K Number
K033896
Device Name
DEFIBTECH AED WITH ATTENUATED DEFIBRILLATION/MONITORING PADS, MODELS DDU-100 WITH DDP-200P
Manufacturer
Date Cleared
2004-06-16

(183 days)

Product Code
Regulation Number
870.5310
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Attenuated Defibrillation/Monitoring Pads are to be used with Defibtech Series AEDs on victims of sudden cardiac arrest ("SCA") when the patient is: - Unconscious and unresponsive - Not breathing - Less than eight years old Defibtech Attenuated Defibrillation/Monitoring Pads must be used by or on the order of a physician. Do not delay therapy to determine exact age or weight.
Device Description
Defibtech Attenuated Defibrillation/Monitoring Pads are intended for use only with Defibtech DDU-100 Series AEDs or compatible Defibtech AEDs, on patients who are less than eight years of age. Attenuated Defibrillation/Monitoring Pads are indicated for use on victims of sudden cardiac arrest (SCA) when the patient is: - Unconscious and unresponsive - - ・ Not breathing - -Less than eight years old A pulse check is not required based on the recommendations of the American Heart Association Guidelines 2000 for CPR and ECC. Attenuated Defibrillation/Monitoring Pads consist of two self-adhesive defibrillation/ monitoring pads used to monitor ECG signals and, if necessary, to deliver defibrillation energy to the patient. Attenuated Defibrillation/Monitoring Pads incorporate an energy attenuator, which cuts the nominal defibrillation energy of a Defibtech Series AED (150 Joules) to 50 Joules. They are provided as a packaged, single-use disposable assembly. The impedance between the two pads is monitored to ensure proper pad-to-patient contact. Visual and audio prompts inform the operator of possible problems with patient contact. Voice prompts and visual indicators communicate the status of the AED and of the patient to the operator. Defibrillation energy is delivered as a biphasic truncated exponential waveform. The device delivers 150 Joules into a 50-ohm load. The pads incorporate an attenuator that decreases the energy delivered to the patient to 50 Joules. Delivered energy does not change significantly with patient impedance, although the duration of the generated waveform will vary. The Defibtech Series AED is designed to deliver up to 50J of defibrillation energy through a pediatric patient impedance range of 25 - 175 ohms.
More Information

Not Found

No
The description focuses on the physical components, energy delivery, and monitoring of ECG signals and impedance, with no mention of AI or ML algorithms for analysis or decision-making.

Yes
The device is used to deliver defibrillation energy to patients experiencing sudden cardiac arrest, which is a therapeutic intervention.

No
The device is used to monitor ECG signals and deliver defibrillation energy, and it is explicitly stated that "A pulse check is not required." It focuses on therapeutic intervention for sudden cardiac arrest rather than diagnosing a condition.

No

The device description clearly states that the device consists of "two self-adhesive defibrillation/ monitoring pads" and incorporates "an energy attenuator," which are physical hardware components.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices intended for use in the collection, preparation, and examination of specimens taken from the human body (such as blood, urine, or tissue) to obtain information for diagnostic or monitoring purposes.
  • Device Function: The Attenuated Defibrillation/Monitoring Pads are used externally on the patient's skin to monitor ECG signals and deliver electrical energy for defibrillation. They do not involve the collection or analysis of specimens from the body.
  • Intended Use: The intended use is for treating sudden cardiac arrest by delivering a therapeutic electrical shock, not for diagnosing a condition through laboratory analysis of biological samples.

The device is a therapeutic and monitoring device used directly on the patient, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Attenuated Defibrillation/Monitoring Pads are to be used with Defibtech Series AEDs on victims of sudden cardiac arrest ("SCA") when the patient is:

  • Unconscious and unresponsive
  • Not breathing
  • Less than eight years old

Defibtech Attenuated Defibrillation/Monitoring Pads must be used by or on the order of a physician.

Do not delay therapy to determine exact age or weight.

Product codes (comma separated list FDA assigned to the subject device)

MKJ

Device Description

Defibtech Attenuated Defibrillation/Monitoring Pads are intended for use only with Defibtech DDU-100 Series AEDs or compatible Defibtech AEDs, on patients who are less than eight years of age.

