K Number
K110742
Device Name
ONESTEP ADULT MULTI-FUNCTION ELECTRODE
Date Cleared
2011-04-13

(27 days)

Product Code
Regulation Number
870.5310
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Intended Use: - Defibrillation . - Cardioversion ● - Noninvasive Pacing - . ECG Monitoring - CPR Sensor . For use with ZOLL @ Defibrillators: - R Series ◆ - M Series ● By Trained Personnel only, Including: - Physicians . - Nurses ◆ - Paramedics . - Emergency Medical Technicians . - Cardiovascular Laboratory Technicians . The OneStep Adult Electrodes are not indicated for use on a patient less than 8 years of age or weighs less than 55 Lbs. (25Kg).
Device Description
The OneStep Electrode System is intended for use with ZOLL R Series and M Series for ECG Monitoring, Defibrillation, External Noninvasive Pacing, Cardioversion and CPR Sensor of adult patients in either the hospital or pre-hospital environment. Through part number selection you can choose the full featured Complete model down to the Basic version which offers fewer therapy options. The OneStep Adult Electrodes consist of 5 versions related to the combination of features included with the electrodes. The system is comprised of a single use, disposable electrode made of solid hydrogel with a pure tin electrical conductive element having a polyethylene terephtalate (PET) backing with an adhesive perimeter suitable for coupling to patient skin during rescue and/or treatment. By product selection it is determined whether all therapy providing options are available or a reduced choice is made as applicable to caregiver needs.
More Information

Not Found

No
The summary describes a disposable electrode system for use with defibrillators, focusing on its physical components and intended uses (defibrillation, pacing, monitoring, CPR sensing). There is no mention of AI or ML in the device description, intended use, or performance studies.

Yes.
The device's intended uses, such as Defibrillation, Cardioversion, and Noninvasive Pacing, are all therapeutic interventions designed to treat medical conditions.

No

The device is primarily intended for therapeutic interventions such as defibrillation, cardioversion, and pacing, as well as monitoring functions like ECG and CPR sensing, which are supportive of treatment rather than primary diagnostic activities.

No

The device description explicitly states the system is comprised of a single-use, disposable electrode made of solid hydrogel with a pure tin electrical conductive element and a PET backing, which are physical hardware components.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The OneStep Adult Electrodes are used externally on the patient's skin for therapeutic and monitoring purposes (defibrillation, cardioversion, pacing, ECG monitoring, CPR sensing). They do not analyze samples taken from the body.
  • Intended Use: The intended use clearly describes direct patient contact and therapeutic/monitoring actions, not laboratory analysis of biological samples.

Therefore, this device falls under the category of a medical device used for direct patient care, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Intended Use:

  • Defibrillation .
  • Cardioversion ●
  • Noninvasive Pacing
  • . ECG Monitoring
  • CPR Sensor .

For use with ZOLL @ Defibrillators:

  • R Series ◆
  • M Series ●

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

MKJ, DRO, DQA, LDD, LIX

Device Description

The OneStep Electrode System is intended for use with ZOLL R Series and M Series for ECG Monitoring, Defibrillation, External Noninvasive Pacing, Cardioversion and CPR Sensor of adult patients in either the hospital or pre-hospital environment.

Through part number selection you can choose the full featured Complete model down to the Basic version which offers fewer therapy options. The OneStep Adult Electrodes consist of 5 versions related to the combination of features included with the electrodes. The chart below contains the versions and their features:

VersionMFECPRMWPSelf TestZOLL Part Number
OneStep Completexxxx8900-0214-01
OneStep CPR AAxxx8900-0217-01
OneStep CPR APxxx8900-0213-01
OneStep Pacing (MWP)xxx8900-0212-01
OneStep Basicxx8900-0211-01

OneStep Electrode Versions:
MFE - Multi-Function Electrode
CPR - CPR Sensor
(Cardiopulmonary Resuscitation Aid)
MWP - Imbedded ECG Electrodes in front pad for pacing (MWP = Monitor While Pace)
AA - Optimized for Anterior / Anterior Placement
AP - Anterior / Posterior Placement

The system is comprised of a single use, disposable electrode made of solid hydrogel with a pure tin electrical conductive element having a polyethylene terephtalate (PET) backing with an adhesive perimeter suitable for coupling to patient skin during rescue and/or treatment. By product selection it is determined whether all therapy providing options are available or a reduced choice is made as applicable to caregiver needs.

