K Number
K992598
Device Name
TOF-WATCH SX
Date Cleared
1999-08-30

(27 days)

Product Code
Regulation Number
868.2775
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The TOF-Watch SX device can be used as an objective monitor using accelerometry for measuring the muscle contraction following stimulation of the respective motorneuron, as a peripheral nerve stimulator (without the objective measuring function) for subjective monitoring or as a nerve location device.
Device Description
The TOF-Watch SX device is a neuromuscular transmission monitor capable of estimating the degree of neuromuscular block in anesthetized patients. It can be used as an objective monitor using accelerometty for measuring the muscle contraction following a stimulation of the respective motorneuron, as a peripheral nerve stimulator (without the objective measuring function) for subjective monitoring and as a nerve location device utilizing a needle electrode. The TOF - Watch SX device is packaged individually in a neutral carton box. The complete package contains a TOF-Watch SX, an acceleration transducer, a surface electrode cable and a multilingu manual.
More Information

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Not Found

No
The summary describes a device that measures muscle contraction using accelerometry and acts as a nerve stimulator. There is no mention of AI, ML, or any related concepts in the intended use, device description, or the specific sections for AI/ML information.

Yes
The device is used to monitor neuromuscular block in anesthetized patients and can function as a peripheral nerve stimulator, directly impacting patient care and treatment.

Yes
The device is described as a "neuromuscular transmission monitor capable of estimating the degree of neuromuscular block in anesthetized patients," which implies it is used to diagnose or assess a physiological state.

No

The device description explicitly states that the complete package contains hardware components including the TOF-Watch SX device itself, an acceleration transducer, and a surface electrode cable.

Based on the provided information, the TOF-Watch SX 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, tissue) to provide information about a person's health. This testing is done outside of the body.
  • TOF-Watch SX Function: The TOF-Watch SX directly interacts with the patient's body. It stimulates nerves and measures muscle contractions in vivo (within the living body). It does not analyze samples taken from the body.

Therefore, the TOF-Watch SX falls under the category of a medical device used for monitoring physiological responses in a patient, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The TOF-Watch SX device can be used as an objective monitor using accelerometry for measuring the muscle contraction following stimulation of the respective motorneuron, as a peripheral nerve stimulator (without the objective measuring function) for subjective monitoring or as a nerve location device.

Product codes

73 KOI

Device Description

The TOF-Watch SX device is a neuromuscular transmission monitor capable of estimating the degree of neuromuscular block in anesthetized patients. It can be used as an objective monitor using accelerometty for measuring the muscle contraction following a stimulation of the respective motorneuron, as a peripheral nerve stimulator (without the objective measuring function) for subjective monitoring and as a nerve location device utilizing a needle electrode. The TOF - Watch SX device is packaged individually in a neutral carton box. The complete package contains a TOF-Watch SX, an acceleration transducer, a surface electrode cable and a multilingu manual.

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

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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

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Summary of Performance Studies

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Key Metrics

Not Found

Predicate Device(s)

TOF-Watch

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.2775 Electrical peripheral nerve stimulator.

(a)
Identification. An electrical peripheral nerve stimulator (neuromuscular blockade monitor) is a device used to apply an electrical current to a patient to test the level of pharmacological effect of anesthetic drugs and gases.(b)
Classification. Class II (performance standards).

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K992598

510(k) Summary

The submitter's name, address, telephone number, a contact person, and the date the summary was (a)(1) prepared:

Submitter's Name: Organon Teknika Corporation

Submitter's Address: 100 Akzo Avenue Durham, North Carolina 27712

Submitter's Telephone: (919) 620-2288

Submitter's Contact: Rebecca A. Rivas

Date 510(k) Summary Prepared: 7/28/99

  • The name of the device, including the trade or proprietary name if applicable, the common or usual name, (a)(2) and the classification name, if known;
    Trade or Proprietary Name: TOF-Watch SX

Common or Usual Name: TOF-Watch SX

Classification Name: Electrical Nerve Stimulator

An identification of the legally marketed device to which the submitter claims substantial equivalence; (a)(3)

