K Number
K032278
Device Name
AMBU NEUROLINE SINGLE PATIENT EEG/EP CUP ELECTRODE
Manufacturer
Date Cleared
2004-03-05

(225 days)

Product Code
Regulation Number
882.1320
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Single Patient EEG/EP Cup Electrode is intended for use with recording, monitoring and stimulation equipment for the purpose of recording of biopotential signals for example: Electroencephalograph (EEG) and Nerve potentials signals. The electrodes are for single patient use only.
Device Description
Not Found
More Information

Not Found

Not Found

No
The summary describes a basic EEG/EP electrode, a passive component for signal acquisition, with no mention of AI/ML processing or analysis.

No
Explanation: The device is intended for recording biopotential signals (e.g., EEG, nerve potentials), which is a diagnostic function, not a therapeutic one.

Yes
The device is described as being for "recording of biopotential signals for example: Electroencephalograph (EEG) and Nerve potentials signals," which are used to help diagnose neurological conditions.

No

The device description explicitly states it is an "EEG/EP Cup Electrode," which is a physical hardware component used to record biopotential signals. This is not a software-only device.

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

Here's why:

  • Intended Use: The intended use describes the device as being used with recording, monitoring, and stimulation equipment to record biopotential signals like EEG and nerve potentials. This is a direct measurement of physiological signals from the body, not an analysis of samples taken from the body (like blood, urine, or tissue).
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, etc.)
    • Detecting or measuring substances within samples
    • Providing information for diagnosis based on sample analysis

IVDs are used to examine specimens obtained from the human body to provide information for diagnostic purposes. This device is used to directly measure electrical activity on the body.

N/A

Intended Use / Indications for Use

The Single Patient EEG/EP Cup Electrode is intended for use with recording, monitoring and stimulation equipment for the purpose of recording of biopotential signals for example: Electroencephalograph (EEG) and Nerve potentials signals. The electrodes are for single patient use only.

Product codes

GXY

Device Description

Not Found

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.1320 Cutaneous electrode.

(a)
Identification. A cutaneous electrode is an electrode that is applied directly to a patient's skin either to record physiological signals (e.g., the electroencephalogram) or to apply electrical stimulation.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes representing the department's mission of promoting health, well-being, and human services. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular fashion around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR - 5 2004

Mr. Sanjay Parikh Technical and Regulatory Affairs Manager Ambu, Inc. 611 North Hammonds Ferry Road Linthicum, Maryland 21090-1356

Re: K032278

Trade/Device Name: Single Patient EEG/EP Cup Electrode Regulation Number: 21 CFR 882.1320 Regulation Name: Cutaneous electrode Regulatory Class: II Product Codc: GXY Dated: March 1, 2004 Reccived: March 2, 2004

Dear Mr. Parikh:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your bectorn 310(a) per device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encrosule) to regard the Medical Device Amendments, or to commerce prior to May 20, 1776, the enaoceance with the provisions of the Federal Food, Drug, devices that have been roomsoned in assee approval of a premarket approval application (PMA). alle Cosmetic Act (Act) that to not requesubject to the general controls provisions of the Act. The 1 ou may, therefore, market of the Act include requirements for annual registration, listing of general controls provisions of the recorplabeling, and prohibitions against misbranding and adultcration.

If your device is classified (see above) into cither class II (Special Controls) or class III (PMA), it If your device is classimod (600 abs. Existing major regulations affecting your device can may be subject to suen addrenial comlations, Title 21, Parts 800 to 898. In addition, FDA may oc found in the Oour acements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does no/1 F Icase of advised that I Drivisation over device complies with other requirements of the Act that 117A has made a actornations administered by other Federal agencies. You must of any I coclar statutes and regaranents ancluding, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as sch CFA Fart 807), idocing (21 OFF Part 820); and if applicable, the clectronic forth in the quality bystems (Sections 531-542 of the Act); 21 CFR 1000-1050.

1

Page 2 - Mr. Sanjay Parikh

This letter will allow you to begin marketing your device as described in your Section 510(k) I mis letter witi anow you to begin mailioning of substantial equivalence of your device to a legally premaired 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 If you desire specific at novies your (301) 594-4659. Also, please note the regulation entitled, Colliaci the Office of Compullier and (SSL notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small other general 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/dsmaldsmamain.html

Sincerely yours,

Miriam C. Provost

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

2

Indications for Use

510(k) Number (if known): K032278

Device Name:__ Single Patient EEG/EP Cup Electrode

Indications For Use:

The Single Patient EEG/EP Cup Electrode is intended for use with recording, monitoring and stimulation equipment for the purpose of recording of biopotential signals for example: Electroencephalograph (EEG) and Nerve potentials signals. The electrodes are for single patient use only.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Miriam C. Provost

Division Sign Division of General, Restorative. and Neurological Devices

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