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

The OneStep Adult Electrodes are not indicated for use on a patient less than 8 years of age or weighs less than 55 Lbs. (25Kg).

Intended User / Care Setting

By Trained Personnel only, Including:

  • Physicians .
  • Nurses ◆
  • Paramedics .
  • Emergency Medical Technicians .
  • Cardiovascular Laboratory Technicians .

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 OneStop Electrode System has been subjected to extensive performance testing to ensure the device meets all of its functional requirements and performance specifications as defined in applicable National/International recognized standards. The ZOLL OneStep Electrode Family has been in clinical service since the latter part of October, 2006 through a substantial equivalence determination by FDA for clearance to distribute through a Traditional 510(k) process. This Special 510(k) has been compiled to address the relocation of the self test continuity circuit from the opening process of the pouch to two disconnect points on each electrode. Upon electrode removal from the release liner material, exposed when the pouch is opened, the self test circuit will disengage allowing therapy to be carried-out. It is our intent to present a safer and more reliable circuit disconnects to enhance the effectiveness of the self test process.

Validation Project Number (VPN) 0730 addresses design validation to ensure the safety and effectiveness considerations have been successful in integrating the OneStep electrode with previously stated ZOLL defibrillators and performs as well and/or better than the legally marketed predicate devices. Applicable standards are defined in Form FDA 3514, VPN 0730 and Section 2. Device Description, within this premarket submission.

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.

K060559, K051076

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

K110742

NCORPORA

APR 1 3 2011

510(k) Summary: Rev. 5

Submitter's Name and Address:

Bio-Detek, Inc. A Division of ZOLL® Medical Corporation 525 Narragansett Park Drive Pawtucket, RI 02861 Tel. (401) 729-1400

Contact Person: Robert Morse Director, Regulatory Affairs Tel. (866) 639-0060 x. 224

Date Summary Prepared: February 23, 2011

Device Name: OneStep ™ Adult Multi-Function Electrode (MFE)

Classification Name:

Electrode, Electrocardiograph, Multi-Function with CPR Sensor; Accessory to an Automated External Defibrillator

Substantial Equivalence:

The OneStep Electrode Family is substantially equivalent to ZOLL ready-padz OneStep Electrodes that were FDA cleared on 510(k), K060559. In addition, the OneStep Electrode is substantially equivalent to the originally cleared ZOLL stat: padz MWP identified on 510(k), K051076. The intent is to show that the OneStep Electrodes will assist in providing therapy for Defibrillation, Cardioversion, External Noninvasive Pacing, ECG Monitoring and CPR Sensor comparable to the previously cleared devices, for use with ZOLL Defibrillators. All of the cleared devices are in the . Regulatory Class III category.

Description of Device:

The OneStep Electrode System is intended for use with ZOLL R Series and M Series for ECG Monitoring, Defibrillation, External Noninvasive Pacing, Cardioversion and CPR Sensor of adult patients in either the hospital or pre-hospital environment.

525 Narragansell Park Drive, Pawtucket, Rhode Island 02861-4323, Tel. (401) 729-1400 or (800) 729-1408

1

Through part number selection you can choose the full featured Complete model down to the Basic version which offers fewer therapy options. The OneStep Adult Electrodes consist of 5 versions related to the combination of features included with the electrodes. The chart below contains the versions and their features:

VersionMFECPRMWPSelf TestZOLL Part Number
OneStep Completexxxx8900-0214-01
OneStep CPR AAxxx8900-0217-01
OneStep CPR APxxx8900-0213-01
OneStep Pacing (MWP)xxx8900-0212-01
OneStep Basicxx8900-0211-01

OneStep Electrode Versions:

MFE - Multi-Function Electrode

CPR - CPR Sensor

(Cardiopulmonary Resuscitation Aid)

MWP - Imbedded ECG Electrodes in front pad for pacing (MWP = Monitor While Pace)

AA - Optimized for Anterior / Anterior Placement

AP - Anterior / Posterior Placement

The system is comprised of a single use, disposable electrode made of solid hydrogel with a pure tin electrical conductive element having a polyethylene terephtalate (PET) backing with an adhesive perimeter suitable for coupling to patient skin during rescue and/or treatment. By product selection it is determined whether all therapy providing options are available or a reduced choice is made as applicable to caregiver needs.

