K Number
K960885
Manufacturer
Date Cleared
1996-04-26

(53 days)

Product Code
Regulation Number
882.1320
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The e-Net serves two functions as a part of the Hydro Dot NeuroMonitoring System. First, it locates the EEG electrodes according the 10-20 International System. Secondly, it conducts the electrical signal sensed by the electrodes from the skin to the EEG equipment.
Headpiece (42-48 cm) for EEG Monitoring

Device Description

The small e-Net is designed to fit patients with a head size in the range of 42 - 48 cm in circumference. It is constructed using the same materials and manufacturing processes as the larger sized net 54 - 62 cm) which is described in K930080. The e-Net serves two functions as a part of the Hydro Dot NeuroMonitoring System. First, it locates the EEG electrodes according the 10-20 International System. Secondly, it conducts the electrical signal sensed by the electrodes from the skin to the EEG equipment. The small e-Net is fabricated from the same materials as the larger version. Only the size of the components was reduced to achieve the proportional fir on the intended head sizes.

AI/ML Overview

The provided text is a 510(k) premarket notification for a medical device (Physiometrix, Inc.'s Small e-Net Model 1240). However, it does not contain any information about acceptance criteria or a study proving the device meets acceptance criteria.

The document primarily focuses on:

  • Device Description: What the small e-Net is, its intended use (EEG monitoring for head sizes 42-48 cm), and its construction.
  • Regulatory Classification: Identifying it as a Class II cutaneous electrode and its predicate device.
  • FDA Substantially Equivalent Letter: This letter confirms that the device is substantially equivalent to a legally marketed predicate device, allowing it to be marketed. It also outlines general control provisions and regulatory responsibilities.

Therefore, I cannot provide the requested table and study details based on the given input. The document is a regulatory approval notice, not a performance study report.

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K960885

Physiometrix, Inc. 510(k), Premarket Notification HydroSpot System, Model 1500 & 1501

SUMMARY OF SAFETY AND EFFECTIVENESS

Date:March 1, 1996
Company:Physiometrix, Inc.Five Billerica Park101 Billerica AvenueN. Billerica, MA 01862
Contact:Dawn E. FrazerDirector, Regulatory Affairs & Quality Assurance(508) 670-2422(800) 474-9746
Subject Device:Model 1240 , Small e-Net (42 - 48 cm)
Predicate Device:K930080, HydroDot NeuroMonitoring System
Classification:Class II, CFR 21 Part 882.1320, Cutaneous Electrodes
Description:The small e-Net is designed to fit patients with a head size in the rangeof 42 - 48 cm in circumference. It is constructed using the samematerials and manufacturing processes as the larger sized net 54 - 62cm) which is described in K930080.
Intended Use:The e-Net serves two functions as a part of the Hydro DotNeuroMonitoring System. First, it locates the EEG electrodes accordingthe 10-20 International System. Secondly, it conducts the electricalsignal sensed by the electrodes from the skin to the EEG equipment.
Design/Materials:The small e-Net is fabricated from the same materials as the largerversion. Only the size of the components was reduced to achieve theproportional fir on the intended head sizes.

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Image /page/1/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three curved lines representing its wings and body. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" are arranged in a circular pattern around the eagle.

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

Ms. Dawn E. Frazer Director, Regulatory Affairs & Quality Assurance Physiometrix, Inc. Five.Billerica Park 101 Billerica Avenue N. Billerica, Massachusetts 01862

APR - 9 2012

Re: K960885

Trade/Device Name: Small e-Net Model 1240 Regulation Number: 21 CFR 882.1320 Regulation Name: Cutaneous electrode Regulatory Class: II Product Code GXY Dated (Date on orig SE ltr): March 1, 1996 Received (Date on orig SE ltr): March 4, 1996

Dear Ms. Frazer:

This letter corrects our sustantially equivalent letter of April 26, 1996.

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.

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Page 2 - Ms. Dawn E. Frazer

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/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Kesia Alexander

Image /page/2/Picture/7 description: The image shows the word "for" written in cursive. The "f" is elongated and loops down below the baseline, while the "o" and "r" are connected and smaller in size. The word is written in black ink on a white background.

Malvina B. Eydelman, M.D. Director Division of Ophthalmic. Neurological. and Ear. Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Page 1 of 1

510(k) Number (if known): K960885

Device Name: Model 1240, Small e-Net

Indications For Use:

Headpiece (42-48 cm) for EEG Monitoring

(Division Sign-Off)
Division of Cardiovascular, Respiratory,
and Neurological Devices
510(k) Number K960885

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

rescription Use
Per 21 CFR 801.109)
OR
Over-The-Counter Use

(Optional Format 1-2-96)

§ 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).