K083452 · Erbe USA, Inc. · GEI · Dec 31, 2008 · General, Plastic Surgery
Device Facts
Record ID
K083452
Device Name
ERBE MODEL VIO 300 D WITH ACCESSORIES
Applicant
Erbe USA, Inc.
Product Code
GEI · General, Plastic Surgery
Decision Date
Dec 31, 2008
Decision
SESE
Submission Type
Special
Regulation
21 CFR 878.4400
Device Class
Class 2
Attributes
Therapeutic, Pediatric
Indications for Use
The ERBE ESU Model VIO 300 D with Accessories is intended to deliver High Frequency (HF) electrical current for the cutting and/or coagulation of tissue.
Device Story
The ERBE ESU Model VIO 300 D is an electrosurgical generator system used in clinical settings to cut and coagulate tissue via High Frequency (HF) electrical current. The system features a color monitor displaying settings, operational information, and an on-screen tutorial. Physicians operate the device using footswitches or hand instruments to deliver energy; the system includes automatic start/stop functionality and programmable modes. It provides audio and visual alerts for malfunctions or user errors. The device can be used with an Argon Plasma Coagulator (APC) accessory. Modifications include improved hardware (PCBs, display durability, monopolar/bipolar receptacles) and software updates (optimized power/resistance associations, crest factor changes, increased power for specific modes, and enhanced safety features like NESSY neonatal monitoring). The device benefits patients by providing precise, programmable electrosurgical energy for interventional procedures, with safety monitoring to prevent thermal damage and user error.
Clinical Evidence
Bench testing only. All modifications were verified and validated through design control processes.
Technological Characteristics
Electrosurgical generator system; HF electrical current output. Features color display, programmable modes, and footswitch/hand instrument connectivity. Hardware includes upgraded PCBs, improved anti-reflective display, and specialized monopolar/bipolar receptacles. Software-controlled energy delivery with NESSY (Neutral Electrode Safety System) monitoring. Non-sterile, reusable device.
Indications for Use
Indicated for the cutting and/or coagulation of tissue using High Frequency (HF) electrical current. Intended for prescription use.
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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ERBE USA Incorporated
K083452
DEC 31 200NFIDENTIAL
Special 510(k): ERBE ESU Model VIO 300 D with Accessories
# 510(k) SUMMARY
- Submitted By: ERBE USA, Inc. 2225 Northwest Parkway Marietta, GA 30067 Tel: 770-955-4400 Fax: 770-955-2577
Contact Person: Julie Stephens, President/Consultant Regulatory Resources Group, Inc.
GEI
Date Prepared:
Common Name: ElectroSurgical Unit (ESU/Generator) System
November 20, 2008
ERBE ESU Model VIO 300 D with Accessories Trade/Proprietary Name:
Classification Name: Electrosurgical cutting and coagulation device and accessories (21 CFR 878.4400)
Product Code:
Legally Marketed Predicate Device:
ERBE VIO ESU (Model VIO 300 D) with Accessories 510(k) Numbers: K023886 and K060484
## Device Description:
The ERBE ESU Model VIO 300 D with Accessories is an electrosurgical system that uses High Frequency (HF) electrical current waveforms to cut and/or coagulate tissue. There are modifications made to only a few of the Accessories from the previously cleared 510(k) Number K023886 and they are included within this submission.
## ESU Model VIO 300 D
The ESU has a color monitor display that provides the user with an on-screen tutorial as well as settings and operational information. The unit has various cutting and coagulation modes with defined effect levels to provide the physician flexibility in interventional applications (i.e. its ability to generate HF current). The system has automatic start and stop features. The equipment is programmable and various accessories (e.g. footswitches, hand instruments, etc.) as well as modes may be assigned to perform specific functions. When activated, the device has an audio and visual error system (i.e., malfunctions or user errors are detected with medical personnel being alerted visually and/or by sound with, in some cases, no energy being delivered). Upon activation, the energy delivered (in watts) from the ESU to the tissue is displayed on the display screen.
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083452
Special 510(k): ERBE ESU Model VIO 300 D with Accessories
Also, the Unit can be used in association with an ERBE compatible Argon Plasma Coagulator (APC). The ESU is supplied non-sterile and is reusable.
#### Accessories (Modified VIO Footswitches)
Various types of single and double pedal Footswitches have been designed for ESU VIO Models. The Footswitches are used to activate the Generator. Some of the Footswitches have a ReMode button so that the physician can toggle between preset programs. Also, some Footswitches are equipped with a bracket (i.e. bar) so that the operator can position their foot.
Note: VIO stands for Variable Cut and Coaqulation.
Indications for Use:
ERBE USA Incorporated
The ERBE ESU Model VIO 300 D with Accessories is intended to deliver High Frequency (HF) electrical current for the cutting and/or coagulation of tissue.
Similarities and Differences of the Modified Device to the Current Device (Predicate Comparison/Substantial Equivalence):
Similarities
ESU Model VIO 300 D
The modified ESU has the same intended use, protective circuits, and uses the same basic accessories (i.e. A/C Cord, Adapters, etc.) as the predicate. Also, the Modes with and without Auto Stop in the modified device are the same Modes that are in the predicate. Both Generators have an on-screen tutorial as well as the same user interface display to select modes, power settings, etc. The modified and predicate devices are programmable and have ReMode capabilities. Both devices have Auto Start and Auto Stop functions. Also, each Unit has audio and visual error monitoring. The modified and predicate devices both can be used with a compatible Argon Plasma Coagulator (APC) with the respective APC being controlled through the ESU. Both Units have the actual software for the APC within the ESU. The APC related Modes for the modified device are the same as the predicate device. The modified ESU is also manufactured by ERBE Elektromedizin GmbH in Germany and like the predicate Generator will be supplied as non-sterile and is reusable. The packaging is also the same for each device with similar labeling (e.g. Outer Package Label, User Manual, etc.).
