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510(k) Data Aggregation

    K Number
    K213386
    Date Cleared
    2021-10-25

    (12 days)

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

    K121426, K182773

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

    Titan Manufacturing Bipolar Forceps are intended to remove tissue and control bleeding by use of high frequency electrical current.

    Device Description

    Titan Manufacturing Bipolar Forcep is a generic electrosurgical device (handpiece)/active accessory that is to be connected through a bipolar cable with the bipolar output of a standard, general electrosurgical generator unit (ESU) and footswitch. The bipolar cable, ESU and footswitch are not part of the subject device, therefore not included in this submission. The subject device is not an electrosurgical vessel sealer system.

    Titan Manufacturing Bipolar Forceps are indicated for use in general surgical procedures; designed to grasp, manipulate, and coagulate selected tissue.

    Titan Manufacturing Bipolar Forceps are to be connected through a suitable bipolar cable [not supplied by Titan Manufacturing, Inc.] with the bipolar output of a standard, general electrosurgical generator [not supplied by Titan Manufacturing, Inc.]. Coagulation is achieved using electrosurgical energy generated by the electrosurgical generator unit and activated by a footswitch [not supplied by Titan Manufacturing, Inc.].

    Titan Manufacturing, Inc., offers an extensive line of precision crafted reusable stainless steel and titanium bipolar forceps in a multitude of handle styles, lengths, and tip sizes. Titan Manufacturing Bipolar Forceps are available in styles such as but not limited to straight and bayonet styles, patterned designs such as but not limited to Semkin, Jewelers, Adson, Scoville-Greenwood, Ti Square Grip, Yargasil, Tenzel, McPherson, and Cozean, etc. Titan Manufacturing offers bipolar forceps in lengths from approximately 3 ½ inches to 10 ¾ inches ; titanium or stainless steel; insulated or non-insulated; irrigating or non-irrigating; straight, curved, angled or coaptation; and varying tip sizes from 0.2mm to 2.0mm. The product line is similar to those offered by other wellestablished bipolar forcep manufacturers [e.g., Codman, Kirwin, Faulhaber Pinzetten, Synergetics (a.k.a. Stryker), etc.].

    Titan Manufacturing Bipolar Forceps are reusable medical devices, provided non-sterile and must be cleaned and sterilized prior to use. They are used with the bipolar output for standard, general electrosurgical generators (ESU). The Titan Manufacturing Bipolar Forceps are compatible with general electrosurgical generators with 4mm outlets; U.S. 2-pin plugs. Bipolar cables, ESU and footswitch are not part of the subject device.

    Titan Manufacturing Bipolar Forceps are available in four (4) general model types in stainless steel or titanium: Non-insulated; Insulated; Non-insulated/Irrigating; and Insulated/Irrigating.

    AI/ML Overview

    This document describes the premarket notification (510(k)) for the Titan Manufacturing Bipolar Forceps. The submission focuses on demonstrating substantial equivalence to predicate devices, rather than proving novel safety or effectiveness claims through extensive clinical trials. Therefore, the acceptance criteria and study proving the device meets them will be based on non-clinical performance testing and comparison to legally marketed predicate devices.

    Here's an breakdown of the information provided in the format you requested:

    Acceptance Criteria and Device Performance for Titan Manufacturing Bipolar Forceps

    The acceptance criteria for the Titan Manufacturing Bipolar Forceps were primarily based on demonstrating substantial equivalence to existing predicate devices (Titan Manufacturing's own Semkin Insulated Bipolar Forcep (K974593), Semkin Bipolar Forcep (K974594), and Cushing Bayonet Insulated Bipolar Forcep (K974595)) and meeting recognized standards for electrosurgical devices.

    1. Table of Acceptance Criteria and Reported Device Performance

    Note: Since this is a 510(k) submission for substantial equivalence based on non-clinical testing, the performance metrics are primarily functional, material, and electrical safety comparisons rather than large-scale clinical endpoints. The acceptance criteria are implicit in the comparison to the predicate devices and adherence to the listed standards.

