K Number
K062577
Device Name
V1 MULTI-PORT CONNECTOR, MODEL PAD V1-MPC
Manufacturer
Date Cleared
2006-12-15

(106 days)

Product Code
Regulation Number
870.2900
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The V1 Multi-port Connector is intended to be used primarily in electrophysiology (EP) laboratories as a multi-port connector with switching capabilities for connection to defibrillator, EP study equipment and electrosurgical devices. It provides a stable, focal location for multiple wires, cables and connections. The device allows the defibrillator to be used as a back-up for stimulating and pacing when those pieces of equipment are unavailable.
Device Description
The V1 Multi-port Connector is intended to be used primarily in electrophysiology (EP) laboratories as a multi-port connector with switching capabilities for connection to defibrillator, EP study equipment and electrosurgical devices. It provides a stable, focal location for multiple wires, cables and connections. The device allows the defibrillator to be used as a back-up for stimulating and pacing when those pieces of equipment are unavailable.
More Information

Not Found

Not Found

No
The description focuses on the device's function as a multi-port connector and switching mechanism, with no mention of AI or ML capabilities.

No
The device is described as a multi-port connector with switching capabilities, providing a stable location for multiple wires and cables. While it connects to therapeutic devices (defibrillator, electrosurgical devices), its function is to facilitate connections and not to provide therapy itself. The ability to use a defibrillator for stimulating and pacing is a function of the connected defibrillator, not the multi-port connector itself.

No
The V1 Multi-port Connector is described as a connector with switching capabilities for other medical devices, and it allows a defibrillator to be used for stimulating and pacing. It does not mention any function for diagnosing conditions or diseases.

No

The device description explicitly states it is a "multi-port connector with switching capabilities" and provides a "stable, focal location for multiple wires, cables and connections," indicating it is a physical hardware device.

Based on the provided information, the V1 Multi-port Connector is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states it's for connecting and switching between various medical devices (defibrillator, EP study equipment, electrosurgical devices) in an electrophysiology lab. It facilitates the use of these devices on a patient.
  • Device Description: The description reinforces its function as a connector and switcher for in-vivo procedures.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or treatment.

IVD devices are specifically designed to perform tests on biological samples outside of the body. The V1 Multi-port Connector's function is to manage connections for devices used directly on a patient during a medical procedure.

N/A

Intended Use / Indications for Use

The V1 Multi-port Connector is intended to be used primarily in electrophysiology (EP) laboratories as a multi-port connector with switching capabilities for connection to defibrillator, EP study equipment and electrosurgical devices. It provides a stable, focal location for multiple wires, cables and connections. The device allows the defibrillator to be used as a back-up for stimulating and pacing when those pieces of equipment are unavailable.

Product codes

DSA

Device Description

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Mentions image processing

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Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

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Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

electrophysiology (EP) laboratories

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

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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

§ 870.2900 Patient transducer and electrode cable (including connector).

(a)
Identification. A patient transducer and electrode cable (including connector) is an electrical conductor used to transmit signals from, or power or excitation signals to, patient-connected electrodes or transducers.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image is a circular seal for the Department of Health and Human Services (HHS) in the USA. The seal features the department's emblem, which consists of a stylized caduceus-like symbol with three abstract human figures. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" is arranged around the emblem in a circular fashion.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

TZ Medical, Inc. c/o Ms. Madalyn Duncan Supervisory Consumer Safety Officer TZ Medical, Inc. 7272 S.W. Durham Rd., #800 Portland, OR 97224

DEC 1 5 2006

Re: K062577

Trade/Device Name: VI Multiport Connector Regulation Number: 21 CFR 870.2900 Regulation Name: Transducer and Electrode Patient Cable Regulatory Class: II Product Code: DSA Dated: Undated Received: December 4, 2006

Dear Ms. Duncan:

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, EDA 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

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Page 2 - Ms. Duncan

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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Bfzimmerman for

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

Enclosure

2

Indications for Use:

The V1 Multi-port Connector is intended to be used primarily in electrophysiology (EP) laboratories as a multi-port connector with switching capabilities for connection to defibrillator, EP study equipment and electrosurgical devices. It provides a stable, focal location for multiple wires, cables and connections. The device allows the defibrillator to be used as a back-up for stimulating and pacing when those pieces of equipment are unavailable.

Prescription Use × (21 CFR Subpart D)

And/Or

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

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

Concurrence of CDRH, Office OF Device Evaluation (ODE)

B. Hummer
F. Sirm, OR

(Division Sign-Off) (Division of Cardiovascular Devices 510(k) Number_