The Neptune SafeAir Pencils are designed for general electrosurgical applications including cutting and coagulation, and for removing smoke generated by electrosurgery when used in conjunction with an effective smoke evacuation system. The pencil enables the operator to remotely conduct an electrosurgical current from the output connector of an electrosurgical unit (generator) to the operative site for the desired surgical effect.
Device Story
Single-use, RF monopolar electrosurgical pencil; integrates smoke evacuation capability. Connects to user-supplied electrosurgical generator and smoke evacuation system. Operator-controlled via push-button or rocker switches to deliver current to operative site; simultaneously removes surgical smoke. Used in clinical settings by surgical staff. Benefits include surgical site visualization and reduction of smoke inhalation risks. Subject device introduces coated electrode with squared-edge tip.
Clinical Evidence
No clinical data. Substantial equivalence supported by non-clinical bench testing, including sterilization, functional/performance, biocompatibility, thermal spread, packaging, and electrical safety/EMC testing per FDA guidance.
Technological Characteristics
RF monopolar electrosurgical pencil; coated stainless steel electrode (2.4mm diameter, 70mm length); 15mm x 190mm handpiece; US-3-pin electrical connector; 10mm x 3m evacuation tubing. Max voltage 5.5 kV peak. Sterilization: EtO. Standards: IEC 60601-1, IEC 60601-2-2.
Indications for Use
Indicated for general electrosurgical cutting and coagulation and smoke evacuation in adult patients. Contraindicated for use on small appendages, such as in circumcision or finger surgery.
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.
{0}
FDA U.S. FOOD & DRUG
ADMINISTRATION
September 17, 2026
Stryker Instruments
Jessica Brophy
Staff Regulatory Affairs Specialist
1941 Stryker Way
Portage, Michigan 49002
Re: K261959
Trade/Device Name: Neptune® SafeAir® 10ft Smoke Evacuation Pencil, Square Coated, 70mm Blade, Push Button Switch (0703-046-100);Neptune® SafeAir® 10ft Smoke Evacuation Pencil, Square Coated, Push Button Switch, Bulk Non-Sterile (0703-046-102);Neptune® SafeAir® 10ft Smoke Evacuation Pencil, Square Coated, 70mm Blade, Rocker Switch (0703-047-100);Neptune® SafeAir® 10ft Smoke Evacuation Pencil, Square Coated, Rocker Switch, Bulk Non-Sterile (0703-047-102)
Regulation Number: 21 CFR 878.4400
Regulation Name: Electrosurgical Cutting And Coagulation Device And Accessories
Regulatory Class: Class II
Product Code: GEI
Dated: June 11, 2026
Received: June 11, 2026
Dear Jessica Brophy:
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 (the 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 available 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.
U.S. Food & Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
www.fda.gov
{1}
K261959 - Jessica Brophy
Page 2
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.
Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).
Your device is also subject to, among other requirements, the Quality Management System Regulation (QMSR) (21 CFR Part 820), which includes, but is not limited to, ISO 13485 clause 7.3 (Design controls), ISO 13485 clause 8.3 (Nonconforming product), ISO 13485 clause 8.5.2 (Corrective action), and ISO 13485 clause 8.5.3 (Preventative action). Please note that regardless of whether a change requires premarket review, the QMSR requires device manufacturers to review and approve changes to device design and production (ISO 13485 clause 7.3 and ISO 13485 clause 7.5) and document changes and approvals in the Medical Device File (ISO 13485 clause 4.2.3).
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 device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the Quality Management System Regulation (QMSR) (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.
All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problems.
