K Number
K161282
Device Name
FlexStim Neurostimulation Electrodes Model Numbers: 5050ROC1S, 5050ROC1W, 5050ROC2S, 5050ROC2W, 5050SQC1S, 5050SQC1W, 5050SQC2S, 5050SQC2W
Date Cleared
2016-10-30

(177 days)

Product Code
Regulation Number
882.1320
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Reusable, self-adhering Neurostimulation Electrodes are indicated for use with transcutaneous electrical stimulation devices. Some common types of transcutaneous stimulation devices include, but are not limited to, transepithelial nerve stimulation (TENS) and electrical muscle stimulation (EMS) devices. Transcutaneous Neurostimulation Electrodes are passive devices serving as an interface between a user's skin and a neurostimulation device.
Device Description
The FlexStim Neurostimulation Electrode is used as a transcutaneous electrical nerve stimulation electrode in conjunction with an electrical stimulator for TENS or EMS and available in backing materials such as, non-woven cloth and PE foam, conductive carbon film (low impedance and standard impedance) with lead wire and snap connection configurations. The device functions as a passive device by carrying an electrical signal from a neurostimulation device through the device cable and electrode lead wire or snap button to the user's skin.
More Information

Not Found

No
The device is described as a passive electrode that carries an electrical signal. There is no mention of AI or ML in the intended use, device description, or performance studies.

No
The device is described as a "passive device serving as an interface between a user's skin and a neurostimulation device," indicating it facilitates therapy but does not provide it itself.

No
The device is described as a "passive device" that "serves as an interface between a user's skin and a neurostimulation device", "carrying an electrical signal from a neurostimulation device through the device cable and electrode lead wire or snap button to the user's skin." This indicates its role in delivering stimulation, not in diagnosing conditions.

No

The device description explicitly states it is a physical electrode made of materials like non-woven cloth, PE foam, and conductive carbon film, functioning as a passive interface to carry an electrical signal. It undergoes physical performance testing (biocompatibility, electrical performance, adhesive performance, stability). There is no mention of software components or functions.

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

Here's why:

  • Intended Use/Indications for Use: The device is indicated for use with transcutaneous electrical stimulation devices (TENS and EMS) and serves as an interface between the skin and the device. This is a therapeutic application, not a diagnostic one.
  • Device Description: The description clearly states it's a "transcutaneous electrical nerve stimulation electrode" and functions as a "passive device by carrying an electrical signal." This aligns with a therapeutic device, not a diagnostic one that analyzes samples from the body.
  • No mention of analyzing samples: IVD devices are designed to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device does not do that.
  • No mention of diagnostic information: The purpose is to deliver electrical stimulation, not to provide diagnostic information about a patient's condition.

Therefore, the FlexStim Neurostimulation Electrode is a therapeutic device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Reusable, self-adhering Neurostimulation Electrodes are indicated for use with transcutaneous electrical stimulation devices. Some common types of transcutaneous stimulation devices include, but are not limited to, transepithelial nerve stimulation (TENS) and electrical muscle stimulation (EMS) devices. Transcutaneous Neurostimulation Electrodes are passive devices serving as an interface between a user's skin and a neurostimulation device.

Product codes

GXY

Device Description

The FlexStim Neurostimulation Electrode is used as a transcutaneous electrical nerve stimulation electrode in conjunction with an electrical stimulator for TENS or EMS and available in backing materials such as, non-woven cloth and PE foam, conductive carbon film (low impedance and standard impedance) with lead wire and snap connection configurations.
The device functions as a passive device by carrying an electrical signal from a neurostimulation device through the device cable and electrode lead wire or snap button to the user's skin.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Intact skin (refer IFU)

Indicated Patient Age Range

Adults

Intended User / Care Setting

Healthcare facility/hospital, Home

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)

  1. Biocompatibility: The biocompatibility evaluation for the FlexStim Neurostimulation Electrodes was conducted in accordance with the International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing within a Risk Management Process", as recognized by FDA. The battery of testing included Cytotoxicity, Sensitization, and Irritation. The skin-contacting material, conductive hydrogel, was found to be biocompatible for its intended use.
  2. Electrical Performance: Impedance testing of the product was performed using the Surface Electrode Analysis Meter (SEAM 10) by CALM Technologies Inc., Canada. The lead wire assembly is in compliance with the requirements of FDA performance standard 21 CFR Part 898 by testing under IEC 60601-1, sub-clause 56.3 (c).
  3. Adhesive Performance: The Peel Test was performed as per the International Standard Afera 5001. It was concluded that the design of the electrode ensures it will adhere to the patient's skin for a duration compatible with the intended use.
  4. Stability: FlexStim electrode samples underwent an accelerated shelf-life study at 40°C ± 2°C and 75 % ± 5 % relative humidity, tested at 0, 3 & 6 Months for impedance and peel adhesion. In parallel, samples were also kept at ambient temperature (25°C ± 2°C and 60 % ± 5 % relative humidity) and tested for impedance & peel adhesion for up to 11 months. The product passes electrical (impedance testing) and adhesive performance tests and is suitable for use up to 24 months when stored at 5°C - 30°C.

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

Not Found

Predicate Device(s)

K142099, K111270

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.1320 Cutaneous electrode.

(a)
Identification. A cutaneous electrode is an electrode that is applied directly to a patient's skin either to record physiological signals (e.g., the electroencephalogram) or to apply electrical stimulation.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, overlapping each other to create a sense of depth and unity. The profiles are simple and abstract, with flowing lines that suggest movement and progress.

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

October 30, 2016

Medico Electrodes International Ltd. Amit Seth Vice President Plot 142A/11, 12, 27, 28 &29, Noida Special Economic Zone Noida, Uttar Pradesh 201305 India

Re: K161282

Trade/Device Name: FlexStim Neurostimulation Electrodes Model Numbers: 5050ROC1S, 5050ROC1W, 5050ROC2S, 5050ROC2W, 5050SQC1S, 5050SQC1W, 5050SQC2S, 5050SQC2W Regulation Number: 21 CFR 882.1320 Regulation Name: Cutaneous Electrode Regulatory Class: Class II Product Code: GXY Dated: September 8, 2016 Received: September 28, 2016

Dear Amit Seth:

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. 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 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

1

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 contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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 Industry and Consumer Education 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.

Michael J. Hoffmann -A

for Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K161282

Device Name

FlexStim Neurostimulation Electrodes Model Numbers: 5050ROC1S, 5050ROC1W, 5050ROC2W, 5050SQC1S, 5050SQC1W, 5050SQC1W, 5050SQC2S, 5050SQC2W

Indications for Use (Describe)

Reusable, self-adhering neurostimulation electrodes are indicated for use with transcutaneous electrical stimulation devices. Some common types of transcutaneous stimulation devices include, but are not limited to, transepithelial nerve stimulation (TENS) and electrical muscle stimulation (EMS) devices. Transcutaneous neurostimulation electrodes are passive devices serving as an interface between a user's skin and a neurostimulation device.

Type of Use (Select one or both, as applicable)

☒ Prescription Use (Part 21 CFR 801 Subpart D)
☒ Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/0 description: The image shows the logo for MEDICO ELECTRODES. The logo features a stylized letter "M" intertwined with other shapes in blue and gray. The text "MEDICO ELECTRODES" is written in blue, sans-serif font to the right of the symbol.

