K Number
K091155
Device Name
ASCEND
Manufacturer
Date Cleared
2009-09-03

(135 days)

Product Code
Regulation Number
868.2775
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
NeuroMetrix ASCEND is a peripheral nerve stimulator used for localization and verification of needle placement for perineural application of pharmacological agents.
Device Description
ASCEND is a battery powered peripheral nerve stimulator. This device is intended for localization and verification of needle placement for perineural application of pharmacological agents. ASCEND consists of the following components: Stimulator, Battery, Bluetooth, Charging Station.
More Information

Not Found

No
The summary describes a peripheral nerve stimulator and does not mention any AI or ML components or functionalities.

No
The device is used for localization and verification of needle placement for perineural application of pharmacological agents, which is a diagnostic or procedural aid rather than a direct therapeutic intervention.

No
The device description states its intended use is for localization and verification of needle placement for perineural application of pharmacological agents, which is a procedural guidance function, not a diagnostic one.

No

The device description explicitly lists hardware components such as a stimulator, battery, Bluetooth, and charging station, indicating it is not software-only.

Based on the provided information, the NeuroMetrix ASCEND 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 (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • ASCEND's Function: The description clearly states that ASCEND is a peripheral nerve stimulator used for localization and verification of needle placement for perineural application of pharmacological agents. This is an in vivo procedure, meaning it's performed directly on a living patient, not on a specimen outside the body.

Therefore, ASCEND falls under the category of a therapeutic or procedural medical device, not an IVD.

N/A

Intended Use / Indications for Use

NeuroMetrix ASCEND is a peripheral nerve stimulator used for localization and verification of needle placement for perineural application of pharmacological agents.

Product codes

BXN

Device Description

ASCEND is a battery powered peripheral nerve stimulator. This device is intended for localization and verification of needle placement for perineural application of pharmacological agents.

ASCEND consists of the following components:

5.1 Stimulator
The Stimulator contains the electronic circuitry and software required to electrically stimulate the peripheral nerve. It also contains other functionality such as the user interface.

5.2 Battery
The Stimulator is powered from a high capacity re-chargeable Li-polymer battery. The battery has a nominal voltage of 3.7 V DC and a maximum operating voltage range of 2.75 V to 4.2 V. Its rated capacity is 2140 mAh minimum, 2200 mAh typical. The battery has a built-in safety circuit. The battery is UL recognized.

5.3 Bluetooth
The Stimulator is equipped with a Bluetooth wireless module that provides serial communication between it and other devices.

The Bluetooth module is a Class 1 device that meets the Bluetooth v. 1.2 specifications utilizing the ISM frequency of 2.4 GHz with a variable output power maximum of 12 dBm. The module complies with FCC and CE Marking requirements.

5.4 Charging Station
The Charging Station is used to re-charge the Stimulator's Li-polymer battery.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

perineural

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

Based on the verification and validation testing presented, the comparison of ASCEND to the predicate supports a finding of substantial equivalence.

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

Not Found

Predicate Device(s)

K052313

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.2775 Electrical peripheral nerve stimulator.

(a)
Identification. An electrical peripheral nerve stimulator (neuromuscular blockade monitor) is a device used to apply an electrical current to a patient to test the level of pharmacological effect of anesthetic drugs and gases.(b)
Classification. Class II (performance standards).

0

K091155

SEP = 18 2009

13. 510(K) SUMMARY

510(k) Summary for NeuroMetrix ASCEND

1. SPONSOR

NeuroMetrix, Inc. 62 Fourth Avenue Waltham, MA 02451

Contact Person:Rainer Maas
Telephone:(781) 314-2781
Date Prepared:August 17, 2009

DEVICE NAME 2.

Proprietary Name:ASCEND
Common/Usual Name:Battery powered peripheral nerve stimulator
Classification Name:868.2775 BXN Electrical Peripheral Nerve Stimulator

PREDICATE DEVICES 3.

Stockert GmbH Stimuplex HNS 12 (K052313) .

4. INTENDED USE

ASCEND is a peripheral nerve stimulator used for localization and verification of needle placement for perineural application of pharmacological agents.

1

ત્ત્વ DEVICE DESCRIPTION

ASCEND is a battery powered peripheral nerve stimulator. This device is intended for localization and verification of needle placement for perineural application of pharmacological agents.

ASCEND consists of the following components:

5.1 Stimulator

The Stimulator contains the electronic circuitry and software required to electrically stimulate the peripheral nerve. It also contains other functionality such as the user interface.

5.2 Battery

The Stimulator is powered from a high capacity re-chargeable Li-polymer battery. The battery has a nominal voltage of 3.7 V DC and a maximum operating voltage range of 2.75 V to 4.2 V. Its rated capacity is 2140 mAh minimum, 2200 mAh typical. The battery has a built-in safety circuit. The battery is UL recognized.

5.3 Bluetooth

The Stimulator is equipped with a Bluetooth wireless module that provides serial communication between it and other devices.

The Bluetooth module is a Class 1 device that meets the Bluetooth v. 1.2 specifications utilizing the ISM frequency of 2.4 GHz with a variable output power maximum of 12 dBm. The module complies with FCC and CE Marking requirements.

5.4 Charging Station

The Charging Station is used to re-charge the Stimulator's Li-polymer battery.

2

BASIS FOR SUBSTANTIAL EQUIVALENCE 6.

ASCEND, which is the subject of this 510(k) Premarket Notification, is substantially equivalent to the predicate Stockert GmbH Stimuplex HNS 12 as previously cleared for marketing. Both ASCEND and the Stockert Stimuplex HNS 12 are used for peripheral nerve localization based on electrical stimulation and have the same Indications for Use.

The technological characteristics of the stimulator in ASCEND and the Stockert GmbH Stimuplex HNS 12 are the same or similar in specification. Based on the verification and validation testing presented, the comparison of ASCEND to the predicate supports a . finding of substantial equivalence.

3

Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with its wings spread, symbolizing protection and care. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 10903 New Hampshire Avenue Document Mail Center - WO66-G6 Silver Spring, MD 20993-0002

Mr. Rainer Maas Director of Quality Assurance/Regulatory Affairs NeuroMetrix, Incorporated 62 Fourth Avenue Waltham, Massachusetts 02451

SEP - 3 2009

K091155 Re:

Trade/Device Name: ASCEND Regulation Number: 21 CFR 868.2775 Regulation Name: Electrical Peripheral nerve Stimulator Regulatory Class: II Product Code: BXN Dated: August 17, 2009 Received: August 19, 2009

Dear Mr. Maas:

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 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.

4

Page 2 - Mr. Maas

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/cdrh/mdr/ for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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.

h for

Susan Runner, D.D.S., M.A. Acting Division Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

INDICATIONS FOR USE

510(k) Number (if known): Қо 9 // Г

Device Name: ASCEND

Intended Use:

NeuroMetrix ASCEND is a peripheral nerve stimulator used for localization and verification of needle placement for perineural application of pharmacological agents.

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)

Page 1 of 1

L. Schult

(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: K091155

NeuroMetrix. Inc. ASC1:ND 510(k)

April 17. 2009

CONFIDENTIAL Page ix