K Number
K053011
Device Name
PRO-NEO NEONATAL ECG ELECTRODE, MODELS SG15 AND SR20
Manufacturer
Date Cleared
2005-12-14

(49 days)

Product Code
Regulation Number
870.2360
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PRONEO Neonatal ECG Electrodes are designed for use whenever cardiac monitoring for neonatal or pediatric patients is deemed or desirable by trained medical or emergency This electrode is for use on neonatal and pediatric patients. The PRONEO Neonatal ECG Electrodes are non-sterile and are to be used on intact (uninjured) skin.
Device Description
The PRONEO Neonatal ECG Electrodes (and also to be sold under various private label trade names; i.e. Multiple Labels) are 22mm in square and consist of a conductive adhesive hydrogel, a Ag/AgCl plated sensor element a non-woven substrate and vinyl label, and a 100cm flexible tinned copper or carbon lead wire terminating in a 1.5mm, 2.0mm standard DIN connector. Electrodes are packaged in pouches of 3, 100 pouches per carton and are supplied non-strerile.
More Information

No
The device description and performance studies focus on the electrical and physical properties of ECG electrodes, with no mention of AI or ML for data processing or interpretation.

No
The device is described as ECG electrodes designed for cardiac monitoring, which is a diagnostic function, not a therapeutic one.

Yes
The "Intended Use" section states that the electrodes are "designed for use whenever cardiac monitoring for neonatal or pediatric patients is deemed or desirable by trained medical or emergency." Cardiac monitoring is a diagnostic procedure.

No

The device description clearly states it is a physical electrode with components like hydrogel, sensor element, substrate, label, and lead wire, indicating it is a hardware device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The PRONEO Neonatal ECG Electrodes are designed to be placed on the intact skin of neonatal and pediatric patients for cardiac monitoring. They are measuring electrical signals from the body, not analyzing samples taken from the body.

The device is an external medical device used for physiological monitoring, not an in vitro diagnostic.

N/A

Intended Use / Indications for Use

The PRONEO Neonatal ECG Electrodes are designed for use whenever cardiac monitoring for neonatal or pediatric patients is deemed or desirable by trained medical or monitoring for noonata. This electrode is for use on neonatal and pediatric patients. The PRONEO Neonatal ECG Electrodes are non-sterile and are to be used on intact (uninjured) skin.

Product codes

DRX

Device Description

The PRONEO Neonatal ECG Electrodes (and also to be sold under various private label trade names; i.e. Multiple Labels) are 22mm in square and consist of a conductive adhesive hydrogel, a Ag/AgCl plated sensor element a non-woven substrate and vinyl label, and a 100cm flexible tinned copper or carbon lead wire terminating in a 1.5mm, 2.0mm standard DIN connector. Electrodes are packaged in pouches of 3, 100 pouches per carton and are supplied non-strerile.

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

neonatal or pediatric patients

Intended User / Care Setting

trained medical or emergency personnel

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)

The device and the predicate were subjected to AAMI electrical tests as described in ANSI/AAMI voluntary standard, EC12:2000, Disposable ECG Electrodes. Test results for both the device and the predicate met the specifications as established in ANSI/AAMI EC12:2000.

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

Not Found

Predicate Device(s)

K000206

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.2360 Electrocardiograph electrode.

(a)
Identification. An electrocardiograph electrode is the electrical conductor which is applied to the surface of the body to transmit the electrical signal at the body surface to a processor that produces an electrocardiogram or vectorcardiogram.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9. The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance Document: Electrocardiograph Electrodes.” See § 870.1(e) for availability information of guidance documents.

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K053011
p.1/2

www.protechsite.co

Image /page/0/Picture/2 description: The image shows a logo with the letters "BV" in a stylized, handwritten font. To the right of the letters, the word "Protech" is written in a bold, sans-serif font. The logo appears to be for a company or organization named "BV Protech."

DEC 1 4 2005

BIO PROTECH INC.