Device Equivalent to: TOF-Watch

A description of the device. (a)(4)

The TOF-Watch SX device is a neuromuscular transmission monitor capable of estimating the degree of neuromuscular block in anesthetized patients. It can be used as an objective monitor using accelerometty for measuring the muscle contraction following a stimulation of the respective motorneuron, as a peripheral nerve stimulator (without the objective measuring function) for subjective monitoring and as a nerve location device utilizing a needle electrode. The TOF - Watch SX device is packaged individually in a neutral carton box. The complete package contains a TOF-Watch SX, an acceleration transducer, a surface electrode cable and a multilingu manual.

(a)(5) A statement of the intended use of the device.

The TOF-Watch SX device can be used as an objective monitor using accelerometry for measuring the muscle contraction following stimulation of the respective motorneuron, as a peripheral nerve stimulator (without the objective measuring function) for subjective monitoring or as a nerve location device.

1

l

A summary of the technological characteristics of the new device in comparison to those of the predicate (a)(6) device.

FeaturesTOF-WatchTOF-Watch SX
Stimulation patterns (monitoring)
TOFYesYes
PTCYesYes
1 HzYesYes
0.1 HzYesYes
DBSYesYes(see P button)
TETYesYes(see P button)
TOFS (stimulation with user
programmable interval)NoYes (1-60 min)
P button(user programmable button)NoYes
(DBS,TET,OFF)
Stimulation current range0-60mA,≤ 5 KΩ60 mA, ≤ 5 KΩ
Stimulation pulse width200 µS200/300 µS
Acceleration transducerYesYes
Calibration of acceleration transducer
sensitivity1 sequence - auto2 sequences - auto
Manual sensitivity adj.NoYes
User programmable alarms: TOF and
TOFSNo2(upper & lower)
(limits:
#/%TOF,OFF)
User programmable alarms: ON/OFFNoYes
Automatic power switch off ( after 2
hours of no operation)YesYes
Surface temperature sensorNoYes (20-41.5°C)
Nerve location – LAYesYes
Current range0-6mA,≤ 5 KΩ0-6 mA, ≤ 5 ΚΩ
Pulse width40 µS40 µS

Comparison of TOF- Watch to TOF Watch SX

2

Special 510(k) Premarket Notification Organon Teknika Corporation TOF-Watch SX

(b)3) The conclusions drawn that demonstrate that the device is as effective, and performed as well or better than the legally marketed device identified in (a)(3).

In summary, the TOF-Watch SX described in this submission is substantially equivalent to the predicate device based on the following similarities:

  • Have the same indicated use ●
  • Use the same operating principle ●
  • Incorporate the same basic design ●
  • Incorporate the same materials ●
  • . Packaged the same using the same materials and process

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with flowing lines representing hair or clothing.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 30 1999

Ms. Rebecca A. Rivas Organon Teknika Corp. 100 Akzo Avenue Durham, NC 27712

Re: K992598 TOF-Watch SX Requlatory Class: II (two) Product Code: 73 KOI Dated: July 30, 1999 Received: August 3, 1999

Dear Ms. Rivas:

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, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). 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.

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 Regulations, Title 21, Parts 800 A substantially equivalent determination assumes compliance to 895. with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Requlation (QS) for Medical Devices: General requlation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

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Page 2 - Ms. Rebecca A. Rivas

This letter will allow you to begin marketing your device as described in vour 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 requlation (21 CFR Part 801 and additionally 809.10 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. Also, please note 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,

Thomas J. Callahan

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

Enclosure

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K992598 510(k) Number (If known):

Device Name:

Indications For Use:

The TOF-Watch SX device can be used as an objective monitor using accelerometry for measuring the muscle contraction following stimulation of the respective motorneuron, as a peripheral nerve stimulator (without the objective measuring function) for subjective monitoring or as a nerve location device.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Format 1-2-96)

LoA. Westrom
Division Sign-Off

Cardiovascular, Respiratory, and Neurological Devi 510(k) Number