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510(k) Data Aggregation

    K Number
    K212191
    Date Cleared
    2021-10-06

    (86 days)

    Product Code
    Regulation Number
    882.1320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Adhesive Electrodes

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Adhesive Electrodes are intended for use as a reusable, conductive interface between the patient's skin and the marketed electrical stimulators i.e. TENS (Transutaneous Electrical Nerve Stimulation), EMS (Electrical Muscular Stimulation), IF (Interferential) or PGF (Pulsed Galvanic Stimulation) for transmitting electrical current. The electrode is for OTC (Over-The-Counter) or Prescription use.

    Device Description

    Adhesive Electrodes are composed of non-woven fabric, carbon film coated with silver and conductive hydrogel; It is identical in technological characteristics compared to the predicate device, Adhesive Electrodes, OACWN serial cleared in K160138 and the subject devices are also to be sold for over-the-counter (OTC) use and prescription use, which is the same as the predicate device.

    Adhesive Electrodes manufactured by Voncare Medical Device Co., Ltd are multi-layer reusable, flexible structures composed of laminated materials commonly used in this application.

    First layer: Insulating backing material-nonwoven coated with 30-50um bio-compatible medical adhesive tape
    Second layer: Conductive film
    Third layer: Bio-compatible self-adhesive conductive hydrogel, thickness 1.0+/-0.2mm
    Protective silicon liner: PET

    The electrodes are designed for single-patient/multiple application use. Because of the biocompatible conductive hydrogel's adhesive nature, no securing materials are required to secure the device to the patient's skin. The electrode is connected to the electrical stimulator by lead wire, with a standard .080" female socket connector. By design, the insulated outer jacket prevents the conductive connection to earth or hazardous voltages. Wire assembly complies with FDA performance standard 21 CFR Part 898.

    AI/ML Overview

    The provided text describes the regulatory clearance (K212191) for "Adhesive Electrodes" manufactured by Voncare Medical Device Co., Ltd. This document is a 510(k) summary, which focuses on demonstrating substantial equivalence to a predicate device, rather than proving novel effectiveness. Therefore, the study details are primarily related to non-clinical performance and safety testing.

    Here's a breakdown of the requested information based only on the provided text:

    1. A table of acceptance criteria and the reported device performance

    Performance CharacteristicAcceptance Criteria (Predicate)Reported Device Performance (Subject Device)Difference Discussion
    A.C. Impedance6 pounds of force>7 pounds of forceThe difference does not raise any new questions of safety and effectiveness which meet the design requirement.
    BiocompatibilityComplies with ISO10993Complies with ISO10993Identical
    Sterility StatusNon-sterileNon-sterileIdentical
    Single Patient UseSingle Patient UseSingle Patient UseIdentical

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Sample Size for Test Set: The document does not specify the sample size for individual tests. It states that "Non-clinical tests were conducted."
    • Data Provenance: The document does not explicitly state the country of origin of the data or whether the tests were retrospective or prospective. Given that the manufacturer is based in China, it's highly probable the testing was conducted there or overseen by the manufacturer.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not applicable and not provided in the document. The tests performed are non-clinical (e.g., electrical impedance, mechanical strength, biocompatibility), which rely on standardized measurement methods rather than expert interpretation of a "ground truth" in the clinical sense.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    This information is not applicable and not provided in the document. Adjudication methods are typically used in clinical studies involving human interpretation or challenging endpoints.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    No MRMC study was conducted. The device is an adhesive electrode, a passive component, not an AI-powered diagnostic or assistive tool for human readers. The document explicitly states: "No clinical study is included in this submission."

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. The device is an adhesive electrode, not an algorithm, and does not involve AI or standalone performance in the context of diagnostic or interpretive tasks.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    For the non-clinical tests, the "ground truth" is defined by the applicable standards requirements (e.g., ANSI/AAMI ES60601-1 for safety/performance, ISO10993 for biocompatibility) and the predicate device's performance characteristics. The tests verify that the subject device meets these established performance and safety benchmarks.

    8. The sample size for the training set

    Not applicable. This device is not an AI algorithm and therefore does not have a training set.

    9. How the ground truth for the training set was established

    Not applicable. This device is not an AI algorithm and therefore does not have a training set.

