VAPR VUE RADIOFREQUENCY SYSTEM ,MODEL 225024, VPR VUE WIRELESS FOOTSWITCH, MODEL 227214
K100638 · Depuy Mitek, A Johnson & Johnson Company · GEI · Jun 18, 2010 · General, Plastic Surgery
Device Facts
Record ID
K100638
Device Name
VAPR VUE RADIOFREQUENCY SYSTEM ,MODEL 225024, VPR VUE WIRELESS FOOTSWITCH, MODEL 227214
Applicant
Depuy Mitek, A Johnson & Johnson Company
Product Code
GEI · General, Plastic Surgery
Decision Date
Jun 18, 2010
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 878.4400
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The Mitek VAPR VUE Radiofrequency System is intended for resection, ablation and excision of soft tissue, hemostasis of blood vessels and coagulation of soft tissues in patients requiring arthroscopic surgery of the knee, shoulder, ankle, elbow and wrist. The DePuy Mitek VAPR Electrodes for use with the VAPR VUE Radiofrequency System are intended for resection, ablation and excision of soft tissue, hemostasis of blood vessels and coagulation of soft tissue in patients requiring arthroscopic surgery of the knee, shoulder, ankle, elbow, and wrist.
Device Story
VAPR VUE Radiofrequency System is an electrosurgical generator with wired/wireless footswitch and electrodes; utilizes bipolar RF technology for arthroscopic soft tissue ablation, contouring, cutting, and coagulation. System inputs include user-selected modes (Vaporization, Coagulation, CP Vaporization, Blended Vaporization, temperature control) via footswitch or handcontrols. Electrodes (P50, P90, CP90) perform tissue interaction; suction electrodes remove bubbles from operating site. Used in OR by surgeons during arthroscopic procedures. Output provides RF energy to tissue; handcontrols on CP90 allow surgeon to adjust ablation/coagulation modes directly. System benefits include precise tissue management and improved visualization via bubble removal. Enhancements over legacy VAPR3 include CP output type and expanded peak power range.
Clinical Evidence
No clinical studies were required. Substantial equivalence is supported by bench testing, including electrical safety, electromagnetic compatibility, and software validation performed in accordance with EN 60601-1, EN 60601-2-2, EN 60601-1-2, and ISO 62304 standards.
Technological Characteristics
Bipolar electrosurgical system; generator-based RF energy delivery. Components: generator, wired/wireless footswitch, electrodes (P50, P90, CP90). Features: suction capability for bubble removal, handcontrol integration. Connectivity: wireless footswitch. Software: programmable electrical medical system. Standards: EN 60601-1, EN 60601-2-2, EN 60601-1-2, ISO 60601-1-4, ISO 62304.
Indications for Use
Indicated for resection, ablation, excision of soft tissue, and hemostasis of blood vessels in patients requiring arthroscopic surgery of 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.
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KC100638
JUN 1 8 2010
## 510(k) SUMMARY
Date Prepared March 4, 2010 Submitter's Name and DePuy Mitek, Inc. Address: a Johnson & Johnson company 325 Paramount Drive · Raynham, MA 02767 Contact Person Susan Kagan Project Manager, Regulatory Affairs DePuy Mitek, Inc. a Johnson & Johnson company 325 Paramount Drive Raynham, MA 02767, USA Telephone: 508-880-8097 Facsimile: 508-977-6955 e-mail: skagan@its.jnj.com Name of Medical Classification Name: Electrosurgical cutting and coagulation device Device and accessories: 21 CFR 878.4400 Electrosurgical cutting and coagulation device Common/Usual Name: and accessories: Arthroscope VAPR® VUE™ Radiofrequency System Proprietary Name: P50 Electrode P90 Electrode CP90 Electrode CP90 Electrode with Handcontrol FDA Classification: ll FDA product code: GEI The proposed VAPR VUE Radiofrequency System is substantially Predicate Device(s) equivalent to: K041135: VAPRIIITM (May 10, 2004) 트 The proposed VAPR VUE Radiofrequency System is also similar to: K031085: Gyrus SuperPulse Electrosurgical Generator (July 21, I 2003)
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| | The proposed Wireless Footswitch is substantially equivalent to: |
|--------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | K083161: ConMed Linvatc Zen Wireless Footswitch K053510: Linemaster IR Wireless Footswitch System K033135: Stryker Wireless Universal Footswitch |
| | The proposed P90 and CP90 Electrodes are substantially equivalent to: |
