K Number
K220448
Device Name
Disposable Non-invasive EEG Sensor
Date Cleared
2023-01-19

(337 days)

Product Code
Regulation Number
882.1320
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Disposable Non-invasive EEG Sensor is applied directly to the patient's skin to enable recordings of electrophysiological (such as EEG) signals.
Device Description
Disposable Non-invasive EEG Sensor is a sensor assembly with pre-gelled electroencephalogram (EEG) electrodes. The Sensor is applied to the skin of the patient to record electrophysiological (such as EEG) signals. It is a low impedance, single patient use, non-sterile disposable electrode sensor that is designed for application to areas including forehead, temporal, above eyebrow and mastoid process. The Sensor is designed to provide ease of use and electrode placement accuracy. It is used in conjunction with a monitor with an EEG module. The sensor design is constructed using FPC (Flexible Printed Circuit Board) and medical foam. Place the foam plate and conductive gel on the FPC board. The bottom of the foam is covered with medical grade pressure sensitive adhesive for skin adhesion. A printed circuit board, which is part of the FPC board and printed with conductive silver chloride, is pasted on the other side of the foam. The flexible foam wrapped with conductive gel is used to contact the skin. When the flexible foam contacts the skin, the conductive gel will connect the skin with the FPC board to form a conductive bridge. The silver/silver chloride circuit provides signal continuity from each electrode to the monitor. The FPC board is attached to site like forehead and transmits EEG signals.
More Information

Not Found

No
The description focuses solely on the physical components and function of a disposable EEG sensor for signal acquisition. There is no mention of any software, algorithms, or data processing that would indicate the use of AI or ML.

No
The device is described as an EEG sensor used to record electrophysiological signals, not to treat a condition. It is used "in conjunction with a monitor with an EEG module," implying it is a diagnostic tool, not a therapeutic one.

No

The device is described as a sensor that records electrophysiological (EEG) signals. While these signals can be used for diagnostic purposes, the device itself is an input tool (a sensor assembly with electrodes), not a device that performs the diagnosis or analysis of those signals. It states it is "used in conjunction with a monitor with an EEG module," implying the monitor and its module would be involved in the diagnostic interpretation.

No

The device description clearly details a physical sensor assembly with pre-gelled electrodes, FPC board, foam, conductive gel, and adhesive, indicating it is a hardware device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens derived from the human body (like blood, urine, tissue) outside of the body to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Disposable Non-invasive EEG Sensor is applied directly to the patient's skin to record electrophysiological signals (EEG). It is a sensor that captures electrical activity from the body itself, not from a sample taken from the body.
  • Intended Use: The intended use is to enable recordings of electrophysiological signals, which is a measurement of the body's electrical activity, not an analysis of a biological sample.

Therefore, this device falls under the category of a medical device that interacts with the body directly to collect physiological data, rather than an IVD that analyzes samples taken from the body.

N/A

Intended Use / Indications for Use

Disposable Non-invasive EEG Sensor is applied directly to the patient's skin to enable recordings of electrophysiological (such as EEG) signals.

Product codes

GXY

Device Description

Disposable Non-invasive EEG Sensor is a sensor assembly with pre-gelled electroencephalogram (EEG) electrodes. The Sensor is applied to the skin of the patient to record electrophysiological (such as EEG) signals. It is a low impedance, single patient use, non-sterile disposable electrode sensor that is designed for application to areas including forehead, temporal, above eyebrow and mastoid process. The Sensor is designed to provide ease of use and electrode placement accuracy. It is used in conjunction with a monitor with an EEG module.