Attenuated Defibrillation/Monitoring Pads are indicated for use on victims of sudden cardiac arrest (SCA) when the patient is:

  • Unconscious and unresponsive -
  • ・ Not breathing
  • -Less than eight years old

A pulse check is not required based on the recommendations of the American Heart Association Guidelines 2000 for CPR and ECC.

Attenuated Defibrillation/Monitoring Pads consist of two self-adhesive defibrillation/ monitoring pads used to monitor ECG signals and, if necessary, to deliver defibrillation energy to the patient. Attenuated Defibrillation/Monitoring Pads incorporate an energy attenuator, which cuts the nominal defibrillation energy of a Defibtech Series AED (150 Joules) to 50 Joules. They are provided as a packaged, single-use disposable assembly.

The impedance between the two pads is monitored to ensure proper pad-to-patient contact. Visual and audio prompts inform the operator of possible problems with patient contact. Voice prompts and visual indicators communicate the status of the AED and of the patient to the operator.

Defibrillation energy is delivered as a biphasic truncated exponential waveform. The device delivers 150 Joules into a 50-ohm load. The pads incorporate an attenuator that decreases the energy delivered to the patient to 50 Joules. Delivered energy does not change significantly with patient impedance, although the duration of the generated waveform will vary. The Defibtech Series AED is designed to deliver up to 50J of defibrillation energy through a pediatric patient impedance range of 25 - 175 ohms.

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

Less than eight years old

Intended User / Care Setting

Only people trained in its use should operate the Defibtech Series AEDs. This may include emergency care personnel specifically trained on Defibtech AED's or one of the following:

  • People with training in advanced life support (ALS) -
  • People with training in basic life support (BLS) -
  • People filling other physician-authorized emergency medical response role -

Defibtech Attenuated Defibrillation/Monitoring Pads must be used by or on the order of a physician.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Testing and performance evaluations demonstrate that the safety and effectiveness of the Attenuated Defibrillation/Monitoring Pads is substantially equivalent to the predicate devices.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K003819

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 870.5310 Automated external defibrillator system.

(a)
Identification. An automated external defibrillator (AED) system consists of an AED and those accessories necessary for the AED to detect and interpret an electrocardiogram and deliver an electrical shock (e.g., battery, pad electrode, adapter, and hardware key for pediatric use). An AED system analyzes the patient's electrocardiogram, interprets the cardiac rhythm, and automatically delivers an electrical shock (fully automated AED), or advises the user to deliver the shock (semi-automated or shock advisory AED) to treat ventricular fibrillation or pulseless ventricular tachycardia.(b)
Classification. Class III (premarket approval)(c)
Date PMA or notice of completion of PDP is required. A PMA will be required to be submitted to the Food and Drug Administration by April 29, 2015, for any AED that was in commercial distribution before May 28, 1976, or that has, by April 29, 2015, been found to be substantially equivalent to any AED that was in commercial distribution before May 28, 1976. A PMA will be required to be submitted to the Food and Drug Administration by April 29, 2015, for any AED accessory described in paragraph (a) that was in commercial distribution before May 28, 1976, or that has, by April 29, 2015, been found to be substantially equivalent to any AED accessory described in paragraph (a) that was in commercial distribution before May 28, 1976. Any other AED and AED accessory described in paragraph (a), shall have an approved PMA or declared completed PDP in effect before being placed in commercial distribution.

0

JUN 1 6 2004

Section E – 510(k) Summary

Date of Submission: December 12, 2003

Establishment Registration
Location
Company Name:Defibtech, LLC
Address 1:753 Boston Post Road
Address 2:Suite 102
City, State, and Zip Code:Guilford, CT 06437
Contact Information
Name:Mr. John L. Rogers
Telephone:(203) 453-6654 x13
Facsimile:(203) 453-6657
Trade (Proprietary) NameDefibtech AED with Attenuated Defibrillation/Monitoring
Pads
Model NumberDDU-100 with DDP-200P
Common NameAutomatic External Defibrillator with Pediatric Electrodes
Classification
FDA PanelCardiovascular
ClassClass III
Regulation21 CFR 870.1025 - Arrhythmia detector and alarm
Substantial Equivalence
ModelManufacturer510(k) Number
Heartstream Attenuated
Defibrillation PadsAgilent Technologies, Inc.K003819

Device Description

Defibtech Attenuated Defibrillation/Monitoring Pads are intended for use only with Defibtech DDU-100 Series AEDs or compatible Defibtech AEDs, on patients who are less than eight years of age.

