TISSUELINK BIPOLAR FLOATING BALL DEVICE

K020574 · Tissuelink Medical, Inc. · GEI · May 20, 2002 · General, Plastic Surgery

Device Facts

• Record ID: K020574
• Device Name: TISSUELINK BIPOLAR FLOATING BALL DEVICE
• Applicant: Tissuelink Medical, Inc.
• Product Code: GEI · General, Plastic Surgery
• Decision Date: May 20, 2002
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4400
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The TissueLink Bipolar Floating Ball device is a sterile, single use bipolar electrosurgery device intended to be used in conjunction with an electrosurgical generator for delivery of mention to be asou in colligation for hemostatio sealing and coagulation of soft tissue at the operative site. It is intended for, but not limited to, endoscopic and open abdominal, general and operaire surgery. The device is not intended for contraceptive tubal coagulation (permanent female sterilization).

Device Story

The TissueLink Bipolar Floating Ball device is a sterile, single-use electrosurgical instrument designed for soft tissue coagulation and hemostatic sealing. It functions as an accessory to an electrosurgical generator, delivering bipolar energy to the operative site. Used by surgeons in open and endoscopic abdominal, general, and operative procedures, the device allows for precise tissue treatment. By applying bipolar current, the device facilitates controlled coagulation, aiding in hemostasis during surgery. The device is intended for professional use in clinical settings.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Sterile, single-use bipolar electrosurgical device. Operates via bipolar energy delivery in conjunction with an external electrosurgical generator. Form factor is a cauterizing pen. No specific materials or software algorithms described.

Indications for Use

Indicated for hemostatic sealing and coagulation of soft tissue during endoscopic and open abdominal, general, and operative surgery. Contraindicated for contraceptive tubal coagulation (permanent female sterilization).

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

• TissueLink Monopolar Floating Ball

Submission Summary (Full Text)

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510(k) Premarket Submission – TissueLink Medical, Inc. – Bipolar Floating Ball device

K020574

MAY 2 0 2002

# 510(k) Summary of Safety and Effectiveness

This summary of 510(k)-safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

## Application Information:

| Date Prepared: | February 19, 2002 |
|----------------------|-----------------------------------------------------------------------------------|
| Submitter: | TissueLink Medical Inc. |
| Address: | One Washington Center Suite 400<br>Dover, NH 03820 |
| Contacts: | Vicki S. Anastasi<br>Directory Regulatory Affairs |
| Telephone Number: | [phone] |
| FAX Number: | [phone] |
| | Roberta L. Thompson |
| | Vice President, Clinical, Regulatory and Quality |
| Telephone Number: | [phone] ext. 106 |
| Fax Number: | [phone] |
| Device Information: | |
| Trade Name: | TissueLink Bipolar Floating Ball device |
| Common Name: | Electrosurgery Cauterizing Pen |
| Classification Name: | Electrosurgical cutting and coagulation device and accessories, 21CFR<br>878.4400 |

### Predicate Devices:

Claim of Substantial Equivalence of the TissueLink Bipolar Floating Ball device is made to:

TissueLink Monopolar Floating Ball

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## DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/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 words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract image of an eagle with its wings spread, formed by three curved lines.

#### Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

## MAY 2 0 2002

Ms. Vicki S. Anastasi Director, Regulatory Affairs TissueLink Medical, Inc. One Washington Center, Suite 400 Dover, NH 03820

Re: K020574

Trade/Device Name: TissueLink Bipolar Floating Ball Device Regulation Number: 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories. Regulatory Class: II Product Code: GEI Dated: February 19, 2002 Received: February 21, 2002

Dear Ms. Anastasi:

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 -. Ms. Vicki S. Anastasi

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,

Miriam C. Provost

For 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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510(k) Premarket Submission – TissueLink Medical, Inc. – Bipolar Floating Ball device

# Indications for use Statement

Page -

"

510(k) Number (if known):

020

Device Name:

TissueLink Bipolar Floating Ball device

Indications for Use:

The TissueLink Bipolar Floating Ball device is a sterile, single use bipolar electrosurgery device intended to be used in conjunction with an electrosurgical generator for delivery of mention to be asou in colligation for hemostatio sealing and coagulation of soft tissue at the operative site. It is intended for, but not limited to, endoscopic and open abdominal, general and operaire surgery. The device is not intended for contraceptive tubal coagulation (permanent female sterilization).

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

| Prescription Use | |
|------------------|--|
|------------------|--|

OR

| Over-The-Counter Use | |
|----------------------|--|
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(Per 21 CFR 801.109)
Optional Format 1-

| | Miriam C. Provost |
|---------------|-----------------------------------------------------------|
| | (Division Sign-Off) |
| | Division of General, Restorative and Neurological Devices |
| 510(k) Number | K020574 |

TissueLink Medical, Inc.

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