    Acceptance Criteria CategorySpecific Criteria/TestReported Device Performance (Titan Manufacturing Bipolar Forceps)Reference/Justification
    Intended UseIntended to remove tissue and control bleeding by use of high frequency electrical current.Same as predicate devices."Titan Manufacturing Bipolar Forceps are intended to remove tissue and control bleeding by use of high frequency electrical current." (Page 2, 4)
    Technological CharacteristicsPrinciples of Operation: Grasp, manipulate, coagulate tissue, connected to bipolar output of ESU via cable, coagulation via electrosurgical energy and footswitch. Bipolar cables, ESU, footswitch not part of device.Same as predicate devices."Bipolar forceps are designed to grasp, manipulate, and coagulate selected tissue. They are to be connected through a bipolar cable with the bipolar output of an electrosurgical generator. Coagulation is achieved using electrosurgical energy generated by the electrosurgical generator unit (ESU) and activated by a footswitch. Bipolar cables, ESU and footswitch are not part of the subject device." (Page 5)
    Electrode Type: BipolarBipolar"Electrode Type: Bipolar" (Page 5)
    Physical Dimensions Range: 3 ½ inches to 10 ¾ inches in lengthSame range as predicate devices."Physical Dimensions Available: 3 ½ inches to 10 ¾ inches in length" (Page 5)
    Tip Sizes Available: 0.2mm to 2.0mmSame range as predicate devices."Tip Sizes Available: 0.2mm to 2.0mm" (Page 5)
    Materials: Stainless Steel or Titanium; Epoxy; Kynar (PVDF) Insulation CoatingSame base materials as predicate devices. The Kynar insulation coating material is from a new supplier but showed equivalent performance."Materials: Stainless Steel or Titanium; Epoxy; Kynar Insulation Coating [Polyvinylidene Fluoride (PVDF)]" (Page 6). "Current vs. New Kynar Equivalency Tests [Validation - Change in Kynar Insulation Coating Material Supplier]: Sprayability, Durability (Stress) Drop, Finish/Appearance, Heat, Hipot, Continuity. The testing results demonstrated the Titan Manufacturing Bipolar Forceps performed equivalent to the predicate devices." (Page 9)
    Visual Appearance (Insulated Bipolar Forceps): Blue-colored insulating coating material.Lighter, semi-gloss, blue-colored insulating coating material (slight difference from predicate's dark, matte blue, but considered SIMILAR as it's still blue Kynar)."Visual Appearance Insulated Bipolar Forceps: Lighter, semi-gloss, blue-colored insulating coating material" vs. predicate's "Dark, matte, blue-colored insulating coating material". "SIMILAR - blue colorant, Kynar" (Page 6)
    Sterilization Recommendations: Pre-Vacuum SteamSame as predicate devices."Sterilization Recommendations: Pre-Vacuum Steam" (Page 6)
    Re-usable: YesYes"Re-usable: YES" (Page 6)
    Cable Connector Type: Compatible with U.S. 2-pin round plugs.Compatible with U.S. 2-pin round plugs."Cable Connector Type: Compatible with U.S. 2-pin round plugs" (Page 6)
    Performance TestingBiocompatibility: Meets ISO 10993-5, 10993-10 (Skin Sensitization, Intracutaneous Reactivity), USP 151 (Pyrogenicity), ISO 10993-11 (Acute Systemic Toxicity), ISO 10993-4 (Interactions with Blood).Testing performed in accordance with stated ISO standards; demonstrated compliance."Biocompatibility Testing performed in accordance with the following: ISO 10993-5:2009, ISO 10993-10:2010 (two parts), USP 151, ISO 10993-11, ISO 10993-4:2017." (Page 9)
    Medical Electrical Equipment Safety: Meets IEC 60601-2-2 Ed. 6 (2017).Testing performed in accordance with stated IEC standard; demonstrated compliance."Medical Electrical Equipment Safety Testing performed in accordance with the following: IEC 60601-2-2 Ed. 6 (2017)" (Page 9)
    Electrical Safety Features: HiPot & Continuity Test Dielectric strength insulation; insulated safety plug; compatible with general electrosurgical generators with 4mm outlets.Same as predicate devices; testing demonstrated performance equivalent to predicates."Electrical Safety Features: HiPot & Continuity Test Dielectric strength insulation; insulated safety plug; Compatible with general electrosurgical generators with 4mm outlets" (Page 6). "Current vs. New Kynar Equivalency Tests... Hipot; and Continuity. The testing results demonstrated the Titan Manufacturing Bipolar Forceps performed equivalent to the predicate devices." (Page 9)
    Cleaning and Sterilization: Validation of Recommendations in Instructions for Use (IFU).Validation performed."Cleaning and Sterilization Recommendations IFU Validation" (Page 9)
    Thermal Spread (Functional equivalence to predicates): Equivalent thermal spread under same conditions across different tissue types and power settings (minimum, default, maximum).Demonstrated equivalent thermal spread under the same conditions across different tissue types and power settings compared to predicate devices."Electrical performance of the device was completed following FDA Guidance 'Premarket Notification [510(k)] Submissions for Electrosurgical Devices for General Surgery', issued August 15, 2016. This required (thermal spread) testing on three (3) different tissue types at minimum, default, and maximum generator power to simulate thermal spread across different tissue types. The spread was then measured and recorded, compared to predicate devices. Results demonstrated an equivalent thermal spread under the same conditions across the different tissue types and power settings." (Pages 9-10)
    BiocompatibilityThe device must be biocompatible.The device is biocompatible."Biocompatible: YES" (Page 6). Confirmed by testing based on ISO 10993 series. (Page 9)