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    K Number
    K180865
    Date Cleared
    2018-06-28

    (87 days)

    Product Code
    Regulation Number
    882.1320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ZMI Self-Adhesive Electrodes

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    ZMI Self-adhesive electrodes are intended for use as a reusable, conductive interface between the patient's skin and the marketed electrical stimulators (i.e. TENS (Transcutaneous Electrical Nerve Stimulation), EMS (Electrical Muscular Stimulation), IF (Interferential) or PGF (Pulsed Galvanic Stimulation) for transmitting electrical current. The electrodes are for OTC (Over-The-Counter) or Prescription use.

    Device Description

    ZMI Self-adhesive electrodes provide a means for establishing electrical contact between the lead connected to a TENS, EMS or NMES stimulation device and the skin, and are multi-layer, reusable, flexible structures composed of laminated materials commonly used in the application:

    Top laver: Insulation material: Fabric/foam/tan fabric
    Middle layer: Conductive film (Silver coated Carbon film/Aluminum foil film)
    Bottom layer: Biocompatible self-adhesive conductive hydrogel
    Connection: Leadwire/snap button/magnetic button

    The electrodes are designed for single-patient & multiple application use. Because of the adhesive nature of the biocompatible conductive hydrogel, no securing materials are required to secure the device to the patient's skin.

    AI/ML Overview

    The provided document, a 510(k) Premarket Notification for ZMI Self-Adhesive Electrodes (K180865), is a regulatory submission to the FDA. It does not describe studies proving a device meets acceptance criteria for an AI/ML medical device. Instead, it demonstrates substantial equivalence to predicate devices for a physical medical electrode.

    Therefore, I cannot extract the requested information (acceptance criteria, study details, sample sizes, expert qualifications, adjudication, MRMC, standalone performance, ground truth, training set details) as it is not present in the document. The document focuses on material composition, intended use, and physical/electrical performance tests relevant to an electrode, not on studies involving AI/ML algorithms, image analysis, or human reader performance.

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    K Number
    K180773
    Date Cleared
    2018-05-22

    (60 days)

    Product Code
    Regulation Number
    882.1320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Reusable and Self-Adhesive Electrodes

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    This product is an adhesive electrode which is intended for use as the re-usable, conductive interface between the patient's skin and the Electrical Stimulator. It is intended to be used with legally marketed Electrical Stimulators, i.e. TENS (Transcutaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation).

    Device Description

    The Reusable and Self-Adhesive Electrodes are made of conductive hydrogel, fabric cloth and carbon film. They work when sticking to human skin and connecting with electrical stimulators by lead wires. During the treatment, electrical pulses are passed across the intact surface of the skin to activate the underlying nerves.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for a medical device: "Reusable and Self-Adhesive Electrodes." The primary purpose of this document is to demonstrate "substantial equivalence" to a legally marketed predicate device, rather than to present a comprehensive study proving novel acceptance criteria for a new type of device or algorithm.

    Therefore, many of the requested categories for AI/algorithm-based studies (e.g., sample size for test/training sets, data provenance, number of experts for ground truth, adjudication methods, MRMC studies, standalone performance, effect size of AI assistance) are not applicable to this type of regulatory submission. This document details the non-clinical testing performed to show equivalence in basic device performance and biocompatibility.

    Here's an analysis based on the information available:

    1. A table of acceptance criteria and the reported device performance

    Acceptance Criteria CategorySpecific Test PerformedAcceptance Criteria (Implied)Reported Device Performance
    Electrode PerformanceElectrical Impedance PerformanceMet relevant standards/specifications for conductive electrodes."All evaluation acceptance criteria were met" for electrode performance testing.
    Adhesive PerformanceMet relevant standards/specifications for medical adhesives."All evaluation acceptance criteria were met" for adhesive performance testing.
    Tensile StrengthMet relevant standards/specifications for device integrity."All evaluation acceptance criteria were met" for tensile strength testing.
    BiocompatibilityCytotoxicity (ISO 10993-5)No evidence of cytotoxic potential."All evaluation acceptance criteria were met"
    Irritation (ISO 10993-10)No evidence of irritation potential."All evaluation acceptance criteria were met"
    Sensitization (ISO 10993-10)No evidence of sensitization potential."All evaluation acceptance criteria were met"
    StabilityShelf lifeMaintained performance characteristics for claimed shelf life."3 years" shelf life reported for the subject device. (Predicate: 2 years, deemed substantially equivalent).
    ReusabilityMaintained performance after multiple uses (as reusable).Maintained performance over specified reuses.Device is "reusable" (for single patient), performance maintained for the intended reusability.

