REPROCESSED RF ARTHROSCOPY PROBES

K012679 · Sterilmed, Inc. · GEI · Nov 8, 2001 · General, Plastic Surgery

Device Facts

• Record ID: K012679
• Device Name: REPROCESSED RF ARTHROSCOPY PROBES
• Applicant: Sterilmed, Inc.
• Product Code: GEI · General, Plastic Surgery
• Decision Date: Nov 8, 2001
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4400
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

These devices are designed for general surgical use, including orthopedic and arthroscopic applications of resection, ablation, excision of soft tissue, hemostasis of blood vessels, and coagulation of soft tissue. Arthroscopic surgery may include the following: Knee, Shoulder, Ankle, Elbow, and Wrist.

Device Story

Reprocessed RF Arthroscopy Probes are radio frequency electrosurgical devices used in arthroscopic procedures. Device components include connector pins, handle, insulated cannula, return electrode, and electrode tip (single or multiple electrodes); available in straight or angled designs. Used with conductive irrigant during surgery. Operated by surgeons in clinical settings. Device delivers RF energy to soft tissue to perform resection, ablation, excision, hemostasis, and coagulation. Reprocessing restores used devices to original functional specifications, providing a cost-effective alternative to new devices while maintaining clinical performance.

Clinical Evidence

Bench testing only. Representative samples underwent functional testing. Manufacturing process includes visual and functional testing of all products. Cleaning, sterilization, and packaging processes were validated.

Technological Characteristics

Radio frequency electrosurgical device. Components: connector pins, handle, insulated cannula, return electrode, electrode tip. Straight or angled form factors. Operates with conductive irrigant. Sterilization process validated.

Indications for Use

Indicated for general surgical use, including orthopedic and arthroscopic applications (resection, ablation, excision, hemostasis, coagulation of soft tissue) in the knee, shoulder, ankle, elbow, and wrist.

Regulatory Classification

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.

Predicate Devices

• ArthroCare Orthopedic Electrosurgery System (K992581)
• Oratec Interventions, Inc.'s VulcanTM EASTM ElectroThermal Arthroscopy System and Accessories (K991140)
• Mitek® Products VaprTM System and Accessory Electrosurgical Electrodes (K974022)
• Mitek® Products VaprTM System and Accessory Electrosurgical Electrodes (K992876)
• Mitek® Products VaprTM System and Accessory Electrosurgical Electrodes (K002422)

Submission Summary (Full Text)

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# K 012679

## NOV 0 8 2001 SECTION 2. SUMMARY AND CERTIFICATION

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| A. 510(k) Summary | |
|---------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter: | SterilMed, Inc. |
| Contact Person: | Patrick Fleischhacker<br>11400 73 ^rd Avenue North<br>Minneapolis, MN 55369<br>Ph: 888-856-4870<br>Fax: [phone] |
| Date Prepared: | August 11, 2001 |
| Trade Name: | SterilMed Reprocessed RF Arthroscopy Probes |
| Classification Name and Number: | Electrosurgical Device, Class II, 21 CFR 878.4400, and<br>21 CFR 888.1100 |
| Product Code: | GEI and HRX |
| Predicate Device(s): | SterilMed's Reprocessed RF Arthroscopy Probes are<br>substantially equivalent to the Arthroscopy Probes packaged<br>with:<br><ul><li>ArthroCare Corp.'s ArthroCare Orthopedic Electrosurgery System (K992581);</li><li>Oratec Interventions, Inc.'s Vulcan^TM EAS^TM ElectroThermal Arthroscopy System and Accessories (K991140);</li><li>Mitek^®Products Vapr ^TM System and Accessory Electrosurgical Electrodes (K974022) (K992876) (K002422); and</li><li>To their counterparts from the original manufacturers.</li></ul> |
| Device Description: | SterilMed's reprocessed RF Arthroscopy Probes are radio frequency electrosurgical devices that are designed for arthroscopic surgical procedures and are used with a conductive irrigant. They consist of connector pins, a handle, an insulated cannula, a return electrode, an electrode tip with single or multiple electrodes, and come in straight or angled designs. |
| Intended Use: | These devices are designed for general surgical use, including orthopedic and arthroscopic applications of resection, ablation, excision of soft tissue, hemostasis of blood vessels, and |

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| | coagulation of soft tissue. Arthroscopic surgery may include the following: Knee, Shoulder, Ankle, Elbow, and Wrist. |
|-----------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Functional and<br>Safety Testing: | Representative samples of reprocessed RF Arthroscopy Probes underwent bench testing to demonstrate appropriate functional characteristics. Process validation testing was done to validate the cleaning and sterilization procedures as well as the devices packaging. In addition, the manufacturing process includes visual and functional testing of all products produced. |
| Conclusion: | The RF Arthroscopy Probes reprocessed by SterilMed are substantially equivalent to the Arthroscopy Probes packaged with:<br>ArthroCare Corp.'s ArthroCare Orthopedic Electrosurgery System (K992581); Oratec Interventions, Inc.'s VulcanTM EASTM ElectroThermal Arthroscopy System and Accessories (K991140); Mitek® Products VaprTM System and Accessory Electrosurgical Electrodes (K974022) (K992876) (K002422); and To their counterparts from the original manufacturers. This conclusion is based upon the fact that these devices' are essentially identical to their predicate devices in terms of functional design, materials, indications for use, and principles of operation |

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized eagle or bird in flight, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 0 8 2001

Mr. Patrick Fleischhacker Vice President of Regulatory and Quality Control SterilMed, Inc. 11400 73ª Avenue North Minneapolis, Minnesota 55369

Re: K012679

Trade/Device Name: SterilMed Reprocessed RF Arthroscopy Probes Regulation Number: 878.4400, 888.1100 Regulation Name: Electrosurgical cutting and coagulation device and accessories Arthroscope Regulatory Class: II Product Code: GEI, HRX Dated: August 11, 2001 Received: August 14, 2001

Dear Mr. Fleischhacker:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate 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) that do not require approval of a premarket approval application (PMA). 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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#### Page 2 -- Mr. Patrick Fleischhacker

This letter will allow you to begin marketing your device as described in your Section 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Lisa Walker, in

Image /page/3/Picture/5 description: The image contains a handwritten letter 'E' in a simple, slightly stylized font. The letter is black and appears to be drawn with a thick marker or pen, giving it a bold appearance. The background is plain and white, which makes the letter stand out.

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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NOV 0 8 2001

### Indications for use Page

Device Name: Reprocessed RF Arthroscopy Probes

#### Indications for Use:

These devices are designed for general surgical use, including orthopedic and These dovices are accipito for ection, ablation, excision of soft tissue, hemostasis of arthroscopic approation of soft tissue. Arthroscopic surgery may include:

K 012679

- Knee .
- Shoulder ●
- Ankle .
- Elbow
- Wrist

## Concurrence of CDRH; Office of Device Evaluation (ODE)

Susan Walk

(Division Sign-Off) Division of Cneral, Restorative and Neurological Devices

510(k) Number k012679

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