Electro Lube NXT

K241055 · Steris · GEI · May 31, 2024 · General, Plastic Surgery

Device Facts

Record IDK241055
Device NameElectro Lube NXT
ApplicantSteris
Product CodeGEI · General, Plastic Surgery
Decision DateMay 31, 2024
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 878.4400
Device ClassClass 2

Intended Use

Electro Lube NXT is a single patient use device used in open and minimally-invasive surgery to reduce tissue adhesion and eschar on electrosurgical instruments.

Device Story

Electro Lube NXT is a sterile, single-use electrosurgical accessory consisting of a polyol ester-based anti-stick solution (4mL) and a polyurethane foam applicator pad. The pad features an adhesive backing and a barium filament for radiopacity. Used by professional practitioners in clinical electrosurgical environments, the solution is applied to electrosurgical electrodes to reduce tissue adhesion and eschar buildup. The device functions by creating a non-stick coating on the electrode, which facilitates easier cleaning and reduces the force required for cutting. It is applied manually by the clinician before or during surgery. The device does not alter the electrical performance or thermal spread of the electrosurgical tools. By reducing eschar accumulation, the device helps maintain instrument performance throughout the procedure, potentially improving surgical efficiency and reducing the need for frequent instrument cleaning or replacement during surgery.

Clinical Evidence

Bench testing only. No clinical data. Performance was validated through non-clinical studies including: evaluation of tissue adhesion, eschar removal, cutting force, impedance, product viscosity, ease of removal, flash point, pourability, sponge interaction, reprocessing validation, and thermal spread. Biocompatibility testing included cytotoxicity, dermal sensitization, intracutaneous reactivity, acute systemic toxicity, hemocompatibility, and material-mediated pyrogenicity. All tests met established acceptance criteria.

Technological Characteristics

Materials: Polyol ester (anti-stick solution), Polyurethane foam (applicator), Polyethylene (vial), Barium filament (radiopacity). Energy: None (passive accessory). Connectivity: None. Sterilization: Irradiation (SAL 10^-6). Form factor: 4mL vial with foam applicator pad. Software: None.

Indications for Use

Indicated for use in open and minimally-invasive surgery to reduce tissue adhesion and eschar on electrosurgical instruments for patients undergoing electrosurgical 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

