K180584 · Viveve, Inc. · GEI · Apr 6, 2018 · General, Plastic Surgery
Device Facts
Record ID
K180584
Device Name
Viveve RF System, Secure
Applicant
Viveve, Inc.
Product Code
GEI · General, Plastic Surgery
Decision Date
Apr 6, 2018
Decision
SESE
Submission Type
Special
Regulation
21 CFR 878.4400
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The Viveve System is indicated for use in general surgical procedures for electrocoagulation and hemostasis.
Device Story
Viveve System is an electrosurgical device using monopolar radiofrequency (RF) energy to heat tissue for coagulation and hemostasis. System components include an RF generator with integrated cooling module, handpiece, footswitch, and sterile disposable treatment tips (5 cm and 8 cm). During operation, RF energy creates an electric field beneath the treatment tip to heat internal tissue, while cryogen is delivered to the tip interior to cool surface tissue (reverse thermal gradient). Used in clinical settings by healthcare providers. Output is controlled via footswitch; healthcare providers monitor the procedure to achieve desired coagulation. Benefits include controlled thermal tissue effects while protecting surface layers.
Clinical Evidence
No clinical data was provided. Substantial equivalence was demonstrated through bench testing, including design verification, biocompatibility, electrical safety, and electromagnetic compatibility testing.
Indicated for use in general surgical procedures for electrocoagulation and hemostasis. No specific patient population, age, or gender restrictions are defined.
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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April 6, 2018
Viveve Inc. Suzon Lommel Senior Vice President, Regulatory & Quality Affairs 345 Inverness Drive South, Building B, Suite 250 Englewood, Colorado 80112
Re: K180584
Trade/Device Name: Viveve RF System, Secure Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting and Coagulation Device and Accessories Regulatory Class: Class II Product Code: GEI Dated: February 19, 2018 Received: March 5, 2018
Dear Suzon Lommel:
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, 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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820);
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and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely.
For Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known)
### K180584
Device Name Viveve System
Indications for Use (Describe)
The Viveve System is indicated for use in general surgical procedures for electrocoagulation and hemostasis.
Type of Use (Select one or both, as applicable)
> Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
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# SECTION G
Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below.
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# SECTION 7
# 510(k) SUMMARY
#### REGULATORY AUTHORITY 7.1
Safe Medical Devices Act of 1990, 21 CFR 807.92
#### 7.2 APPLICANT INFORMATION
| Applicant: | Viveve Inc. |
|------------|---------------------------|
| | 345 Inverness Drive South |
| | B-250 |
| | Englewood, CO 80112 |
| Contact: | Suzon Lommel |
|----------|-----------------------------------------------------|
| | Senior VP, Quality Assurance and Regulatory Affairs |
| | slommel@viveve.com |
| | Phone: (408) 645-4979 |
| | Fax: (720) 696-8199 |
Date Prepared: February 19, 2018
### SUBJECT DEVICE INFORMATION 7.3
| Trade Name: | Viveve System |
|------------------------|----------------------------------------------------|
| Common Name: | Electrosurgical System |
| Product Code: | GEI |
| Classification Name: | Electrosurgical Cutting and Coagulation Device and |
| | Accessories (21 CFR 878.4400) |
| Device Panel: | General Surgery/Restorative Devices |
| Device Classification: | Class II |
#### 7.4 PREDICATE DEVICE
- . Viveve System (K162547)
### DEVICE DESCRIPTION 7.5
The Viveve System utilizes monopolar radiofrequency (RF) energy to selectively heat a given volume of tissue beneath the surface, while cryogen is delivered to the inside of the treatment tip to cool the surface tissue. The generator delivers energy to the treatment tip to create an electric field under the treatment tip (electrode). The mechanism of action is the application of RF energy to the tissue causing coagulation and/or hemostasis.
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The Viveve System consists of four (4) primary components:
- . An RF Generator to provide the heating energy. The Generator incorporates the Cooling Module to supply the coolant which provides the cooling energy.
- A hand piece that couples the cooling and heating energy to the tissue through the treatment tip (below).
- A footswitch that allows the user to turn the RF Energy on or off. ●
- 5 cm and 8cm Sterile Disposable Treatment Tips. ●
Accessories include:
- Coupling Fluid ●
- Cryogen ●
- Return Cable
- . Return Pad
- Power Cord ●
#### 7.6 INDICATION FOR USE
The Viveve System is indicated for use in general surgical procedures for electrocoagulation and hemostasis.
### 7.7 TECHNICAL CHARACTERISTICS
The Viveve System is an electrosurgical device that delivers radiofrequency (RF) energy to selectively heat a given area of tissue., while cryogen is delivered to the inside of the treatment tip to cool the surface tissue at the end of energy deposition. The application of RF energy causes the tissue to coagulate and/or become hemostatic.
