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510(k) Data Aggregation

    K Number
    K170107
    Device Name
    Surgi Max Ultra
    Manufacturer
    Date Cleared
    2017-05-03

    (111 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Surgi Max Ultra

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Orthopedic, arthroscopic, spinal, and neurological

    For resection, ablation, and coagulation of soft tissues and hemostasis in orthopedic, arthroscopic, spinal and neurological procedures. For soft tissue resection and ablation during arthroscopic surgical procedures of knee, shoulder, ankle, elbow, hip and wrist.

    Cutting

    Snoring, Submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, and turbinate shrinkage, skin incisions, biopsy, cysts, abscesses, tumors, cosmetic repairs, development of skin flaps, skin tags, Blepharoplasty.

    Blended Cutting and Coagulation

    Snoring, Submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, and turbinage, skin tags, papilloma Keloids, Keratosis, Verrucae, Basal Cell Carcinoma. Nevi, Fistulas, Epithelioma, Cosmetic Repairs, Cysts, Abscesses, Development of skin flaps.

    Hemostasis and Nonablative Coagulation Control of bleeding, Epilation, Telangiectasia

    Bipolar

    Pinpoint, Precise Coagulation, Pinpoint Hemostasis, in any field (wet or dry), snoring, sub-mucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, and turbinate shrinkage.

    Device Description

    The elliquence Surgi-Max® Ultra (IEC6-SP170, IEC6-SU170, & IEC6-SV170) is a modification to the existing Surgi-Max® / Surgi-Max® Plus (K100390) line of radiofrequency (RF) electrosurgical generators. It is a compact source of high-frequency RF energy employed for cutting and coagulation of soft tissue in a variety of surgical procedures. It is designed to enable the performance of monopolar and bipolar functions in conjunction with separatelymarketed electrosurgical accessories and ancillary equipment which have been developed by elliquence for mutually-exclusive use with the Surgi-Max® line of generators.

    The Surgi-Max® Ultra (IEC6-SP170, IEC6-SU170, & IEC6-SV170) is the result of an update to internal electrical components of the Surgi-Max® / Surgi-Max® Plus. As a result of this equipment update, device design as it relates to internal electrical system framework was simplified in many respects and overall efficiency was greatly improved upon. This increase in efficiency enabled an increase in the maximum power output of the device from 120W to 170W. Aside from this increase in maximum power output, all other operational aspects of the device were conserved. The only other modifications made to the device were aesthetic in nature.

    The modifications enacted do not affect the device's intended use or alter its fundamental scientific technology.

    AI/ML Overview

    The provided document is a 510(k) summary for the Elliquence Surgi-Max® Ultra, an electrosurgical cutting and coagulation device. The purpose of this submission is to demonstrate substantial equivalence to existing predicate devices, not to present a study proving the device meets specific acceptance criteria in the way a clinical trial for a new drug or a diagnostic AI would.

    Therefore, many of the requested criteria for reporting on an AI/diagnostic device study (like sample size for test sets, data provenance, expert qualifications, adjudication methods, MRMC studies, standalone performance, training set details, and ground truth establishment) are not applicable to this type of regulatory submission. This submission focuses on engineering testing and comparison to predicate devices to ensure safety and effectiveness.

    However, I can extract information related to the acceptance criteria (in terms of performance characteristics and compliance) and the "study" (non-clinical testing) that supports these criteria.


    Acceptance Criteria and Reported Device Performance

    The acceptance criteria are implicitly defined by the substantial equivalence comparison to the predicate devices and compliance with relevant electrical safety and usability standards. The "reported device performance" is primarily demonstrated through non-clinical testing ensuring it meets these standards and functions similarly to its predicates, with documented improvements/changes.

    Acceptance Criterion (Implicit)Reported Device Performance
    Intended Use EquivalenceThe Surgi-Max® Ultra shares the same intended use as its predicate device (Surgi-Max® / Surgi-Max® Plus K100390) and similar to the Bovie® IDS-310 Electrosurgical Generator (K134054).

    Specific Indications for Use:

    • Orthopedic, arthroscopic, spinal, and neurological procedures for resection, ablation, coagulation of soft tissues, and hemostasis.
    • Soft tissue resection and ablation during arthroscopic surgical procedures of knee, shoulder, ankle, elbow, hip, and wrist.
    • Cutting: Snoring, Submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, turbinate shrinkage, skin incisions, biopsy, cysts, abscesses, tumors, cosmetic repairs, development of skin flaps, skin tags, Blepharoplasty.
    • Blended Cutting and Coagulation: Snoring, Submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, turbinate shrinkage, skin tags, papilloma Keloids, Keratosis, Verrucae, Basal Cell Carcinoma, Nevi, Fistulas, Epithelioma, Cosmetic Repairs, Cysts, Abscesses, Development of skin flaps.
    • Hemostasis and Nonablative Coagulation: Control of bleeding, Epilation, Telangiectasia.
    • Bipolar: Pinpoint, Precise Coagulation, Pinpoint Hemostasis, in any field (wet or dry), snoring, sub-mucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, turbinate shrinkage. |
      | Technological Characteristics Equivalence (General) | The device is a compact source of high-frequency RF energy for cutting and coagulation of soft tissue, enabling monopolar and bipolar functions, consistent with predicates. |
      | Specific Performance/Technical Parameters Equivalence/Safety | Output Frequency: 4 MHz (monopolar), 1.7 MHz (bipolar) - Identical to primary predicate (K100390).
      Maximum Power Output: 170W - Increased from primary predicate's 120W (K100390), but within safe operating parameters and efficiency improvements documented.
      Voltage (peak-to-peak): 1,200V - Lower than primary predicate's 1,600V (K100390), indicating potential safety benefit or efficiency change.
      Duty Cycle: 10 sec On / 30 sec OFF - Identical to predicates.
      Supply Input Power: 100 V AC – 240 V AC, 50/60 Hz - Identical to predicates.
      Power Activation Control: Footswitch and/or fingerswitch - Identical to predicates.
      Electrical Safety & EMC Compliance: AAMI ANSI ES60601-1, IEC 60601-1-2, IEC 60601-2-2 - Compliance demonstrated through testing.
      Applied Part Type: CF - Different from primary predicate's BF, but within acceptable safety standards for medical devices.
      Modes of Operation: Cut, Blend, Hemo, Bipolar, Bipolar Turbo - Identical to primary predicate. |
      | Safety and Effectiveness | Demonstrated through compliance with design control requirements (21 CFR 820.30) and verification/validation testing including electrical safety, EMC, usability, software, energy output verification, and thermal effect comparison. |

    Study Details (Non-Clinical Testing for Substantial Equivalence)

    1. Sample size used for the test set and the data provenance:

      • Test Set Sample Size: Not applicable in the context of patient data samples. The "test set" here refers to physical testing performed on the device and ex-vivo tissue samples.
      • Data Provenance: Non-clinical (bench) testing. The document explicitly states "ex-vivo bovine tissue" for thermal effect comparison. No geographical or patient-specific provenance is relevant for this type of testing.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

      • Not applicable. The "ground truth" for electrosurgical device performance is established by engineering specifications, international safety standards (e.g., IEC 60601 series), and documented functional capabilities of the predicate devices. Testing against these standards and comparing to predicate performance does not typically involve expert clinical consensus for "ground truth" in this specific regulatory context.
    3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

      • Not applicable. Adjudication methods are typically for subjective assessments (e.g., image interpretation). This submission relies on objective engineering measurements and comparisons to established standards and predicate device specifications.
    4. 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:

      • No. This is an electrosurgical generator, not an AI or diagnostic device that involves human readers interpreting cases.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

      • Not applicable. This device is an electrosurgical unit, not an algorithm, and is intended for use by a human surgeon. Its performance is inherent in its electrical output and tissue interaction, which was assessed via non-clinical testing.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc):