## Accessories (Modified VIO Footswitches)
The modified Footswitches are manufactured with the same type of materials and have the same functions as well as features as the predicate Footswitches. The packaging is also the same for each device with similar labeling (e.g. Outer Package Labels and Notes On Use, etc.).
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KO83452
Page 3 of 4
CONFIDENTIAL
ERBE USA Incorporated Special 510(k): ERBE ESU Model VIO 300 D with Accessories
Differences
ESU Model VIO 300 D
The modified ESU has the following changes or additions: Hardware
- The method for installing an optional software mode utilizes a communications . cable with a "serialized" dongle which requires changes to the internal communications Printed Circuit Boards (PCBs).
- . Several internal PCBs are upgraded with more robust components to prevent field issues and errors.
- The display is more durable and the anti-reflective coating on the display screen . is improved.
- The monopolar receptacle was improved to prevent the connection of instrument ● cables being inserted into the wrong holes of the module.
- An additional type of bipolar receptacle was created to further meet customer's ● needs.
Software
- Software changes are made to correct field issues and incorrect error situations. .
- With some of the modes, the association of effects with power (outputs) and . resistance were optimized and crest factors changed.
- Some visual cues and audio cues were improved (e.g. lighting of specific icons, . change in tone or increased sound for a mode or feature, added power display for specific bipolar modes).
- . The Endo Cut "I" and BiClamp modes have higher maximum output powers for the availability of more power if needed.
- The Auto Start and Auto Stop features are now available with additional modes. .
- An additional feature was created for the Neutral Electrode Safety SYstem . (NESSY) involving the use of a Neonatal Neutral Electrode (NE) (also referred to as Return Electrode, Patient Pad, Patient Plate, Grounding Pad, etc.). With the feature being turned "On", the Unit will display the message: "NE Neonatal Monitoring - reduce the effect or power setting" if a current of 300mA is reached.
- Upon connecting a recognized reusable instrument into the Unit, the following . additional message displays: "the instrument has already been sterilized around xx times" to provide usage information.
- An additional method for toggling between preset programs (i.e. the ReMode . feature) was added. That is, toggling between preset programs can be done by simultaneously pushing the Cut (Yellow) and Coag (Blue) buttons of a handswitch device.
- A "Maximum application time" setting is added to the Precise APC mode to . reduce the possibility of thermal damage with the mode.
- Added identification field so that its identity can be displayed when the Unit is . turned "On"
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K083452
Special 510(k): ERBE ESU Model VIO 300 D with Accessories
- The maximum voltage for High Cut and Argon-Assisted High Cut modes has . been changed in the User Manual from being the average value to the maximum number with the tolerance added.
### Accessories (Modified VIO Footswitches)
Footswitches with different configurations (i.e. single or double pedals, with or without ReMode, and with or without a bar) have been developed. Also, the Footswitches will be manufactured in house at ERBE Elektromedizin GmbH.
All of the modifications (i.e., additions and changes) for the ERBE ESU Model VIO 300 D with Accessories have been verified or validated in design control. All of the changes and additions as necessary are reflected in the labeling.
#### Conclusion:
ERBE USA Incorporated
The ERBE ESU Model VIO 300 D with Accessories has the same intended use, principles of operation, and technological characteristics as the predicate devices in the previously cleared 510(k)s. All of the modifications have been verified or validated in design control. In conclusion, there are no issues with the ERBE ESU Model VIO 300 D with Accessories that would raise additional safety or efficacy issues when compared to the predicate devices.
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Image /page/4/Picture/1 description: The image is a black and white logo for the U.S. Department of Health and Human Services. The logo features a stylized abstract design of an eagle or bird-like figure with three curved lines representing its wings or feathers. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the bird-like figure. The text is in all capital letters and is evenly spaced around the circle.
DEC 3 1 2008
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
ERBE, USA Inc. % Regulatory Resources Group Inc Ms. Julie Stephens 111 Laurel Ridge Drive Alpharetta, Georgia 30004
Re: K083452
Trade/Device Name: ERBE USA, Inc.'s ERBE ESU Model VIO 300 D with Accessories Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: GEI Dated: November 20, 2008 Received: December 1, 2008
Dear Ms. Stephens:
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.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), 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 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); 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.
(
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#### Page 2 -- Ms. Julie Stephens
This letter will allow you to begin marketing your device as described in your Section 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.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (240) 276-3474. For questions regarding of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. 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-frec number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sinccrely yours,
Mark N. Wilkerson
Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Indications for Use
083452 510(k) Number (if known):
Device Name: ERBE USA, Inc.'s ERBE ESU Model VIO 300 D with Accessories
Indications For Use:
The ERBE ESU Model VIO 300 D with Accessories is intended to deliver High Frequency (HF) electrical current for the cutting and/or coagulation of tissue.
Prescription Use X (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)
Daniel Krone for MKM
(Division Sign-O (Division Sign of General, Restorative, Division of Neurological Devices
Page 1 of 1
**510(k) Number** K083452
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.