SEMKIN INSULATED BIPOLAR FORCEP

K974593 · Titan Mfg., Inc. · HTD · Jun 24, 1998 · General, Plastic Surgery

Device Facts

• Record ID: K974593
• Device Name: SEMKIN INSULATED BIPOLAR FORCEP
• Applicant: Titan Mfg., Inc.
• Product Code: HTD · General, Plastic Surgery
• Decision Date: Jun 24, 1998
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4800
• Device Class: Class 1
• Attributes: Therapeutic

Intended Use

Intended to remove tissue and control bleeding by use of high frequency electrical current. (21 CFR §878.4400).

Device Story

Semkin Insulated Bipolar Forcep is a surgical instrument designed for tissue removal and hemostasis. Device utilizes high-frequency electrical current to coagulate tissue and control bleeding. Operated by surgeons in clinical or surgical settings. Device functions as a bipolar electrosurgical accessory; current passes between two tips of forceps to target specific tissue area. Provides precise control for hemostasis during surgical procedures; benefits patient by minimizing blood loss and facilitating surgical access.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Bipolar electrosurgical forceps; insulated construction; utilizes high-frequency electrical current for tissue coagulation and removal. Standard surgical instrument form factor.

Indications for Use

Indicated for use in surgical procedures requiring tissue removal and hemostasis via high-frequency electrical current.

Regulatory Classification

Identification

A manual surgical instrument for general use is a nonpowered, hand-held, or hand manipulated device, either reusable or disposable, intended to be used in various general surgical procedures. The device includes the applicator, clip applier, biopsy brush, manual dermabrasion brush, scrub brush, cannula, ligature carrier, chisel, clamp, contractor, curette, cutter, dissector, elevator, skin graft expander, file, forceps, gouge, instrument guide, needle guide, hammer, hemostat, amputation hook, ligature passing and knot-tying instrument, knife, mallet, disposable or reusable aspiration and injection needle, disposable or reusable suturing needle, osteotome, pliers, rasp, retainer, retractor, saw, scalpel blade, scalpel handle, one-piece scalpel, snare, spatula, stapler, disposable or reusable stripper, stylet, suturing apparatus for the stomach and intestine, measuring tape, and calipers. A surgical instrument that has specialized uses in a specific medical specialty is classified in separate regulations in parts 868 through 892 of this chapter.

Submission Summary (Full Text)

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

## JUN 2 4 1998

Mr. Donald Seavey ·Titan Manufacturing, Inc. 6 Jamie Lane Phoenixville, Pennsylvania 19460

Re: K974593 Trade Name: Semkin Insulated Bipolar Forcep Regulatory Class: II Product Code: GEI Dated: March 20, 1998 Received: May 27, 1998

Dear Mr. Seavey:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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 (Premarket Approval), 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 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 53.1 through 542 of the Act for_ devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 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.

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Page 2 - Mr. Seavey

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number [phone] or [phone] or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

S.J. M. Witten, Ph.D., M.D.

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Titan Manufacturing, Inc.

6 Jamie Lane Phoenixville, PA 19460 Tel/Fax: [phone]

## INDICATIONS FOR USE STATEMENT

974593

510(k) Number (if known):

Device Name:

Semkin Insulated Bipolar Forcep

Indications For Use:

Intended to remove tissue and control bleeding by use of high frequency electrical current. (21 CFR §878.4400).

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

| Concurrence of CDRH, Office of Device Evaluation (ODE) | |
|--------------------------------------------------------|---------|
| (Division Sign Off) | |
| Division of General Restorative Devices | |
| 510(k) Number | K974593 |

| Prescription Use<br>(Per 21 CFR 801.109) | X | OR | Over-The-Counter Use | |
|------------------------------------------|---|----|----------------------|--|
|------------------------------------------|---|----|----------------------|--|

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