Encision AEM enTouch 2X Scissor

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA acronym along with the full name of the agency on the right. The FDA part of the logo is in blue, with the acronym in a square and the full name written out to the right of the square. July 15, 2020 Encision Inc. Pete Geary VP Operations 6797 Winchester Circle Boulder, Colorado 80260 Re: K201018 Trade/Device Name: Encision AEM enTouch 2X Scissor Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting and Coagulation Device and Accessories Regulatory Class: Class II Product Code: GEI Dated: April 17, 2020 Received: June 19, 2020 Dear Pete Geary: 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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. {1}------------------------------------------------ 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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems. For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely. Long Chen, Ph.D. Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ #### Indications for Use Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below. #### 510(k) Number (if known) K201018 #### Device Name Encision AEM (Active Electrode Monitoring) enTouch® 2X Scissor Indications for Use (Describe) These AEM Instruments incorporate the use of AEM technology and are intended for use in delivering monopolar electrosurgical energy during laparoscopic procedures only. AEM Instruments are intended for use with the AEM Monitoring System and electrosurgical generators having compatibility with the AEM Monitor. Scissors Inserts are intended for use on soft tissue only. Type of Use (Select one or both, as applicable) > Prescription Use (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C) #### CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. #### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {3}------------------------------------------------ Image /page/3/Picture/0 description: The image shows the logo for Encision. The logo features the word "ENCISION" in green, with an orange circle containing white lines to the right of the word. Below the word is the phrase "DELIVERING ENERGY SAFELY" in a smaller font. ## K201018 510(k) Summary Device: Encision AEM (Active Electrode Monitoring) enTouch® 2X Scissor Owner: Encision Inc. - Contact: Pete Geary VP Operations 6797 Winchester Circle Boulder, CO, 80301, USA 303-444-2600 pgeary@encision.com Submission Date: 14 July 2020 ### Subject Device: | Trade Name | AEM enTouch® 2X Scissors | |-------------------|-----------------------------------------------------| | Model Number | ES0201, ES0201-45, ES0202, ES0202-45 | | Common Name | Monopolar laparoscopic accessory | | Regulation Name | Electrosurgical, Cutting & Coagulation, Accessories | | Regulation Number | 21 CFR 878.4400 | | Product Code | GEI | | Device Class | 2 | | Review Panel | General and Plastic Surgery | ### Primary Predicate Device: | Trade Name | ES000X, Reusable Scissor | |-----------------|-----------------------------------------------------| | Regulation Name | Electrosurgical, Cutting & Coagulation, Accessories | | Manufacturer | Encision Inc. | | 510(k) Number | K191612 | ### Reference Predicate Device: | Trade Name | ES01XX, Disposable Scissor | |-----------------|-----------------------------------------------------| | Regulation Name | Electrosurgical, Cutting & Coagulation, Accessories | | Manufacturer | Encision Inc. | | 510(k) Number | K191612 | {4}------------------------------------------------ ### Special 510(k) Decision: The 2X Scissor is a modified version of the AEM Reusable Scissor, which was FDA cleared on K191612. The change adds a thermochromic indicator to the scissor that allows the user to reprocess the device for one more use, supplies the device sterile and changes the stainless-steel materials. This is a change from the Reusable Scissor, which is supplied non-sterile. The 2X Scissor is supplied sterile with a black indicator. It can be reprocessed for one further use via the same validated method as the AEM Reusable Scissor. The indicator changes color from black to orange following steam sterilization. The indicator is non-patient contact. The materials are changed from 420 SS and 17-4 PH SS to 303 SS and 17-4 PH SS. No changes have been made to the fundamental design. The changes to the device can be evaluated using wellestablished methods. The changes are summarized below: | Change | 2X Scissor (subject<br>device) | Reusable Scissor<br>(K191612 primary<br>predicate device) | Comments | |---------------|--------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------| | Scissor Rod | -Thermochromic<br>indicator on shaft | -No indicator on shaft | None | | Material | -303 and 17-4 PH<br>stainless-steel | -420 and 17-4 PH<br>stainless-steel | Material is identical to<br>reference predicate<br>Disposable Scissor<br>(K191612). | | Sterilization | -Supplied sterile (E-<br>beam | -Supplied non-sterile | Sterilization method is<br>identical to reference<br>predicate Disposable<br>Scissor (K191612). | | Packaging | -Sterile barrier system,<br>10 per box | -Poly bag, 1 per bag | Packaging<br>configuration is<br>identical to reference<br>predicate Disposable<br>Scissor (K191612). | | Cleaning | -Reprocessed for 2<br>uses | -Reprocessed for up<br>to 20 uses | No change to cleaning<br>and steam sterilization<br>method. | | Labeling | -Temperature limit<br>symbol<br>-Humidity limit symbol<br>-Sterile symbol<br>-Do not use damaged<br>package symbol | -No temperature limit<br>symbol<br>-No humidity limit<br>symbol<br>-Non-sterile symbol<br>-No do not use<br>damaged package<br>symbol | None | {5}------------------------------------------------ Image /page/5/Picture/0 description: The image shows the word "ENCISION" in a bold, sans-serif font. The letters are all capitalized and black. To the right of the letters is a stylized graphic of a circle with two curved lines running through it. A small registered trademark symbol is located to the upper right of the last letter. ### Device Description: 2X Scissor Insert – ES02XX Series The AEM enTouch® 2X Scissors Inserts are designed for use with the ES8000 / ES8200 series AEM enTouch® Handles. All scissors will fit through standard 5.5mm trocars. ### Model Numbers and Trade Names: | Predicate Device Model Number and<br>Trade Name (original device, K191612) | Subject Device Model Number and Trade<br>Name (modified device, K201018) | |----------------------------------------------------------------------------|--------------------------------------------------------------------------| | ES0001, AEM® Curved Scissors, 1/2"<br>Insert, 35cm | ES0201, AEM enTouch® 2X Scissor, 1/2", 35cm | | ES0001-45, AEM® Curved Scissors, 1/2"<br>Insert, 45cm | ES0201-45, AEM enTouch® 2X Scissor, 1/2",<br>45cm | | ES0002, AEM® Curved Scissors, 3/4"<br>Insert, 35cm | ES0202, AEM enTouch® 2X Scissor, 3/4", 35cm | | ES0002-45, AEM® Curved Scissors, 3/4"<br>Insert, 45cm | ES0202-45, AEM enTouch® 2X Scissor, 3/4",<br>45cm | #### Indications for Use: These AEM Instruments incorporate the use of AEM technology and are intended for use in delivering monopolar electrosurgical energy during laparoscopic procedures only. AEM Instruments are intended for use with the AEM Monitoring System and electrosurgical generators having compatibility with the AEM Monitor. Scissors Inserts are intended for use on soft tissue only. ### Sterility/Packaging: This product is supplied sterile per ANSI/AAMI/ISO 11137-1:2006 and ANSI/AAMI/ISO 11607-1:2006. The product is sterilized using E-beam sterilization to achieve 10-6 SAL. Product is packaged in a Tyvek mylar pouch (10 pouches in a box) with a 1.5 year shelf life in the sterile packaging. The product may be cleaned and steam sterilized for one more use per ANSI/AAMI/ISO 17664:2017 and ANSI/AAMI/ISO 17665-1:2006. The product is cleaned using manual, automatic or combined manual/automatic cleaning methods. Product is sterilized through Prevac steam sterilization using FDA-cleared sterile wraps to achieve 10-8 SAL. After steam sterilization product may be used one additional time before end of life conditions are met. ### Biocompatibility: All patient contact materials are biocompatible. Material testing demonstrates conformance with ANSI/AAMI/ISO 10993-1:2009, 4th edition. Gap analysis 05927 demonstrates that testing to a previous revision of the standard is consistent with the current recognized revision of ISO 10993-1. The product is not made with natural rubber latex. {6}------------------------------------------------ ### Standards: The AEM enTouch® 2X Scissors have been tested to show conformity to the following FDA recognized standards: | Topic | Standard Used | Application | |-------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------| | E-beam sterilization | ANSI/AAMI/ISO 11137-1:2006<br>Sterilization of Health Care Products – Radiation – Part 1: Requirements for Development, Validation and Routine Control of a Sterilization Process for Medical Devices | The 2X Scissors are sterilized to 10-6 SAL using E-beam sterilization in accordance with this