510(k) Summary

(As required by 21 CFR 807.92)

I. SUBMITTER

Medico Electrodes International Ltd. Plot 142A/11, 12, 27, 28 & 29, Noida Special Economic Zone, Noida - 201305, Uttar Pradesh, India

Phone: 91-120-3042984 Fax: 91-120-3042986

Contact Person: Amit Seth Date Prepared: Oct 28, 2016

II. DEVICE

Name of Device: FlexStim Neurostimulation Electrodes Model Numbers: 5050ROC1S 5050ROC1W 5050ROC2S 5050ROC2W 5050SQC1S 5050SQC1W 5050SQC2S 5050SOC2W Common or Usual Name: Neurostimulation Electrodes Classification Name: Cutaneous electrode (21 CFR 882.1320) Regulatory Class: II Product Code: GXY

III. PREDICATE DEVICE

PROTENS Reusable Stimulating Electrodes, K142099 (Predicate Device 1) Reusable Stimulating Electrodes, K111270 (Predicate Device 2)

These predicate devices had not been subject to a design-related recall. No reference devices were used in these submissions.

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Image /page/4/Picture/0 description: The image shows the logo for MEDICO ELECTRODES. The logo features a stylized "M" and "J" intertwined within a circle on the left. The text "MEDICO ELECTRODES" is written in a sans-serif font to the right of the symbol.

IV. DEVICE DESCRIPTION

    1. Device Identification
      The FlexStim Neurostimulation Electrode is used as a transcutaneous electrical nerve stimulation electrode in conjunction with an electrical stimulator for TENS or EMS and available in backing materials such as, non-woven cloth and PE foam, conductive carbon film (low impedance and standard impedance) with lead wire and snap connection configurations.
    1. Device Characteristics
    • Software: Not Applicable ●
    • Biologics: Not Applicable ●
    • Drugs: Not Applicable
    • Any patient-contacting materials: Conductive hydrogel ●
    • Coatings: Not Applicable ●
    • Additives: Not Applicable ●
    • The electrodes are designed for single patient/multiple application use ●
    • The device is not a sterile product, therefore sterilization is not required
    1. Environment of Use:
    • Healthcare facility/hospital .
    • . Home
    1. Description of the Device

The device functions as a passive device by carrying an electrical signal from a neurostimulation device through the device cable and electrode lead wire or snap button to the user's skin.

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Image /page/5/Picture/0 description: The image shows the logo for MEDICO ELECTRODES. The logo consists of a stylized graphic of the letters 'M' and 'J' intertwined, with the word 'MEDICO' in blue, sans-serif font to the right of the graphic. The word 'ELECTRODES' is also in blue, sans-serif font and is placed to the right of 'MEDICO'.

    1. Materials of Use
S. No.ComponentDescription/Material of Construction
1Backing material(s)Non-woven cloth/PE foam
2Lead wire having insulation on female connectorWire length: 114.3 mm or 4.5" (104.3 mm or 4.1" - 124.3 mm or 4.9")
Din size: 2.0 mm
3Stud/Snap (for electrodes without lead wire)Stainless steel
4Sensor/Eyelet (for electrodes without lead wire)Glass filled ABS with Ag/AgCl coating
5Carbon filmConductive carbon film (low impedance and standard impedance)
6GelConductive hydrogel
7Release linerPET i.e., Polyethylene terephthalate

V. INDICATIONS FOR USE

Reusable, self-adhering Neurostimulation Electrodes are indicated for use with transcutaneous electrical stimulation devices. Some common types of transcutaneous stimulation devices include, but are not limited to, transepithelial nerve stimulation (TENS) and electrical muscle stimulation (EMS) devices. Transcutaneous Neurostimulation Electrodes are passive devices serving as an interface between a user's skin and a neurostimulation device.

VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

The FlexStim Neurostimulation Electrodes exhibit technological characteristics that are substantially equivalent to those of the predicate devices, as determined by both component usage and physical testing.

