K Number
K991169
Device Name
SX 53/15-BP, MODEL 124 853, SX 60/15-BP, MODEL 124 854
Manufacturer
Date Cleared
1999-07-01

(85 days)

Product Code
Regulation Number
870.3680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Synox leads are designed for use with implantable pulse generators that require pacing leads with a bipolar 3.2 mm IS-1 connector configuration; they may be used with single or dual chamber pacing systems. The leads are designed for use in patients for whom single or dual chamber pulse generator therapy is medically indicated. This indication follows that recommended in the Class I definition of the ACC/AHA Task Force Report, entitled "Guidelines for Implantation of Cardiac Pacemakers and Antiarrhythmic Devices" (JACC, Vol. 18, No. 1, July 1991:1 - 13).
Device Description
Synox xx/15-BP leads are bipolar, passive fixation endocardial leads that feature three for fixation in the heart's trabeculae. The tip electrode is made of a titanium base material with a surface treatment of fractal iridium and a surface area of 1.3 mm². The ring electrode is made of a platinum/iridium base material with a surface treatment of fractal iridium and a surface area of 34 mm². The lead conductor is quadrifilar MP35N wire in a coaxial configuration, insulated with sillcone rubber tubing. All Synox leads utilize a 3.2 mm IS-1 connector.
More Information

No
The document describes a passive fixation endocardial lead, which is a physical component of a pacing system. There is no mention of any software, algorithms, or data processing that would suggest the use of AI or ML. The description focuses on the materials, design, and physical characteristics of the lead.

Yes
The device is a pacing lead, which is a component of a pacing system designed for cardiac therapy. The intended use statement explicitly mentions its use with pulse generators for patients for whom "pulse generator therapy is medically indicated," aligning with the definition of a therapeutic device.

No

Explanation: The provided text describes Synox leads as components for implantable pulse generators used in pacing systems. Their function is to deliver electrical impulses for therapy, not to diagnose a condition. The "Intended Use / Indications for Use" section explicitly states they are for "pulse generator therapy" and mentions "Guidelines for Implantation of Cardiac Pacemakers and Antiarrhythmic Devices." There is no mention of these leads collecting or analyzing data for diagnostic purposes.

No

The device description clearly states it is a bipolar, passive fixation endocardial lead made of physical materials like titanium, platinum/iridium, and MP35N wire, insulated with silicone rubber tubing. This indicates a hardware device, not software only.

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

Here's why:

  • Intended Use: The intended use clearly states that the leads are designed for use with implantable pulse generators for pacing systems in patients. This describes a device used in vivo (within the body) for therapeutic purposes (cardiac pacing).
  • Device Description: The description details the physical components of an implantable lead designed to be placed in the heart.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or compatibility testing.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is an implantable medical device used in vivo.

N/A

Intended Use / Indications for Use

Synox leads are designed for use with implantable pulse generators that require pacing leads with a bipolar 3.2 mm IS-1 connector configuration; they may be used with single or dual chamber pacing systems. The leads are designed for use in patients for whom single or dual chamber pulse generator therapy is medically indicated. This indication follows that recommended in the Class I definition of the ACC/AHA Task Force Report, entitled "Guidelines for Implantation of Cardiac Pacemakers and Antiarrhythmic Devices" (JACC, Vol. 18, No. 1, July 1991:1 - 13).

Product codes

DTB

Device Description

The Synox 53/15-BP and 60/15-BP leads introduced in this 510(k) notification are modified versions of BIOTRONIK's currently marketed straight Synox leads (SX 53-BP and SX 60-BP) approved September 10, 1998 under 510(k) #K980869. The modification is a reduction of the distance between the ring and tip electrodes from 31 mm to 15 mm. Because of this change, the silicone insulation between the tip and ring electrodes was shortened and the prior tapered design was changed to one with a consistent thickness. The new 15 mm spacing distance between the ring and tip electrodes is identical to the electrode spacing of the "J" shaped Synox leads (SX 45-JBP and SX 53-JBP) also approved September 10, 1998 under 510(k) #K980869. The SX xx/15-BP straight leads with 15 mm spacing will not replace the existing straight leads, but will be distributed in conjunction with the currently marketed Synox leads.

Synox xx/15-BP leads are bipolar, passive fixation endocardial leads that feature three for fixation in the heart's trabeculae. The tip electrode is made of a titanium base material with a surface treatment of fractal iridium and a surface area of 1.3 mm². The ring electrode is made of a platinum/iridium base material with a surface treatment of fractal iridium and a surface area of 34 mm². The lead conductor is quadrifilar MP35N wire in a coaxial configuration, insulated with sillcone rubber tubing. All Synox leads utilize a 3.2 mm IS-1 connector.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

heart

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)

K980869

Reference Device(s)

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

BIOTRONIK, Inc., Synox Passive Fixation Endocardial Lead, 510(k)

Synox Passive Fixation Endocardial Lead 510(k) Notification

510(K) SUMMARY 1.

