DRAFT 510(k) CHECKLIST FOR ENDOSCOPIC ELECTROSURGICAL UNIT (ESU) AND ACCESSORIES USED IN GASTROENTEROLOGY AND UROLOGY


DRAFT 510(k) CHECKLIST FOR ENDOSCOPIC ELECTROSURGICAL UNIT 
(ESU) AND ACCESSORIES USED IN GASTROENTEROLOGY AND UROLOGY
                                   
                                   
                UROLOGY AND LITHOTRIPSY DEVICES BRANCH
      DIVISION OF REPRODUCTIVE, ABDOMINAL, EAR, NOSE AND THROAT,
                       AND RADIOLOGICAL DEVICES
                     OFFICE OF DEVICE EVALUATION
              CENTER FOR DEVICES AND RADIOLOGICAL HEALTH

                                  
                                                     AUGUST 16, 1995
                                   
 

8/16/95
                                
510(k) Checklist for Endoscopic Electrosurgical Unit (ESU) and Accessories used in
                 Gastroenterology and Urology 

     The purpose of this 510(k) checklist is to identify the type of information to be
     provided in a premarket notification (510(k)) to support a determination of substantial
     equivalence for electrosurgical units (ESU) and accessories used in gastroenterology
     and urology.  The criteria listed within this 510(k) checklist are consistent with the
     requirements that the Urology and Lithotripsy Devices Branch has utilized for these
     devices for some time.

     General guidance for the preparation of a 510(k) submission is provided in the
     DRAERD "Draft Guidance for the Content of Premarket Notifications."  Additionally,
     guidance on the preparation of a 510(k) is available in our "Center for Devices and
     Radiological Health Premarket Submissions Cover Sheet," which we are requesting that
     manufacturers use in the preparation of any type of premarket submission, as part of a
     pilot program.  Additional guidance on device modifications is provided in the draft
     document "Deciding When to Submit a 510(k) for Change to an Existing Device." 
     These documents are available from the Center for Devices and Radiological Health's
     Division of Small Manufacturers Assistance at (800) 638-2041 or (301) 443-6597.

                                                             
Adequate?
1.   Administrative information:

     a.   Classification name - Endoscopic ESU Unit 
                                   and Accessories                    

     b.   Device trade name                                           

     c.   Sponsor/manufacturer name and address                       

     d.   Panel/Classification - 78, Class II, 
          21 CFR 876.4300                                             

     e.   Procodes (Electrosurgical Unit):
     
               KNS  (Unit, ESU, Endoscopic 
                    with or without accessories)                      
                
          Procodes (Accessories):  
          
               FAS  Electrode, Electrosurgical, Active,                    
                    Urological                    
          
               FDI  Snare, Flexible*                                  
                        
               FDJ  Snare, Rigid Self-Opening*                        
               
               KGE  Forceps, Biopsy, Electric*                        

               * Covered under the "Draft Guidance for the 
                 Content of Premarket Notifications for 
                 Biopsy Devices used in Gastroenterology
                 and Urology (2/10/93)"
               
     f.   Establishment registration number                           

     g.   Special controls - None established                         

2.   Reason for the 510(k) submission (new device or a
     modification to an existing device)                              

3.   Intended use of the device:

     Electrosurgical units are intended to provide 
     electrical power to accessories (i.e., electrodes 
     biopsy forceps, snares, etc.) via the use of a high 
     frequency electrical current waveform passing into 
     the tissue during endoscopic gastroenterological 
     or urological procedures                                         

4.   Device description:
     
     Electrosurgical Unit:
     
     a.   List of the device's components/parts, controls, 
          and attachments (e.g., line cord, dispersive 
          electrode, endoscope connector, footswitch, 
          indicator lamps, mode and power selector, etc.)             

     b.   Diagrams, drawings, photographs of the device               

     c.   Electrical specifications (i.e., circuitry, 
          line voltage/frequency, output frequency,
          operating modes, maximum output power for 
          all modes, open circuitry voltage, crest 
          factor, etc.)                                               
     
     d.   Dimensional characteristics (size, weight)

     e.   Safety features                                             

     f.   Description of the ergonomic features of the
          device (e.g., can the device be easily
          operated, visual/audible alarms)                            

     g.   Explanation of whether or not the device is
          software controlled (if so, this aspect of the
          device must be described according to the draft
          FDA guidance document "Reviewer Guidance for
          Computer Controlled Medical Devices Undergoing
          510(k) Review").  If the device does not contain 
          software, please explicitly state that there is 
          no software.                                                
     
