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510(k) Data Aggregation

    K Number
    K231216
    Device Name
    POTENZA
    Date Cleared
    2024-12-10

    (592 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The POTENZA is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis.

    Device Description

    The POTENZA is an RF (radiofrequency), software-controlled electrosurgical device used for electrocoagulation of soft tissue and hemostasis. The POTENZA generates radiofrequency (RF) energy by means of high RF at IMHz or 2MHz. The RF energy is delivered through the skin into the target tissue via a handpiece equipped with an electrode tip. As the RF energy passes through the tissue, it generates an electrothermal reaction which is capable of coagulating the tissue. The POTENZA has two operating modes: monopolar mode and bipolar mode.

    AI/ML Overview

    The provided text is a 510(k) Summary for the POTENZA device, which is an electrosurgical cutting and coagulation device. The document primarily focuses on demonstrating substantial equivalence to a predicate device (also named POTENZA, K201685) rather than presenting a study to prove acceptance criteria for a new device.

    The "acceptance criteria and reported device performance" in this context refer to the performance standards and test results that show the modified device is substantially equivalent to the previously cleared predicate device.

    Here's an analysis of the provided information, framed to address your request as best as the document allows:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state "acceptance criteria" in the traditional sense of a performance study. Instead, it details various tests performed to demonstrate that the changes made to the device (new electrode tips) do not raise new questions of safety or effectiveness and that the device continues to conform to applicable standards. The "reported device performance" are the results of these tests, which consistently show "Pass."

    Test TypeStandard / Acceptance Criteria (Implied)Reported Device Performance
    Biocompatibility Testing (for new electrode tips)
    CytotoxicityISO 10993-05:2009, Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity (Implied acceptance: pass cytotoxicity assessment)Pass
    Sensitization: Guinea Pig Maximization TestISO 10993-10:2021 Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitization (Implied acceptance: no sensitization)Pass
    Irritation or Intracutaneous ReactivityISO 10993-23: Biological Evaluation of Medical Devices: Test for irritation, 2021 (Implied acceptance: no irritation/reactivity)Pass
    Acute Systemic ToxicityISO 10993- 11: Biological Evaluation of Medical Devices- Part 11: Tests for Systemic Toxicity, 2017 (Implied acceptance: no acute systemic toxicity)Pass
    Material Mediated Pyrogen TestISO 10993- 11: Biological Evaluation of Medical Devices- Part 11: Tests for Systemic Toxicity, 2017 (Implied acceptance: no pyrogenic response)Pass
    In-vitro Hemolysis Test direct contact methodISO 10993-04: Biological Evaluation of Medical Devices - Part 04, Selection of Tests for Interactions with Blood, 2017/ ASTM F 756-17 (Standard Practice for the Assessment of Hemolytic Properties of Materials) (Implied acceptance: no hemolysis)Pass
    In-vitro Hemolysis Test Indirect MethodISO 10993-04: Biological Evaluation of Medical Devices - Part 04, Selection of Tests for Interactions with Blood, 2017/ ASTM F 756-17 (Implied acceptance: no hemolysis)Pass
    Electrical Safety and Electromagnetic Compatibility (EMC)
    Electrical SafetyIEC 60601-2-2:2017 (Implied acceptance: conformance to standard)Conforms
    EMCIEC 60601-1-2:2014 (Implied acceptance: conformance to standard)Conforms
    Bench Testing
    Output accuracy (Monopolar at 1MHz and 2 MHz)Predefined design specifications (Implied acceptance: within specified accuracy range)Conforms
    Output accuracy (Bipolar at 1MHz and 2MHz)Predefined design specifications (Implied acceptance: within specified accuracy range)Conforms
    Frequency: manual and standardPredefined design specifications (Implied acceptance: correct frequency output)Conforms
    Power fluctuation characteristicsPredefined design specifications (Implied acceptance: stable power output)Conforms
    Negative output protectionPredefined design specifications (Implied acceptance: protection functions correctly)Conforms
    Impedance measurement accuracy and rangePredefined design specifications (Implied acceptance: accurate measurement within range)Conforms
    HO count accuracyPredefined design specifications (Implied acceptance: accurate count)Conforms
    Safety test of various warnings / failsafe mechanismsPredefined design specifications (Implied acceptance: warnings/failsafes function correctly)Conforms
    Needle depthPredefined design specifications (Implied acceptance: accurate needle depth)Conforms
    Motor speed levelPredefined design specifications (Implied acceptance: correct motor speed)Conforms
    Ex Vivo testing (Thermal testing)Guidance for Industry and FDA Staff: Premarket Notification (510(k)) Submissions for Electrosurgical Devices for General Surgery, August 15, 2014 (Implied acceptance: consistent thermal effects for electrocoagulation/hemostasis)Conforms

    2. Sample size used for the test set and the data provenance

    • Sample Size: The document does not specify exact sample sizes for each test (e.g., number of devices tested for electrical safety, number of tissue samples for ex vivo testing). For biocompatibility, it states "four newly added electrode tips" were tested, but not the number of samples for each biological test. For ex-vivo testing, it mentions "three types of tissue Liver, Kidney and Muscle," but not the quantity of each.
    • Data Provenance: The tests were conducted by Jeisys Medical Inc., the manufacturer. The data is retrospective in the sense that it was generated for this regulatory submission. Country of origin for the data is implied to be South Korea, where Jeisys Medical Inc. is based. The tests were laboratory (bench) and ex-vivo animal tissue tests.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. This submission relies on performance against recognized standards and technical specifications for electrosurgical devices, rather than human expert-established ground truth for a diagnostic AI algorithm. The device is a physical instrument, not an AI or diagnostic software.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set

    Not applicable. Adjudication methods are typically used in studies involving human interpretation or subjective assessments, often in diagnostic contexts. The tests described are objective, physical, electrical, and biological performance tests against defined standards.

    5. 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

    Not applicable. This device is an electrosurgical tool, not an AI-assisted diagnostic or interpretation system. Therefore, an MRMC study or evaluation of human reader improvement with AI assistance is irrelevant to this submission.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. This is not an AI algorithm. Its performance is evaluated through bench testing and ex-vivo studies.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" for the tests performed consists of:

    • Specified limits/ranges within recognized consensus standards (e.g., ISO 10993 series, IEC 60601 series).
    • The device's own predefined design specifications for parameters like output accuracy, frequency, power, impedance, needle depth, motor speed, etc.
    • The expected biological responses for biocompatibility (e.g., no cytotoxicity, no sensitization).
    • Expected thermal effects consistent with electrocoagulation and hemostasis in ex-vivo tissue.

    8. The sample size for the training set

    Not applicable. No AI/machine learning model is described, so there is no training set.

    9. How the ground truth for the training set was established

    Not applicable. As there is no training set mentioned, the establishment of its ground truth is not relevant.

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