(403 days)
Not Found
Not Found
No
The document describes a passive medical device (an epicardial lead) and its physical characteristics and performance in clinical trials. There is no mention of any computational or algorithmic components, let alone AI or ML.
Yes
The device is an epicardial lead used for pacing and sensing in the ventricle, which are therapeutic actions in cardiac care. It is used with implantable cardiac pacemakers to manage heart rhythm.
No
The device is described as an "epicardial sutureless screw-in lead" used for "unipolar pacing and sensing in the ventricle," which implies it is used to deliver electrical impulses (pacing) and detect electrical activity (sensing) for therapeutic purposes (e.g., maintaining heart rhythm), not primarily for diagnosing a condition.
No
The device description clearly details physical components like silicone rubber tubing, MP35N wire, and a platinum/iridium fixation screw, indicating it is a hardware device.
Based on the provided text, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
- Device Description and Intended Use: The description clearly states that this is an "epicardial sutureless screw-in lead" used for "unipolar pacing and sensing in the ventricle." This is a device that is implanted directly into the body to interact with the heart's electrical activity.
- Lack of Specimen Analysis: There is no mention of this device being used to analyze any biological specimens taken from the patient.
Therefore, this device falls under the category of an implantable medical device, not an In Vitro Diagnostic.
N/A
Intended Use / Indications for Use
The ELC xx-UP epicardial sutureless screw-in lead is indicated for unipolar pacing and sensing in the ventricle when an epicardial lead is preferred, or when a transvenous lead cannot provide satisfactory results or is contraindicated. Epicardial leads are also suited for situations where transvenous access is not available or is contraindicated, such as following open heart surgery, or based upon the patient's age or heart condition (e.g., in young patients who have not reached full physical maturity and in whom growth may affect lead placement or function).
Product codes (comma separated list FDA assigned to the subject device)
DTB
Device Description
The BIOTRONIK ELC xx-UP epicardial sutureless active fixation lead is a safe and effective unipolar lead used with implantable cardiac pacemakers when an epicardial lead is preferred, or when a transvenous lead cannot provide satisfactory results or is contraindicated. The lead body insulation of all ELC epicardial leads is NuSil MED-4750 silicone rubber tubing, with a conductor of quadrafilar MP35N wire.
These leads provide long-term safe and effective pacing through overall quality of design, manufacture and the surface structure of the active-fixation electrode tip. This tip is a single helically-wound fixation wire ("fixation screw") composed of 70% platinum and 30% iridium which has undergone a Physical Vapor Deposition (PVD) treatment, creating a fractal-surfaced, ball-like microstructure. The IS-1 (3.2 mm) connection system of the ELC lead complies with the International Standard ISO 5841.3:1992.
The materials used to manufacture the ELC leads which come into contact with the patient are commonly used in market-released leads, and have been tested for biocompatibility. Acute and chronic biocompatibility tests have been performed, as well as long-term implantation studies. In addition, corrosion studies were completed to address both long-term toxicity and durability of the PVD iridium treatment. The testing conducted for biocompatibility as well as extensive clinical experience confirms that iridium is safe for use as an implantable material, and analyses supporting this view have been published within technical journals. Long-term corrosion testing results substantiate that iridium is a non-toxic and durable material for use in implantable devices.
Additional qualification testing results validate the safety and effectiveness of the lead design and materials used. ELC leads are tested for weld strength of connections, fatigue strength, DC resistance, environmental resistance, adherence to IS-I standards, packaging and transportation durability, electrical integrity, and sterilization. All test results were within specifications.
Field clinical experience as well as the in-vitro and qualification testing performed on the ELC lead show that the risk to the patient in using these leads is the same as that of any implantable epicardial lead.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
ventricle
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)
Field clinical experience as well as the in-vitro and qualification testing performed on the ELC lead show that the risk to the patient in using these leads is the same as that of any implantable epicardial lead.
As of December 5, 1996, eighteen (18) leads have been implanted in the United States as part of a clinical trial with the Physios CTM 01 Cardiac Transplant Monitoring System (IDE #G960045; approved August 22, 1996).
All leads are functioning normally, with the exception of one which has been reported as an anticipated adverse event for the study - failing to yield consistent ventricular capture, potentially because of lead dislodgement.
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.
Not Found
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
§ 870.3680 Cardiovascular permanent or temporary pacemaker electrode.