Attenuated Defibrillation/Monitoring Pads are indicated for use on victims of sudden cardiac arrest (SCA) when the patient is:

  • Unconscious and unresponsive -
  • ・ Not breathing
  • -Less than eight years old

A pulse check is not required based on the recommendations of the American Heart Association Guidelines 2000 for CPR and ECC.

1

Section E- 510(k) Summary

Only people trained in its use should operate the Defibtech Series AEDs. This may include emergency care personnel specifically trained on Defibtech AED's or one of the following:

  • People with training in advanced life support (ALS) -
  • People with training in basic life support (BLS) -
  • People filling other physician-authorized emergency medical response role -

Defibtech Attenuated Defibrillation/Monitoring Pads must be used by or on the order of a physician.

Attenuated Defibrillation/Monitoring Pads consist of two self-adhesive defibrillation/ monitoring pads used to monitor ECG signals and, if necessary, to deliver defibrillation energy to the patient. Attenuated Defibrillation/Monitoring Pads incorporate an energy attenuator, which cuts the nominal defibrillation energy of a Defibtech Series AED (150 Joules) to 50 Joules. They are provided as a packaged, single-use disposable assembly.

The impedance between the two pads is monitored to ensure proper pad-to-patient contact. Visual and audio prompts inform the operator of possible problems with patient contact. Voice prompts and visual indicators communicate the status of the AED and of the patient to the operator.

Defibrillation energy is delivered as a biphasic truncated exponential waveform. The device delivers 150 Joules into a 50-ohm load. The pads incorporate an attenuator that decreases the energy delivered to the patient to 50 Joules. Delivered energy does not change significantly with patient impedance, although the duration of the generated waveform will vary. The Defibtech Series AED is designed to deliver up to 50J of defibrillation energy through a pediatric patient impedance range of 25 - 175 ohms.

Intended Use

The Attenuated Defibrillation/Monitoring Pads are to be used with Defibtech Series AEDs on victims of sudden cardiac arrest ("SCA") when the patient is:

  • -Unconscious and unresponsive
  • ﮯ Not breathing
  • Less than eight years old -

Attenuated Defibrillation/Monitoring Pads must be used by or on the order of a physician.

Do not delay therapy to determine exact age or weight.

Conclusion Summary of Safety and Effectiveness

Testing and performance evaluations demonstrate that the safety and effectiveness of the Attenuated Defibrillation/Monitoring Pads is substantially equivalent to the predicate devices.

2

Image /page/2/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular, with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. In the center of the seal is an abstract symbol that resembles an eagle or bird in flight, with three curved lines representing the wings and a wavy line representing the body. The seal is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 1 6 2004

Defibtech, LLC c/o Mr. John L. Rogers Director Medical Device Compliance 753 Boston Post Rd., Suite 102 Guilford, CT 06437

Re: K033896

Trade Name: Defibtech AED with Attenuated Defibrillation/Monitoring Pads Regulation Number: 21 CFR 870.1025 Regulation Name: Arrhythmia Detector and Alarm Regulatory Class: III (three) Product Code: MKJ Dated: March 18, 2004 Received: March 19, 2004

Dear Mr Rogers:

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.

3

Page 2 - Mr. John L. Rogers

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. 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) 594-4648. 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.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Section D - Statement of Indications of Use

.

Applicant:Defibtech, LLC
510(k) Number (if known):K033896
Device Name:Defibtech DDU-100 AED with DDP-200P Attenuated Defibrillation/Monitoring Pads
Indications For Use:
The Attenuated Defibrillation/Monitoring Pads are to be used with Defibtech Series AEDs on victims of sudden cardiac arrest ("SCA") when the patient is:
Unconscious and unresponsiveNot breathingLess than eight years old
Defibtech Attenuated Defibrillation/Monitoring Pads must be used by or on the order of a physician.
Do not delay therapy to determine exact age or weight.
Prescription Use (Part 21 CFR 801 Subpart D)YES AND/OR Over-The-Counter Use_NO_ (Part 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)

(Per 21 CFR 801.109)

for BD2

(Division Sign-Off)

on of Cardiovascular Devices

Number K033896

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