[Code of Federal Regulations] [Title 21, Volume 8] [Revised as of April 1, 2008] From the U.S. Government Printing Office via GPO Access [CITE: 21CFR884.4100] [Page 457] TITLE 21--FOOD AND DRUGS CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 884_OBSTETRICAL AND GYNECOLOGICAL DEVICES--Table of Contents Subpart E_Obstetrical and Gynecological Surgical Devices Sec. 884.4100 Endoscopic electrocautery and accessories. (a) Identification. An endoscopic electrocautery is a device used to perform female sterilization under endoscopic observation. It is designed to coagulate fallopian tube tissue with a probe heated by low- voltage energy. This generic type of device may include the following accessories: electrical generators, probes, and electrical cables. (b) Classification. Class II. The special controls for this device are: (1) FDA's: (i) ``Use of International Standard ISO 10993 `Biological Evaluation of Medical Devices--Part I: Evaluation and Testing,' '' (ii) ``510(k) Sterility Review Guidance 2/12/90 (K-90),'' and (iii) ``Guidance (`Guidelines') for Evaluation of Laproscopic Bipolar and Thermal Coagulators (and Accessories),'' (2) International Electrotechnical Commission's IEC 60601-1-AM2 (1995-03), Amendment 2, ``Medical Electrical Equipment--Part 1: General Requirements for Safety,'' (3) American National Standards Institute/American Association for Medical Instrumentation's HF-18, 1993, ``Electrosurgical Devices,'' (4) Labeling: (i) Indication: For female tubal sterilization, and (ii) Instructions for use: (A) Destroy at least 2 centimeters of the fallopian tubes, (B) Use a cut or undampened sinusoidal waveform, (C) Use a minimum power of 25 watts, and (D) For devices with ammeters: continue electrode activation for 5 seconds after the visual endpoint (tissue blanching) is reached or current flow ceases indicating adequate tissue destruction. [45 FR 12684-12720, Feb. 26, 1980, as amended at 52 FR 17741, May 11, 1987; 65 FR 17146, Mar. 31, 2000]