K140578 · Conmed Corporation · GEI · Jul 23, 2014 · General, Plastic Surgery
Device Facts
Record ID
K140578
Device Name
ARTHROSCOPIC ENERGY SYSTEM
Applicant
Conmed Corporation
Product Code
GEI · General, Plastic Surgery
Decision Date
Jul 23, 2014
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 878.4400
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The Arthroscopic Energy™ System is indicated for resection, ablation, and coagulation of soft tissue and hemostasis of blood vessels in arthroscopic and orthopedic surgical procedures.
Device Story
Arthroscopic Energy System comprises RF generator, single-use monopolar/bipolar probes/electrodes, dispersive pad, and wired/wireless foot controls. Used in arthroscopic/orthopedic surgery for soft tissue resection, ablation, and coagulation, plus hemostasis. Generator features LCD touch screen for numeric power adjustment; controlled via hand-piece, wired, or wireless foot pedals. Physician operates system to deliver RF energy to target tissue. Output allows precise tissue management, potentially reducing surgical time and improving patient outcomes through controlled thermal effects.
Clinical Evidence
Bench testing only. No clinical data. Testing included probe functional testing; system testing (suction rate, ablation rate, temperature accuracy, decibel level, short detection, comparative dissection/ablation/hemostasis); and standards testing (biocompatibility ISO 10993-1, packaging ISO 11607-1, sterilization ISO 11135-1, shelf-life ISO 10993-7, EMC IEC 60601-1-2/IEC 60601-2-2, and electrical safety IEC 60601-1).
Technological Characteristics
Radiofrequency (RF) electrosurgical generator; bipolar and monopolar modes. Features LCD touch screen interface. Compatible with single-use disposable probes. Standards: ISO 10993-1 (biocompatibility), ISO 11607-1 (packaging), ISO 11135-1 (sterilization), ISO 10993-7 (shelf-life), IEC 60601-1-2/60601-2-2 (EMC), IEC 60601-1 (electrical safety).
Indications for Use
Indicated for resection, ablation, and coagulation of soft tissue and hemostasis of blood vessels in patients undergoing arthroscopic and orthopedic 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.
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Image /page/0/Picture/0 description: The image shows the logo for Conmed Corporation. The logo consists of a stylized "C" in a black square on the left, followed by the word "CONMED" in large, bold letters. Below "CONMED" is the word "CORPORATION" in smaller letters. The logo is simple and professional, and it is likely used to represent the company in its marketing and branding materials.
## 510(k) SUMMARY
In accordance with the requirements of the Safe Medical Device Act of 1990 and 21 CFR 807.92, ConMed Corporation is hereby submitting the 510(k) Summary of Safety and Effectiveness for 510(k) Number K140578 .
Date Prepared: April 10, 2014
#### A. Submitter
ConMed Corporation 525 French Road Utica, NY 13502 Establishment Registration Number: 1320894
### B. Company Contact
Dionne Sanders, RAC Regulatory Affairs Specialist Tel: (727) 399-5564 Fax: (727) 399-5264
#### C. Device Name
| Trade Name: | Arthroscopic Energy System |
|------------------------|-------------------------------------------------------------------|
| Common Name: | Electrosurgical Device and Accessories |
| Classification Names: | Electrosurgical Cutting and Coagulation Device and<br>Accessories |
| Proposed Class/Device: | Class II |
| Product Codes: | GEI |
| Regulation: | 21 CFR Part 878.4400 |
#### D. Predicate/Legally Marketed Devices
| Device Name: | ArthroCare® System 12000 |
|---------------|------------------------------------------------|
| Company Name: | ArthroCare Corporation |
| 510(k) #: | K082666 |
| Device Name: | ConMed Sabre Genesis Electrosurgical Generator |
| Company Name: | ConMed Electrosurgery |
| 510(k) #: | K103665 |
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Image /page/1/Picture/0 description: The image shows the logo for CONMED Corporation. The logo consists of a stylized black square with a white curved shape inside, followed by the word "CONMED" in bold, sans-serif font. Below the word "CONMED" is a horizontal line, and below that is the word "CORPORATION" in a smaller, sans-serif font.
#### Device Description II.
The ConMed Arthroscopic Energy System consists of a radiofrequency (RF) generator, probes or electrodes, a dispersive pad (as needed), and wired or wireless foot controls. The probes or electrodes are single-use devices used with the Arthroscopic Energy System for the purpose of wet field arthroscopic and orthopedic soft tissue resection (dissection), ablation (removal) and coagulation (hemostasis).
The generator is compatible with ConMed monopolar and bipolar probes or electrodes. The generator outputs are delivered to the probes or electrode handpieces within the specification ranges currently cleared and marketed by generators that have equivalent indications. The generator has a liquid crystal display (LCD) touch screen user interface. Power levels are assigned numeric values and are adjustable via the user interface. Control is accomplished via probe or electrode hand-piece controls, wired foot control or wireless foot control.
#### F. Intended Use / Indications
The Arthroscopic Energy System is indicated for resection, ablation, and coagulation of soft tissue and hemostasis of blood vessels in arthroscopic and orthopedic surgical procedures.