      • The "ground truth" for this submission is based on established engineering specifications, international electrical safety and usability standards (e.g., IEC 60601 series, IEC 62366, IEC 62304), and the documented performance characteristics of legally marketed predicate devices. The non-clinical testing verified that the modified device met these engineering and safety benchmarks, and its performance characteristics were comparable or improved (e.g., increased power output) relative to the predicates in a safe manner.
    7. The sample size for the training set:

      • Not applicable. This is not an AI/machine learning device that requires a training set.
    8. How the ground truth for the training set was established:

      • Not applicable, as there is no training set for this type of device.
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    K Number
    K061174
    Device Name
    SURGI-MAX
    Manufacturer
    Date Cleared
    2006-06-28

    (62 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SURGI-MAX

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Orthopedic, arthroscopic, spinal, and neurosurgical

    For resection, ablation, and coagulation of soft tissues and hemostasis of blood vessels in orthopedic, arthroscopic, spinal and neurological procedures. For soft tissue resection and ablation during arthroscopic surgical procedures of knee, shoulder, ankle, elbow, hip and wrist.

    Cutting

    Snoring, Submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, and turbinate shrinkage, skin incisions, biopsy, cysts, abscesses, tumors, cosmetic repairs, development of skin flaps, skin tags, Blepharoplasty.

    Blended Cutting and Coagulation

    Snoring, Submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, and turbinate shrinkage, skin tags, papilloma Keloids, Keratosis, Verrucae, Basal Cell Carcinoma, Nevi, Fistulas, Epithelioma, Cosmetic Repairs, Cysts, Abscesses, Development of skin flaps.

    Hemostasis and Nonablative Coagulation

    Control of bleeding, Epilation, Telangiectasia

    Bipolar

    Pinpoint, Precise Coagulation, Pinpoint Hemostasis, in any field (wet or dry), snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, and turbinate shrinkage.

    Device Description

    The Surgi-Max Electrosurgery Generator is a compact source of high radio-frequency RF energy to be employed for a variety of radiosurgery procedures. This action is actieved by front panel selection of waveforms and power level. All selection is effected through push buttons and lamps, which give the operator feedback of status.

    Power level for each mode is indicated by front panel digital displays, which also show the status of self-test and monitoring. The display is interlocked with controls to prevent operation when FAILS is displayed. The final output power control is made through foot and/or hand switches. Both Monopolar and Bipolar electrodes are offered.

    The power output in the CW (Cut) mode is 120 watts into (500 ohms) a matched load. The output frequency is maintained at 4.0 MHz +/- 400Hz over all service and loading conditions includingshort and open for monopolar mode.

    Three output waveforms are provided:

    CW CUT -- Continuous wave output with average power equal to the maximum with no deliberate modulation.

    CUT / COAG – Deeply modulated envelope with average to peak power ratio approximately 50%. Modulation occurring at 120 or 100 Hz rate.

    HEMO - Deeply modulated wave with average to peak ratio approximately 50%. Modulation occurring at 120 or 100 Hz rate of square wave.

    AI/ML Overview

    The provided text is a 510(k) Summary for the Ellman Surgi-Max electrosurgical generator. It describes the device, its intended use, and claims substantial equivalence to a predicate device. However, it does not detail a study proving the device meets specific performance acceptance criteria. Instead, it relies on compliance with general safety standards and comparison to a predicate device.

    Here's an analysis based on the information provided, and where information is missing for your specific request:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state "acceptance criteria" in the way one might expect for a new performance study. Instead, it lists the output characteristics of the device and states compliance with general safety standards.