standard. | | Sterile packaging | ANSI/AAMI/ISO 11607-1:2006<br>Packaging for Terminally Sterilized Medical Devices – Part 1: Requirements for Materials, Sterile Barrier Systems and Packaging Systems | The 2X Scissors are packaged with a sterile barrier system in accordance with this standard. | | Reprocessing – cleaning and sterilization | ANSI/AAMI/ISO 17664:2017<br>Processing of Health Care Products – Information to be Provided by the Medical Device Manufacturer for the Processing of Medical Devices | The 2X Scissors are reprocessed for one more use in accordance with this standard | | Reprocessing – steam sterilization | ANSI/AAMI/ISO 17665-1:2006<br>Sterilization of Health Care Products – Moist Heat – Part 1: Requirements for the Development, Validation and Routing Control of a Sterilization Process for Medical Devices | The 2X Scissors are reprocessed to 10-6 SAL using steam sterilization in accordance with this standard. | | Biocompatibility | ANSI/AAMI/ISO 10993-1:2009<br>Biological Evaluation of Medical Devices – Part 1: Evaluation and Testing within a Risk Management Process | All patient-contact materials for the 2X Scissors have been tested for biocompatibility in accordance with this standard. | | Electromagnetic compatibility | ANSI/AAMI/IEC 60601-1-2:2014<br>Medical Electrical Equipment – Part 1-6: General Requirements for Basic Safety and Essential Performance. Collateral Standard. Electromagnetic Compatibility. Requirements and Tests | The AEM® Monitoring System in which these scissors are an accessory has been tested for electromagnetic compatibility in accordance with this standard. | | Electrical safety | ANSI/AAMI/IEC 60601-2-2:2017<br>Medical Electrical Equipment – Part 2-2: Particular Requirements for the Basic Safety and Essential Performance of High Frequency Surgical Equipment and High Frequency Surgical Accessories | The AEM® Monitoring System in which these scissors are an accessory has been tested for electrical safety in accordance with this standard. | | Topic | Standard Used | Application | | Labeling | ANSI/AAMI/ISO 15223-1:2016<br>Medical Devices – Symbols to be<br>Used with Medical Device Labels,<br>Labelling and Information to be<br>Supplied - Part 1: General<br>Requirements | The 2X Scissors have associated<br>labeling in accordance with this<br>standard. | | Usability | ANSI/AAMI/IEC 63266-1:2015<br>Medical devices - Part 1: Application<br>of usability engineering to medical<br>devices | The 2X Scissors have been<br>designed for safe usability in<br>accordance with this standard. | | Risk<br>management | ANSI/AAMI/ISO 14971:2007<br>Medical Devices – Application of Risk<br>Management to Medical Devices | Risk management activities for<br>the 2X Scissors have been<br>conducted in accordance with this<br>standard. | {7}------------------------------------------------ ### Technoloqical Characteristics: The technological characteristics of the subject device are identical to the Reusable Scissor with regards to fundamental design, operating principle, use, compatibility and reprocessing method. The differences between the subject and predicate device are: - The addition of a thermochromic indicator on the shaft of the insert, which changes color ● from black to orange as a result of steam sterilization following the first use of the device. The rod diameter is reduced where the indicator is applied. The indicator is a non-patient contact material and biocompatible. - The scissor is made with 303 and 17-4 PH stainless-steel materials. ● - The scissor is provided sterile to 10-6 SAL. ● - The scissor may be reprocessed and reused only once. ### Equivalence: The subject device is substantially equivalent to the predicate device, as there is no change to the Indications for Use, Operating Principle, Patient Contact Materials, Fundamental Technology, Performance and EMC. The differences between the subject and predicate device are the addition of a thermochromic indicator on the insert shaft, supplying the device sterile and the stainless-steel material. The indicator is for reference only and does not raise new concerns of safety or effectiveness. | Topic | Subject Device (this submission) compared to Predicate Device<br>(K191612) | |---------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Intended Use | No change to Intended Use. | | Operating Principle | No change to Operating Principle. | | Materials | Substantially equivalent. Addition of indicator made from<br>thermochromic epoxy, which is non-patient contact. Changes to<br>stainless steel grade does not affect