     Accessories: 
          
     a.   List of the device's components/parts, and 
          attachments (e.g., handle, sheath, cutting 
          loop/jaw/wire, etc.)                                        
     
     b.   Diagrams, drawings, photographs of the device                

     c.   Description of operation (e.g. cutting, 
          coagulation, biopsy, tissue removal, 
          transection of tissue, etc.)                                
     
     d.   Identify compatible ESU device/adapters/activation
          cord and operation mode                                     
     
     e.   List of all device materials                                
          
          For materials that contact either the 
          mucosal tissue or infusion fluids (including 
          adhesives or color additives), provide either:

          i.   Evidence that the same formulations of these materials are used in
               another, similar legally  marketed device (provide the device name, 
		manufacturer, and (if possible) 510(k) number);  or                                                     
          
          ii.  The results of the following biocompatibility 
               tests (minimum required) conducted on the final sterilized product:                                     
               (1)  cytotoxicity test                                                     
               (2)  sensitization assay                                         
               (3)  irritation or intracutaneous reactivity           
     



     f.   Electrical/thermal specifications (e.g. maximum
          power setting, output, etc for each mode of 
          operation)                                                  
     
     g.   Description of the ergonomic features of the
          device (e.g., can the device be easily
          operated)                                                   
     
     h.   List of the ranges of sizes/models proposed        
          for marketing (e.g., length, diameter, 
          tip configurations, etc.)                                             
     i.   Explanation of whether the device or any of its 
          parts are intended to be reused including
          assembly/disassembly instructions                           
          
5.   Electrical safety/Performance testing

     a.   Data from testing that addresses electrical
          safety (leakage current, grounding, isolation,
          etc.) or certification that the finished product
          meets all applicable requirements specified in 
          the latest version of a recognized electrical 
          standard for medical devices (e.g., ANSI/AAMI 
          American National Standard for Electrosurgical 
          Devices HF-18/1993).                                       

     b.   Electromagnetic compatibility and interference
          (EMC/EMI) should be addressed.  To address this
          item, immunity and emissions testing should be
          performed to evaluate the potential of the
          device to be affected by, as well as to cause,
          electromagnetic interference in the intended
          use environment.  Additionally, if applicable,
          the device's labeling should inform the user
          of the potential of the device to interfere
          with surrounding equipment.  Appropriate
          justification for why such testing is not needed
          will be considered.                                         

     c.   Other tests identified (provide protocol and
          results)                                                    




6.   Proposed labeling, instructions for use, advertisements:
     (per the "Device Labeling Guidance," Blue Book Memo
      G91-1)

     a.   Intended use statement (see section 3 above for 
          acceptable wording)                                         

     b.   Instructions for use                                             
     c.   Applicable contraindications, precautions, warnings
          (i.e., keep the voltage power 
          as low as possible to achieve the desired effect, 
          do not activate ESU and laser simultaneously, do 
          not activate ESU and irrigation/suction 
          simultaneously, do not activate ESU when not in 
          contact with target tissue or positioned to 
          deliver energy to target tissue)                            

     d.   Troubleshooting procedures and solutions                    

     e.   Prescription device statement (Caution: Federal
          (USA) Law restricts this device to sale by or 
          on the order of a physician)                               
     
     Labeling for Accessories:
     
     f.   Reprocessing (cleaning, rinsing, disinfection or 
          sterilization) instructions (if applicable)                           
          For additional important information on reprocessing, 
          please refer to the draft "Labeling Reusable Medical 
          Devices for Reprocessing in Health Care Facilities:FDA 
          Reviewer Guidance (March 1995)." A copy of this guidance 
          may be obtained from DSMA.  

     g.   Labeled for single use only (if applicable)                    
     h.   Labeled as sterile (if applicable)                          


7.   Sterility Information (if the device/accessories are labeled or 
	otherwise represented to be sterile              
     
     a.   The method of sterilization                                 
          
     b.   The method used to validate the sterilization 
               cycle                                                        
      
     c.   The sterility assurance level (i.e. SAL)
          achieved by the sterilization cycle                          
          
     d.   For EtO sterilization, the residuals of ethylene 
          oxide (EtO), ethylene glycol (EtG), and ethylene
          chlorohydrin (EtCh)                                         
          
     e.   For gamma radiation sterilization, the radiation
          level (in megarads) used                                    
          
     f.   A description of the packaging material used to
          ensure the sterility of the device                          
     
8.   Comparison to legally marketed endoscopic 
     electrosurgical unit or accessory (electrode, 
     coagulator, or treatment electrode, etc.)

     a.   Name/manufacturer of predicate device                       

     b.   Labeling of predicate device                                

     c.   Intended use of predicate device                            

     d.   Description of predicate device                             

     e.   Diagrams/photographs of predicate device                    

     f.   510(k) number (if known) of the predicate
          device (or statement that the predicate device
          is Pre-Amendments)                                          

     g.   A detailed comparison of the similarities/
          differences (including all the information
          contained in section 4 above) between the 510(k) 
          device and the predicate device (in tabular format)         

9.   510(k) summary/statement (21 CFR 807.92 and 807.93)              

10.  Truthful and accurate statement
     (signed and in accordance with 21 CFR 807.87(j))                 

                    --------------------------
     For further information contact:

     Urology and Lithotripsy Devices Branch
     Division of Reproductive, Abdominal, Ear,
       Nose and Throat, and Radiological Devices
     Office of Device Evaluation
     Center for Devices and Radiological Health
     (301) 594-2194.  

  (This document was still considered current as of July 1997. It will be reviewed again in July 1998.)