(231 days)
Not Found
No
The document describes a simple electrode pad accessory for TENS/EMS devices and explicitly states "Mentions AI, DNN, or ML: Not Found". The performance studies focus on material properties and electrical impedance, not algorithmic performance.
No
The device is an accessory (Electrode Pad) for transcutaneous electrical stimulation devices (like TENS and EMS), which are therapeutic. However, the electrode pad itself states its function is to "transmit electrical current to patient skin," acting as a conduit rather than providing the therapeutic effect directly.
No
The device is an electrode pad intended to transmit electrical current for therapeutic stimulation (TENS, EMS), not for diagnosing medical conditions.
No
The device description clearly outlines physical components like a top cover, connector snap button or lead wire, conductive carbon film, conductive hydrogel media, and a carrier liner, 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 diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
- Device Function: The Electrode Pad's intended use is to transmit electrical current to the patient's skin for therapeutic purposes (nerve and muscle stimulation). It does not analyze samples taken from the body.
- Intended Use/Indications for Use: The description clearly states its use with transcutaneous electrical stimulation devices like TENS and EMS, which are used for pain relief and muscle rehabilitation, not for diagnostic testing of bodily fluids or tissues.
- Device Description: The components and mechanism of action (transmitting electrical current via conductive gel) are consistent with an external electrical stimulation accessory, not an IVD.
- Performance Studies: The non-clinical tests listed (biocompatibility, peel strength, impedance, lead wire tests) are relevant to the safety and performance of an external medical device that contacts the skin and transmits electrical current, not to the analytical or clinical performance of an IVD.
In summary, the Electrode Pad is an external medical device used for therapeutic electrical stimulation, not for in vitro diagnostic testing.
N/A
Intended Use / Indications for Use
It is is intended to transmit electrical current to patient skin for use with transcutaneous electrical stimulation devices. Some common types of the stimulation devices include, but are not limited to TENS (Transcutaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation). The electrode is for OTC (Over-The-Counter) or Prescription use.
Product codes (comma separated list FDA assigned to the subject device)
GXY
Device Description
Electrode Pad is used as an accessory to the TENS or EMS device unit, which transmits electrical current to patient skin. The electrical current of Electrode Pad is first transmitted via the snap button or lead wire then transmitted to the conductive gel which is adhered to patient skin.
Electrode Pad is composed of a top cover, connector snap button or lead wire, conductive carbon film, conductive hydrogel media, and a carrier liner. The carrier liner is made of PET (polyethylene terephthalate).
Electrode Pad is non-sterile and intended for single adult patient multiple application use. The electrode pad has various shapes and sizes.
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
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)
Non-clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device or reference device. The test results demonstrated that the proposed device complies with the following standards:
- ISO 10993-5: 2009 Biological Evaluation of Medical Devices -- Part 5: Tests For In Vitro Cytotoxicity
- ISO 10993-10:2021 Biological Evaluation of Medical Devices - Part 10: Tests For Skin Sensitization
- ISO 10993-23: 2021 Biological evaluation of medical devices - Part 23: Tests for irritation
- ASTM F1980-16, Standard guide for accelerated aging of sterile barrier systems for medical devices.
- Peel strength testing(180° stainless steel peel)
- Impedance test per ANSI AAMI IEC 60601-2-2
- Lead wires test per AAMI/ANSI ES 60601-1
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.
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
§ 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).
0
Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left side of the image is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the FDA logo is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.
January 15, 2025
ShenZhen Deliduo Medical Technology Co., Ltd % Wu Jarvis Senior Consultant Shanghai SUNGO Management Consulting Co., Ltd. 14th Floor, Dongfang Building, 1500# Century Ave. Shanghai, Shanghai 200122 China
Re: K241512
Trade/Device Name: Electrode Pad Regulation Number: 21 CFR 882.1320 Regulation Name: Cutaneous Electrode Regulatory Class: Class II Product Code: GXY Dated: January 10, 2025 Received: January 10, 2025
Dear Wu Jarvis:
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 (the 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 available 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
Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).
Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).
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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.
