(196 days)
For patients requiring fetal heart rate monitoring during labor.
The device consists of a stainless steel spiral needle electrode. It is fixed to the fetal scalp by penetration of the skin by the spiral needle and thereby obtains the fetal ECG signal. A guide tube and a drive tube are required to place the electrode and are then removed before monitoring is begun. A stainless steel reference electrode is included close to the body housing the spiral electrode. The electrode is connected to the fetal monitor using a reusable adapter cable. A disposable maternal reference electrode connection is built into the adapter cable.
The provided text is a 510(k) summary for a Fetal Spiral Electrode. While it mentions safety and effectiveness, it does not contain a detailed study report that proves the device meets specific acceptance criteria.
The document primarily focuses on establishing substantial equivalence to previously marketed devices based on shared intended use, basic technological characteristics, and material biocompatibility. It states that "The laboratory testing verified the performance," but it does not provide details of this testing, specific performance metrics, or acceptance criteria.
Therefore, many of the requested details about acceptance criteria, study specifics, ground truth, and expert involvement cannot be extracted from this document.
Here's a breakdown of what can be inferred or directly stated from the provided text, and what is missing:
-
Table of acceptance criteria and the reported device performance:
- Acceptance Criteria: Not explicitly stated in terms of measurable performance parameters. The general acceptance criterion is "safety and effectiveness are similar to existing devices" and "performance verified by laboratory testing."
- Reported Device Performance: Not provided with specific metrics or results. The document states "Effectiveness is the same as the predicate devices" and "The laboratory testing verified the performance," but without any quantitative data to support this.
-
Sample size used for the test set and the data provenance, etc.:
- Sample Size (Test Set): Not mentioned. "Laboratory testing" is referenced, but no details about participants or test cases.
- Data Provenance: Not mentioned (e.g., country of origin, retrospective/prospective).
-
Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):
- Not mentioned, as no specific clinical study with ground truth establishment is detailed.
-
Adjudication method (e.g. 2+1, 3+1, none) for the test set:
- Not mentioned.
-
If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:
- No. This is a physical medical device (Fetal Spiral Electrode), not an AI/software device. Therefore, MRMC studies or AI assistance are not relevant to this submission.
-
If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:
- No. Not applicable to this type of physical device.
-
The type of ground truth used (expert consensus, pathology, outcomes data, etc):
- Not mentioned, as no detailed clinical study with ground truth is provided. The evaluation appears to be based on "laboratory testing" for performance and biocompatibility.
-
The sample size for the training set:
- Not applicable, as this is not an algorithm/AI device that requires a training set. The device's "effectiveness" is stated as being "the same as the predicate devices."
-
How the ground truth for the training set was established:
- Not applicable.
In summary, the provided 510(k) notification focuses on demonstrating substantial equivalence to predicate devices through similarities in intended use, technological characteristics, materials, and general safety/effectiveness claims based on internal laboratory testing (the details of which are not disclosed in this summary). It does not present a detailed clinical study with specific acceptance criteria, performance metrics, ground truth establishment, or expert involvement in the way an AI/software medical device submission might.
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SEP 1 7 2003
Fetal Spiral Electrode Clinical Innovations, Inc. Revised 06-18-03
510(k) Summary Section 6.0
| Submitter: | Clinical Innovations, Inc. |
|---|---|
| Name: | Wm. Dean Wallace |
| Address: | 747 West 4170 South, Murray, UT 84123 |
| Telephone: | (801) 268-8200 |
| Fax: | (801) 266-7373 |
| Proprietary Names: | Fetal Spiral Electrode |
|---|---|
| Common/Usual Name: | Fetal Scalp Electrode |
| Classification Name: | Fetal Scalp Circular Electrode and applicator |
The legally marketed devices to which equivalence is claimed are: Life Trace Fetal Spiral Electrode (K943732), Corometrics Spiral Electrode (K792669), HP Spiral Scalp Electrode (K771553), Medi-Trace Fetal Monitoring Spiral Electrode (K904745), MAI Fetal Scalp Electrode (K872057), Surgicraft Copeland Disposable (K844608).
Description of the device: The device consists of a stainless steel spiral needle electrode. It is fixed to the fetal scalp by penetration of the skin by the spiral needle and thereby obtains the fetal ECG signal. A guide tube and a drive tube are required to place the electrode and are then removed before monitoring is begun. A stainless steel reference electrode is included close to the body housing the spiral electrode.
The electrode is connected to the fetal monitor using a reusable adapter cable. A disposable maternal reference electrode connection is built into the adapter cable.
Intended use: For patients requiring fetal heart rate monitoring during labor.
The Fetal Spiral Electrodes are substantially equivalent to the predicate devices because: they have the same intended uses, namely, use for monitoring fetal heart rate, and they have the same basic technological characteristics as predicate devices, namely, an electrode that attaches to the fetal scalp. They use the same or similar materials, all of which have been shown to be biocompatible and to function well in the intended application.
The safety and effectiveness are similar to existing devices as demonstrated in the laboratory testing. Biocompatibility testing shows that the materials used in the Fetal Spiral Electrode are safe for this application. Effectiveness is the same as the predicate devices. The laboratory testing verified the performance.
Whr. Louis Wallace
6-19-03
Date
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Image /page/1/Picture/1 description: The image shows a circular logo with an abstract depiction of an eagle or bird in the center. The bird is composed of three curved lines that suggest its head, body, and wings. Encircling the bird is text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" in a circular arrangement. The text is in uppercase and appears to be a sans-serif font.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
SEP 1 7 2003
Wm. Dean Wallace, M.D., Ph.D. President Clinical Innovations 747 West 4170 South MURRAY UT 84123
Re: K030691
Trade/Device Name: Fetal Spiral Electrode Regulation Number: 21 CFR 884.2675 Regulation Name: Fetal scalp circular (spiral) electrode and applicator Regulatory Class: II Product Code: 85 HGP Dated: June 18, 2003 Received: June 20, 2003
Dear Dr. Wallace:
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.
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); 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.
{2}------------------------------------------------
This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of the letter:
| 8xx.1xxx | (301) 594-4591 |
|---|---|
| 876.2xxx, 3xxx, 4xxx, 5xxx | (301) 594-4616 |
| 884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx | (301) 594-4616 |
| 892.2xxx, 3xxx, 4xxx, 5xxx | (301) 594-4654 |
| Other | (301) 594-4692 |
Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97) you may obtain. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.
Sincerely yours,
Nancy C. Brogdon
Nancy C. Brogdon Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{3}------------------------------------------------
Indications For Use 11.0
Device Name: Fetal Spiral Electrode
510(k) Number: K030691
, 1
Indications for use: For patients requiring fetal heart rate monitoring during labor.
(PLEASE NO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use
(Per 21 CFR 801.109)
David A. Lyons
(Division Sign-Off) (Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number -
Over-The-Counter Use (Optional Format 1-2-96)
Page 16
OR
§ 884.2675 Fetal scalp circular (spiral) electrode and applicator.
(a)
Identification. A fetal scalp circular (spiral) electrode and applicator is a device used to obtain a fetal electrocardiogram during labor and delivery. It establishes electrical contact between fetal skin and an external monitoring device by a shallow subcutaneous puncture of fetal scalp tissue with a curved needle or needles. This generic type of device includes nonreusable spiral electrodes and reusable circular electrodes.(b)
Classification. Class II (performance standards).