K Number
K030887
Device Name
LEKTROGEL, MODEL LK3001
Manufacturer
Date Cleared
2003-06-13

(84 days)

Product Code
Regulation Number
882.1275
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
LEKTROGEL™ is an electroconductive gel media used with external electrodes to reduce the impedance (resistance to alternative current) of the contact between the electrode surface and the skin.
Device Description
LEKTROGEL™ is an electroconductive gel media used with external electrodes to reduce the impedance (resistance to alternative current) of the contact between the electrode surface and the skin. It is supplied in 250 grams dispensers with a 3-year shelf life.
More Information

Not Found

No
The summary describes an electroconductive gel, which is a passive material and does not involve any computational or algorithmic processing, including AI or ML. The "Mentions AI, DNN, or ML" field is also explicitly marked as "Not Found".

No
Explanation: LEKTROGEL™ is described as an "electroconductive gel media" that reduces impedance between electrodes and skin. While it facilitates the function of therapeutic devices that may use electrodes, it does not itself provide therapy or directly treat a disease or condition. It is an accessory to such devices.

No
Explanation: The device is an electroconductive gel used to reduce impedance between electrodes and skin, which facilitates the function of other devices but does not itself diagnose conditions.

No

The device is described as an electroconductive gel media, which is a physical substance, not software.

Based on the provided information, LEKTROGEL™ is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that LEKTROGEL™ is an electroconductive gel used with external electrodes to reduce impedance between the electrode and the skin. This is a physical function related to electrical conductivity, not a diagnostic test performed on samples taken from the human body.
  • Device Description: The description reinforces its function as an electroconductive gel for external use.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting specific substances, or providing diagnostic information about a patient's health condition.

IVDs are devices intended for use in vitro for the examination of specimens derived from the human body solely or principally for the purpose of providing information concerning a physiological or pathological state, or concerning a congenital abnormality, or to determine the compatibility of tissues or organs, or to monitor therapeutic measures. LEKTROGEL™ does not fit this definition.

N/A

Intended Use / Indications for Use

LEKTROGEL™ is an electroconductive gel media used with external electrodes to reduce the impedance (resistance to alternative current) of the contact between the electrode surface and the skin.

Product codes

GYB

Device Description

LEKTROGEL™ is an electroconductive gel media used with external electrodes to reduce the impedance (resistance to alternative current) of the contact between the electrode surface and the skin. It is supplied in 250 grams dispensers with a 3-year shelf life.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Not Found

Key Metrics

Not Found

Predicate Device(s)

K852956

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.1275 Electroconductive media.

(a)
Identification. Electroconductive media are the conductive creams or gels used with external electrodes to reduce the impedance (resistance to alternating current) of the contact between the electrode surface and the skin.(b)
Classification. Class II (performance standards).

0

510(k) Summary As Required by 21 section 807.92 ( c )

1-Submitter Name:Mansour Consulting LLC
2-Address:1308 Morningside Park Dr
Alpharetta, GA 30022 USAJUN 13 2003
3-Phone:(678) 908-8180
4-Fax:(425) 795-9341
5-Contact Person:Jay Mansour
6-Date summary prepared:March 18th, 2003
7-Device Trade or Proprietary Name:LEKTROGEL™
8-Device Common or usual name:EKG diagnosis gel (LK3001)
9-Device Classification Name:Media, electroconductive
10-Substantial Equivalency is claimed against the following device:• Contact Conductive Adhesive Gel from Parker Laboratories, Inc.

11-Description of the Device:

LEKTROGEL™ is an electroconductive gel media used with external electrodes to reduce the impedance (resistance to alternative current) of the contact between the electrode surface and the skin. It is supplied in 250 grams dispensers with a 3-year shelf life.

12-Intended use of the device: (refer to FDA form attached)

LEKTROGEL™ is an electroconductive gel media used with external electrodes to reduce the impedance (resistance to alternative current) of the contact between the electrode surface and the skin.

13-Safety and Effectiveness of the device:

This device is safe and effective as the other predicate device cited above. This is better expressed in the tabulated comparison (Paragraph 14 below)

14-Summary comparing technological characteristics with other predicate device:

Please find below a tabulated comparison supporting that this device is substantially equivalent to other medical devices in commercial distribution. Also, Equivalency overview chart path is attached. Indeed, this device is IDENTICAL to the predicate device. Refer to the explanations within the main submission.

FDA file reference number510k # K852956
Attachments inside notification submission file510k summary print out
TECHNOLOGICAL CHARACTERISTICSComparison result
Indications for useIdentical
Target populationIdentical
DesignIdentical
MaterialsIdentical
PerformanceIdentical

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KO30887

SterilityIdentical
BiocompatibilityIdentical
Mechanical safetyIdentical
Chemical safetyIdentical
Anatomical sitesIdentical
Human factorsIdentical
Energy used and/or deliveredIdentical
Compatibility with environment and other devicesIdentical
Where usedIdentical
Standards metIdentical
Electrical safetyIdentical
Thermal safetyIdentical
Radiation safetyIdentical

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle or bird symbol, with its wings forming a flowing, abstract design. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the bird symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 1 3 2003

Mr. Jay Mansour Inmed LTDA C/O: Mansour Consulting LLC 1308 Morningside Park Drive Alpharetta, GA 30022

Re: K030887

Trade/Device Name: LEKTROGEL ™ Model LK3001 Regulation Numbers: 21 CFR 882.1275 Regulation Names: Electroconductive Media Regulatory Class: Class II Product Codes: GYB Dated: March 18, 2003 Received: March 21, 2003

Dear Mr. Mansour:

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 such 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

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Page 2 - Mr. Jay Mansour

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. 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 (301) 594-4659 . 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 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.qov/cdrh/dsma/dsmamain.html

Sincerely vours.

Sincerely yours,

Mark A. Milliken

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Page / of /

KO30887 510(k) Number (if known):

Device Name: LEKTROGEL TM

Indications for Use:

LEKTROGEL™ is an electroconductive gel media used with external electrodes to reduce the impedance (resistance to alternative current) of the contact between the electrode surface and the skin.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurence of CDRH, Office of Device Evaulation (ODE)

==============================================================================================================================================================================

(Optional Format 3-10-98)

Mark N Milburn

(Division S Division of General, Restorative and Neurological Devices

510(k) Number_