fundamental design or<br>reprocessing. | | Use | Substantially equivalent. The scissor may be reprocessed and used a<br>second time. No other changes to use. | {8}------------------------------------------------ Image /page/8/Picture/0 description: The image shows the word "ENCISION" in a stylized, bold, sans-serif font. The "O" in "ENCISION" is replaced by a circular graphic with curved lines inside, resembling a stylized eye or a lens. A small registration mark is present to the upper right of the word. | Topic | Subject Device (this submission) compared to Predicate Device (K191612) | |--------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Technology | Substantially equivalent. Addition of thermochromic indicator that changes color to show the insert can be used one more time. No change to fundamental technology. | | Sterilization | Substantially equivalent. The scissor is provided sterile to 10-6 SAL following E-beam sterilization. It can be cleaned and steam sterilized for one more use via the same validated method as the Reusable Scissor. | | Performance | No change to Performance. | | Storage & Transportation | Substantially equivalent. The scissor has storage temperature and humidity limits so that the indicator does not change color in the sterile packaging. No change to safety or effectiveness. | | EMC | No change to EMC or Electrical Safety. The AEM System in which the scissor is an accessory has been tested. | #### Bench Testing: All testing required per design control procedures was conducted using bench testing. Performance analysis has shown the Encision AEM enTouch® 2X Scissors to perform as intended and as well as the predicate device under the same and/or similar conditions. The subject device has been tested with settings set equal to those seen in typical procedures where these devices would be indicated for use. The requirements for electrodes function in the AEM Monitoring System have not changed from the original 510(k) submissions. The tests conducted show that the changes since the original 510(k) submissions demonstrate conformity to the original internal and regulatory requirements. No differences have been observed between the performance of the predicate devices and the device subject of this 510(k) Notification submission. No animal or clinical testing is required. {9}------------------------------------------------ ### Risk Analysis: ### Risk Assessment Summary: | Change (from<br>predicate) | Risks | Risk<br>Category<br>(see chart<br>below) | Verification Method / Standard<br>Used | Acceptance Criteria | Results<br>(Pass/Fail) | |----------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------| | Addition of<br>indicator | Impossible or difficult<br>assembly into handle due<br>to indicator diameter being<br>too large | C | Direct Measurement (Calipers) -<br>same as predicate | Diameter of indicator<br>is less than diameter<br>of rod passes | 22 of 22 samples<br>have indicator<br>diameters less than<br>their rod diameters -<br>Pass | | | Rod actuation force is too<br>high due to the indicator<br>diameter being too large | C | Handle with insert mechanical<br>actuation - same as predicate<br>ISO 7741:1986/(R)2017, Scissor<br>Test Methods | No binding or<br>impaired mechanical<br>function passes | 22 of 22 samples<br>have no binding or<br>mechanical<br>functional<br>impairments - Pass | | 2 use scissor | Poor cutting performance<br>due to dull blade edge | C | Cut test simulation after simulated<br>use and reprocessing – same as<br>predicate<br>ISO 7741:1986/(R)2017, Scissor<br>Test Methods<br>ASTM F1079-87, Surgical<br>Scissors | After a single<br>simulated surgery<br>followed by cleaning<br>and sterilization, shall<br>pass cut test | 15 of 15 samples<br>pass cut test after a<br>simulated surgery,<br>cleaning and<br>sterilization - Pass | | Residual Risk:<br>User may use device after end of life. Risk is mitigated through End of Life Indicators in the Instructions for Use. | | | | | | | Addition of<br>indicator | Indicator scraping off | C | Visual inspection under<br>magnification during mechanical<br>testing - same as predicate<br>ISO 10993-1:2009/(R)2013,<br>Biocompatibility | No visual evidence of<br>chipping,<br>delamination, or<br>cracking to the<br>indicator passes | 22 of 22 samples<br>have no visual<br>evidence of<br>chipping,<br>delamination or<br>cracking to the<br>indicator - Pass | | Change (from<br>predicate) | Risks | Risk<br>Category<br>(see chart<br>below) | Verification Method / Standard<br>Used | Acceptance Criteria | Results<br>(Pass/Fail) | | Addition