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

    • Test Set Description: The "test set" in this context refers to the samples of the Titan Manufacturing Bipolar Forceps that underwent non-clinical performance and safety testing.
    • Sample Size: The document does not specify exact quantitative sample sizes for each non-clinical test (e.g., how many forceps were used for biocompatibility testing, electrical safety, or thermal spread analysis). It broadly states "Nonclinical testing has been conducted to verify that the Titan Manufacturing Bipolar Forceps met all design specifications and are substantially equivalent to the predicate devices." (Page 9). Regulatory submissions often refer to standard numbers of units for these tests as per the respective test protocols and standards, but the specific numbers are not explicitly listed in this summary.
    • Data Provenance: The testing was conducted internally or outsourced to accredited labs, as is typical for medical device manufacturers. The document does not specify the country of origin of the data beyond "Titan Manufacturing, Inc." The studies are prospective in the sense that the new device was manufactured and then tested to demonstrate its performance against established standards and predicate devices.

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

    • "Ground Truth" in this context: For a 510(k) submission based on substantial equivalence and non-clinical testing, "ground truth" is defined by the technical specifications and performance of the predicate device, as well as adherence to recognized national and international standards (e.g., ISO, IEC, FDA guidance documents).
    • Number of Experts/Qualifications: The document does not explicitly mention external experts establishing "ground truth" for the test set in the way one would for a clinical study with image annotations or disease diagnoses. The "experts" implied are the engineers, scientists, and regulatory professionals who designed the device, conducted the tests, analyzed the data, and prepared the submission, ensuring compliance with relevant standards and comparison parameters derived from the predicate devices. These individuals would possess relevant engineering, materials science, electrical safety, and regulatory expertise.

    4. Adjudication Method for the Test Set

    • Adjudication Method: Not applicable in the context of this 510(k) submission's non-clinical testing. Adjudication typically refers to resolving discrepancies in expert opinions, especially in clinical reads (e.g., radiology studies). Here, the comparison is objective (measurements, compliance with standards) rather than subjective interpretation.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

    • MRMC Study: No. The document explicitly states: "There were no clinical trials performed on these devices." (Page 10). This means no MRMC study was conducted. MRMC studies are typically performed for diagnostic imaging devices where human reader performance is a critical endpoint. This device is an electrosurgical tool, which focuses on functional and safety performance.

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

    • Standalone Performance: Not applicable. This is a physical medical device (bipolar forceps), not an algorithm or AI system. Its performance is inherent to its design, materials, and interaction with an electrosurgical generator and human user during surgery.

    7. The Type of Ground Truth Used

    • Type of Ground Truth:
      • Predicate Device Specifications and Performance: The primary "ground truth" for substantial equivalence is the intended use, technological characteristics, and demonstrated performance of the legally marketed predicate devices. The new device must be shown to be as safe and effective as these predicates.
      • Recognized Consensus Standards: Compliance with established international and national standards (e.g., ISO 10993 for biocompatibility, IEC 60601-2-2 for electrical safety) serves as another form of "ground truth" for safety and performance.
      • FDA Guidance Documents: Adherence to FDA guidance (e.g., "Premarket Notification [510(k)] Submissions for Electrosurgical Devices for General Surgery") provides criteria for specific tests like thermal spread.

    8. The Sample Size for the Training Set

    • Training Set Sample Size: Not applicable. This is a physical medical device, not a machine learning or AI algorithm that requires a "training set."