The Substantial Equivalence summary is described below:

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Image /page/6/Picture/0 description: The image shows the logo for Medico Electrodes. The logo consists of a stylized letter "M" intertwined with other shapes, followed by the text "MEDICO ELECTRODES" in a sans-serif font. The color scheme is primarily blue, with some elements in a lighter shade of gray.

| S. No. | Areas of
Comparison | Subject Device
FlexStim
Neurostimulation
Electrodes
(Manufactured by Medico
Electrodes International
Ltd., India) | Predicate Device 1
PROTENS Reusable
Stimulating Electrodes
(K142099)
(Manufactured by
Bio Protech Inc., Korea) | Predicate Device 2
Reusable Stimulating
Electrodes (K111270)
(Manufactured by
Bio Protech Inc., Korea) |
|--------|------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 1 | Intended Use /
Indications for
Use | Reusable, self-adhering,
Neurostimulation Electrodes
are indicated for use with
transcutaneous electrical
stimulation devices. Some
common types of
transcutaneous stimulation
devices include, but are not
limited to, transepithelial
nerve stimulation (TENS)
and electrical muscle
stimulation (EMS) devices.
Transcutaneous
Neurostimulation Electrodes
are passive devices serving
as an interface between a
user's skin and a
neurostimulation device. | PROTENS reusable, self-
adhering, over-the-counter
Cutaneous electrodes are
indicated for use with
electrical stimulation
device. Some common
types of electrical
stimulation device include,
but are not limited to,
transcutaneous nerve
stimulation (TENS),
electrical muscle
stimulation (EMS) device,
Neuromuscular Electrical
Stimulation (NMES/FES)
device and Microcurrent
electrical nerve stimulation
(MENS), Interferential
Stimulation (IF).
Cutaneous electrodes are
passive devices serving as
an interface between a
user's skin and an
electrical stimulation | Bio Protech Reusable
Stimulating electrodes are
intended to be used to
apply electrical stimulation
current to the patient's skin
or to record physiological
signals.
Electrical stimulation
current applications of
these electrodes are:
a) Transcutaneous
Electrical Nerve Stimulation
(TENS) for pain relief
b) Electrical muscle
stimulation (EMS)
c) Functional electrical
stimulation (FES)
d) Microcurrent electrical
nerve stimulation (MENS)
e) Interferential stimulation
(IF)
f) Neuromuscular electrical
stimulation (NMES) |
| S. No. | Areas of
Comparison | Subject Device
FlexStim
Neurostimulation
Electrodes
(Manufactured by Medico
Electrodes International
Ltd., India) | Predicate Device 1
PROTENS Reusable
Stimulating Electrodes
(K142099)
(Manufactured by
Bio Protech Inc., Korea) | Predicate Device 2
Reusable Stimulating
Electrodes (K111270)
(Manufactured by
Bio Protech Inc., Korea) |
| 2 | Target
population | Adults | device. | Adults |
| 3 | Anatomical site | Intact skin (refer IFU) | Intact skin (refer IFU) | Intact skin (refer IFU) |
| 4 | Where used | Hospital, clinic and home
use environment | Hospital, clinic and home
use environment | Hospital, clinic and home
use environment |
| 5 | Design | Cutaneous electrode which
conducts an electrical signal
from a neurostimulation
device through a lead wire
or snap button; which is
dispersed from the wire
across a conductive
surface; then transmitted
through the conductive
adhesive gel to the surface
of the patient's skin. | Cutaneous electrode which
conducts an electrical
signal from a
neurostimulation device
through a lead wire; which
is dispersed from the wire
across a conductive
surface; then transmitted
through the conductive
adhesive gel to the surface
of the patient's skin. | Cutaneous electrode which
conducts an electrical signal
from a neurostimulation
device through a lead wire;
which is dispersed from the
wire across a conductive