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Sample Size: Not specified in the document. For non-clinical tests like material strength, impedance, and biocompatibility, sample sizes are typically determined by relevant ISO standards or internal quality procedures.
    • Data Provenance: Not explicitly stated, but the testing would have been conducted by the manufacturer (Shaoxing DongZhi Electrical Technology Co., Ltd. in China) or a certified testing laboratory. The standard for biocompatibility is ISO 10993-1:2009. These are prospective tests conducted on manufactured device samples.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    • Not applicable. These are non-clinical device performance and material safety tests, not diagnostic or interpretive tasks requiring expert consensus. The "ground truth" is established by direct measurement and adherence to defined physical and biological standards.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    • Not applicable. Adjudication is for human interpretation and consensus. These tests involve objective measurement against predetermined criteria.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    • Not applicable. This is a medical device for electrical stimulation, not an AI diagnostic or interpretive tool.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    • Not applicable. This is not an algorithm-based device.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    • The "ground truth" for the non-clinical tests is established by:
      • Physical measurements: For electrical impedance, adhesive strength, and tensile strength, the ground truth is the direct measurement of these properties using calibrated equipment, compared against numerical specifications derived from relevant performance standards.
      • Biological assays: For biocompatibility (cytotoxicity, irritation, sensitization), the ground truth is determined by standardized laboratory assays where effects on biological systems (e.g., cell cultures, animal models) are observed and evaluated against criteria defined in ISO 10993 series.

    8. The sample size for the training set

    • Not applicable. This is not an AI/machine learning device.

    9. How the ground truth for the training set was established

    • Not applicable. This is not an AI/machine learning device.
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    K Number
    K171381
    Date Cleared
    2017-12-13

    (216 days)

    Product Code
    Regulation Number
    882.1320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Adhesive Electrodes

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Adhesive Electrodes are intended to transmit electrical current to patient skin for TENS (Transcutaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation) applications. It is for OTC (Over-The -Counter) or Prescription use and is to be used for adults only.

    Device Description

    The Adhesive Electrodes transmit electrical current to patient skin, the electrical current is first transmitted via the snap button then transmitted to the conductive gel which is adhered to patient skin. Adhesive Electrodes are multi-layer reusable, flexible structures, composed of laminated materials commonly used in this application: EVA foam First layer: Insulating backing material: Second layer: Conductive film: Carbon film Third layer: Biocompatible self-adhesive conductive hydrogel Protective liner: PET. The dimension of the adhesive electrode is 40 mm (L) × 70 mm (W) ×3mm (H).

    AI/ML Overview

    The provided text describes ShenZhen Quality Medical Technology Co.,Ltd's "Adhesive Electrodes" (K171381) and indicates its substantial equivalence to predicate devices, rather than outlining a detailed study proving the device meets specific acceptance criteria in the manner requested. The document is a 510(k) summary for a medical device focusing on establishing substantial equivalence to previously cleared devices.

    Therefore, many of the requested categories (sample size, expert qualifications, adjudication, MRMC studies, standalone performance, training set details) are not applicable or cannot be extracted from this type of regulatory submission.

    Here's what can be extracted and inferred based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    According to the document, the acceptance criteria are largely based on equivalence to predicate devices and adherence to relevant ISO standards.

    Acceptance Criteria CategorySpecific Criteria/StandardReported Device PerformanceRemark on Equivalence
    Intended UseTransmit electrical current for TENS and EMS, OTC/Prescription, adults only. Similar to predicate devices.The Adhesive Electrodes are intended to transmit electrical current to patient skin for TENS and EMS applications. It is for OTC or Prescription use and is to be used for adults only.SE (Substantial Equivalence)
    Material/DesignThree layers: Insulating backing, Conductive film, Conductive hydrogel. Similar in principle to predicates.Three layers: EVA foam (insulation), Carbon film (conductive), Biocompatible self-adhesive conductive hydrogel.SE (Substantial Equivalence)
    Electrical PerformanceA.C. Impedance
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    K Number
    K170744
    Manufacturer
    Date Cleared
    2017-05-08

    (59 days)

    Product Code
    Regulation Number
    882.1320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Adhesive Electrodes

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Adhesive electrodes are intended for use as the disposable, conductive interface between the patient's skin and the Electrical Stimulator. Adhesive Electrodes are intended to be used with marketed Electrical Stimulators, i.e. TENS (Transcutaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation). It is for OTC use.

    Device Description

    Adhesive electrodes are intended for use as the disposable, conductive adhesive interface between the patient's skin and the Electrical Stimulator. Adhesive Electrodes are intended to be used with marketed Electrical Stimulators, i.e. TENS (Transcutaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation). It is for OTC use.

    The proposed device, Adhesive Electrode, is intended to be used with U.S. legally marketed Electrical Stimulator, i.e. TENS and EMS, as a conductive adhesive interface between the patient's skin and such stimulators. It is for single patient use only.

    The intended environment for the proposed device includes home use and hospital use. The intended population for the proposed device includes children and adults.

    The proposed device mainly consists of substrate and wire. The substrate is available in rectangular shape and round shape.

    AI/ML Overview

    The provided text is a 510(k) summary for Reno Medical Ltd.'s Adhesive Electrodes, and it specifically states: "No clinical study is included in this submission."

    Therefore, a detailed description of acceptance criteria, device performance, sample sizes, expert qualifications, or ground truth establishment related to a clinical study cannot be provided from this document. The submission relies entirely on non-clinical testing to demonstrate substantial equivalence to a predicate device.

    However, based on the non-clinical tests mentioned, we can infer the reported approach to meeting performance criteria.

    Here's a breakdown of what can be extracted and what cannot:

    1. A table of acceptance criteria and the reported device performance

    The document does not provide a specific table of acceptance criteria with reported performance metrics for the proposed device in a clinical context. Instead, it states that "Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device."

    The comparison table (Table 1) shows that the proposed device is considered "Identical" to the predicate device (K132588) across various characteristics, including:

    • Product Code: GXY
    • Regulation Number: 21 CFR 880.1320
    • Class: II
    • Intended Use: Adhesive electrodes for use as disposable, conductive interface between patient's skin and Electrical Stimulators (TENS/EMS) for OTC use.
    • Design Feature: Substrate / Wire / Hydro-Gel Scrim / Conductive Fiber Carbon Conductive Film / Liner
    • OTC or Prescription: For OTC use
    • Biocompatibility: Conforms to ISO 10993 series standards
    • Label/Labeling: Complied with 21 CFR part 801

    The acceptance criteria for these aspects are implicitly that the proposed device's characteristics match those of the predicate device and comply with relevant standards and regulations.

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    This information is not provided because no clinical study was conducted. The "test set" in this context refers to the non-clinical tests' samples. The document does not specify the sample sizes or data provenance for these non-clinical tests.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    Not applicable, as no clinical study with human subject data requiring expert ground truth was performed.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Not applicable, as no clinical study with human subject data requiring adjudication was performed.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. The device is an adhesive electrode, not an AI-powered diagnostic tool, and no MRMC study was conducted.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    This is not an AI algorithm. The device performance was assessed via non-clinical tests, not an algorithm's standalone performance.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    Not applicable, as no clinical study with human subject data requiring ground truth was performed. For the non-clinical tests, the "ground truth" would be established by validated test methods and reference standards for material properties, electrical performance, biocompatibility, etc.

    8. The sample size for the training set

    Not applicable, as this is not an AI-powered device and no training set was used.

    9. How the ground truth for the training set was established

    Not applicable, as this is not an AI-powered device and no training set was used.

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    K Number
    K160138
    Date Cleared
    2016-08-11

    (203 days)

    Product Code
    Regulation Number
    882.1320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Adhesive Electrodes

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Adhesive Electrodes are intended for use as a reusable, conductive adhesive interface between the patient's skin and the marketed electrical stimulators (i.e. TENS (Transcutaneous Electrical Nerve Stimulation), EMS (Electrical Muscular Stimulation), IF (Interferential) or PGF (Pulsed Galvanic Stimulation) for transmitting electrical current. The electrode is for OTC (Over-The-Counter) or Prescription use.

    Device Description

    Adhesive Electrodes manufactured by GMDASZ are multi-layer reusable, flexible structures composed of laminated materials commonly used in this application:

    First layer: Insulating backing material: Fabric/foam/tan fabric
    Second layer: Conductive film/Carbon film coated with silver/Aluminum foil film
    Third layer: Biocompatible self-adhesive conductive hydrogel
    Protective liner: PET

    The electrodes are designed for single-patient/multiple application use. Because of the adhesive nature of the biocompatible conductive hydrogel, no securing materials are required to secure the device to the patient's skin. The electrode is connected to the electrical stimulator by lead wire, with a standard .080" recessed female terminal with insulating outer jacket. By design, the insulated outer jacket prevents the conductive connection to earth or hazardous voltages. Wire assembly is incompliance with FDA performance standard 21 CFR Part 898.

    AI/ML Overview

    This document is a 510(k) premarket notification for "Adhesive Electrodes" manufactured by GMDASZ Manufacturing Co., Ltd. The submission seeks to expand the sales of their existing electrodes (previously cleared under K092546) to include Over-The-Counter (OTC) use, and also introduces new electrodes with an Aluminum foil film conductive layer, comparing them to the predicate device K132998 (Wandy self-adhesive electrodes).

    Here's an analysis of the acceptance criteria and study information:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly present a "table of acceptance criteria." Instead, it compares the subject device's performance against two predicate devices (K092546 and K132998) across various technical specifications, which implicitly serve as acceptance criteria. The key performance metrics and their comparison are:

    Acceptance Criteria (Implied from Predicate Devices)Reported Device Performance (K160138)Comparison/Remark
    Material/Design Features:
    Insulation backing material: Fabric/Foam/Tan fabricSame: Fabric/Foam/Tan fabricSame
    Conductive film (K092546 D-pred): Carbon film/Carbon film coated with silverCarbon film/Carbon film coated with silver/Aluminum foil filmSimilar; new option of Aluminum foil film, justified by K132998 predicate.
    Conductive hydrogel (A, T or U gel)Same: (A, T or U gel)Same
    Electrical Connection: LeadwireLeadwireSame or Similar. Some K132998 models had snap, but subject device uses leadwire.
    Protective Liner: PETPETSame
    Lead Wire Connector: .080" female socket connector.080" female socket connectorSame
    ReusableReusableSame
    Packaging: Re-sealable bag packedRe-sealable bag packedSame
    Self-adhesiveSelf-adhesiveSame
    Performance Characteristics:
    Biocompatibility: Complies with ISO10993Complies with ISO10993Same. For new aluminum foil models, no new tests were conducted as materials for other layers were identical to K092546.
    A.C. Impedance: 6 pounds of forceMore than 6 pounds of forceSame
    Regulatory/Indications:
    OTC or Prescription use (K092546 Pred: Prescription, K132998 Pred: OTC & Rx)OTC and PrescriptionExpanded from K092546, aligned with K132998.
    Single Patient UseSingle Patient UseSame

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document does not specify the sample size for any conducted tests.
    The data provenance is from GMDASZ Manufacturing Co., Ltd., which is based in Guangdong Province, P.R. China. The studies appear to be prospective testing conducted by the manufacturer to demonstrate substantial equivalence.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not applicable/not provided. The device is an adhesive electrode, and the evaluation relies on technical and performance testing against established standards and predicate devices, not on expert interpretation of medical images or conditions where "ground truth" is typically established by medical professionals.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    This information is not applicable/not provided. Adjudication methods like "2+1" or "3+1" are typically used in clinical studies or image interpretation studies where multiple readers assess cases and discrepancies are resolved. The studies described here are laboratory/performance tests.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    This information is not applicable/not provided. An MRMC study is for evaluating diagnostic performance, often with AI. The device is a medical accessory (adhesive electrode) and is not an AI diagnostic tool.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    This information is not applicable/not provided. This device is an electrode, not an algorithm. Therefore, "standalone" algorithm performance is not relevant. The device's performance is inherently tied to its physical and electrical properties.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" for the performance tests appears to be established industry standards (e.g., EC12/EC53, ISO10993) and the documented performance characteristics of legally marketed predicate devices. The tests conducted (safety, adhesion, current dispersion, reusability, stability) evaluate whether the device meets these pre-defined technical specifications.

    8. The sample size for the training set

    This information is not applicable/not provided. This medical device is a physical product (electrode) and does not involve machine learning or AI models that require a "training set."

    9. How the ground truth for the training set was established

    This information is not applicable/not provided, as there is no training set for this type of device.

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    K Number
    K151033
    Date Cleared
    2015-07-28

    (102 days)

    Product Code
    Regulation Number
    882.1320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Philips Self-Adhesive Electrodes

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Philips Self-Adhesive Electrodes are intended for use with the PulseRelief device for applying Transcutaneous Electrical Nerve Stimulation (TENS) and Electrical Muscle Stimulation (EMS)

    Device Description

    The Philips Self-Adhesive Electrodes is used as a transcutaneous electrical nerve stimulation electrode in conjunction with the Philips PulseRelief device which is an electrical stimulator for TENS or EMS. Electrodes are passive devices serving as an interface between a user's skin and a neurostimulation device. It is composed of: 1. Metal target, 2. Rivet, 3. Textile adhesive layer, 4. Carbon layer, 5. Hydrogel layer, 6. Backing sheet. Proper current distribution is delivered via use of a printed silver pattern.

    AI/ML Overview

    The provided text describes the acceptance criteria and performance data for the Philips Self-Adhesive Electrodes in the context of demonstrating substantial equivalence to a predicate device for FDA 510(k) clearance. This is not a study proving a device meets acceptance criteria for an AI/ML algorithm or a new medical device that requires clinical performance studies based on efficacy or accuracy.

    The "acceptance criteria" here refers to the parameters assessed for substantial equivalence with a legally marketed predicate device (Axelgaard ValuTrode® Neurostimulation Electrodes K130987). The "study" refers to the performance data gathered to support this claim, primarily focusing on physical and electrical characteristics as well as biocompatibility, rather than clinical efficacy studies often associated with AI/ML devices.

    Therefore, for most of the requested information points (especially those related to AI/MRMC studies, ground truth, experts, and data provenance related to clinical performance), the document does not provide the relevant data because this is a 510(k) submission for a simple medical device (electrodes), not an AI/ML diagnostic tool.

    I will populate the table and answer the questions based only on the information available in the provided document, acknowledging where the information is not applicable or not present for this type of device submission.

    1. A table of acceptance criteria and the reported device performance

    Acceptance Criteria (from predicate or general standards for electrodes)Reported Device Performance (Philips Self-Adhesive Electrodes)
    Biocompatibility:
    - Cytotoxicity testTested in accordance with FDA Blue Book Memorandum #G95-1 and ISO 10993-1. (Results implicitly positive, as the conclusion states the device is safe and effective).
    - Sensitization testTested in accordance with FDA Blue Book Memorandum #G95-1 and ISO 10993-1. (Results implicitly positive, as the conclusion states the device is safe and effective).
    - Irritation testTested in accordance with FDA Blue Book Memorandum #G95-1 and ISO 10993-1. (Results implicitly positive, as the conclusion states the device is safe and effective).
    Electrical Performance:
    - Current distribution (equal)Tested to assure the current is equally distributed.
    - Impedance (proper electrical connection)Tested for Impedance to assure proper electrical connection to the skin.
    - Average power density (max 0.25 W/cm²)Calculated average power density: 0.0026 W/cm². This is below the maximum value of 0.25 W/cm².
    (Calculation: Max current 60mA, Max voltage 60V, Surface area 25cm² (50x50mm). Worst case r.m.s. current in program 1: (2*90µs/10ms)*60mA = 1.08mA. Current density = 1.08mA/25cm² = 43µA r.m.s. Power = 43µA * 60V = 0.0026 W/cm².)
    Mechanical Performance:
    - Initial adhesion forceTested. (Results implicitly positive, as the conclusion states the device is safe and effective).
    - Adhesion force after multiple usesTested. (Results implicitly positive, as the conclusion states the device is safe and effective).
    - Connector/Magnetic clamping reliability (multiple use)Tested to assure multiple use and to assure the TENS PulseRelief stays fixed to the Philips Self-Adhesive Electrode during use. (Results implicitly positive, as the conclusion states the device is safe and effective).
    Packaging/Storage:
    - Storage conditions (41°F to 80.6°F / +5°C to +27°C)Tested for storage conditions. (Results imply compliance with specified range).
    - Accelerated aging (function as expected within expiration date)Tested for accelerated aging in worst storage condition to assure function within the expiration date. (Results implicitly positive, as the conclusion states the device is safe and effective).

