EasyInstruments
Device Facts
| Record ID | K182013 |
|---|---|
| Device Name | EasyInstruments |
| Applicant | Agency For Medical Innovations GmbH |
| Product Code | GEI · General, Plastic Surgery |
| Decision Date | Mar 11, 2019 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 878.4400 |
| Device Class | Class 2 |
| Attributes | Therapeutic |
Indications for Use
The Easylnstruments are indicated for cutting, grasping, dissecting and coagulation of tissue in laparoscopic surgical procedures.
Device Story
EasyInstruments is a modular, monopolar electrosurgical instrument system for laparoscopic surgery. System consists of three detachable components: EasyHandle (functional handle), EasyShaft (various diameters/lengths), and EasyTips (application-specific attachments). Used by surgeons in laparoscopic procedures to mobilize, manipulate, grasp, hold, fix, retract, dissect, cut, and coagulate tissue. Modular design facilitates cleaning and reprocessing. Ergonomic fingertip trigger on EasyAct variant facilitates tissue coagulation. Device connects to external electrosurgical generators to deliver high-frequency energy for cutting and coagulation. Clinical benefit derived from modularity, allowing for varied shaft lengths (17 and 26.5 cm) and 3 mm shaft options, providing surgeons with increased procedural flexibility.
Clinical Evidence
Bench testing only. Testing included cleaning (AAMI TIR12/TIR30), sterilization (ISO 17665-1, ISO 11135, ISO 11137), biocompatibility (ISO 10993), electrical safety (IEC 60601-1, IEC 60601-2-2), EMC (IEC 60601-1-2), and usability (IEC 62366-1). Performance testing verified mechanical integrity (grasping strength, cutting, movement) and electrical continuity. Thermal effects on tissue were assessed via histology on ex vivo animal tissues (liver, kidney, muscle) at various power settings.
Technological Characteristics
Modular monopolar electrosurgical instrument. Components: EasyHandle, EasyShaft, EasyTips. Materials: unspecified medical-grade materials consistent with predicates. Energy: high-frequency (HF) electrical energy. Dimensions: 3 mm shaft diameter; 17 cm and 26.5 cm lengths. Connectivity: connects to external electrosurgical generators. Sterilization: validated per ISO 17665-1, ISO 11135, ISO 11137. Standards: IEC 60601-1, IEC 60601-2-2, IEC 60601-1-2, ISO 10993, ISO 11607.
Indications for Use
Indicated for cutting, grasping, dissecting, and coagulation of tissue during laparoscopic surgical procedures.
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
- ReNew Laparoscopic Instruments (K962119)
- ReNew V Handpiece Laparoscopic Instruments (K160706)
- Snowden-Pencer Microlap 3mm Laparoscopic Instruments (K163615)
Reference Devices
Submission Summary (Full Text)
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March 11, 2019
Agency for Medical Innovations GmbH % Dr. Pierre Bounaud Acknowledge Regulatory Strategies, LLC 2251 San Diego Ave., Suite B-257 San Diego, California 92110
Re: K182013
Trade/Device Name: EasyInstruments Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting and Coagulation Device and Accessories. Regulatory Class: Class II Product Code: GEI Dated: January 25, 2019 Received: January 29, 2019
Dear Dr. Bounaud:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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
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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 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 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,
Digitally signed by Long H. Chen Long H. Chen -S -s -3 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) K182013
Device Name EasyInstruments
Indications for Use (Describe)
The Easylnstruments are indicated for cutting, grasping, dissecting and coagulation of tissue in laparoscopic surgical procedures.