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, with the letters "FDA" in a blue square. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue. May 31, 20224 STERIS Corporation Steven Elliott Senior Manager, Regulatory Affairs 5960 Heisley Road Mentor, Ohio 44060-1834 Re: K241055 Trade/Device Name: Electro Lube NXT Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting And Coagulation Device And Accessories Regulatory Class: Class II Product Code: GEI Dated: April 17, 2024 Received: April 17, 2024 Dear Steven Elliott: 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 (the 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 available 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. Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download). {1}------------------------------------------------ Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181). 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 device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 Part 4. Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803). please go to https://www.fda.gov/medical-device-safety/medical-device-reporting-mdr-howreport-medical-device-problems. For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and -CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See website (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatorythe DICE assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely, Long H. Chen =S Digitally signed by Long H. Chen-S Date: 2024.05.31 14:38:58 -04'00' Long Chen, Ph.D. Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health {2}------------------------------------------------ ## Indications for Use 510(k) Number (if known) K241055 Device Name Electro Lube NXT #### Indications for Use (Describe) Electro Lube NXT is a single patient use device used in open and minimally-invasive surgery to reduce tissue adhesion and eschar on electrosurgical instruments. | Type of Use (Select one or both, as applicable) | | |----------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------| | <span style="font-family: DejaVu Sans, sans-serif">❌</span> Prescription Use (Part 21 CFR 801 Subpart D) | <span style="font-family: DejaVu Sans, sans-serif">□</span> Over-The-Counter Use (21 CFR 801 Subpart C) | ### CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. ### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {3}------------------------------------------------ K240155 Image /page/3/Picture/1 description: The image shows the logo for STERIS. The logo consists of the word "STERIS" in a bold, sans-serif font, with the registered trademark symbol to the right of the word. Below the word is an image of several horizontal, wavy lines in blue. # 510(k) Summary For Electro Lube NXT STERIS Corporation 5960 Heisley Road Mentor, OH 44060 Phone: (440) 354-2600 Fax No: (440) 357-9198 Steven Elliott Contact: Senior Manager, Regulatory Affairs Telephone: (223) 267-9228 e-mail: Steven_Elliott@steris.com May 31, 2024 Summary Date: STERIS Corporation ■ 5960 Heisley Road ■ Mentor, OH 44060-1834 USA ■ 440-354-2600 {4}------------------------------------------------ ### K240155 ## STERIS TRADITIONAL 510(k) PREMARKET NOTIFICATION Electro Lube NXT #### Device Name 1. | Trade Name: | Electro Lube NXT | |------------------------|-------------------------------------------------------------------| | Device Class: | Class II | | Common/usual Name: | Electrosurgical Non-stick Coating Accessory | | Classification Name: | Electrosurgical Cutting and Coagulation Device and<br>Accessories | | Classification Number: | 21 CFR 878.4400 | | Product Code: | GEI | #### 2. Predicate Device Electro Lube K033880 | Feature | Electro Lube<br>(Predicate Device/K033880) | Electro Lube NXT<br>(Proposed device) | Comparison | |------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------| | Indications for Use | Electro Lube is a single patient<br>use device that is intended to be<br>used on electrodes to reduce<br>sticking. | Electro Lube NXT is a single<br>patient use device used in open and<br>minimally invasive surgery to<br>reduce tissue adhesion and eschar<br>on electrosurgical instruments. | Similar. The<br>Language has<br>been revised to<br>clarify the<br>intended use. | | Intended Use | Electro Lube is intended to be<br>used on electrodes to reduce<br>sticking and eschar. | Electro Lube NXT is intended to<br>be used on electrodes to reduce<br>sticking and eschar. | Same | | Components | • Electro Lube Vial containing<br>4mL of Electro Lube<br>• Foam applicator pad with<br>adhesive backing and barium<br>strip | • Electro Lube NXT Vial<br>containing 4mL of Electro Lube<br>NXT<br>• Foam applicator pad with<br>adhesive backing and barium<br>strip | Same | | Materials of<br>Construction | • Electro Lube –phospholipid<br>solution<br>• Accessory Foam Sponge -<br>Polyurethane Foam; Medical<br>Double-Coated Tape; Barium<br>Cord<br>• Electro Lube Bottle –<br>Polyethylene | • Electro Lube NXT - polyol ester<br>Accessory Foam Sponge -<br>Polyurethane Foam; Medical<br>Double-Coated Tape; Barium<br>Cord<br>• Electro Lube NXT Bottle –<br>Polyethylene | Electro Lube<br>formulation<br>changed. Other<br>materials of<br>construction are<br>the same | | Sterile | Yes - Irradiation | Yes - Irradiation | Same | | SAL | 10-6 | 10-6 | Same | | Performance | • Evaluation of Tissue Adhesion<br>— reduced sticking of probe<br>versus uncoated control<br>• Evaluation of Eschar removal -<br>reduced eschar on probe after<br>wiping | • Evaluation of Tissue Adhesion –<br>reduced sticking of probe versus<br>uncoated control<br>• Evaluation of Eschar removal –<br>reduced eschar on probe after<br>wiping | Additional testing<br>performed to<br>support device<br>performance and<br>characterize the<br>proposed device. | | Feature | Electro Lube<br>(Predicate Device/K033880) | Electro Lube NXT<br>(Proposed device) | Comparison | | | | Evaluation of Appearance – visual inspection of color, clarity and absence of particulates. Evaluation of Product Odor Profile – odor profile of ELII no worse than Electro Lube Evaluation of Product Viscosity and Coating – coat electrode without excessive dripping. Evaluation of Cutting Force and Impedance – cutting force is no greater in ELII coated electrodes vs uncoated. Evaluation of Ease of Product Removal – Comparison of removal of ELII verses predicate by wiping. Evaluation of Potential for the Evolution of Hazardous Scenario – observation of ignition potential of substrate using highest energy setting for successive