Bio Sensors & Bio Products

510(k) Summary

Data : June 30, 2005

Manufacturing Facility : BIO PROTECH, INC. 1720-26, Taejang 2-Dong, Wonju Medical Instrument Ind. Park Wonju-Si, Gangwon-Do, REPUBLIC OF KOREA Tel: 82-33-735-7720 Fax: 82-33-735-7736

Contract Person : Eunseo Heo Researcher of Regulatory Affairs Tel: 82-33-735-7720 Fax: 82-33-735-7736

Device Trade Name : PRO-NEO NEONATAL ECG ELECTRODE

Device Common Name : Neonatal ECG Monitoring Electrode

Classification Name : Electrocardiograph Electrode

Regulatory Reference : 74 DRX

Predicate Device :

K000206, PALS NEONATAL PEDIATRIC ECG ELECTRODE, AXELGAARD MFG, CO., LTD.

Description:

The PRONEO Neonatal ECG Electrodes (and also to be sold under various private label trade names; i.e. Multiple Labels) are 22mm in square and consist of a conductive adhesive hydrogel, a Ag/AgCl plated sensor element a non-woven substrate and vinyl label, and a 100cm flexible tinned copper or carbon lead wire terminating in a 1.5mm, 2.0mm standard DIN connector. Electrodes are packaged in pouches of 3, 100 pouches per carton and are supplied non-strerile.

Intended Use:

The PRONEO Neonatal ECG Electrodes are designed for use whenever cardiac monitoring for neonatal or pediatric patients is deemed or desirable by trained medical or emergency This electrode is for use on neonatal and pediatric patients. personnel.

1

Image /page/1/Picture/0 description: The image shows some text that is difficult to read due to the low resolution and poor quality. The text appears to be handwritten and contains a combination of letters and numbers. The text is arranged in two lines, with the first line containing a few characters and the second line containing a few more characters. The overall impression is that the image is of a document or note that has been scanned or photographed, but the details are not clear enough to make out the exact content.

www.protechsite.com

Image /page/1/Picture/2 description: The image shows a logo with the text "BV Protech". The "BV" is written in a stylized, cursive font, with the letters connected. There is a circular design element above the "V". The word "Protech" is written in a simpler, sans-serif font to the right of "BV".

BIO PROTECH INC.

Bio Sensors & Bio Products


Performance Summary:

The device and the predicate were subjected to AAMI electrical tests as described in ANSI/AAMI voluntary standard, EC12:2000, Disposable ECG Electrodes. Test results for both the device and the predicate met the specifications as established in ANSI/AAMI EC12:2000.

Biocompatibility Testing:

The device was subjected to biocompatibility testing as recommended FDA memorandum entitled Use of International Standard ISO 10993, Biological Evaluation of Medical Devices Part 1: Evaluation and Testing. The device was found to be non-irritating, non-cytotoxic and non-sensitizing.

Shelf Life:

Accelerated aging testing was performed to substantiate an expiration of 24 months.

Conclusion:

This device is substantially equivalent to the devices approved as K000206

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS). The seal features an abstract eagle design with three stylized lines forming the body and head. The words "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 1 4 2005

Bio Protech, Inc. c/o Mr. E. J. Smith Smith Associates 1676 Village Green Suite A Crofton, MD 21114

Re: K053011

Trade Name: Neonatal Electrocardiograph (ECG) Electrode Regulation Number: 21 CFR 870.2360 Regulation Name: Electrocardiograph Electrode Regulatory Class: Class II (two) Product Code: DRX Dated: June 29, 2005 Received: October 26, 2005

Dear Mr. Smith:

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. E. J. Smith

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 (240) 276-0120. 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/industry/support/index.html.

Sincerely yours,

Blymmmer for

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

Enclosure

4

Indications for Use

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

K053011

Device Name: NEONATAL ELECTROCARDIOGRAPH (ECG) ELECTRODE

Indications for Use:

The PRONEO Neonatal ECG Electrodes are designed for use whenever cardiac monitoring for neonatal or pediatric patients is deemed or desirable by trained medical or monitoring for noonata. This electrode is for use on neonatal and pediatric patients. The PRONEO Neonatal ECG Electrodes are non-sterile and are to be used on intact (uninjured) skin.

Caution: Federal law restricts this device to sale by or on the order of physician.

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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

mmentis in many

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