The sensor design is constructed using FPC (Flexible Printed Circuit Board) and medical foam. Place the foam plate and conductive gel on the FPC board. The bottom of the foam is covered with medical grade pressure sensitive adhesive for skin adhesion. A printed circuit board, which is part of the FPC board and printed with conductive silver chloride, is pasted on the other side of the foam. The flexible foam wrapped with conductive gel is used to contact the skin. When the flexible foam contacts the skin, the conductive gel will connect the skin with the FPC board to form a conductive bridge. The silver/silver chloride circuit provides signal continuity from each electrode to the monitor. The FPC board is attached to site like forehead and transmits EEG signals.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

forehead, temporal, above eyebrow and mastoid process

Indicated Patient Age Range

Adult and pediatric

Intended User / Care Setting

Prescription Use

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 safety and effectiveness of the subject device are demonstrated through testing following ANSI/AAMI ES60601-1 General requirements for basic safety and essential performance and ANSI/AAMI EC12: 2000/(R)2015 Disposable ECG Electrodes. The results of bench testing provides reasonable assurance that the proposed device has been designed and validated to assure conformance to the requirements for its indication for use. Package integrity and functional performance testing were completed on the subject device following Accelerated aging test to support the proposed shelf life.

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

Not Found

Predicate Device(s)

K143506, K062580

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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January 19, 2023

Shenzhen Med-link Electronics Tech Co., Ltd. Yi Liu Regulatory Affairs Specialist 4th and 5th Floor, Building Two, Hualian Industrial Zone, Xinshi Community, Dalang Street Shenzhen, Guangdong 518109 China

Re: K220448

Trade/Device Name: Disposable Non-invasive EEG Sensor (Models: B-BIS-6A, B-BIS-6A-02, B-BIS-6A-01, B-BIS-6A-03, B-BIS-5A, B-BIS-5A-01, B-BIS-4A, B-BIS-4A-01, B-BIS-4P, B-BIS-4P-01, B-BIS-3A, B-BIS-3A-02, B-BIS-3A-01, B-BIS-3A-03, B-BIS-3AL, B-BIS-3AL-01, B-BIS-3AR, B-BIS-3AR-01) Regulation Number: 21 CFR 882.1320 Regulation Name: Cutaneous electrode Regulatory Class: Class II Product Code: GXY Dated: February 11, 2022 Received: February 16, 2022

Dear Yi Liu:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.

1

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 of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Tushar Bansal -S

for Heather Dean, PhD Assistant Director THT5B3: Acute Injury Devices Team DHT5B: Division of Neuromodulation and Physical Medicine Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K220448

Device Name

Disposable Non-invasive EEG Sensor (Device Models: B-BIS-6A-02, B-BIS-6A-01, B-BIS-6A-03, B-BIS-5A, B-BIS-5A, 01. B-BIS-4A. B-BIS-4A-01, B-BIS-4P. B-BIS-4P-01. B-BIS-3A, B-BIS-3A-01, B-BIS-3A-03. B-BIS-3AL, B-BIS-3AL-01, B-BIS-3AR, B-BIS-3AR-01)

Indications for Use (Describe)

Disposable Non-invasive EEG Sensor is applied directly to the patient's skin to enable recordings of electrophysiological (such as EEG) signals.

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

This 510(k) summary is being submitted in accordance with the requirements of 21 CFR 807.92. Type of submission: Traditional The assigned 510(k) number is: K220448

1. Submitter information

Manufacturer Name: Shenzhen Med-link Electronics Tech Co., Ltd. Address: 4th and 5th Floor, Building Two, Hualian Industrial Zone, Xinshi Community, Dalang Street, Longhua District, 518109 Shenzhen, PEOPLE'S REPUBLIC OF CHINA Tel: 0086-755-61568825 Fax: 0086-755-61120055 Establishment Registration Number: 3006636961

2. Correspondent

Yi Liu (Regulatory Affairs Specialist) E-mail: user22(@med-linket.com

3. Data of Preparation

  1. Feb. 2022

4. Identification of the Device

Trade Name: Disposable Non-invasive EEG Sensor (Device Models: B-BIS-6A-02, B-BIS-6A-01, B-BIS-6A-03, B-BIS-5A, B-BIS-5A-01, B-BIS-4A, B-BIS-4A-01, B-BIS-4P-01, B-BIS-3A, B-BIS-3A-02, B-BIS-3A-01, B-BIS-3A-03, B-BIS-3AL, B-BIS-3AL-01, B-BIS-3AR, B-BIS-3AR-01)