of<br>indicator | Indicator not attached to<br>rod due to embrittlement<br>from E-beam sterilization | C | Visual inspection after E-beam<br>sterilization - same as predicate<br>ISO 11137-1:2006/(R)2010,<br>Radiation Sterilization | No visual evidence of<br>chipping,<br>delamination, or<br>cracking to the<br>indicator passes | 22 of 22 samples<br>have no visual<br>evidence of<br>chipping,<br>delamination or<br>cracking to the<br>indicator - Pass | | | Indicator not attached to<br>rod due to damage during<br>cleaning and sterilization at<br>the hospital | C | Visual inspection after cleaning<br>and sterilization - same as<br>predicate<br>ISO 17664:2017, Cleaning<br>ISO 17665-1:2006/(R)2013,<br>Steam Sterilization | No damage to the<br>epoxy region passes | 22 of 22 samples<br>have no damage to<br>the epoxy region -<br>Pass | | | Indicator delaminates from<br>the rod or cracks due to<br>damage from shipping or<br>use | C | Visual inspection after ship testing<br>- same as predicate<br>ASTM D4169-16, Ship Testing | No visual evidence of<br>chipping,<br>delamination, or<br>cracking to the<br>indicator passes | 22 of 22 samples<br>have no visual<br>evidence chipping,<br>delamination, or<br>cracking to the<br>indicator - Pass | | | | | Visual inspection after max dose<br>irradiation, environmental<br>conditioning, aging and ship<br>testing - same as predicate<br>ASTM D4169-16, Ship Testing | No visual evidence of<br>damage (chipping,<br>cracking,<br>delamination) to the<br>indicator passes | 22 of 22 samples<br>have no visual<br>evidence chipping,<br>delamination, or<br>cracking to the<br>indicator - Pass | | Change (from<br>predicate) | Risks | Risk<br>Category<br>(see chart<br>below) | Verification Method / Standard<br>Used | Acceptance Criteria | Results<br>(Pass/Fail) | | Addition of<br>indicator | Indicator color does not<br>permanently change to<br>orange after cleaning and<br>autoclaving due to using<br>incorrect temperature/<br>humidity in autoclave | C | Visual inspection of indicator color<br>change after environmental<br>conditioning - same as predicate<br>ISO 11607-1:2006/(R)2010, Sterile<br>Barrier Systems | Color changes from<br>black to orange<br>passes | 22 or 22 samples<br>had color change<br>from black to orange<br>- Pass | | | Residual Risk:<br>User may use device if color change does not occur after cleaning and autoclaving. Risk is mitigated in the Sterilization<br>Cautions in the Instructions for Use. | | | | | | | Indicator color permanently<br>changes to orange during<br>production or processing<br>(including sterilization) due<br>to E-beam sterilization | C | Visual inspection of indicator color<br>change after max dose irradiation<br>– same as predicate<br>ISO 11137-1:2006/(R)2010,<br>Radiation Sterilization | Color changes from<br>black to orange<br>passes | 22 of 22 samples<br>had color change<br>from black to orange<br>- Pass | | | Indicator residue contacts<br>patient | C | Visual inspection under<br>magnification during mechanical<br>testing - same as predicate<br>ISO 10993-1:2009/(R)2013,<br>Biocompatibility | No visual evidence of<br>chipping,<br>delamination, or<br>cracking to the<br>indicator passes | 22 of 22 samples<br>have no visual<br>evidence of<br>chipping,<br>delamination, or<br>cracking to the<br>indicator - Pass | | | Indicator changes to orange<br>during<br>transportation/storage due<br>to product being exposed to<br>extreme temperature/<br>humidity | C | Visual inspection after max dose<br>irradiation, environmental<br>conditioning, aging and ship<br>testing - same as predicate<br>ASTM D4169-16, Ship Testing | Indicator remains<br>black after ship<br>testing | 22 of 22 samples<br>have remained black<br>after ship testing -<br>Pass | | Change (from<br>predicate) | Risks | Risk<br>Category<br>(see chart<br>below) | Verification Method / Standard<br>Used | Acceptance Criteria | Results<br>(Pass/Fail) | | Stainless steel<br>material<br>modification<br>420/17-4PH to<br>303/17-4PH | Corrosion | C | Visual inspection after max dose<br>irradiation, environmental<br>conditioning, aging and ship<br>testing - same as predicate<br>ASTM A967-17, Stainless Steel<br>Passivation | No visual evidence of<br>corrosion or rust | 22 of 22 samples<br>have no evidence of<br>corrosion or rust -<br>Pass | | Embrittlement, breakage of<br>assembly, leading to loss of<br>function | C | Pouch drop testing IEC 60601-1<br>after max dose irradiation,<br>environmental conditioning, aging<br>and ship testing - same as<br>predicate<br>IEC 60601-1 edition 3.1, Electrical<br>Safety | No bend in the rod | 22 of 22 samples<br>have no bend in<br>their rod - Pass | | | Embrittlement, breakage of<br>assembly, leading to parts<br>falling off in patient | C | Pouch drop testing IEC 60601-1<br>after max dose irradiation,<br>environmental conditioning, aging<br>and ship testing - same as<br>predicate<br>IEC 60601-1 edition 3.1, Electrical<br>Safety | No bend in the rod | 22 of 22 samples<br>have no bend in<br>their rod - Pass | | | Intermittent power output at<br>the tip | C | Direct measurement (resistance -<br>multimeter) - same as predicate.