All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 mediation-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-regulatory
2
assistance/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,
Heather L. Dean -S
Heather Dean, PhD Assistant Director, 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
3
Indications for Use
Submission Number (if known)
Device Name
Electrode Pad
Indications for Use (Describe)
It is is intended to transmit electrical current to patient skin for use with transcutaneous electrical stimulation devices. Some common types of the stimulation devices include, but are not limited to TENS (Transcutaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation). The electrode is for OTC (Over-The-Counter) or Prescription use.
Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)
X Over-The-Counter Use (21 CFR 801 Subpart C)
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4
ShenZhen Deliduo Medical Technology Co.,Ltd.
B1406, 14th Floor, Block B, Fenglin International Center, Building 3,Hongji Garden, Zhongcheng District 4, Jixiang Community, Longcheng Street, Longgang District, Shenzhen City, Guangdong China 518116
510(k) Summary
K241512
- Applicant Information: ShenZhen Deliduo Medical Technology Co.,Ltd. Address: B1406, 14th Floor, Block B, Fenglin International Center, Building 3,Hongji Garden, Zhongcheng District 4, Jixiang Community, Longcheng Street, Longgang District, Shen zhen City, Guangdong China 518116 Contact Person: Andy Liu Tel: +86- 13728752377
Prepared date: January 9th,2025
-
Device information Trade Name: Electrode Pad Common Name: Cutaneous electrode Classification name: Cutaneous electrode Regulation Number: 882.1320 Product code: GXY
-
Predicate device K182111 DL Adhesive Electrode SHAOXING DL HEALTHCARE CO., LTD.
4. Indication for use
The Electrode Pad is intended to transmit electrical current to patient skin for use with transcutaneous electrical stimulation devices. Some common types of the stimulation devices include, but are not limited to TENS (Transcutaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation). The electrode is for OTC (Over-The -Counter) or Prescription use.
5. Device description
Electrode Pad is used as an accessory to the TENS or EMS device unit, which transmits electrical current to patient skin. The electrical current of Electrode Pad is first transmitted via the snap button or lead wire then transmitted to the conductive gel which is adhered to patient skin.
Electrode Pad is composed of a top cover, connector snap button or lead wire, conductive carbon film, conductive hydrogel media, and a carrier liner. The carrier liner is made of PET (polyethylene terephthalate).
Electrode Pad is non-sterile and intended for single adult patient multiple application use. The electrode pad has various shapes and sizes.
5
ShenZhen Deliduo Medical Technology Co.,Ltd. B1406, 14th Floor, Block B, Fenglin International Center, Building 3,Hongji Garden, Zhongcheng District 4, Jixiang Community, Longcheng Street, Longgang District, Shenzhen City, Guangdong China 518116
| | Subject Device
(K241512) | Predicate Device (K182111) | Comparison |
|--------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------|
| Trade Name | Electrode Pad | DL Adhesive Electrode | N/A |
| Common Name | Cutaneous electrode | Cutaneous electrode | Same |
| Classification
name | Cutaneous electrode | Cutaneous electrode | Same |
| Product Code | GXY | GXY | Same |
| Regulation
Number | 882.1320 | 882.1320 | Same |
| Medical
Specialty | Neurology | Neurology | Same |
| Device Class | II | II | Same |
| Indications for
use | The Electrode Pad is intended
to transmit electrical current
to patient skin for use with
transcutaneous electrical
stimulation devices. Some
common types of the
stimulation devices include,
but are not limited to TENS
(Transcutaneous Electrical
Nerve Stimulation) and EMS
(Electrical Muscular
Stimulation). The electrode is
for OTC (Over-The -Counter)
or Prescription use. | DL Adhesive Electrode is
intended to transmit electrical
current to patient skin for use
with transcutaneous electrical
stimulation devices. Some
common types of the
stimulation devices include, but
are not limited to TENS
(Transcutaneous Electrical
Nerve Stimulation) and EMS
(Electrical Muscular
Stimulation). The electrode is
for OTC (Over-The-Counter) or
Prescription use. | Same |
| Target
population | Single patient use and
multiple application | Single patient use and multiple
application | Same |
| Prescription use | OTC and Prescription use | OTC and Prescription use | Same |
| Design (shape
&Connection ) | Electrode Pad: rectangle,
square, according to
customized specification.
