K Number
K974593
Device Name
SEMKIN INSULATED BIPOLAR FORCEP
Manufacturer
Date Cleared
1998-06-24

(197 days)

Product Code
Regulation Number
878.4800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Intended to remove tissue and control bleeding by use of high frequency electrical current. (21 CFR §878.4400).
Device Description
Semkin Insulated Bipolar Forcep
More Information

Not Found

Not Found

No
The summary describes a bipolar forcep for electrosurgery, a standard medical device technology, and explicitly states "Not Found" for mentions of AI, DNN, or ML, as well as for details typically associated with AI/ML device submissions (training/test sets, performance metrics like AUC).

Yes
The device is intended to remove tissue and control bleeding using high-frequency electrical current, which are therapeutic actions.

No
The device's intended use is "to remove tissue and control bleeding by use of high frequency electrical current," which describes a therapeutic function (electrosurgery), not a diagnostic one.

No

The device description clearly states "Semkin Insulated Bipolar Forcep," which is a physical hardware device used for surgical procedures. The intended use also describes a physical action ("remove tissue and control bleeding") using electrical current, further indicating a hardware component.

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

Here's why:

  • Intended Use: The intended use is to "remove tissue and control bleeding by use of high frequency electrical current." This describes a surgical or therapeutic procedure performed directly on a patient, not a test performed on a sample taken from the body.
  • Device Description: The device is a "Semkin Insulated Bipolar Forcep," which is a surgical instrument.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Providing diagnostic information based on sample analysis
    • Mentioning reagents, assays, or laboratory procedures

The device falls under the category of a surgical instrument used for electrosurgery, as indicated by the reference to 21 CFR §878.4400, which pertains to Electrosurgical Cutting and Coagulation Devices and Accessories.

N/A

Intended Use / Indications for Use

Intended to remove tissue and control bleeding by use of high frequency electrical current. (21 CFR §878.4400).

Product codes

GEI

Device Description

Not Found

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

Not Found

§ 878.4800 Manual surgical instrument for general use.

(a)
Identification. A manual surgical instrument for general use is a nonpowered, hand-held, or hand manipulated device, either reusable or disposable, intended to be used in various general surgical procedures. The device includes the applicator, clip applier, biopsy brush, manual dermabrasion brush, scrub brush, cannula, ligature carrier, chisel, clamp, contractor, curette, cutter, dissector, elevator, skin graft expander, file, forceps, gouge, instrument guide, needle guide, hammer, hemostat, amputation hook, ligature passing and knot-tying instrument, knife, mallet, disposable or reusable aspiration and injection needle, disposable or reusable suturing needle, osteotome, pliers, rasp, retainer, retractor, saw, scalpel blade, scalpel handle, one-piece scalpel, snare, spatula, stapler, disposable or reusable stripper, stylet, suturing apparatus for the stomach and intestine, measuring tape, and calipers. A surgical instrument that has specialized uses in a specific medical specialty is classified in separate regulations in parts 868 through 892 of this chapter.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 878.9.

0

Image /page/0/Picture/2 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 edge. In the center of the seal is a stylized image of an eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 2 4 1998

Mr. Donald Seavey ·Titan Manufacturing, Inc. 6 Jamie Lane Phoenixville, Pennsylvania 19460

Re: K974593 Trade Name: Semkin Insulated Bipolar Forcep Regulatory Class: II Product Code: GEI Dated: March 20, 1998 Received: May 27, 1998

Dear Mr. Seavey:

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 current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) 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 53.1 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 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.

1

Page 2 - Mr. Seavey

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,

S.J. M. Witten, Ph.D., M.D.

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

2

Titan Manufacturing, Inc.

6 Jamie Lane Phoenixville, PA 19460 Tel/Fax: 610.933.9771

INDICATIONS FOR USE STATEMENT

974593

510(k) Number (if known):

Device Name:

Semkin Insulated Bipolar Forcep

Indications For Use:

Intended to remove tissue and control bleeding by use of high frequency electrical current. (21 CFR §878.4400).

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign Off)
Division of General Restorative Devices
510(k) NumberK974593

| Prescription Use

(Per 21 CFR 801.109)XOROver-The-Counter Use
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(Optional Format 1-2-96)