(a)
Temporary pacemaker electrode —(1)Identification. A temporary pacemaker electrode is a device consisting of flexible insulated electrical conductors with one end connected to anexternal pacemaker pulse generator and the other end applied to the heart. The device is used to transmit a pacing electrical stimulus from the pulse generator to the heart and/or to transmit the electrical signal of the heart to the pulse generator.(2)
Classification. Class II (performance standards).(b)
Permanent pacemaker electrode —(1)Identification. A permanent pacemaker electrode is a device consisting of flexible insulated electrical conductors with one end connected to an implantable pacemaker pulse generator and the other end applied to the heart. The device is used to transmit a pacing electrical stimulus from the pulse generator to the heart and/or to transmit the electrical signal of the heart to the pulse generator.(2)
Classification. Class III (premarket approval).(c)
Date PMA or notice of completion of PDP is required. A PMA or notice of completion of a PDP is required to be filed with the Food and Drug Administration on or before October 4, 2012, for any permanent pacemaker electrode device that was in commercial distribution before May 28, 1976, or that has, on or before October 4, 2012, been found to be substantially equivalent to any permanent pacemaker electrode device that was in commercial distribution before May 28, 1976. Any other pacemaker repair or replacement material device shall have an approved PMA or declared completed PDP in effect before being placed in commercial distribution.
0
ELC Lead - 510(k)
JAN 27 1998
1.4 Safety and Effectiveness Summary
The BIOTRONIK ELC xx-UP epicardial sutureless active fixation lead is a safe and effective unipolar lead used with implantable cardiac pacemakers when an epicardial lead is preferred, or when a transvenous lead cannot provide satisfactory results or is contraindicated. The lead body insulation of all ELC epicardial leads is NuSil MED-4750 silicone rubber tubing, with a conductor of quadrafilar MP35N wire.
These leads provide long-term safe and effective pacing through overall quality of design, manufacture and the surface structure of the active-fixation electrode tip. This tip is a single helically-wound fixation wire ("fixation screw") composed of 70% platinum and 30% iridium which has undergone a Physical Vapor Deposition (PVD) treatment, creating a fractal-surfaced, ball-like microstructure. The IS-1 (3.2 mm) connection system of the ELC lead complies with the International Standard ISO 5841.3:1992.
The materials used to manufacture the ELC leads which come into contact with the patient are commonly used in market-released leads, and have been tested for biocompatibility. Acute and chronic biocompatibility tests have been performed, as well as long-term implantation studies. In addition, corrosion studies were completed to address both long-term toxicity and durability of the PVD iridium treatment. The testing conducted for biocompatibility as well as extensive clinical experience confirms that iridium is safe for use as an implantable material, and analyses supporting this view have been published within technical journals. Long-term corrosion testing results substantiate that iridium is a non-toxic and durable material for use in implantable devices.
Additional qualification testing results validate the safety and effectiveness of the lead design and materials used. ELC leads are tested for weld strength of connections, fatigue strength, DC resistance, environmental resistance, adherence to IS-I standards, packaging and transportation durability, electrical integrity, and sterilization. All test results were within specifications.
Field clinical experience as well as the in-vitro and qualification testing performed on the ELC lead show that the risk to the patient in using these leads is the same as that of any implantable epicardial lead.
Potential complications resulting from the use of epicardial leads include, but are not limited to: thombosis, embolism, body rejection phenomena, cardiac tamponade, muscle/nerve stimulation, fibrillation, and infection. Lead perforation through the myocardium has been rarely observed.
1
Table 2.0 below summarizes some of the potential symptoms indicating a complication and possible corrective actions:
| SYMPTOM | POTENTIAL COMPLICATION | POTENTIAL CORRECTIVE ACTION |
|---|---|---|
| Loss of pacing or | ||
| sensing | Electrode dislodgement Lead fracture Setscrew penetration of lead insulation Improper lead to pacemaker connection | Reposition lead Replace lead Replace lead Reconnect lead to pacemaker |
| Increase or decrease | ||
| in threshold | Fibrotic tissue formation | Adjust pulse generator output; |
| Reposition lead |
Table 2.0 Lead Complications
The ELC lead received its CE mark in March, 1994, thereby clearing it for sale and distribution within the EEC. Since that date, over 2000 leads have been sold worldwide outside the United States, including 426 sold in 1996 (excluding December). There have been no reported device failures or complaints.
As of December 5, 1996, eighteen (18) leads have been implanted in the United States as part of a clinical trial with the Physios CTM 01 Cardiac Transplant Monitoring System (IDE #G960045; approved August 22, 1996).
All leads are functioning normally, with the exception of one which has been reported as an anticipated adverse event for the study - failing to yield consistent ventricular capture, potentially because of lead dislodgement.
2
Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized graphic of an eagle or bird-like figure with three curved lines representing its wings or feathers.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JAN 27 1998
Mr. Kenneth Jensen BIOTRONIK Regulatory Affairs BIOTRONIK, Inc. 6024 Jean Road Lake Oswego, OR 97035-5369
Re : K965106 Epicardial Pacing Leads, Models ELC 35 UP, ELC 54 UP Regulatory Class: III (THREE) Product Code: DTB Dated: December 24, 1997 Received: December 29, 1997
Dear Mr. Jensen:
We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments. You may, therefore, market the device, subject to the general controls provisions of the Federal Food, Drug, and Cosmetic Act (act). The general controls provisions of the act include requirements for reqistration, listing of devices, good manufacturing practices, and labeling, and prohibitions against misbranding and adulteration.
If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval) it may be subject to such additional controls. Existing major requlations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General requlation (21 CFR Part 820) and that, through periodic QS inspections, FDA will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, the Food and Drug Administration (FDA) may publish further announcements concerning your device in the Federal Reqister. Please note: this response to your premarket notification submission does not affect any obligation you might have under section 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlation.
3
Page 2 - Mr. Kenneth Jensen
Under Section 522(a) of the act, manufacturers of certain types of devices identified by the Act or designated by FDA are required to conduct postmarket surveillance studies. FDA has identified under Section 522(a) (1) (A) the device cleared for marketing by this letter as requiring postmarket surveillance.
Within thirty (30) days of first introduction or delivery for introduction of this device into interstate commerce you are required to submit to FDA certification of the date of introduction into interstate commerce, a detailed protocol which describes the postmarket surveillance study, and a detailed profile of the study's principal investigator that clearly establishes the qualifications and experience of the individual to conduct the proposed study. For your information, general guidance on preparing a protocol for a postmarket surveillance study is attached.
Submit five (5) copies to:
Center for Devices and Radiological Health Postmarket Surveillance Studies Document Center Room 3083 (HFZ-544) 1350 Piccard Drive Rockville, Maryland 20850
Within sixty (60) days of receipt of your protocol, FDA will either approve or disapprove it and notify you of the Agency's action in writing. You should not begin your postmarket surveillance study of this device until the protocol has been approved. Data generated under an unapproved protocol may not satisfy your obligation under section 522. Please note that you must continue to collect and report data needed to maintain compliance with Medical Device Reporting regulations (21 CFR 803).
Failure to certify accurately the date of initial introduction of your device into interstate commerce, to submit timely an acceptable protocol, or to undertake and complete and FDA approved postmarket surveillance study consistent with the protocol will be considered violations of section 522. In accordance with the Medical Device Amendments of 1992, failure of a manufacturer to meet its obligations under section 522 is a prohibited act under section 301(q) (1) (C) of the Act (21 U.S.C. 331 (q)(1)(C). Further, under section 502(t)(3) of the act (21 U.S.C. 352 (t) (3)), a device is misbranded if there is a failure or refusal to comply with any requirement under section 522 of the act. Violations of sections 301 or 502 may lead to regulatory actions including seizure of your product, injunction, prosecution, or civil money penalties.
4
If you have questions specifically concerning postmarket surveillance study requirements, contact the Postmarket Surveillance Studies Branch at (301) 594-0639.
In addition, on August 16, 1993, the Final Rule for Device Tracking was published in the Federal Register, pages 43442-43455 (copy enclosed). Be advised that under Section 519(e) of the Act as amended by the Safe Medical Devices Act of 1990, FDA has identified the above device as a device which requires tracking. Because the device is subject to tracking, you are required to adopt a method of tracking that follows the devices through the distribution chain and then identifies and follows the patients who receive them. The specific requirement of the requlation are found in 21 CFR 821 as described in the August 16, 1993 Federal Register beginning on page 43447.
This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4648. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Other general information on your responsibilities under the act may be obtained from the Division of Small Manufacturers Assistance at its toll free number (800) 638-2041 or (301) 443-6597, or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".
Sincerely yours,
Thomas J. Callaham
Thomas J, Callahan, Ph.D. Director Division of Cardiovascular, Respiratory, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosures
5
Page
510(k) Number (il known): K965106
Device Name: ELC Epicardial Leads
Indications For Use:
The ELC xx-UP epicardial sutureless screw-in lead is indicated for unipolar pacing and sensing The ELC XX-UP epicardial suiteress serew in teach, or when a transvenous lead cannot provide in the ventricle when an epicaldial tead is preferrou, created suited for situations where satistiony results or is containcied. Eptocran hear surgery, or based upon the patient's age or heart condition (e.g., in young patients who have not reached full physical maturity and age or neart condition (e.g., in young paironial leads are also indicated in situations where transvenous access is not available or is contraindicated.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED!
Concurrence of CDRH, Office of Device Evaluation (ODE)
Brad C. Aston for Eric Ryan
(Division Sign-Off)
01:
of Caroovascular, Respiratory, enologic
510(k) Number K965106
imagelption lise. (Pcr 21 CFR 801 109)
IJver-The-Counter Use_________________________________________________________________________________________________________________________________________________________
10ptional Format 1-2-961