Common Name: EEG Sensor

Classification Regulation: 21 CFR 882.1320

Regulation Name: Cutaneous electrode

Product Code: GXY

Class: II

Review Panel: Neurology

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5. Identification of the Predicate Device

| No. | Device
Name | Common
Name | Manufacturer | Classification
and Product
Code | Classification
Regulation | 510(k)
Number |
|-----|--------------------------------------------------------------------------------------------------------------------------|--------------------------------------|---------------|---------------------------------------|------------------------------|------------------|
| 1 | Covidien
BIS Sensors
(BIS Quatro
Sensor, BIS
Extend, BIS
Pediatric
Sensor, BIS
Bilateral
Sensor) | Electrode,
Cutaneous
Electrode | Medtronic Plc | Class II,
GXY | 21 CFR
882.1320 | K143506 |
| 2 | GE Entropy
Sensor | Entropy
Sensor | GE Healthcare | Class II,
GXY | 21 CFR
882.1320 | K062580 |

Table 1 Predicate Device Information

6. Intended Use and Indications for Use of the Subject Device

Disposable Non-invasive EEG Sensor is applied directly to the patient's skin to enable recordings of electrophysiological (such as EEG) signals.

7. Device Description

Disposable Non-invasive EEG Sensor is a sensor assembly with pre-gelled electroencephalogram (EEG) electrodes. The Sensor is applied to the skin of the patient to record electrophysiological (such as EEG) signals. It is a low impedance, single patient use, non-sterile disposable electrode sensor that is designed for application to areas including forehead, temporal, above eyebrow and mastoid process. The Sensor is designed to provide ease of use and electrode placement accuracy. It is used in conjunction with a monitor with an EEG module.

The sensor design is constructed using FPC (Flexible Printed Circuit Board) and medical foam. Place the foam plate and conductive gel on the FPC board. The bottom of the foam is covered with medical grade pressure sensitive adhesive for skin adhesion. A printed circuit board, which is part of the FPC board and printed with conductive silver chloride, is pasted on the other side of the foam. The

5

Medlinket

flexible foam wrapped with conductive gel is used to contact the skin. When the flexible foam contacts the skin, the conductive gel will connect the skin with the FPC board to form a conductive bridge. The silver/silver chloride circuit provides signal continuity from each electrode to the monitor. The FPC board is attached to site like forehead and transmits EEG signals.

ItemProposed DevicePredicate Device #1Predicate Device #2Discussion
Trade
nameDisposable
Non-invasive EEG
SensorCovidien BIS Sensors
(BIS Quatro Sensor,
BIS Extend, BIS
Pediatric Sensor, BIS
Bilateral Sensor)GE Entropy SensorN/A
510(K)
SubmitterShenzhen Med-link
Electronics Tech Co.,
Ltd.Medtronic PlcGE HealthcareN/A
510(K)
NumberK220448K143506K062580N/A
Classification
Regulation21 CFR 882.132021 CFR 882.132021 CFR 882.1320Same
Classification
and CodeClass II,
GXYClass II,
GXYClass II,
GXYSame
Common
NameEEG sensorElectrode, Cutaneous
ElectrodeEntropy sensorN/A
Type of UsePrescriptionPrescriptionPrescriptionSame
Indications for
UseDisposable Non-
invasive EEG Sensor is
applied directly to the
patient's skin to
enable recordings of
electrophysiological
(such as EEG) signals.The BIS Sensor is
applied directly to the
patient's skin to enable
recordings of
electrophysiological
(such as EEG) signals.The GE Entropy Sensor
is intended to be used
for adults with GE
Entropy measurement
devices to enable
recording of
physiological signals
(such as EEG). To
connect this sensor to the
measurement device,
use the GE Entropy
Cable.Same

