K Number
K963236
Device Name
M & R DISPOSABLE ELECTRODE (14200)
Manufacturer
Date Cleared
1996-11-15

(88 days)

Product Code
Regulation Number
882.1320
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
M&R Disposable Electrodes are intended for single-patient/singleapplication use in TENS ("traditional" TENS, microcurrent TENS, etc.) and NMES ("traditional" NMES, interferential NMES, high-volt pulsed galvanic NMES, functional electrical stimulation (FES), etc.) applications.
Device Description
M&R Disposable Electrodes are laminated, flexible structures composed of materials commonly used in this application (e.g., cloth with biocompatible adhesive, conductive rubber, and biocompatible conductive gel). The electrodes have a direct lead wire pin connection design and are compatible with all standard, marketed TENS and NMES stimulation devices.
More Information

Not Found

No
The device description and intended use are for simple disposable electrodes, and there is no mention of AI or ML in the provided text.

Yes
The device is described as electrodes intended for use in TENS and NMES applications, both of which are therapeutic modalities for pain relief and muscle stimulation, respectively.

No
Explanation: The device is described as electrodes intended for TENS and NMES applications, which are therapeutic (stimulation) uses, not diagnostic.

No

The device description explicitly states it is a physical product (laminated, flexible structures composed of materials like cloth, conductive rubber, and conductive gel) and does not mention any software component.

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

Here's why:

  • Intended Use: The intended use clearly states the electrodes are for TENS and NMES applications. These are therapeutic applications involving electrical stimulation applied to the body, not diagnostic tests performed on samples taken from the body.
  • Device Description: The description details the physical components and how they function in delivering electrical stimulation. There is no mention of analyzing biological samples.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing blood, urine, tissue, or other biological samples.
    • Detecting or measuring substances in these samples.
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions.

Therefore, the M&R Disposable Electrodes are a medical device used for therapeutic purposes, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

M&R Disposable Electrodes are intended for single-patient/singleapplication use in TENS ("traditional" TENS, microcurrent TENS, etc.) and NMES ("traditional" NMES, interferential NMES, high-volt pulsed galvanic NMES, functional electrical stimulation (FES), etc.) applications.

Product codes

84GXY

Device Description

M&R Disposable Electrodes are laminated, flexible structures composed of materials commonly used in this application (e.g., cloth with biocompatible adhesive, conductive rubber, and biocompatible conductive gel). The electrodes have a direct lead wire pin connection design and are compatible with all standard, marketed TENS and NMES stimulation devices.

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)

Not Found

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

Not Found

Predicate Device(s)

Medtronic ComfortEase Disposable TENS and NMES Electrodes, Medical Designs, Inc. Protector Disposable TENS and NMES Electrodes

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).

0

K963236

NOV 1 5 1996

M & R Manufacturing, Inc. M&R Disposable Electrodes 510(k) Summary of Safety and Effectiveness

The following information is submitted in accordance with the requirements of 21 CFR $807.92:

Contact Person: Mark E. Dailey

Date Prepared: 12 August 1996

Proprietary Name: M&R Disposable Electrodes

Common/Usual Name: Disposable electrodes for Transcutaneous Electrical Nerve Stimulation (TENS) and Neuromuscular Nerve Stimulation (NMES).

Classification Name: Electrodes, cutaneous (84GXY); Class II in accordance with 21 CFR §882.1320.

Device Description: M&R Disposable Electrodes are laminated, flexible structures composed of materials commonly used in this application (e.g., cloth with biocompatible adhesive, conductive rubber, and biocompatible conductive gel). The electrodes have a direct lead wire pin connection design and are compatible with all standard, marketed TENS and NMES stimulation devices.

Intended Use: M&R Disposable Electrodes are intended for single-patient/singleapplication use in TENS ("traditional" TENS, microcurrent TENS, etc.) and NMES ("traditional" NMES, interferential NMES, high-volt pulsed galvanic NMES, functional electrical stimulation (FES), etc.) applications.

Predicate Devices: Medtronic ComfortEase Disposable TENS and NMES Electrodes, and Medical Designs, Inc. Protector Disposable TENS and NMES Electrodes. A chart comparing characteristics of M&R Disposable Electrodes to the predicate devices, demonstrating substantial equivalence, is attached.

Submitted by:

Mare E. Haley

Mark E. Dailey, Presiden M & R Manufacturing, Inc. 11967 Upper Fredericktown Amity Road Fredericktown, Ohio 43019 614/694-6511

1

| Device
Characteristic | M & R Manufacturing., Inc.
M&R Disposable TENS &
NMES Electrodes | Medtronic ComfortEase
Disposable TENS & NMES
Electrodes - K851303 | Medical Designs, Inc.
Protector Disposable TENS &
NMES Electrodes - K911366A |
|----------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Number of
Models | 1 model* | 3 models | 4 models |
| Electrode
Sizes (in.)/
Shapes | 2.0 x 2.25 in. (rectangle)

  • Additional models of various
    sizes will be added within size
    range of: 2.0 x 2.0 in. (min.) and
    3.0 x 6.0 in. (max.). | 1) 2.2 x 2.5 in. (rectangle)
  1. 2.0 x 3.5 in. (rectangle)
  2. 1.5 x 3.0 in. (butterfly) | 1) 2.0 x 2.25 in. (rectangle)
  3. 2.0 x 2.75 in. (rectangle)
  4. 2.5 x 6.0 in. (rectangle) |
    | Electrode
    Construction | Polyester w/ biocompatible
    adhesive
    Conductive rubber strip
    Biocompatible gel
  • Additional models of the above
    and following constructions will
    be added:
  1. Polyester w/ biocompatible
    adhesive
    Conductive film w/ or w/o Ag/
    AgCl coating
    Lead wire assembly
    Biocompatible gel
  2. Polyester w/ biocompatible
    adhesive
    Conductive film w/
    or w/o Ag/AgCl
    coating
    Male snap assembly
    Biocompatible gel | Polyester w/ biocompatible
    adhesive
    Conductive rubber strip
    Biocompatible gel | 1) Polyester w/ biocompatible
    adhesive
    Conductive rubber strip
    Biocompatible gel
  3. Polyester w/ biocompatible
    adhesive
    Conductive foil
    Male snap connector
    Biocompatible gel |
    | Device
    Characteristic | M & R Manufacturing., Inc.
    M&R Disposable TENS &
    NMES Electrodes | Medtronic ComfortEase
    Disposable TENS & NMES
    Electrodes - K851303 | Medical Designs, Inc.
    Protector Disposable TENS &
    NMES Electrodes - K911366A |
    | Lead Wire
    Connector
    Type | Std. .080 in. female connection
    (hole in conductive rubber strip) | Std. .080 in. female connection
    (hole in conductive rubber strip) | 1) Std. .080 in. female connection
    (hole in conductive rubber strip)
  4. Std. wire snap connector |
    | Labeled as
    Reusable or
    Single-Use /
    Disposable? | Single-Use / Disposable | Single-Use / Disposable | Single-Use / Disposable |
    | Indications For
    Use | TENS & NMES | TENS & NMES | TENS & NMES |
    | Potential
    adverse
    effects | Skin irritation | Skin rash | Skin irritation |

2

: : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : :

、 さらに、 脚と、

ા ત

.

: 二十二: ………

. .

·

:

: