K051420 · Emcision , Ltd. · GEI · Aug 15, 2005 · General, Plastic Surgery
Device Facts
Record ID
K051420
Device Name
HABIB 4X
Applicant
Emcision , Ltd.
Product Code
GEI · General, Plastic Surgery
Decision Date
Aug 15, 2005
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 878.4400
Device Class
Class 2
Attributes
Therapeutic, 3rd-Party Reviewed
Indications for Use
The Habib 4X is intended to be used to assist in coagulation of tissue during intraoperative surgical procedures.
Device Story
Habib 4X is an electrosurgical device used for tissue coagulation during intraoperative surgical procedures. Operated by surgeons in an OR setting, the device delivers electrical energy to target tissue to achieve hemostasis or coagulation. It functions as an accessory to standard electrosurgical generators. The device facilitates surgical workflows by providing controlled thermal effects on tissue, aiding in the management of bleeding or tissue destruction during surgery.
Clinical Evidence
No clinical data provided; substantial equivalence is based on technological characteristics and intended use compared to legally marketed predicate devices.
Technological Characteristics
Electrosurgical cutting and coagulation device; product code GEI; 21 CFR 878.4400. Operates via electrical energy delivery for tissue coagulation. Device is an accessory to electrosurgical generators.
Indications for Use
Indicated for coagulation of tissue during intraoperative surgical procedures. Prescription use only.
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.
Related Devices
K062935 — HABIB 4X LAPAROSCOPIC · Rita Medical Systems · Oct 13, 2006
K033027 — SHINMED VARIOUS MODELS OF ELECTRO-SURGICAL PENCILS, SW12200, SW12202, SW12300 · Shining World Health Care Co., Ltd. · Aug 12, 2004
Submission Summary (Full Text)
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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
AUG 1 5 2005
Emcision Ltd c/o Ms. Chantel Carson Section Manager Underwriters Laboratories, Inc. 333 Pfingsten Road Northbrook, Illinois 60062-2096
Re: K051420
Trade/Device Name: Habib 4X Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: GEI Dated: July 28, 2005 Received: August 1, 2005
Dear Ms. Carson:
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 sct 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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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), please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html
Sincerely vours.
Barbara Buckner for
Mark N. Melkerson Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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## 1051420
## Section D - Statement of Indications for Use
Indications for Use
K051420 510(k) Number (if known): Not yet allocated
Device Name: Habib 4X
Indications for Use:
The Habib 4X is intended to be used to assist in coagulation of tissue during intraoperative surgical procedures.
Prescription Use X (Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter Use (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
## Concurrence of CDRH, Office of Device Evaluation (ODE)
Clutara Buehnd for Melleuson
(Division Sign-Off)
Division of General, Restorative, and Neurological Devices
510(k) Number_K 05 1420
Page _1_ of __1_
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