Indications for Use

Device Name: OneStep™ Adult Multi-Function Electrode

Intended Use:

  • Defibrillation .
  • Cardioversion ●
  • Noninvasive Pacing �
  • . ECG Monitoring
  • CPR Sensor .

For use with ZOLL @ Defibrillators:

  • R Series ◆
  • M Series ●

2

By Trained Personnel only, Including:

  • Physicians .
  • Nurses ◆
  • Paramedics .
  • Emergency Medical Technicians .
  • Cardiovascular Laboratory Technicians .

The OneStep Adult Electrodes are not indicated for use on a patient less than 8 years of age or weighs less than 55 Lbs. (25Kg).

Comparison of Technological Characteristics:

The intended use of the OneStep Multi-Function Electrodes as described in the indications for use, and labeling has not changed as a result of this submission. For the connection of the OneStep Family of Electrodes in this submission to the ZOLL defibrillator cables are similar to the predicate devices with the addition of the M Series utilizing an adaptor for CPR Monitoring functionality which can be procured under ZOLL part number 8000-0599. The OneStep MFE's within this submission as compared to the two ZOLL predicate electrode devices using the same hydrogel, acrylic adhesive closed cell foam and have a conductive area of the same dimensional size that meet/exceed National and International Standards ANSI/AAMI DF80 and EN 60601-2-4 respectively.

Nonclinical Testing & Clinical Service:

The OneStop Electrode System has been subjected to extensive performance testing to ensure the device meets all of its functional requirements and performance specifications as defined in applicable National/International recognized standards. The ZOLL OneStep Electrode Family has been in clinical service since the latter part of October, 2006 through a substantial equivalence determination by FDA for clearance to distribute through a Traditional 510(k) process. This Special 510(k) has been compiled to address the relocation of the self test continuity circuit from the opening process of the pouch to two disconnect points on each electrode. Upon electrode removal from the release liner material, exposed when the pouch is opened, the self test circuit will disengage allowing therapy to be carried-out. It is our intent to present a safer and more reliable circuit disconnects to enhance the effectiveness of the self test process.

Validation Project Number (VPN) 0730 addresses design validation to ensure the safety and effectiveness considerations have been successful in integrating the OneStep electrode with previously stated ZOLL defibrillators and performs as well and/or better than the legally marketed predicate devices. Applicable standards are defined in Form FDA 3514, VPN 0730 and Section 2. Device Description, within this premarket submission.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the circumference. Inside the circle is a stylized emblem featuring three abstract, curved shapes that resemble a bird in flight or flowing ribbons.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Zoll Medical Corporation c/o Mr. Robert Morse Bio-Detek, Inc. 525 Narragansett Park Drive Pawtucket, RI 02861

APR 1 3 2011

Re: K110742

Trade/Device Name: Onestep Adult Multi-function Electrode Regulation Number: 21 CFR 870.5310 Regulation Name: Automated External Defibrillator Regulatory Class: Class III Product Code: MKJ, DRO, DQA, LDD, LIX Dated: March 1.7, 2011 Received: March 18, 2011

Dear Mr. Morse:

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. Iisting of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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

4

Page 2 - Mr. Robert Morse

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.

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/MedicalDevices/Safety/ReportaProblem/default.htm 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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours?

signature

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

Enclosure

5

Indications for Use

510(k) number (if known): _ 长 ١١٥٦٧ 2

Device Name: OneStep™ Adult Multi-Function Electrode

Intended Use:

  • Defibrillation .
  • Cardioversion .
  • Noninvasive Pacing �
  • ECG Monitoring .
  • CPR Sensor, (Optional) �

For use with ZOLL وه Defibrillators:

  • R Series .
  • M Series .

By Trained Personnel only, Including:

  • Physicians ●
  • Nurses ●
  • Paramedics .
  • Emergency Medical Technicians .
  • Cardiovascular Laboratory Technicians ●

The OneStep Adult Electrodes are not indicated for use on a patient less than 8 years of age or weighs less than 55 Lbs. (25Kg).

(Please do not write below this line - Continue on another page if necessary)

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
for Division of Cardiovascular Devices
510(k) NumberK110 792
Prescription UseOROver the Counter Use
(Per 21 CFR 801.109)Rev. 4