NON STICK BIPOLAR FORCEPS MODEL 07/XXX, BIPOLAR FORCEPS MODEL 08/XXX, MONOPOLAR FORCEPS MODEL 09/XXX
Device Facts
| Record ID | K101080 |
|---|---|
| Device Name | NON STICK BIPOLAR FORCEPS MODEL 07/XXX, BIPOLAR FORCEPS MODEL 08/XXX, MONOPOLAR FORCEPS MODEL 09/XXX |
| Applicant | Egon Faulhaber Surgical Instruments Pinzetten |
| Product Code | GEI · General, Plastic Surgery |
| Decision Date | Jun 21, 2010 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 878.4400 |
| Device Class | Class 2 |
| Attributes | Therapeutic |
Indications for Use
The EGON FAULHABER Bipolar, Non-Stick Bipolar and Monopolar Forceps are intended for use by a physician familiar with electrosurgery in bipolar and monopolar coagulation for general surgery where coagulation of soft tissue is needed. The bipolar forceps are used with the bipolar and the monopolar forceps with the monopolar output of standard electrosurgical generators. The EGON FAULHABER Bipolar and Monopolar Forceps have not been shown to be effective for tubal sterilization or tubal coagulation for sterilization procedures and should not be used for these procedures. The types of surgery intended are: General surgery, Laryngeal coagulation, Orthopedic coagulation, Thoracic coagulation, Neurosurgical coagulation, Gynecological coagulation (except for use in female sterilization), Urological coagulation, Ear-, Nose- and Throat coagulation.
Device Story
Reusable bipolar and monopolar forceps for electrosurgical soft tissue coagulation. Devices consist of stainless steel branches insulated with Polyamide (PA), excluding tips. Non-stick variants feature specialized tip material to prevent tissue adhesion and facilitate continuous operation. Devices connect to standard electrosurgical generators via bipolar or monopolar cables; available with flat or 2-pin plugs. Operated by physicians in clinical settings (OR/clinic). Output is electrical current for coagulation. Benefits include reduced cleaning time during surgery and consistent non-stick performance. Devices are provided non-sterile and require cleaning/sterilization before use.
Clinical Evidence
No clinical data provided; substantial equivalence is based on design, intended use, and technological characteristics compared to legally marketed predicate devices.
Technological Characteristics
Stainless steel branches with Polyamide (PA) insulation. Non-stick variants utilize specialized tip material for thermal properties. Energy source: external electrosurgical generator (bipolar or monopolar). Form factor: forceps with flat or 2-pin electrical plugs. Reusable; requires manual cleaning and sterilization.
Indications for Use
Indicated for physicians familiar with electrosurgery for soft tissue coagulation in general, laryngeal, orthopedic, thoracic, neurosurgical, gynecological (excluding female sterilization), urological, and ENT surgeries. Contraindicated for tubal sterilization or tubal coagulation 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
- Guenter Bissinger Medizintechnik GmbH (not specified)
- Sutter Medizintechnik GmbH (not specified)
- Kirwan surgical products - former: New England Surgical Instrument corp. (not specified)
Submission Summary (Full Text)
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JUN 2 1 2010
### K101080
Page 1 of 3
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## 510(k) Summary of Safety and Effectiveness
EGON FAULHABER Surgical Instruments Pinzetten Daimlerstr. I D-78665 Frittlingen / Germany
Titel: Bipolar, Non Stick Bipolar and Monopolar Forceps
March 1, 2010
EGON FAULHABER
Daimlerstr. I
Surgical Instruments Pinzetten
Submitter
Application correspondent (cosultant)
**pplication correspondent**
Trade Name
Common Name
Product Classification
Product Code and Classification Name
21 CFR § 878.4400
D-78665 Frittlingen Germany Karsten Faulhaber General Manager Telefon: +49 7426-7454 FAX: +49 7426-7266 E-mail: info@faulhaber-pinzetten.de Harald Jung
General Manager JUNG Consulting Unterer Winkel 3 D-78573 Wurmlingen Germany . . Telefon +49 7461-96 92 36 FAX +49 7461-96 92 37 E-mail: hjung@harald-jung.de
EGON FAULHABER Bipolar Forceps, Non-Stick Bipolar Forceps and Monopolar Forceps
Bipolar and Monopolar Forceps
GEI, Electrosurgical Cutting and Coagulation and Accessories
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## KIDID80
Page 2 of 3
# 510(k) Summary of Safety and Effectiveness
EGON FAULHABER
Surgical Instruments Pinzetten
Daimlerstr.1
D-78665 Frittlingen / Germany
#### Predicate:
EGON FAULHABER Bipolar, Non-Stick Bipolar and Monopolar Forceps are substantially equivalent to other legally marketed Bipolar and Monopolar Forceps from different manufacturers, e.g. Guenter Bissinger Medizintechnik GmbH, Sutter Medizintechnik GmbH, Kirwan surgical products - former: New England Surgical Instrument corp..