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

    • Training Set Ground Truth Establishment: Not applicable, as there is no training set for this type of device.
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    K Number
    K123172
    Date Cleared
    2012-12-21

    (73 days)

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

    K121426, K 10924

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

    The Kogent Disposable Bipolar Forceps are a single use product sold sterile and are intended for use in electrosurgery for coagulation of tissue. The Kogent Disposable Irrigating Bipolar Forceps are a single use product sold sterile and are intended for use in electrosurgery for coagulation and irrigation of tissue.

    Device Description

    This device is a disposable bipolar forceps, designed for single use in electrosurgical procedures. They require connection with a suitable bipolar cable to the bipolar output of an electrosurgical generator. These forceps are designed to grasp, manipulate, coagulate, and irrigate, when applicable, selected tissues. The irrigation tube is designed to carry fluid to the tips of the instrument. Coagulation is achieved using electrosurgical energy generated by the electrosurgical generator and activated by a footswitch. The devices are provided sterile by ethylene oxide and in sterile packs.

    AI/ML Overview

    The provided text describes performance testing for the "Kogent Bipolar Forceps" as part of a 510(k) submission to demonstrate substantial equivalence to predicate devices. The study conducted is primarily bench testing focusing on electrical safety and mechanical integrity for an electrosurgical device, rather than a clinical study evaluating an AI algorithm's diagnostic or predictive performance.

    Therefore, many of the requested fields are not applicable to this type of device and study.

    Here's the information that can be extracted or deduced from the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    Test CriteriaDescriptionLower SpecUpper SpecUnitsStandard ReferenceResult
    HF Leakage CurrentLeakage current-$I_{leakage}=1.8 \times 10^{-5} \times d \times L \times f_{test} \times U_{peak}$ [mA]mA201.8.8.3.102 IEC_60601-2-2_Ed5_2009PASS
    HF Dielectric StrengthActive accessory HF dielectric strength120% of the rated accessory voltage.KV201.8.8.3.103 IEC_60601-2-2_Ed5_2009PASS
    Mains Frequency Dielectric StrengthThe test duration shall be 30 seconds for active connectorsPass/Fail - 3.0KV at 60HZ FrequencyKV201.8.8.3.104 IEC_60601-2-2_Ed5_2009PASS
    Dielectric WithstandScan the cord of active accessory for 5 minutes.Pass/Fail - 3.0KV at 60HZ FrequencyKVN/AN/A
    AnchorageWorkmanshipPass/Fail - Cable fails the test if it separates from the connectors, or termination during any phase of the test201.8.10.4.2 IEC_60601-2-2_Ed5_2009PASS
    Resistance/Continuity0.2OhmsN/AN/A

    Note: For "Dielectric Withstand" and "Resistance/Continuity", the "Result" column is empty in the original table, so it is marked as N/A here. However, since the overall summary states that "Performance" is "Identical" to predicate devices, it can be inferred that these tests also passed or met the criteria.

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

    • Sample Size: Not explicitly stated. For bench testing of medical devices like forceps, the sample size usually refers to the number of devices tested. This information is typically detailed in the full test report, not in the 510(k) summary.
    • Data Provenance: This is bench testing data, not human patient data. It is generated during the device's manufacturing and quality control process. The country of origin of the data would be the location where Katalyst Surgical, LLC conducted its testing, likely the USA (Chesterfield, MO, as per the manufacturer's address). The data is prospective in the sense that it pertains to the newly manufactured Kogent Bipolar Forceps being submitted for clearance.

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

    • N/A. This study is not evaluating an AI algorithm or a diagnostic tool that requires expert-established ground truth from medical images or clinical data. The "ground truth" for this device's performance testing is established by engineering standards and specifications (e.g., IEC 60601-2-2).

    4. Adjudication Method for the Test Set

    • N/A. Adjudication methods like 2+1 or 3+1 are used for human expert review of clinical cases. This is bench testing against established engineering standards. The pass/fail criteria are objective metrics based on those standards.

    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

    • No. This is not an AI-enabled device, nor is it a diagnostic tool where human reader performance would be evaluated with or without AI assistance. This section is not applicable.

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

    • N/A. This is not an algorithm or AI device.

    7. The Type of Ground Truth Used

    • Engineering Standards and Specifications: The ground truth for this device's performance is defined by established international and national standards for electrosurgical equipment, specifically IEC 60601-2-2, and the internal design specifications of the device. These standards define the acceptable limits for parameters like leakage current, dielectric strength, and anchorage.

    8. The Sample Size for the Training Set

    • N/A. This is not an AI algorithm requiring a training set.

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

    • N/A. This is not an AI algorithm requiring a training set.
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