surface; then transmitted
through the conductive
adhesive gel to the surface
of the patient's skin. |
| 6 | Materials | Basic components:
• Backing material
(Non-woven cloth/PE
foam)
• Lead wire and snap
connection
configurations | Basic components:
• Backing material
(Non-woven
cloth/PE
Foam/Tricot)
• Lead wire and snap
connection | Basic components:
• Backing material
(Non-woven cloth/PE
Foam/Tricot)
• Lead wire and snap
connection
configurations |
| S. No. | Areas of
Comparison | Subject Device
FlexStim
Neurostimulation
Electrodes
(Manufactured by Medico
Electrodes International
Ltd., India) | Predicate Device 1
PROTENS Reusable
Stimulating Electrodes
(K142099)
(Manufactured by
Bio Protech Inc., Korea) | Predicate Device 2
Reusable Stimulating
Electrodes (K111270)
(Manufactured by
Bio Protech Inc., Korea) |
| | | Conductive carbon film Hydrogel PET liner | configurations Conductive carbon/silver film Hydrogel Transparent PET liner | Conductive carbon/silver film Hydrogel Transparent PET liner |
| 7 | Performance | Based on successful
biocompatibility testing of
the skin contacting
conductive hydrogel,
impedance testing of the
product, electrical
performance of the
insulated lead wire
components, adhesive
performance and stability,
the FlexStim
Neurostimulation Electrodes
are safe and effective when
used as an interface
between a user's skin and
an approved
neurostimulation devices. | Based on successful
biocompatibility testing of
the skin contacting
conductive hydrogel,
impedance testing of the
product, electrical
performance of the
insulated lead wire
components and adhesive
performance, the
PROTENS Reusable
Stimulating Electrodes are
safe and effective when
used as an interface
between a user's skin and
an approved
neurostimulation devices. | Based on successful
biocompatibility testing of
the skin contacting
conductive hydrogel,
impedance testing of the
product, electrical
performance of the
insulated lead wire
components and adhesive
performance, the Reusable
Stimulating Electrodes are
safe and effective when
used as an interface
between a user's skin and
an approved
neurostimulation devices. |
| 8 | Biocompatibility | The skin-contacting | Hydrogel | Hydrogel |
| S. No. | Areas of
Comparison | Subject Device
FlexStim
Neurostimulation
Electrodes
(Manufactured by Medico
Electrodes International
Ltd., India) | Predicate Device 1
PROTENS Reusable
Stimulating Electrodes
(K142099)
(Manufactured by
Bio Protech Inc., Korea) | Predicate Device 2
Reusable Stimulating
Electrodes (K111270)
(Manufactured by
Bio Protech Inc., Korea) |
| | | material i.e., hydrogel was
found to be biocompatible
for its intended use as per
ISO 10993-1 standard. | Bio-Compatible High Adhesion | Bio-Compatible High Adhesion |
| 9 | Differences | | | |
| | Intended Use | Intended to be used to
apply electrical stimulation
current to the patient's skin | Intended to be used to
apply electrical stimulation
current to the patient's
skin | Intended to be used to
apply electrical stimulation
current to the patient's skin
or to record physiological
signals. |
| | Materials | FlexStim
Neurostimulation
Electrodes use Non-
woven cloth and PE
foam as the backing
materials Conductive carbon
film | Reusable Stimulating Electrodes use backing
materials such as Non-woven cloth, PE Foam,
Tricot Conductive film – carbon film or silver film | Reusable Stimulating Electrodes use backing
materials such as Non-woven cloth, PE Foam,
Tricot Conductive film – carbon film or silver film |
| | Method of sale
and supply | We claim that these
electrodes can be sold as
OTC (21 CFR 801 Subpart
C) as well as Prescription
(21 CFR 801 Subpart D)
medical devices. | The devices are currently
being sold as OTC medical
devices. | The devices are currently
being sold as Prescription
medical devices. |