{2}
K261959 - Jessica Brophy
Page 3
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-devices/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-devices/device-advice-comprehensive-regulatory-assistance/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,
# Colin K. Chen -S
Digitally signed by
Colin K. Chen -S
Date: 2026.09.17
21:33:19 -04'00'
Colin K. 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
{3}
| Indications for Use | | |
| --- | --- | --- |
| Please type in the marketing application/submission number, if it is known. This textbox will be left blank for original applications/submissions. | K261959 | ? |
| Please provide the device trade name(s). | | ? |
| Neptune® SafeAir® 10ft Smoke Evacuation Pencil, Square Coated, 70mm Blade, Push Button Switch (0703-046-100); Neptune® SafeAir® 10ft Smoke Evacuation Pencil, Square Coated, Push Button Switch, Bulk Non-Sterile (0703-046-102); Neptune® SafeAir® 10ft Smoke Evacuation Pencil, Square Coated, 70mm Blade, Rocker Switch (0703-047-100); Neptune® SafeAir® 10ft Smoke Evacuation Pencil, Square Coated, Rocker Switch, Bulk Non-Sterile (0703-047-102) | | |
| Please provide your Indications for Use below. | | ? |
| The Neptune SafeAir Pencils are designed for general electrosurgical applications including cutting and coagulation, and for removing smoke generated by electrosurgery when used in conjunction with an effective smoke evacuation system. The pencil enables the operator to remotely conduct an electrosurgical current from the output connector of an electrosurgical unit (generator) to the operative site for the desired surgical effect. The indications for use are unchanged from K160693. | | |
| Please select the types of uses (select one or both, as applicable). | ☑ Prescription Use (21 CFR 801 Subpart D) ☐ Over-The-Counter Use (21 CFR 801 Subpart C) | ? |
| Please select the age group(s) for which the device(s) is to be used. | ☐ Neonates/Newborns (Birth to < 29 days old) ☐ Infants (29 days old to < 2 years old) ☐ Children (2 years old to < 12 years old) ☐ Adolescents (12 years old to < 22 years old) ☑ Adults (22 years old and greater) | ? |
{4}
510(k) Summary
K261959
stryker
## 510(k) Summary
### Submitter Information
This premarket Notification is submitted by:
**Table 1 – Submitter Information**
| **This Premarket Notification is submitted by: 510(k) Owner** | Stryker Instruments 1941 Stryker Way Portage, MI 49002 USA |
| --- | --- |
| **Contact Person** | Jessica Brophy Staff Regulatory Affairs Specialist |
| **Registration Number** | 3015967359 |
| **Date Summary Prepared** | March 18 2026 |
### Device Name
**Table 2 – Subject Device Information**
| **Trade/Proprietary Name** | Neptune SafeAir |
| --- | --- |
| **Regulation Name** | Electrosurgical cutting and coagulation device and accessories |
| **Review Panel** | General & Plastic Surgery |
| **Product Code** | GEI |
| **Regulatory Class** | Class II |
### Predicate Device
The legally marketed predicate for the subject device is detailed in Table 3.
**Table 3 – Predicate Device Information**
| Predicate Device Name | 510(k) | Product Code | Manufacturer |
| --- | --- | --- | --- |
| Neptune E-SEP Pencils | K160693 | GEI | Stryker Instruments |
Page 1 of 5
{5}
510(k) Summary
stryker
## Device Description
The Neptune SafeAir Pencils are single use, radiofrequency (RF) monopolar devices, designed to be used in electrosurgical applications for cutting and coagulation. The Pencils are designed to also facilitate the removal of smoke generated by electrosurgery when used with an effective smoke evacuation system.
## Indications for Use
The Neptune SafeAir Pencil is an Integrated Smoke Evacuation Pencil (pencil) designed for general electrosurgical applications including cutting and coagulation, and for removing smoke generated by electrosurgery when used in conjunction with an effective smoke evacuation system. The pencil enables the operator to remotely conduct an electrosurgical current from the output connector of an electrosurgical unit (generator) to the operative site for the desired surgical effect
## Contraindications
Do not use monopolar electrosurgery on small appendages, as in circumcision or finger surgery
## Substantial Equivalence Comparison
The predicate device has been identified as the Neptune E-SEP pencils (K160693). Both the subject and predicate device share the same intended use, and indications for use and similar technological characteristics. The subject device introduces a new pencil variation for a pencil with coated electrode and squared edge tip. Results of verification and validation demonstrate that these differences do not introduce new questions of safety and effectiveness. The subject devices are at least as safe and effective as the predicate device.
