a suitable placement site can be obtained. There are no patient weight restrictions for use of this product. Use of this product for unintended applications could lead to an unsafe condition.
These electrodes will include the precaution statement: USA Federal Law restricts this device to sale by or on the order of a physician.

Product codes (comma separated list FDA assigned to the subject device)

GEI

Device Description

3M™ Universal Electrosurgical Pads, 9130 & 9160 have a green shaded coating technology that more uniformly distributes electrosurgical RF current over the whole conductive surface of the pad. The more uniform distribution technology and square shape permits universal orientation of the pad at a suitable placement site. The pad has a maximum temperature rise that is similar to pads up to 25% larger in conductor surface area. The entire surface of the conductive area is covered with a soft, conformable hydro-gel conductive adhesive. The pad also has a non-conductive border adhesive surrounding the entire conductive area to isolate the conductive area from surgical fluids.

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)

Biocompatibility: The biological Safety of selected components of the 3M™ Universal Electrosurgical Pads has been assured through the selection of materials which demonstrate appropriate levels of Biocompatibility. Tests were selected on the basis of Part-1 of ISO 10993-1, "Biological Evaluation of Medical Devices".
AAMI Performance Testing: The 3M™ Universal Electrosurgical Pad, (9130) meets the ANSI/AAMI 5.2.3.1 Maximum Safe Temperature Rise, 5.2.3.2 Electrode Contact Impedance and 5.2.3.3 Electrode Adherence c) Fluid Tolerance of the ANSI/AAMI HF18-1993 Voluntary Standards for Electrosurgical Devices. The 3M™ Universal Electrosurgical Pad, Spilt (9160) meets 5.2.3.1 Maximum Safe Temperature Rise, 5.2.3.2 Electrode Contact Impedance and 5.2.8.2.2 Contact Quality Monitor/Maximum Safe Temperature Rise of the ANSI/AAMI HF18-1993 Voluntary Standards for Electrosurgical Devices.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

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

510(K) Premarket Notification Submission 3M™ Universal Electrosurgical Pad 9130 & 9160

Page 24 of 26

FEB - 3 1988

510(k) Summarv 3M™ Universal Electrosurgical Pad 9130 & 9160

K944553

Name and address of Device Manufacturer submitting 510(k) Notification:

3M Medical Products Group 3M Health Care 3M Center St. Paul. MN 55144-1000

Regulatory Correspondent of Device Manufacturer:

Linda Johnsen Requlatory Affairs Specialist 3M Health Care Building 275-3E-08 St. Paul, MN 55144-1000 612 737-4376

Date Summary was prepared:

November 12,1997

Name of Devices:

3M™ Universal Electrosurgical Pad, (Catalog 9130) 3M™ Universal Electrosurgical Pad, Split (Catalog 9160)

Classification:

Electrosurgical Cutting and Coagulation Device and Accessories, Class II per 21 CFR 878.4400

Indications for Use:

3M™ Universal Electrosurgical Pads are designed to work with most electrosurgical units (ESU'S) for virtually every surgical application where electrosurgery is utilized to provide a safe return path for electrosurgical current. Solid Universal Electrosurgical Pads are for use with generators that do not have a Contact Quality Monitoring System (CQMS). Split style Universal Electrosurgical Pad is for use with ESUs that have a CQMS (i.e. REM, ARM, NESSY etc.). The 3M™ Universal Electrosurgical Pads are designed to be used on any patient where full skin contact and a suitable placement site can be obtained. There are no patient weight restrictions for use of this product. Use of this product for unintended applications could lead to an unsafe condition.

1

Description of the Devices:

3M™ Universal Electrosurgical Pads, 9130 & 9160 have a green shaded coating technology that more uniformly distributes electrosurgical RF current over the whole conductive surface of the pad. The more uniform distribution technology and square shape permits universal orientation of the pad at a suitable placement site. The pad has a maximum temperature rise that is similar to pads up to 25% larger in conductor surface area. The entire surface of the conductive area is covered with a soft, conformable hydro-gel conductive adhesive. The pad also has a non-conductive border adhesive surrounding the entire conductive area to isolate the conductive area from surgical fluids.

Safety and Efficacy:

Biocompatibility:

The biological Safety of selected components of the 3M™ Universal Electrosurgical Pads has been assured through the selection of materials which demonstrate appropriate levels of Biocompatibility. Tests were selected on the basis of Part-1 of ISO 10993-1, "Biological Evaluation of Medical Devices".

AAMI Performance Testing:

The 3M™ Universal Electrosurgical Pad, (9130) meets the ANSI/AAMI 5.2.3.1 Maximum Safe Temperature Rise, 5.2.3.2 Electrode Contact Impedance and 5.2.3.3 Electrode Adherence c) Fluid Tolerance of the ANSI/AAMI HF18-1993 Voluntary Standards for Electrosurgical Devices.

The 3M™ Universal Electrosurgical Pad, Spilt (9160) meets 5.2.3.1 Maximum Safe Temperature Rise, 5.2.3.2 Electrode Contact Impedance and 5.2.8.2.2 Contact Quality Monitor/Maximum Safe Temperature Rise of the ANSI/AAMI HF18-1993 Voluntary Standards for Electrosurgical Devices.

2

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around the top half of the circle. Inside the circle is a stylized image of an eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB - 3 1998

Ms. Linda Johnsen Regulatory Affairs Specialist 3M Health Care 3M Center, Building 275-3E-08 St. Paul, Minnesota 55144-1000

Re: K974553

Trade Name: 3M™ Universal Electrosurgical Pad, (Catalog 9130) 3MTM Universal Electrosurgical Pad, Split (Catalog 9160) Regulatory Class: II Product Code: GEI Dated: November 12, 1997 ----Received: November 17, 1997

Dear Ms. Johnsen:

We have reviewed your Section 510(k) notification of intent to market the devices referenced above and we have determined the devices are 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 devices, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements forannual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your devices are classified (see above) into either class II (Special Controls) or class III (Premarket Approval), they may be subject to such additional controls. Existing major regulations affecting your devices can be found in the Gode of Federal-Regulations, Title 21, ---Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirements , 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. In addition, FDA may publish further announcements concerning your devices in the Federal Register. Please note: this response to your premarket notification

3

Page 2 - Ms. Johnsen

submissions 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.

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

If you desire specific advice for your devices 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 devices, 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,

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

4

510(K) Premarket Notification Submission 3M™ Universal Electrosurgical Pad 9130 & 9160

510(K) Number (If Known): ____________________________________________________________________________________________________________________________________________________

Device Name: 3M™ Universal Electrosurgical Pad, (Catalog Number 9130) 3M™ Universal Electrosurgical Pad, Split (Catalog Number 9160)

Indications For Use:

3M™ Universal Electrosurgical Pads are designed to work with most electrosurgical units (ESU'S) for virtually every surgical application where electrosurgery is utilized to provide a safe return path for electrosurgical current. Solid Universal Electrosurgical Pads are for use with generators that do not have a Contact Quality Monitoring System (CQMS). Split style Universal Electrosurgical Pad is for use with ESUs that have a CQMS (i.e. REM, ARM, NESSY etc.). The 3M™ Universal Electrosurgical Pads are designed to be used on any patient where full skin contact and a suitable placement site can be obtained. There are no patient weight restrictions for use of this product. Use of this product for unintended applications could lead to an unsafe condition.

These electrodes will include the precaution statement: USA Federal Law restricts this device to sale by or on the order of a physician.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use OR (Per 21 CFR 801.109)

Over-the Counter Use

(Optional Format 1-2-96)

ral Restorative Devices