#### Device Description:
The EGON:FAULHABER Bipolar, Non-Stick Bipolar and Monopolar Forceps are reusable devices and provided non sterile. They must be cleaned and sterilized before use. ・:・・・
Bipolar Forceps (see catalogue pages 08.01 - 08.09):
The branches are made of stainless steel insulated with Polyamide (PA) except for the tip of the instrument. The EGON FAULHABER Bipolar Forceps are of the same basic design with differences in tip sizes and handle styles. Two types of electrical plugs are available: flat plug, or 2 pin plug. The Bipolar Forceps are to be connected through a suitable bipolar cable with the bipolar output of an electrosurgical generator. Bipolar Forceps must only be used with bipolar coagulation current.
Non-Stick Bipolar Forceps (see catalogue pages 07.01 - 07.09):
The Non-Stick Bipolar Forceps have the same characteristics as the Bipolar Forceps except for the special material with excellent thermal properties, applied to the tips of the forceps. Thereby difficult and time consuming cleaning of the forceps during an operation can be avoided and enables non-stop working. The non-stick effect is permanently ensured and will not be reduced, even if subject to frequent sterilization.
Monopolar Forceps (see catalogue pages 09.01 - 09.03):
The branches are made of stainless steel insulated with Polyamide (PA) except for the tip of the instrument. The EGON FAULHABER Monopolar Forceps are of the same basic design with differences in tip sizes and handle styles. They are available with or with out plug socket. The Monopolar Forceps can be connected through a suitable monopolar cable with the monopolar output of an electrosurgical generator.
Monopolar Forceps must only be used with monopolar coagulation current.
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### KID1080
## 510(k) Summary of Safety and Effectiveness
Page 3 of 3
EGON FAULHABER Surgical Instruments Pinzetten Daimlerstr. 1 D-78665 Frittlingen / Germany
#### Indications for Use
The EGON FAULHABER Bipolar, Non-Stick Bipolar and Monopolar Forceps are intended for use by a physician familiar with electrosurgery in bipolar and monopolar coagulation for general surgery where coagulation of soft tissue is needed. The bipolar forceps are used with the bipolar and the monopolar forceps with the monopolar output of standard electrosurgical generators. The EGON FAULHABER Bipolar and Monopolar Forceps have not been shown to be effective for tubal sterilization or tubal coagulation for sterilization procedures and should not be used for these procedures.
#### Intended Use
The types of surgery intended are:
General surgery, Laryngeal coagulation, Orthopedic coagulation, Thoracic coagulation, Neurosurgical coagulation, Gynecological coagulation (except for use in female sterilization), Urological coagulation, Ear-, Nose- and Throat coagulation.
#### Substantial Equivalence
The EGON FAULHABER Bipolar, Non-Stick Bipolar and Monopolar Forceps are substantial equivalent to the predicate devices, since the basic features, design and intended uses are the same. The minor differences between the EGON FAULHABER forceps and the predicate devices raise no new issues of safety and effectiveness, as these design differences have no effect on the performance, function or intended use of the devices.
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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
JUN 2 1 2010
Egon Faulhaber Surgical Instruments Pinzetten % Jung Consulting Mr. Harald Jung General Manger Unterer Winkel 3 D-78573 Wurmlingen Germany
Re: K101080
Trade/Device Name: Bipolar, Non-Stick Bipolar and Monopolar Forceps Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: GEI Dated: March 29, 2010 Received: April 19, 2010
Dear Mr. Jung:
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. 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.
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#### Page 2 - Mr. Harald Jung
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); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR 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.
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-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
Barbara Buelin
Mark N. Melkerson Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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## Indications for Use
### 510(k) Number (if known): _ K1 0 10 8 0
### Device Name: Bipolar, Non-Stick Bipolar and Monopolar Forceps
Indications for Use:
The EGON FAULHABER Bipolar, Non-Stick Bipolar and Monopolar Forceps are intended for use by a physician familiar with electrosurgery in bipolar forceps are intended for
surgery where coagulation of soft tiews is and monopolar coagulation for general surgery where coagulation of soft tissue is needed. The Bipolar Forceps are used with the bipolar, and the Monopolar Forceps are used with the monopolar output for standard electrosurgical generators.
The EGON FAULHABER Bipolar, Non-Stick Bipolar and Monopolar Forceps have not been shown to be effective for tubal sterilization or tubal coagulation for sterilization procedures and should not be used for these procedures.
The types of surgery intended are:
General surgery, Laryngeal coagulation, Orthopedic coagulation, Thoracic coagulation, Neurosurgical coagulation, Gynecological coagulation (except for use in female sterilization), Urological coagulation, Ear-, Nose- and Throat coagulation, (exc.
Prescription Use YES (Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter Use NO (21 CFR 801 Subpart C)
(PLEASE-DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)
Neil RP. Osdem for mxm
(Division Sign-Off) Concurrence of CDRH, Office of Device Evaluation (ODE)
Division of Surgical, Orthopedic,
and Restorative Devices
510(k) Number K101080
Page A 7