Lead wire with female socket,
or snap button with male
snap connector | Electrode Pad: Round,
rectangle, butterfly, oval,
according to customized
specification.
Lead wire with female socket,
or snap button with male snap
connector | Similar |
| Materials | - Top cover material
- Electrically conductive
carbon cloth | - Top cover material - Electrically conductive carbon
cloth | Same |
| | hydrogel | hydrogel | |
| | - Protective film (Electrode carrier liner) | - Electrode carrier liner | |
| Electrode Pad Size | Rectangle:
50*100mm
Square:
5050mm | Rectangle:
4040mm~40*350mm
Butterfly:
3150mm~110150mm
Round: Ø18mm~ Ø85mm
Oval: 5078mm | Different1 |
| Patient contact area of
Electrode Pad | Rectangle:
$5000mm^2$
Square: $2500mm^2$ | Round:
$254.34mm^2$ ~ $5671.63mm^2$
Rectangle: $1600m^2$ ~ $7000mm^2$
Oval: $3900mm^2$
Butterfly: $6975mm^2$ ~ $8250mm^2$ | Different*1 |
| Hydrogel
thickness | 0.75±0.15mm | 1.0mm±0.2mm | Similar |
| Electrode
Impedance
testing | 426-635 Ω | 415-688 Ω | Similar |
| Conductive
carbon film | PU/PE conductive film, | PU, Conductive carbon | Similar |
| Shelf life | 2 years | 2 years | Same |
| Stainless Steel
Adhesion (180°
peel) | 136 grams minimum(≈1.3N) | 136 grams minimum(≈1.3N) | Same |
| Biocompatibility | ISO10993-5:2009;
ISO10993-10:2010 | ISO10993-5:2009;
ISO10993-10:2010 | Same |
| Sterilization | Non-sterile | Non-sterile | Same |
| Electrical safety | Lead wire meets Clause
8.5.2.3 of AAMI/ANSI
ES60601-1: 2005/(R)2012 And
A1:2012 | Lead wire meets Clause 8.5.2.3
of AAMI/ANSI ES60601-1:
2005/(R)2012 And A1:2012 | Same |
-
- Comparison of the device character
6
ShenZhen Deliduo Medical Technology Co.,Ltd.
B1406, 14th Floor, Block B, Fenglin International Center, Building 3,Hongji Garden, Zhongcheng District 4, Jixiang Community, Longcheng Street, Longgang District, Shenzhen City, Guangdong China 518116
Difference*1 analysis:
The devices' size difference causes the Patient contact area difference, the difference will not raise any new risk of effectiveness or safety issues. The subject devices pass the Electrical safety and Impedance testing.
-
- Non-Clinical Test Conclusion
7
ShenZhen Deliduo Medical Technology Co.,Ltd.
B1406, 14th Floor, Block B, Fenglin International Center, Building 3,Hongji Garden, Zhongcheng District 4, Jixiang Community, Longcheng Street, Longgang District, Shenzhen City, Guangdong China 518116
Non-clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device or reference device. The test results demonstrated that the proposed device complies with the following standards:
- A ISO 10993-5: 2009 Biological Evaluation of Medical Devices -- Part 5: Tests For In Vitro Cytotoxicity
- A ISO 10993-10:2021 Biological Evaluation of Medical Devices - Part 10: Tests For Skin Sensitization
- A ISO 10993-23: 2021 Biological evaluation of medical devices - Part 23: Tests for irritation
- A ASTM F1980-16, Standard guide for accelerated aging of sterile barrier systems for medical devices.
- A Peel strength testing(180° stainless steel peel)
-
Impedance test per ANSI AAMI IEC 60601-2-2
- A Lead wires test per AAMI/ANSI ES 60601-1
- Clinical Test
None.
-
- The Conclusions:
Based on successful biocompatibility testing of devices, the electrical performance of the insulated lead wire components and Impedance testing, Adhesive Electrode is safe and effective when used as an interface between a user's skin and an approved nerve and muscle stimulation device. The conclusions drawn from the non-clinical tests demonstrate that the device is as safe, as effective, and performs as well as the legally marketed devices identified in the submission. Thus the subject device is substantially equivalent to the predicate devices under K182111.
- The Conclusions: