K Number
K992715
Device Name
NEURO URODYNAMIC SUITE, MODEL 9032E0101
Date Cleared
2000-02-28

(200 days)

Product Code
Regulation Number
876.1620
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Neuro-Urodynamics Suite for Duet / Duet MultiP is indicated for electrophysiological testing of the pelvic organs including motor nerve conduction, sacral reflex, and free-run EMG tests.
Device Description
The Duet version 8.1 is enhanced with a new suite of test programs for EMG and Motor Nerve conduction measurements. The suite is called Neuro Urodynamics Suite and consists of the following predefined testprogram: - Neuro Free Run EMG - Neuro Motor Nerve Conduction - Neuro Sacral Reflex The Neuro Urodynamic Suite is together with Duet MultiP intended to record a patients urodynamic functions and examination of the motor innervation of the spincters and the pelvic floor and the sensory innervation of pelvic structures. The whole system includes transducers, devices, tubing, catheters and electrodes. The tests are operated just like the urodynamic and anorectal tests. A license number is required to enable the software for the Neuro Urodynamic Suite.
More Information

K 944547

Not Found

No
The summary describes standard electrophysiological testing and software enhancements without mentioning AI or ML capabilities.

No
The device is indicated for diagnostic testing (electrophysiological testing of pelvic organs) and is not intended to treat or prevent a disease or condition.

Yes
The device is indicated for "electrophysiological testing" and "urodynamic functions and examination of the motor innervation of the spincters and the pelvic floor and the sensory innervation of pelvic structures," all of which are diagnostic activities used to identify or characterize medical conditions.

No

The device description explicitly states that "The whole system includes transducers, devices, tubing, catheters and electrodes," indicating it is a system with hardware components, not solely software.

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

Here's why:

  • IVDs analyze samples taken from the body (like blood, urine, tissue) in vitro (outside the body).
  • This device performs electrophysiological testing on the patient's body in vivo (within the body). It uses electrodes and transducers to measure electrical activity and responses directly from the pelvic organs and nerves.

The description clearly indicates it's a system for performing tests on the patient, not analyzing samples from the patient.

N/A

Intended Use / Indications for Use

The Neuro-Urodynamics Suite for Duet / Duet MultiP is indicated for electrophysiological testing of the pelvic organs including motor nerve conduction, sacral reflex, and frec-run EMG tests.

Product codes (comma separated list FDA assigned to the subject device)

84 GWF, 84 GWP, 78 FEN, 84 JXE

Device Description

The Duet version 8.1 is enhanced with a new suite of test programs for EMG and Motor Nerve conduction measurements. The suite is called Neuro Urodynamics Suite and consists of the following predefined testprogram:

  • Neuro Free Run EMG
  • Neuro Motor Nerve Conduction
  • Neuro Sacral Reflex

The Neuro Urodynamic Suite is together with Duet MultiP intended to record a patients urodynamic functions and examination of the motor innervation of the spincters and the pelvic floor and the sensory innervation of pelvic structures.
The whole system includes transducers, devices, tubing, catheters and electrodes. The tests are operated just like the urodynamic and anorectal tests. A license number is required to enable the software for the Neuro Urodynamic Suite.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

pelvic organs, spincters, pelvic floor

Indicated Patient Age Range

Pediatric to Adults

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)

Assessment of non-clinical performance data for equivalence:
Verifications results shows that the enhanced system performs as its predicate system.

Assessment of clinical performance data for equivalence:
Clinical evaluation not performed. This new software version does not raise any new issues regarding performance or safety that can not be tested in-house.

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.

K 944547

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

§ 876.1620 Urodynamics measurement system.

(a)
Identification. A urodynamics measurement system is a device used to measure volume and pressure in the urinary bladder when it is filled through a catheter with carbon dioxide or water. The device controls the supply of carbon dioxide or water and may also record the electrical activity of the muscles associated with urination. The device system may include transducers, electronic signal conditioning and display equipment, a catheter withdrawal device to enable a urethral pressure profile to be obtained, and special catheters for urethral profilometry and electrodes for electromyography. This generic type of device includes the cystometric gas (carbon dioxide) device, the cystometric hydrualic device, and the electrical recording cystometer, but excludes any device that uses air to fill the bladder.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 876.9.

0

K992715
Page 1 of 4

510(k) Notification Neuro Urodynamic Suite for Duet / Duet MultiP version 8.1

510(k) SUMMARY

as required per 807.92(c)

1. Submitters Name, Address:

Medtronic Functional Diagnostics A/S Tonsbakken 16-18 DK-2740 SKOVLUNDE Tcl: (+ 45 ) 44 57 90 00 Fax: (+ 45 ) 44 57 90 10 Contact person for this submission: Ann-Christine Jonsson Date submission was prepared: 6th August, 1999

2. Trade Name, Common Name and Classification Name:

A. Trade Name: Neuro Urodynamic Suite for Duet 8.1

B. Common Name, Classification Name, Class and Requlation Number:

| Common Name | Classificat
ion
Number | Class | Regulation
Number |
|------------------------|------------------------------|-------|------------------------------------------|
| Neuro Urodynamic Suite | 84 GWF
84 GWP | II | 21 CFR
882.1550
21 CFR
882.1870 |

Predicato Device Identification: 3.

The functionality and intended use of the Neuro Urodynamic Suite for Duet/Duet MultiP version 8.1 is equivalent to the two software test programs Motor Nerve conduction (MCV) and Electromyography (EMG) in Medtronic Dantecs Keypoint (K 944547).

4. Device Description:

r

The Duet version 8.1 is enhanced with a new suite of test programs for EMG and Motor Nerve conduction measurements. The suite is called Neuro Urodynamics Suite and consists of the following predefined testprogram:

  • Neuro Free Run EMG
  • Neuro Motor Nerve Conduction
  • Neuro Sacral Reflex

The Neuro Urodynamic Suite is together with Duet MultiP intended to record a patients urodynamic functions and examination of the motor innervation of the spincters and the pelvic floor and the sensory innervation of pelvic structures.

1

K992715
Page 2 of 4

The whole system includes transducers, devices, tubing, catheters and electrodes. The tests are operated just like the urodynamic and anorectal tests. A license number is required to enable the software for the Neuro Urodynamic Suite.

5. Intended Use:

The Neuro-Urodynamics Suite for Duet / Duet MultiP is indicated for electrophysiological testing of the pelvic organs including motor nerve conduction, sacral reflex, and frec-run EMG tests.

6. Table of Device Similarities and differences to predicate device

| Manufacturer | Dantec Medical A/S | Medtronic Functional
Diagnostics A/S | - |
|-------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------|
| 510(k) number | Predicate devices

  • Keypoint
    (only software
    modules EMG,
    MCV)
  • K 944547 | Modified Device
  • Duet /Duet MultiP with
    Neuro Urodynamic Suite
    K number to be decided | |
    | General: | Predicate devices:
  • Keypoint | Modified Device
  • Duet with Neuro
    Urodynamic Suite | Explanation of the differences
    compared
    to the Predicate devices |
    | Intended Use /
    Indication of Use | Electrophysiological
    testing. | Electrophysiological testing of
    the pelvic floor field. | This suite will be used with the
    other usages for Duet (i.e
    urodynamics and anorectal
    manometry). |
    | Intended
    Populations | Pediatric to Adults | Same | -- |
    | Sterilization | Accessories are
    supplied both sterile and
    non sterile, OEM
    manufacturer label the
    accessories with
    cleaning instructions. | Same | -- |
    | Biocompatibility | The Sensors are the
    only part that comes into
    contact with the patients. | Same | -- |
    | Technical
    Features: | Predicate devices | Modified Device | Explanation of the differences
    compared
    to the Predicate devices |
    | Signals to analyze | Electrophysiological
    signals | Same | -- |
    | User commands | Menu selections,
    keyboard combinations,
    screen "buttons" | Same | Modified Device is running under
    Windows |

2 (4)

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K992715
Page 3 of 4

510(k) Notification Neuro Urodynamic Suite for Duet / Duet MultiP version 8.1

| Test programs | - MCV
Motor nerve conduction
velocity a conventional
method to diagnose
generalized
polyneuropathy or local
entrapment. | -Nerve Conduction

  • Sacral Reflex
    Same | New names, same content in test
    program. |
    |----------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------|---------------------------------------------------------|
    | | - EMG
    Studies muscle function.
    The test is made at
    muscle rest, during
    slight activity and during
    strong voluntarily
    activity. | - Free Run EMG
    Same | |
    | Calculated
    parameters | Impulse, velocity,
    response amplitude and
    area, decay and
    duration. | Latency, velocity, response,
    amplitude and duration | Modified Device offers a subset of
    Predicate Device. |
    | Reports | Signal tracings and
    reports. Optionally
    selections only. | Same, reports In Word format | Modified Device is running under
    Windows. |
    | Patient database | Relational database with
    logical patient- recording
    relations | Same, database in Word
    format | Modified Device is running under
    Windows |
    | Additional data | User definable additional
    patient/recording
    parameters | Same | - |
    | User help system | Online help system with
    descriptions of
    procedures | No | Printed Instructions for Use |
    | Signal review
    method | Time - tracing based | Same | --- |
    | Recording control | Real time monitoring of
    signals | Same | --- |
    | Calibration
    . | Adjustable and fixed
    gain method. Monitoring
    of calibration result for
    range and resolution
    requirement. | Same | --- |
    | Recording
    configuration | A template is used for
    each type of recording.
    User definable. Once
    used, not possible to
    change, ensuring
    recording Integrity | Same | --- |

7. Assessment of non-clinical performance data for equivalence:

ー Verifications results shows that the enhanced system performs as its predicate system.

8. Assessment of clinical performance data for equivalence:

Clinical evaluation not performed. This new software version does not raise any new issues regarding performance or safety that can not be tested in-house.

9. Biocompatability:

This new Neuro Urodynamic Suite is an extension of the software and there is no contact with the patient. The only parts of this system that comes into contact with the body are the accessories and they are already in commercial distribution on the US market.

10. Sterilization:

Not applicable

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K992715
Page 4 of 4

11. Standards and Guidances:

The Duet / Duet MultiP complies to the following standard:

  • EN 60601-1:1990 and Amendments A1, A11, A12 and A13
    The Neuro Urodynamic suite is a purc software enabling and doesn't affect the hardware.

4(4)

ﺘﺮ ﻟﺘ

4

Image /page/4/Picture/2 description: The image shows a partial logo of the Department of Health and Human Services. The logo features a stylized caduceus, a symbol often associated with medicine and healthcare. The caduceus is depicted with three intertwined strands and a wing-like structure at the top. The text "DEPARTMENT OF HEALTH &" is visible around the logo.

FEB 2 8 2000

Ms. Tove Kiaer Regulatory Affairs Specialist Medtronic Functional Diagnostics A/S Tonsbakken 16-18 DK-2740 Skovlunde DENMARK

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Re: K992715 Medtronic Duet/Duet MultiP Version 8.1 with Neuro-Urodynamics Suite Dated: November 25, 1999 Received: November 30, 1999 Regulatory Class: II 21 CFR §876.1620/Procode: 78 FEN 21 CFR §882.1870/Procode: 84 GWF 21 CFR §882.1550/Procode: 84 JXE

Dear Ms. Kjaer:

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 Pood, Drug, and Cosmetic Act (Act). You may, therefore, 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 to 895. A substantially equivalent determination assumes compliance 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 regulation 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 regulations.

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 requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4591. 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" (21CFR 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,

Daniel G. Schultz, M.D.

Daniel G. Schultz, M.D. Captain, USPHS Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure(s)

5

Indication for Use Statement

Page 1 of 1 510(k) Number (if Known):

Device Name: Neuro Urodynamic Suite

Indications for Use:

The Neuro-Urodynamics Suite for Duet / Duet MultiP is indicated for electrophysiological testing of the pelvic organs including motor nerve conduction, sacral reflex, and free-run EMG tests.

MRI Compatibility Statement:


The Duet with Neuro Urodynamic Suite is not compatible for use in a MRI magnetic field.

. -

(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) |

------------------------------------------------------------------------------------------------

| (Division Sign-Off)

Division of Reproductive, Abdominal, ENT, and Radiological Devices
510(k) NumberK992715 / S 001