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Image /page/7/Picture/0 description: The image shows the logo for Medico Electrodes. The logo features the letters 'M' and 'J' in a stylized design, with the word 'MEDICO' in bold blue letters and 'ELECTRODES' in a smaller font size next to it. The color scheme is primarily blue and gray.

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Image /page/8/Picture/0 description: The image shows the logo for Medico Electrodes. The logo features a stylized letter "M" in blue, intertwined with a gray element. The text "MEDICO ELECTRODES" is written in a sans-serif font to the right of the logo, with the words in all caps and in a matching blue color.

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Image /page/9/Picture/0 description: The image shows the logo for Medico Electrodes. The logo consists of a stylized letter "M" and "J" on the left side, with the text "MEDICO ELECTRODES" on the right side. The text is in a sans-serif font and is colored in a light blue color. The logo is simple and modern, and it is likely used to represent the company's brand.

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Image /page/10/Picture/0 description: The image shows the logo for MEDICO ELECTRODES. The logo consists of a stylized letter "M" in light blue, with a gray letter "J" behind it. To the right of the letters is the text "MEDICO ELECTRODES" in a sans-serif font, also in light blue. The logo is simple and modern, and the use of color is eye-catching.

VII. PERFORMANCE DATA

The following performance data is being provided in support of the substantial equivalence determination.

1. Biocompatibility

The biocompatibility evaluation for the FlexStim Neurostimulation Electrodes was conducted in accordance with the International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing within a Risk Management Process", as recognized by FDA. The battery of testing included the following tests:

  • Cytotoxicity
  • · Sensitization
  • · Irritation

The skin-contacting material i.e., conductive hydrogel was found to be biocompatible for its intended use.

2. Electrical Performance

Impedance testing of the product was performed using the Surface Electrode Analysis Meter (SEAM 10). The equipment has been designed by CALM Technologies Inc., Canada to test the impedance of Neurostimulation Electrodes under a wide range of current pulse inputs, thereby assuring that the electrode has conductive properties appropriate to the device's intended use.

As per the Certificate of Compliance (CoC) received from the vendor of lead wire, the lead wire assembly is in compliance with the requirements of FDA performance standard 21 CFR Part 898 by testing under IEC 60601-1, sub-clause 56.3 (c).

3. Adhesive Performance

In order to assure that the electrode's adhesive performance is substantially equivalent to the predicate devices, the Peel Test was performed as per the International Standard Afera 5001. Based on the results, it was concluded that the design of the electrode ensures that it will adhere to the patient's skin for a duration of use compatible with the intended use of the device.

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Image /page/11/Picture/0 description: The image shows the logo for MEDICO ELECTRODES. The logo consists of a stylized letter "M" in light blue, intertwined with a gray shape. To the right of the symbol, the words "MEDICO ELECTRODES" are written in a bold, sans-serif font, also in light blue.

4. Stability

  • FlexStim electrode samples had undergone an accelerated shelf-life study when kept at 40°C ± 2°C and relative humidity of 75 % ± 5 % in a Calibrated Stability Chamber (SC-01) and tested at 0, 3 & 6 Months to monitor the critical parameters of finished device such as impedance and peel adhesion.
  • Apart from samples kept at accelerated ageing temperature, in parallel, samples were ● also kept at ambient temperature (25°C ± 2°C and relative humidity of 60 % ± 5 %) and tested for impedance & peel adhesion to demonstrate performance of the hydrogel for up to 11 months.
  • As per the accelerated and real time stability study results, it is concluded that the . product passes electrical (impedance testing) and adhesive performance test. The product is suitable for use up to 24 months when stored at 5°C - 30°C. This further implies that the hydrogel is stable and resist physical and chemical breakdown as a result of conducting electrical current and extended periods of storage over a range of environmental conditions.

VIII. CONCLUSIONS

Medico Electrodes International Ltd., India considers the FlexStim Neurostimulation Electrodes to be as safe and effective as the predicate devices PROTENS Reusable Stimulating Electrodes (K142099) and Reusable Stimulating Electrodes (K111270) as the subject device has identical indications for use, technological characteristics (including design and materials) and performance specifications as compared to the predicate devices already being legally marketed in the United States. Thus, the device is substantially equivalent to the predicates and any difference between the devices do not pose new questions of safety and effectiveness.