8. Comparison to the Predicate Device

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| Number of
Electrodes | 3/4/5/6 | 4/6 | 3 | Different note
1 |
|--------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------|---------------------------|--------------------------------------|
| Application Site | Forehead/temporal/above
eyebrow/mastoid
process | Frontal/temporal area | Frontal/temporal area | Different note
2 |
| Duration of Use | Maximum 24 hours | Not publicly
available | Not publicly
available | Different note
3 |
| Usage | Disposable | Disposable | Disposable | Same |
| Applicable
Population | Adult and pediatric | Adult and pediatric | Adults only | Same as
Predicate
Device
#1 |
| Operation
Environment | Temperature: 5℃40℃
Humidity:0
80%RH, non-
condensing atmospheric
pressure: 86kPa106kPa | Not publicly available | Not publicly available | Different
note 4 |
| Storage
Environment | Temperature:
-10°C
40°C Humidity:0~
80% RH, non-condensing
atmospheric pressure:86
kPa〜106 kPa | Not publicly available | Not publicly available | Different
note 4 |
| Material | FPC, 3M Foam Tape (Silicone
coated paper liner, Foam
backing, Acrylate Adhesive),
AgCl electrode, and conductive
gel (a mixture of the following
components: | Not publicly available | Not publicly available | Different
note 3 |

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Water, Sodium Chloride, Gum Acacia, Guar Gum, and Xanthan Gum, Potassium Bitartrate, Glycerin, Methylparaben and Propylparaben.)
Electrical
SafetyComplies with
ANSI/AAMI
ES60601-1Performed. Specific
standard not specified in
510(k) Database.Complies with
EN 60601-1Different
note 5
PerformanceComplies with
ANSI/AAMI EC 12Complies with
ANSI/AAMI EC 12Complies with
ANSI/AAMI EC 12Same
BiocompatibilityAll the patient-contacting
materials are evaluated
by the biocompatibility
standards ISO10993-5,
ISO 10993-10.Performed. Specific
standard not specified in
510(k) Database.All the patient-contacting
materials are evaluated
by the biocompatibility
standards ISO10993-5.
ISO 10993-10.Same as
Predicate
Device #2
SterilizationNon-sterileNot publicly availableNon-sterileSame as
Predicate
Device #2

Note 1

The number of 4/6 electrodes is the same as Predicate #1.

The number of 3 electrodes is the same as Predicate #2.

The number of 5 electrodes falls within the possible customizable number of electrodes of Predicate #1 (between 4 to 6 electrodes).

The difference of the number of electrodes of the proposed device does not affect its safe and effective usage in monitoring of EEG signals. The device has been tested in accordance with electrical safety and performance tests, and the tests passed. Thus, such a difference among the proposed device and the predicate devices does not affect substantial equivalence.

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Note 2

Although the description of application sites of the proposed device are different from those of the predicate devices, the application sites are actually the same among three devices regarding frontal area. The actual use and application of the predicate devices on frontal area involve forehead and above eyebrow, with the description of the proposed device being more detailed. Regarding the additional application site of mastoid process that the proposed device specifies, it does not raise different questions of safety and effectiveness as the device meets safety and performance requirements.

Note 3

Although the usage time and material of the two predicate devices are not publicly available in the 510(k) Database, biocompatibility tests have been performed on the proposed device and the tests passed. Therefore, such a difference does not affect substantial equivalence among the proposed device and two predicate devices.

Note 4

The proposed device and the predicate devices all comply with electrical safety standards and performance standards. Therefore, absence of the information concerning Operation and Storage Environment of the two predicate devices does not raise questions of safety and effectiveness for the proposed device.

Note 5

Both the proposed device and the Predicate Device #2 performed electrical safety tests in accordance with 60601-1 standards.. Thus, the difference does not raise different questions of safety and effectiveness. The two devices are substantially equivalent regarding electrical safety.

9. Non-clinical Test

The safety and effectiveness of the subject device are demonstrated through testing following ANSI/AAMI ES60601-1 General requirements for basic safety and essential performance and ANSI/AAMI EC12: 2000/(R)2015 Disposable ECG Electrodes. The results of bench testing provides reasonable assurance that the proposed device has been designed and validated to assure conformance to the requirements for its indication for use. Package integrity and functional performance testing were completed on the subject device following Accelerated aging test to support the proposed shelf life.

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10. Conclusion

Based on the comparison and analysis in this submission, it can be concluded that the Disposable Non-invasive EEG Sensor is substantially equivalent to the predicate devices.