#### G. Summary of Technological Characteristics
The following table represents a summary of the technological characteristics of the ConMed Arthroscopic Energy System, ConMed Electrosurgery Sabre Genesis, and the ArthroCare System 12000.
| | PROPOSED DEVICE<br>ConMed Corporation | PREDICATE DEVICE<br>ArthroCare System 12000 | REFERENCE DEVICE<br>Sabre Genesis |
|--------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------|
| | Arthroscopic Energy System<br>(AES-1) | (Quantum)<br>K082666 | K103665 |
| Brief<br>Description | A radiofrequency generator<br>that is intended to be used<br>with a selection of bipolar or<br>monopolar probes and<br>electrodes, a dispersive pad<br>(as needed), and wired or<br>wireless foot controls. | A bipolar, high frequency,<br>electrosurgical generator<br>called the Controller that is<br>intended to be used with a<br>family of disposable, bipolar,<br>single use Wands. | An electrosurgical generator<br>with the basic modes of<br>operation being conventional<br>electrosurgical cutting and<br>coagulation. |
| Intended<br>Use/<br>Indications<br>for Use | Indicated for resection,<br>ablation, and coagulation of<br>soft tissue and hemostasis of<br>blood vessels in arthroscopic<br>and orthopedic surgical<br>procedures. | Indicated for resection,<br>ablation, and coagulation of<br>soft tissue and hemostasis of<br>blood vessels in arthroscopic<br>and orthopedic procedures. | Intended for use in open and<br>laparoscopic surgery and in<br>office based surgical<br>procedures. |
| Functionality | Bipolar and Monopolar<br>radiofrequency | Bipolar<br>radiofrequency | Bipolar and Monopolar<br>radiofrequency |
| Operating<br>modes | Cut and Coagulation | Cut and Coagulation | Cut and Coagulation |
| Probes | Single-use, disposable bipolar<br>and monopolar probes | Single-use, disposable<br>bipolar wands | Single-use, disposable bipolar<br>and monopolar probes |
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Image /page/2/Picture/0 description: The image shows the logo for CONMED Corporation. The logo consists of a stylized, curved shape on the left, followed by the word "CONMED" in bold, sans-serif font. Below "CONMED" is the word "CORPORATION" in a smaller, sans-serif font. A horizontal line underlines the word "CONMED".
Testing was completed to confirm that the Arthroscopic Energy System provides equivalent results in resection, ablation, coagulation and hemostasis in comparison to the predicate device, ArthroCare ® System 12000 (K082666). Testing completed included -
- > Probe testing
- o Functional testing
- A System testing
- O Suction rate
- o Ablation rate
- Temperature accuracy O
- Decibel level 0
- Short detection testing o
- Comparative testing for dissection, ablation, and hemostatis o
- > Standards testing
- Biocompatibility (ISO 10993-1) 0
- Packaging (ISO 11607-1) 0
- Sterilization (ISO 11135-1) ಂ
- Shelf-life (ISO 10993-7) 0
- Electromagnetic compatibility (IEC 60601-1-2; IEC 60601-2-2) 0
- Electrical safety (IEC 60601-1) o
#### H. Substantial Equivalence
The Arthroscopic Energy System is substantially equivalent in design, manufacturing materials, intended use, principles of operation, technological characteristics to the ArthroCare® System 12000 (K082666) with the exception of the absence of a monopolar functionality. The subject device and predicate device systems provides bipolar functionality for cutting and coagulation using hand and foot controls which provide the ability to change power settings and measure joint fluid temperature. The Arthroscopic Energy System also provides monopolar functionality and is substantially equivalent in design, principles of operation, technological characteristics, and modes of operation to the ConMed Sabre Genesis (K103665).
#### I. Conclusion
Based upon the testing and analysis performed, the Arthroscopic Energy is as safe, as effective, and performs as well as the ArthroCare® System 12000 (K082666) for bipolar functionality and the ConMed Sabre Genesis (K103665) for monopolar functionality.
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Image /page/3/Picture/12 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird with three wave-like lines extending from its body.
#### DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
July 23, 2014
ConMed Corporation Ms. Dionne Sanders, RAC Regulatory Affairs Specialist 525 French Road Utica, New York 13502
Re: K140578
Trade/Device Name: Arthroscopic Energy" System Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: Class II Product Code: GEI Dated: April 10, 2014 Received: April 11, 2014
Dear Ms. Sanders:
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.
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
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Page 2 - Ms. Dionne Sanders, RAC
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 contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours,
# David Krause -S
Binita S. Ashar, M.D., M.B.A., F.A.C.S. for 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): _K140578
Device Name: Arthroscopic Energy™ System
Intended Use / Indications for Use:
The Arthroscopic Energy™ System is indicated for resection, ablation, and coagulation of soft tissue and hemostasis of blood vessels in arthroscopic and orthopedic surgical procedures.
| Prescription Use | X |
|------------------|-----------------------------|
| | (Part 21 CFR 801 Subpart D) |
AND/OR
Over-The-Counter Use (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
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Module A- Page 4
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.