Type of Use (Select one or both, as applicable)
2 Prescription Use (Part 21 CFR 801 Subpart D)
_ Over-The-Counter Use (21 CFR 801 Subpart C)
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# 510(k) Summary
DATE PREPARED
February 26, 2019
### MANUFACTURER AND 510(k) OWNER
Agency for Medical Innovations GmbH Im Letten 1, 6800 Feldkirch, Vorarlberg, Austria Telephone: Fax: +43 5522 90505-4006 Official Contact: Martin Hohlrieder, Ph.D., CTO
### REPRESENTATIVE/CONSULTANT
Pierre Bounaud, Ph.D. Allison C. Komiyama, Ph.D., R.A.C. AcKnowledge Regulatory Strategies, LLC 2251 San Diego Ave., Suite B-257, San Diego, CA 92110, USA Telephone: Email: pbounaud@acknowledge-rs.com akomiyama@acknowledge-rs.com
### PROPRIETARY NAME OF SUBJECT DEVICE
EasyInstruments
### COMMON NAME
Electrosurgical, Cutting & Coagulation & Accessories
### DEVICE CLASSIFICATION
Electrosurgical cutting and coagulation device and accessories (21 CFR 878.4400, Product Code GEI, Class II)
#### PREMARKET REVIEW
ODE/DSD/GSDB2 General & Plastic Surgery Panel
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## PREDICATE DEVICE IDENTIFICATION
EasyInstruments device is substantially equivalent to the following predicates:
| 510(k)<br>Number | Predicate Device Name / Manufacturer | Primary<br>Predicate | Reference<br>Predicate |
|------------------|--------------------------------------------------------------------------------|----------------------|------------------------|
| K962119 | ReNew Laparoscopic Instruments / Microline | ✓ | |
| K160706 | ReNew V Handpiece Laparoscopic Instruments /<br>Microline | | |
| K163615 | Snowden-Pencer Microlap 3mm Laparoscopic<br>Instruments / CareFusion 2200 Inc. | | |
| K933002 | Erbotom ICC 350 / Erbe USA, Inc. | | ✓ |
| K023886 | Erbe VIO ESU with Accessories, Model VIO 300 D /<br>Erbe USA, Inc. | | ✓ |
### DEVICE DESCRIPTION
The A.M.I. EasyInstruments device is a modular instrument system for use in laparoscopic highfrequency (HF) surgery and is designed for monopolar application. The Easylnstruments system comprises three-part detachable instruments, which include 1) different functional handles (EasyHandle), 2) instrument shafts of various diameters and lengths (EasyShaft), and 3) a wide range of different, application-specific attachments (EasyTips). It is intended during laparoscopic procedures to mobilize, manipulate, grasp, hold, fix, retract, dissect, cut, and coagulate tissue.
### INDICATIONS FOR USE
The Easylnstruments are indicated for cutting, grasping, dissecting and coagulation of tissue in laparoscopic surgical procedures.
## COMPARISON OF TECHNOLOGICAL CHARACTERISTICS
The subject device has a similar design and dimensions and uses similar materials as the devices cleared in K962119, K160706, and K163615. The subject device has equivalent general intended use and similar technological characteristics as the device cleared in K962119, K160706 and K163615. Unlike the predicate devices, the tips, shafts and handles of EasyInstruments are detachable, which allows for easier cleaning and reprocessing of the instruments. A smaller shaft (3 mm) and the associated smaller length of the shaft/handle combination (17 and 26.5 cm) provide the surgeon with more options during laparoscopic procedures. An ergonomic fingertrip trigger is available on the EasyAct device to facilitate coagulation of tissue.
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### SUMMARY OF NON-CLINICAL TESTING
Testing was performed per FDA's guidance document Premarket Notification (510(k)) Submissions for Electrosurgical Devices for General Surgery (Issued August 15, 2016). A summary of the following tests that were performed was provided in order to demonstrate safety based on current industry standards:
- Cleaning validation per AAMI TIR12 and AAMI TIR30 ●
- . Sterilization validation per ISO 17665-1, ISO 11135, and ISO 11137
- Shelf life and packaging validation per ISO 11607
- Biocompatibility Risk Assessment per ISO 10993-1 ●
- Cytotoxicity testing per ISO 10993-5
- Irritation and sensitization testing per ISO 10993-10
- Electrical safety per IEC 60601-1 and IEC 60601-2-2
- EMC per IEC 60601-1-2
- . Bench performance testing, including performance of disposable tips, performance of reusable tips after reprocessing, performance of EasyHandle reprocessing, and performance of EasyShaft after reprocessing. Performance tests for the tips included visual inspection for damage, opening angle, ease of movement in opening/closing, cutting, dissecting, grasping strength, continuity check between shaft and tip, and compatibility check of the shaft with tips. Performance tests for EasyShaft and EasyHandle included visual inspection (i.e. cracks, damage, warpage), continuity check between shaft and tip, dielectric strength of the shaft, and compatibility check of the shaft with tips.
- Thermal effects on tissue. Side by side testing was performed on ex vivo animal tissues (liver, kidney, and muscle) and thermal damage was assessed by measuring the depth of damage at minimum, default, and maximum power settings using histology.
- Usability testing per IEC 62366-1, including device assembly, device disassembly, device ● reprocessing, and device application in a simulated environment
The results of these tests indicate that the EasyInstruments are substantially equivalent to the predicate devices.
### CONCLUSION
Based on the testing performed, including biocompatibility, cleaning validation, sterilization validation, shelf life validation, packaging validation, electrical safety, EMC testing, non-clinical performance testing (bench), thermal effects on tissue, and usability testing, it can be concluded that the subject device does not raise new issues of safety or efficacy compared to the predicate devices. The equivalent indications for use, technological characteristics, and performance characteristics for the proposed EasyInstruments are assessed to be substantially equivalent to the predicate devices.