| Name and Address of Sponsor: | BIOTRONIK, Inc.
6024 Jean Road
Lake Oswego, OR 97035 |
|------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Establishment Registration Number: | 1028232 |
| Device Name: | Proprietary Names: Synox Leads
Classification: Class III (21 CFR 870.3680(b))
Classification Name: Cardiovascular Permanent
Pacemaker Electrode
Product Code: DTB |
| Date Prepared: | April 2, 1999 |

General Description and Predicate Devices:

The Synox 53/15-BP and 60/15-BP leads introduced in this 510(k) notification are modified versions of BIOTRONIK's currently marketed straight Synox leads (SX 53-BP and SX 60-BP) approved September 10, 1998 under 510(k) #K980869. The modification is a reduction of the distance between the ring and tip electrodes from 31 mm to 15 mm. Because of this change, the silicone insulation between the tip and ring electrodes was shortened and the prior tapered design was changed to one with a consistent thickness. The new 15 mm spacing distance between the ring and tip electrodes is identical to the electrode spacing of the "J" shaped Synox leads (SX 45-JBP and SX 53-JBP) also approved September 10, 1998 under 510(k) #K980869. The SX xx/15-BP straight leads with 15 mm spacing will not replace the existing straight leads, but will be distributed in conjunction with the currently marketed Synox leads.

Synox xx/15-BP leads are bipolar, passive fixation endocardial leads that feature three for fixation in the heart's trabeculae. The tip electrode is made of a titanium base material with a surface treatment of fractal iridium and a surface area of 1.3 mm². The ring electrode is made of a platinum/iridium base material with a surface treatment of fractal iridium and a surface area of 34 mm². The lead conductor is quadrifilar MP35N wire in a coaxial configuration, insulated with sillcone rubber tubing. All Synox leads utilize a 3.2 mm IS-1 connector.

The predicate devices are BIOTRONIK'S Synox passive fixation endocardial leads (straight and "U" configurations) cleared for commercial distribution on September 10, 1998 under 510(k) #K980869.

Indications for Use:

Synox leads are designed for use with implantable pulse generators that require pacing leads with a bipolar 3.2 mm IS-1 connector configuration; they may be used with single or dual chamber pacing systems. The leads are designed for use in patients for whom single or dual chamber pulse generator therapy is medically indicated. This indication follows that recommended in the Class I definition of the ACC/AHA Task Force Report, entitled "Guidelines for Implantation of Cardiac Pacemakers and Antiarrhythmic Devices" (JACC, Vol. 18, No. 1, July 1991:1 - 13).

Name and Address of Manufacturing Site:

BIOTRONIK GmbH & Co. (reg. no. 7010992) Woermannkehre 1, 12359 Berlin, Germany 011-49-30-689-05-304

Contact Person(s) and Phone Number: Jon Brumbaugh Regulatory Affairs Manager Phone (888) 345-0374 Fax (503) 635-9936

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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized graphic of an eagle or bird with three curved lines representing its wings or feathers. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the graphic.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL - 1 1999

Mr. Jon Brumbaugh Manager, Regulatory Affairs BIOTRONIK, Inc. 6024 Jean Road Lake Oswego, OR 97035

Re : K991169 Trade Name: Synox SX 53/15-BP and SX 60/15-BP Endocardial Pacing Leads Regulatory Class: III Product Code: DTB Dated: April 2, 1999 Received: April 7, 1999

Dear Mr. Brumbaugh:

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 legally marketed predicate 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 annual registration, listing of devices, good manufacturing practice, 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 regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to A substantially equivalent determination assumes compliance with 895. the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, FDA will verify such assumptions. Failure to comply with the GMP requlation may result in requlatory 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 obliqation you might have under section 531 through 542 of the Act for devices

2

Page 2 - Mr. Jon Brumbaugh

under the Electronic Product Radiation Control provisions, or other Federal Laws or Regulations.

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 requirements of the regulation are found in 21 CFR 821 as described in the August 16, 1993 Federal Reqister 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 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) Additionally, for questions on the promotion and advertising 594-4586. of your device, please contact the Office of Compliance at (301) 594-4639. Also, please not the regulation entitled, " Misbranding by reference to premarket notification" (21 CFR 807.97). 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/dsma/dsmamain.html".

Sincerely yours,

Quitymthater

Thomas J. Callahan, Ph.D. Director Division of Cardiovascular, Respiratory and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

3

INDICATIONS FOR USE 2.

Synox leads are designed for use with implantable pulse generators that require pacing hads with a Synox leads are designed for use with implanable pares with single or dual chamber pacing bigolar 3.2 min 10-1 connector ochingation, they may whom single or dual chamber pulse generator Systems. The leads are dolly indication follows that recommended in the Class I definition of the theraly is including indicated. This includines for Implantation of Cardiac Pacemakers and Antiarrhythmic Devices" (JACC, Vol. 18, No. 1, July 1991:1 - 13).

C. Witzman for Callahan

(Division Sign-Off) Division of Cardiovascular rological Devic 510(k) Numb

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