#### 7.8 SUBSTANTIAL EQUIVALANCE
The Viveve System is substantially equivalent to the predicate device listed. The principle of operation between the predicate device and the subject device remain the same, however the subject device is modified with a design change to add an8 cm Treatment Tip. These changes have been tested and verified to have no effect on system functionality, safety, or effectivity. The function of the subject device, the materials and indication for use have not changed, therefore, the subject device is substantially equivalent to the predicate device listed.
| Item | Viveve System<br>and Accessories<br>(Subject Device) | Viveve System<br>(Predicate Device) |
|----------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| <b>510(k) Number</b> | Subject 510(k) | K162547 |
| <b>Legal Manufacturer</b> | Viveve, Inc. | Viveve, Inc. |
| <b>Contract<br/>Manufacturer</b> | Stellartech Research Corporation | Stellartech Research Corporation |
| Item | Viveve System<br>and Accessories<br>(Subject Device) | Viveve System<br>(Predicate Device) |
| Indication for Use | The Viveve System is indicated for use<br>in general surgical procedures for<br>electrocoagulation and hemostasis. | The Viveve System is indicated for use<br>in general surgical procedures for<br>electrocoagulation and hemostasis. |
| FDA Classification | Class II | Class II |
| CFR/Product code | 21 CFR 878.4400/GEI | 21 CFR 878.4400/GEI |
| Invasiveness of<br>treatment | Non-invasive. Device applied to the<br>surface. | Non-invasive. Device applied to the<br>surface. |
| Principles of<br>operations | Radiofrequency (RF) energy selectively<br>heats a given volume of tissue beneath<br>the surface, while cryogen is delivered to<br>the inside of the Treatment Tip to cool<br>the surface tissue. The Treatment Tip is<br>placed on the surface of the skin and the<br>internal tissues are heated while the<br>surface tissue is protected. (Reverse<br>thermal gradient) | Radiofrequency (RF) energy selectively<br>heats a given volume of tissue beneath<br>the surface, while cryogen is delivered to<br>the inside of the Treatment Tip to cool<br>the surface tissue. The Treatment Tip is<br>placed on the surface of the skin and the<br>internal tissues are heated while the<br>surface tissue is protected. (Reverse<br>thermal gradient) |
| Energy | RF | RF |
| Treatment Type | Monopolar | Monopolar |
| Input power | 100-240 VAC @ 50/60 Hz | 100-240 VAC @ 50/60 Hz |
| Maximum power<br>(generator) | 240 Watts | 240 Watts |
| Operating Frequency | 6 MHz | 6 MHz |
| Voltage waveform | 6.0 MHz continuous sinusoidal<br>waveforms | 6.0 MHz continuous sinusoidal<br>waveforms |
| Electrode probe | Monopolar | Monopolar |
| Impedance range | 25 - 120 Ω | 25 - 120 Ω |
| Tip | 5 cm and 8cm Treatment Tips | 5 cm Treatment tip |
| Packaging | Tyvek Pouch | Tyvek Pouch |
| Sterility | ETO | ETO |
| Cooling solution | Cryogen | Cryogen |
## Table 7.8.1: Summary Comparison of Technical Characteristics
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### PERFORMANCE DATA 7.9
The modifications made to the Viveve System were found to not affect safety or performance through design verification bench testing, which confirmed the continued conformance to applicable technical design specifications and performance requirements, including requirements associated with industry safety and performance standards, as follows:
- Safety and essential performance testing in accordance with IEC 60601-. 1:2005 (2006/07-3rd edition) and IEC 60601-2-2:2009
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- Electromagnetic compatibility in accordance with IEC 60601-1-2:2007 ●
- Design verification testing to ensure the proposed modifications perform ● within design parameters under the proper environmental conditions.
- . Software validation was conducted to ensure the proposed modification perform with the design parameters.
#### 7.9.1 Non-Clinical Performance Data
Design verification and biocompatibility testing was performed to ensure the subject device Viveve System functions according to the intended use. The results met the acceptance criteria. Risk analysis was also completed in accordance with criteria based on ISO 14972:2007. Electromagnetic compatibility and electrical safety testing was completed in compliance with IEC 60601-1 and IEC 60601-1-2. Biocompatibility testing was conducted for the Treatment Tip and Coupling Fluid according to ISO 10993-1:2009. Other components of the Viveve System do not have direct contact with patient tissue, therefore biocompatibility testing was not required. Sterilization for the subject device remains the same as the predicate device sterilization method and parameters. Packaging validation testing was also completed against the subject device along with the shelf life testing.
#### 7.9.2 Clinical Performance Data
This premarket submission did not rely on the assessment of clinical performance data to demonstrate substantial equivalence as the only change was to the length of the Treatment Tip shell, all internal components are identical.
#### 7.10 CONCLUSION
The indications for use and the technical characteristics of the Viveve System has not changed from the predicate device. The results of performance testing demonstrate that the modifications to the Viveve System do not affect the safety, efficacy, or performance of the System, therefore, the subject device is substantially equivalent to the predicate device.
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.