burns Flash Point - Closed Cup Method – Demonstration that ELII has flash point greater than 200 °C. Evaluation of Pourability/Dispensing - Comparison in pourability to Predicate. Thermal Spread Evaluation - Comparison of thermal spread profiles between ELII, and uncoated electrode. Evaluation of Sponge Interaction – determination that no damage or degradation occurs during use-life and conditions. Reprocessing Validation Test - Demonstration of effective cleaning of electrosurgical instruments after simulated use with Electro Lube NXT | | | Biocompatibility | Acute Systemic Toxicity Dermal Sensitization Intracutaneous Reactivity | Acute Systemic Toxicity Dermal Sensitization Intracutaneous Reactivity In Vitro Cytotoxicity Rabbit Pyrogenicity Hemolysis | Additional tests performed to meet current biocompatibility test expectations | ## Table 1. Device Comparison Table for Electro Lube NXT and Predicate {5}------------------------------------------------ ### STERIS TRADITIONAL 510(k) PREMARKET NOTIFICATION Electro Lube NXT The proposed device is similar to the predicate devices in terms of intended use and mode of operation. The proposed device and predicate device contain differences in {6}------------------------------------------------ ### STERIS TRADITIONAL 510(k) PREMARKET NOTIFICATION Electro Lube NXT indications for use to clarify the function of the proposed device. The proposed device and predicate differ in materials of construction as a new formulation is used for the proposed device. The proposed device, like the predicate device is a viscous liquid in a polyethylene vial with a foam applicator sponge. The proposed device is applied and used in the same manner as the predicate. The proposed device differs in the formulation of the non-stick agent. #### 3. Description of Device Electro Lube NXT is a single-use sterile electrosurgical accessory device intended to be used on electrosurgical electrodes to prevent sticking. It is intended to be used by professional practitioners of electrosurgery in clinical environments where electrosurgery is performed. Electro Lube NXT is sterilized by irradiation and provided to the end user in an individual sterile barrier package with one bottle containing 4mL of the anti-stick solution and one foam pad for application of the solution during use included in each pack. The foam pad includes an adhesive backing and barium filament strand of material for radiopacity. #### 4. Intended Use/Indications for Use Electro Lube NXT is a single patient use device used in open and minimally invasive surgery to reduce tissue adhesion and eschar on electrosurgical instruments. #### ર. Summary of Nonclinical Tests Electro Lube NXT has the same intended use and technological characteristics that do not raise different questions of safety and effectiveness as compared to the predicate device. Testing to assess and demonstrate substantial equivalence to the predicate is summarized below. | Test | Criterion | Conclusion | |------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------| | Evaluation of<br>Appearance | The material is clear and homogenous without any<br>particulate | Pass | | Evaluation of Product<br>Odor Profile | odor profile of Electro Lube NXT is equivalent or better<br>than the odor profile of the predicate | Pass | | Evaluation of Product<br>Viscosity and Coating | The material visually coats the electrode as well or superior<br>to the coating applied by the predicate and that Electro<br>Lube NXT does not drip more frequently than the<br>predicate. | Pass | {7}------------------------------------------------ ### STERIS TRADITIONAL 510(k) PREMARKET NOTIFICATION Electro Lube NXT | Test | Criterion | Conclusion | |-----------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------| | Evaluation of Cutting<br>Force and Impedance | the cutting force required for an electrode coated in Electro<br>Lube NXT is not more than the cutting force required for a<br>bare electrode. | Pass | | Evaluation of Electrode<br>Adherence to Tissue | no greater weight loss when an electrode coated in Electro<br>Lube NXT is removed from the tissue as compared to that<br>which occurs when the bare electrode is removed from<br>tissue | Pass | | Evaluation of Ease of<br>Product Removal | Percentage of product removed by wiping is higher or not<br>statistically different from the predicate device removal | Pass | | Evaluation of Ease of<br>Eschar Removal | Percentage of eschar removal after tissue burns using a<br>blade electrode is with product is higher or not significantly<br>different from the eschar removed from an uncoated blade | Pass | | Evaluation of Potential<br>for the Evolution of<br>Hazardous Scenario | No observance of hazardous situations (fire, ESU fault)<br>resulting from repeated use of product to cut tissue | Pass | | Flash Point<br>Determination- Closed<br>Cup Method | Flashpoint greater that 200°F | Pass | | Evaluation of<br>Pourability/Dispensing | Pourability equivalent or better than predicate. | Pass | | Evaluation of Sponge<br>Interaction | Applicator sponge incorporates product, does not become<br>discolored, exhibits no damage and does not leave<br>particulate on electrosurgical instruments | Pass | | Reprocessing<br>Validation Testing | Use of product does not prevent cleaning of electrosurgical<br>instruments to accepted thresholds | Pass | | Thermal Spread<br>Evaluation | Thermal damage associated with the tested electrosurgery<br>tools (irrigating bipolar forceps and blade electrodes) were<br>not negatively impacted by the use of Electro Lube NXT | Pass | | Biocompatibility | Cytotoxicity - MEM Elution | Pass | | | Sensitization - Skin Sensitization Study in Guinea Pigs by<br>Guinea Pig Maximization Test | Pass | | | Irritation - EL201 Intracutaneous Reactivity Test in New<br>Zealand White Rabbits | Pass | | | Acute Systemic Toxicity - Acute Systemic Toxicity Test in<br>Wistar Rats | Pass | | | Hemocompatibility – ASTM Hemolysis Direct Contact and<br>Extract Methods | Pass | | | Pyrogenicity - Material Mediated Pyrogenicity Test in<br>New Zealand White Rabbits | Pass | #### 6. Conclusion Based on the intended uses, technological characteristics and non-clinical performance data, the proposed device is as safe, as effective and performs at least as well as the legally marketed predicate device K033880, Class II (21 CFR 878.4400), product code GEI.
Innolitics
510(k) Summary
Decision Summary
Classification Order
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