<br>IEC 60601-1 edition 3.1, Electrical<br>Safety | Resistance is less<br>than 5 ohms | 22 of 22 samples<br>have a resistance<br>less than 5 ohms -<br>Pass | | | Change (from<br>predicate) | Risks | Risk<br>Category<br>(see chart<br>below) | Verification Method / Standard<br>Used | Acceptance Criteria | Results<br>(Pass/Fail) | | Rod diameter<br>reduction | Impossible or difficult<br>assembly into handle due<br>to the rod being bent as a<br>result of the reduced<br>diameter for indicator | C | Handle with insert mechanical<br>actuation - same as predicate<br>IEC 60601-1 edition 3.1, Electrical<br>Safety | Any difficulty with<br>actuation is a failure | 22 of 22 samples do<br>not have any<br>difficulty with<br>actuation - Pass | | | application | | Straightness inspection - same as<br>predicate<br>ASTM F2819-10, Rod<br>Straightness<br>ASTM D4169-16, Ship Testing | Rod gap meets<br>straightness<br>requirement | 22 of 22 Samples<br>have a rod gap that<br>meets straightness<br>requirement - Pass | | Sterility<br>process<br>change | Instrument becomes non-<br>sterile during shipping | C | Instrument packaging sterile<br>barrier seal integrity testing<br>ISO 11607-2:2019, Sterile Barrier<br>System<br>ASTM F2096-11, Seal Integrity<br>Bubble Test | The insert and sterile<br>barrier shall<br>withstand ship<br>testing, with minimal<br>cosmetic damage.<br>After ship testing, the<br>insert shall remain<br>functional. The<br>sterile barrier shall<br>maintain product<br>sterility | 22 of 22 samples<br>maintained a sterile<br>barrier after ship<br>testing - Pass | | Reuse<br>limitation | User misinterprets<br>indicator's color change as<br>verification of sterility | C | Correct Use of device based on<br>indicator color and labeling in<br>Quick Use Guide instructions<br>(when received from OR)<br>IEC 62366-1:2015, Medical Device<br>Usability | Black color is<br>correctly identified by<br>Central Processing<br>personnel | 20 of 20 samples<br>were correctly<br>identified as black-<br>Ok to reprocess -<br>Pass | | | | | | Orange color<br>correctly identified by<br>Central Processing<br>personnel | 20 of 20 samples<br>were correctly<br>identified as orange-<br>do not reprocess -<br>Pass | | Change (from<br>predicate) | Risks | Risk<br>Category<br>(see chart<br>below) | Verification Method / Standard<br>Used | Acceptance Criteria | Results<br>(Pass/Fail) | | Reuse<br>limitation | User does not dispose<br>insert with orange indicator<br>after second use | C | Correct Use of device based on<br>indicator color and labeling in<br>Quick Use Guide instructions<br>(when received from OR)<br>IEC 62366-1:2015, Medical Device<br>Usability | Orange color<br>correctly identified by<br>Central Processing<br>personnel | 20 of 20 samples<br>were correctly<br>identified as orange-<br>do not reprocess -<br>Pass | | | Poor cutting performance<br>due to dull blade edge | C | Cut test simulation after simulated<br>use and reprocessing - same as<br>predicate<br>ISO 7741:1986/(R)2017, Scissor<br>Test Methods<br>ASTM F1079-87, Surgical<br>Scissors | After a single<br>simulated surgery<br>followed by cleaning<br>and sterilization, shall<br>pass cut test. | 15 of 15 samples<br>passed cut test after<br>a simulated surgery,<br>cleaning and<br>sterilization - Pass | | Residual Risk:<br>User may use device after end of life. Risk is mitigated through End of Life Indicators in the Instructions for Use. | | | | | | {10}------------------------------------------------ {11}------------------------------------------------ {12}------------------------------------------------ {13}------------------------------------------------ {14}------------------------------------------------ ### Equivalence Conclusion: The AEM enTouch® 2X Scissor design changes do not introduce new safety or effectiveness concerns. The modification made do not affect the fundamental technological design of there is no change to the Intended Use. Therefore, the subject device is substantially equivalent to the predicate device.