    Acceptance Criteria (Implied)Reported Device Performance
    Compliance with Electrosurgical Unit Safety StandardsThe Ellman Surgi-Max complies with IEC 60601-1 and IEC 60601-2-2.
    Output Power (CW CUT mode)120 watts into 500 ohms (matched load)
    Output Frequency (CW CUT mode)4.0 MHz +/- 400Hz over all service and loading conditions (including short and open for monopolar mode)
    Output Power (CUT / COAG mode)90W @ 500 Ohms
    Output Power (HEMO mode)60W @ 500 Ohms
    Output Power (BIPOLAR HEMO mode)40W @ 200 Ohms
    Output Power (BIPOLAR TURBO mode)120W @ 200 Ohms
    Output Waveforms (as described for each mode)CW CUT: 4.0 MHz CW sinusoid
    CUT / COAG: 4.0 MHz w/ rectified full wave envelope
    HEMO: 4.0 MHz w/ square wave rectified envelope
    BIPOLAR HEMO: 1.7 MHz w/ square wave rectified envelope
    BIPOLAR TURBO: 1.7 MHz w/ modulated envelope
    Safety and Effectiveness Equivalence to Predicate Device"We believe the differences between the subject device and predicate device are minor and conclude that the subject devices are as safe and effective as the predicate devices." (Implied acceptance criteria are that it performs equivalently to the predicate.)

    2. Sample Size Used for the Test Set and Data Provenance

    This information is not provided in the document. The document refers to compliance with standards (IEC 60601-1 and IEC 60601-2-2) and a comparison to a predicate device (Ellman Surgitron IEC 120 / 4.0 DU K013255). It does not describe a new clinical or laboratory study with a "test set" in the context of AI/software performance. The data provenance (country of origin, retrospective/prospective) is also not applicable/provided for this type of submission.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    This information is not provided and is not applicable to this type of device submission. This document describes a hardware medical device (electrosurgical generator) and its electrical output characteristics and intended uses, not an AI or software device that would typically involve expert-established ground truth for a test set.

    4. Adjudication Method for the Test Set

    This information is not provided and is not applicable for the reasons stated above.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs. Without AI Assistance

    This is not applicable to this device. The Surgi-Max is an electrosurgical generator, not an AI-assisted diagnostic or treatment planning system that would involve human readers.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    This is not applicable to this device. The Surgi-Max is a standalone hardware device; the concept of an "algorithm only" performance study typically applies to software/AI.

    7. The Type of Ground Truth Used

    The "ground truth" for this device's performance is its measured electrical output characteristics (power, frequency, waveform) and its compliance with established international safety standards for electrosurgical units (IEC 60601-1 and IEC 60601-2-2). The ultimate "truth" for its market acceptance is its substantial equivalence to a legally marketed predicate device. This is primarily engineering and compliance data, rather than expert consensus, pathology, or outcomes data.

    8. The Sample Size for the Training Set

    This information is not provided and is not applicable as this isn't an AI/machine learning device.

    9. How the Ground Truth for the Training Set Was Established

    This information is not provided and is not applicable as this isn't an AI/machine learning device.

    Summary of the Study (as described in the document):

    The "study" or justification for market clearance for the Ellman Surgi-Max appears to be based on:

    • Compliance with Recognized Standards: The device was tested and found to comply with IEC 60601-1 (general requirements for safety) and IEC 60601-2-2 (particular requirements for the safety of high-frequency surgical equipment). This demonstrates that the device meets established safety and performance benchmarks for its category.
    • Performance Specifications: The manufacturer presented the output characteristics (power, frequency, waveforms) for each mode of operation. These specifications are inherently verifiable through engineering testing.
    • Substantial Equivalence to a Predicate Device: The core of the 510(k) submission is the claim that the Surgi-Max is "as safe and effective" as the legally marketed predicate device, the Ellman Surgitron IEC 120 / 4.0 DU (K013255), and that any differences are minor. This comparison typically involves comparing technical specifications, materials, intended use, and performance claims to show that the new device does not raise new questions of safety or effectiveness.

    The document does not describe a new clinical trial, a comparative performance study against a placebo, or an AI validation study. It is a regulatory submission demonstrating compliance with standards and equivalence to an existing device, a common pathway for many medical devices.

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