| | K002422: VAPR 90° Suction Electrode (August 31, 2000) K041135: VAPR LPS Electrode (May 10, 2004) K082643: VAPR Electrodes with Handpieces (December 19, 2008) |
| | The proposed P50 Electrode is substantially equivalent to: |
| | K992876: The 2.3 Wedge Effect Electrode (September 24, 1999) K041135: VAPR LPS Electrode (May 10, 2004) K082643: VAPR Electrodes with Handpieces (December 19, 2008) |
| Device Description | The VAPR VUE Radiofrequency System is DePuy Mitek's next generation<br>of VAPR Radiofrequency Systems. The system consists of a generator,<br>wired or wireless footswitch and electrodes. The VAPR VUE generator<br>was designed to provide comparable RF performance with legacy VAPR<br>electrodes. |
| | As with its predicate devices including the VAPR 3 generator, this<br>electrosurgical system utilizes bipolar technology specifically designed to<br>provide a range of arthroscopic surgical treatments including soft tissue<br>ablation, contouring, cutting and coagulation and temperature control. |
| | The VAPR VUE system offers five output types of operation: Vaporization<br>(ablation), Coagulation, CP Vaporization (ablation), Blended Vaporization<br>(ablation and coagulation) and temperature control coagulation. All<br>types are present in the predicate device (VAPR3 generator) except the<br>CP Vaporization (ablation). |
| | The VAPR P50 and P90 Electrodes are an addition to the family of LPS<br>Electrodes. These Suction Electrodes are soft tissue ablation and<br>coagulation devices intended for use with the VAPR Electrosurgical<br>Systems. They extend the utility of the system by removing bubbles<br>created during activation from the operating site. |
| | The VAPR CP90 Electrodes are identical in technological characteristics<br>as the P90 electrode only it is intended to be run only off the VAPR VUE<br>platform at pre-determined default settings specific for the device. The<br>CP90 with Handcontrols offers the integration of handcontrol capabilities<br>via three buttons molded on the existing one-piece handles. Those |
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buttons control ablation, coagulation and the generator mode functions.
#### Indications for Use
The Mitek VAPR VUE Radiofrequency System is intended for resection, ablation and excision of soft tissue, and hemostasis of blood vessels in patients requiring arthroscopic surgery of the knee, shoulder, ankle, elbow and wrist.
The P50 and P90 Electrodes when used with Mitek VAPR Electrosurgical Systems are intended for resection, ablation and excision of soft tissue, and hemostasis of blood vessels in patients requiring arthroscopic surgery of the knee, shoulder, ankle, elbow and wrist.
The VAPR CP90 Electrodes when used with Mitek VAPR VUE Electrosurgical System is intended for resection, ablation and excision of soft tissue, and hemostasis of blood vessels in patients requiring arthroscopic surgery of the knee, shoulder, ankle, elbow and wrist.
### Comparison to Predicate Device
This submission is intended to demonstrate that the VAPR VUE Radiofrequency System, P50, P90 and CP90 Electrodes are substantially equivalent to their legally marketed devices.
The Electrodes have been carefully compared to legally marketed devices with respect to intended use, essential components and material, performance specifications and technology characteristics. All of the electrodes which are the subject of this submission have the same Indications for Use and technology characteristics. Changes include:
- The P50 electrode is identical to its predicate with the exception . of default power which falls within the generator specification.
- P90 and CP90 active tip and suction electrode material change. .
- . The CP90 Electrodes is provided with non- handcontrol version as well a handcontrol capability which uses the same fundamental technology as the wired footswitch.
The VAPR VUE Radiofrequency System has been compared to legally marketed devices with respect to intended use, performance and technology characteristic. The VAPR VUE has the same Indications for Use and technology characteristics.
- . . Enhancements on the VAPR VUE generator include:
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- O CP output type
- Open the range of Peak power output O
In addition safety and performance testing have been done to validate the performance and safety of the device. It has been demonstrated that these device modifications will not affect safety and effectiveness of the subject devices.
Verification of the VAPR VUE System and Electrodes includes electrical, Safety and software and performance tests to show that the device meets its product Performance specifications over a range of operating conditions. Validation testing for the VAPR VUE includes testing to show the device meets user needs. Verification testing conform to the following Standards and Guidance documents:
| Standard/Guidance | Description |
|-----------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| EN 60601-1: 1995 | Medical electrical equipment -- Part 1: General<br>requirements for safety |
| EN60601-2-2:2007 | Medical electrical equipment -- Part 2-2:<br>Particular requirements for the safety of high<br>frequency surgical equipment |
| EN60601-1-2: 2006 | Medical electrical equipment -- Part 1-2:<br>General requirements for safety - Collateral<br>standard: Electromagnetic compatibility -<br>Requirements and tests. |
| EN 60601-1-<br>4/A1:2005 | EN 60601-1-4/A1 2005 electrical equipment -<br>Part 1-4: general rules of security - Collateral<br>Standard: electrical systems programmable |
| ISO 60601-1-4 | Medical Electrical Equipment: Part 1-4 General<br>requirements for collateral standard:<br>Programmable electrical medical systems. |
| ISO 62304 | Medical device software-software life cycle<br>process |
| Guidance for the Content of Premarket Submission for Software<br>Contained in Medical Devices: 2005 | |
| General Principals of Software Validation; Final Guidance for<br>Industry and FDA Staff: 2002 | |
| Guidance Off-The-Shelf Software Use in Medical Devices: 1999 | |
#### TABLE 1 Standards & Guidance Documents
#### Clinical Testing
No clinical studies are required to demonstrate safety and efficacy of the device in support of an application for premarket clearance. The VAPR
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VUE Radiofrequency System and Electrodes do not differ from the predicate device in fundamental scientific technology or intended use.
Conclusion
Results of performance and safety testing have demonstrated that the modified device is suitable for its intended use.
Based on the indications for use, fundamental scientific technology, and comparison to the predicate devices, the VAPR VUE Radiofrequency System, along with the Premiere50, Premiere90 and CP90 Electrodes are shown to be substantially equivalent to the predicate devices under the Federal Food, Drug and Cosmetic Act.
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Image /page/5/Picture/0 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features a stylized caduceus, a symbol often associated with medicine and healthcare, in the center. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the caduceus. The seal is black and white.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
Depuy Mitek, A Johnson & Johnson Company % Ms. Susan Kagan Project Manger, Regulatory Affairs 325 Paramount Drive Raynham, Massachusetts 02767
Re: K100638
Trade/Device Name: VAPR Electrodes
VAPR VUE Radiofrequency System including wireless footswitch and electrodes
JUN 1 8 2010
Regulation Number: 21 CFR 878.4400
Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: GEI Dated: June 15, 2010 Received: June 17, 2010
Dear Ms. Kagan:
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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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); medical device reporting (reporting of medical
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#### Page 2 - Ms. Susan Kagan
device-related adverse events) (21 CFR 803); 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.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to
http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
Mark N. Melkerson
Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known):
Device Name: VAPR Electrodes
Indications for Use:
The DePuy Mitek VAPR Electrodes for use with all VAPR Electrosurgical Systems are intended for resection, ablation and excision of soft tissue, hemostasis of blood vessels and coagulation of soft tissue in patients requiring arthroscopic surgery of the knee, shoulder, ankle, elbow, and wrist.
Prescription Use X (Part 21 CFR 801 Subpart D)
.
יי
AND/OR
Over-The-Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Page 1 of 1
Division Sign-Off
(Division Sig Division of Surgical, Orthopedic, and Restorative Devices
510(k) Number K100638
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## Indications for Use
510(k) Number (if known):
Device Name: VAPR VUE Radiofrequency System including Wireless Footswitch and Electrodes
Indications for Use:
The Mitek VAPR VUE Radiofrequency System is intended for resection, ablation and excision of soft tissue, hemostasis of blood vessels and coagulation of soft tissues in patients requiring arthroscopic surgery of the knee, shoulder, ankle, elbow and wrist.
The DePuy Mitek VAPR Electrodes for use with the VAPR VUE Radiofrequency System are intended for resection, ablation and excision of soft tissue, hemostasis of blood vessels and coagulation of soft tissue in patients requiring arthroscopic surgery of the knee, shoulder, ankle, elbow, and wrist.
Prescription Use (Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
signature
Page 1 of 1
Division of Surgical, Orthopedic, and Restorative Devices
510(k) Number K100638
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.