Page 2 of 5
{6}
510(k) Summary
stryker
**Table 4 – Intended Use Comparison**
| Description | Subject | Predicate |
| --- | --- | --- |
| | Neptune SafeAir Pencils | Neptune E-SEP Pencils (K160693) |
| **Classification** | Class II | Class II |
| **Regulation** | 21 CFR 878.4400 Electrosurgical cutting and coagulation device and accessories. | 21 CFR 878.4400 Electrosurgical cutting and coagulation device and accessories. |
| **Product Code** | GEI | GEI |
| **Indications for Use** | The Neptune SafeAir Pencil is an Integrated Smoke Evacuation Pencil (pencil) designed for general electrosurgical applications including cutting and coagulation, and for removing smoke generated by electrosurgery when used in conjunction with an effective smoke evacuation system. The pencil enables the operator to remotely conduct an electrosurgical current from the output connector of an electrosurgical unit (generator) to the operative site for the desired surgical effect | The Neptune E-SEP is an Integrated Smoke Evacuation Pencil (pencil) designed for general electrosurgical applications including cutting and coagulation, and for removing smoke generated by electrosurgery when used in conjunction with an effective smoke evacuation system. The pencil enables the operator to remotely conduct an electrosurgical current from the output connector of an electrosurgical unit (generator) to the operative site for the desired surgical effect |
| **Type of Use** | Rx Only | Rx Only |
| **Conditions of Use** | Single Use | Single Use |
| **Contraindications** | Do not use monopolar electrosurgery on small appendages, as in circumcision or finger surgery | Do not use monopolar electrosurgery on small appendages, as in circumcision or finger surgery |
Page 3 of 5
{7}
510(k) Summary
stryker
**Table 5 – Technological Characteristics Comparison**
| Description | Subject | Predicate |
| --- | --- | --- |
| | Neptune SafeAir Pencils | Neptune E-SEP Pencils (K160693) |
| **Energy Type** | RF Monopolar Energy | RF Monopolar Energy |
| **Power Supply** | Monopolar generator supplied by user | Monopolar generator supplied by user |
| **Voltage Rating** | Maximum 5.5 kV peak | Maximum 5.5 kV peak |
| **Electrical Connector** | US-3-Pin | US-3-Pin |
| **Electrical Safety Testing** | IEC 60601-1 IEC 60601-2-2 | IEC 60601-1 IEC 60601-2-2 |
| **Sterilization** | Sterile, Single use (EtO)* **For Sterile part numbers only* | Sterile, Single use (EtO) |
| **Electrode Rod Diameter** | 2.4 mm (3/32 inches) | 2.4 mm (3/32 inches) |
| **Electrode Connector Feature** | Pentagonal | Pentagonal |
| **Electrode Material** | Coated Stainless Steel | Coated Stainless Steel |
| **Electrode Length** | 70 mm | 70 mm |
| **Adjustable Suction Sleeve** | Yes | Yes |
| **Evacuation Tubing Dimension** | 10 mm diameter x 3 m length | 10 mm diameter x 3 m length |
| **Smoke Evacuation System Connector** | 8mm, 22mm | 8mm, 22mm |
| **Handpiece Dimension** | 15mm Diameter x 190 mm Length | 15mm Diameter x 190 mm Length |
| **Operation Function Switches** | CUT button labelled yellow and proximal to electrode COAG button labelled blue and distal to electrode | CUT button labelled yellow and proximal to electrode COAG button labelled blue and distal to electrode |
### Summary of Non-Clinical Testing
The following tests were conducted to demonstrate substantial equivalence with the predicate device:
- Sterilization Testing
Page 4 of 5
{8}
510(k) Summary
stryker
- Functional/Performance Testing
- Biocompatibility Testing
- Thermal Spread Testing
- Packaging Testing
- Electrical Safety and EMC Testing
Testing requirements were determined by relevant standards and FDA Guidance Premarket Notification (510(k)) Submissions for Electrosurgical Devices for General Surgery, issued March 9, 2020.
### **Performance Testing**
A range of design verification testing was conducted to confirm the subject devices perform as intended and are safe and effective for their intended use in accordance with FDA Guidance Premarket Notification (510(k)) Submissions for Electrosurgical Devices for General Surgery, issued March 9, 2020.
### **Summary of Clinical Testing**
Clinical testing was not required for this Special 510(k).
### **Conclusion**
The subject devices, in comparison with the legally marketed predicate, share the same intended use and operating principles. Performance testing demonstrate that the subject devices are at least as safe and effective as the predicate. Any differences between the subject and predicate devices do not raise any new or different types of questions of safety and effectiveness. A determination of substantial equivalence is supported.
Page 5 of 5
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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 as a Medical Device, 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 as a Medical Device), 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.
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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.
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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.
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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.
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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.
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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.