    2. Sample size used for the test set and the data provenance

    The document does not specify the explicit sample sizes for the various performance tests (e.g., number of electrodes tested for electrical properties, adhesion, accelerated aging).
    The data provenance is from tests conducted on the Philips Self-Adhesive Electrodes, which are manufactured by Axelgaard (the same manufacturer as the predicate device). The nature of the testing described (biocompatibility, electrical, mechanical, packaging) suggests it is prospective testing specifically for this device's submission. No geographical origin of the testing data is specified beyond the parent company being Philips Consumer Lifestyle, located in Stamford, Connecticut, USA.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This information is not applicable to this type of device submission. The tests performed are engineering, material, and safety tests, not clinical evaluations requiring expert interpretation or ground truth establishment in a diagnostic sense.

    4. Adjudication method for the test set

    This information is not applicable. Adjudication methods are typically used in clinical studies involving human interpretation or multi-reader scenarios, not for the direct physical/electrical testing described for this electrode.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    No, an MRMC comparative effectiveness study was not done. This device is an electrode, not an AI-assisted diagnostic tool. Therefore, this section is not applicable.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    No, a standalone algorithm performance study was not done. This device does not involve an algorithm.

    7. The type of ground truth used

    The "ground truth" for the performance tests outlined here is derived from engineering and material standards, electrical measurement principles, and established biocompatibility testing protocols (e.g., ISO 10993-1). It's based on objective quantifiable results against predefined acceptance limits, not expert consensus or direct clinical outcomes in the diagnostic sense.

    8. The sample size for the training set

    This information is not applicable. This device is not an AI/ML algorithm and therefore does not have a "training set."

    9. How the ground truth for the training set was established

    This information is not applicable, as there is no training set for this device.

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    K Number
    K132998
    Date Cleared
    2013-12-20

    (87 days)

    Product Code
    Regulation Number
    882.1320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    WANDY SELF-ADHESIVE ELECTRODES

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Wandy Self-adhesive Electrode is intended to transmit electrical current to patient skin, for TENS (Transcutaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation) applications, for OTC (Over-The -Counter) or Prescription use. The Electrode are used for adults only.

    Device Description

    Wandy Self-adhesive Electrode is intended to transmit electrical current to patient skin for TENS (Transcutaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation) applications, for OTC (Over-The -Counter) or Prescription use. The Electrode are used for adults only.

    The Wandy Self-adhesive Electrodes transmits electrical current to patient skin, the electrical current is first transmitted via the lead wire or snap button then transmitted to the conductive gel which is adhered to patient skin.

    The Wandy Self-adhesive Electrodes is used as an accessory with the TENS or EMS device units.

    AI/ML Overview

    The provided text describes a 510(k) submission for "Wandy Self-adhesive Electrodes" and focuses on demonstrating substantial equivalence to predicate devices, rather than an AI/ML device requiring complex acceptance criteria and a detailed study proving performance against those criteria. Therefore, many of the requested categories are not applicable to this submission.

    Here's an analysis based on the provided text, highlighting what is available and what is not:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    ImpedancePassed self-evaluation tests for Impedance.
    Wire pullPassed self-evaluation tests for Wire pull.
    AdhesivenessPassed self-evaluation tests for adhesiveness.
    Substantial EquivalenceDeemed substantially equivalent to predicate devices (K002219, K002227, K090198).
    Safety & EffectivenessNo new questions of safety or effectiveness raised by differences to predicates.
    Clinical Experience (Predicate)Thousands of marketing clinical experience with predicate devices without adverse events.

    2. Sample Size Used for the Test Set and Data Provenance

    • Not Applicable (N/A). The submission does not describe a test set or data provenance in the context of an AI/ML device evaluation. The evaluation was based on self-evaluation tests (bench testing) and comparison to existing predicate devices.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    • N/A. This information is not relevant to the type of device and evaluation described.

    4. Adjudication Method for the Test Set

    • N/A. No test set or expert adjudication is described.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs. Without AI Assistance

    • N/A. This is not an AI/ML device; therefore, no MRMC study with AI assistance was conducted.

    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

    • N/A. This is a physical medical device (electrodes), not an algorithm.

    7. The Type of Ground Truth Used

    • For the self-evaluation tests (Impedance, Wire pull, Adhesiveness), the "ground truth" would be established by engineering specifications and standards for these physical properties.
    • For the substantial equivalence claim, the "ground truth" is the performance and safety profile of the predicate devices, which have "thousands of marketing clinical experience and didn't have adverse events occurred in the world."

    8. The Sample Size for the Training Set

    • N/A. This is not an AI/ML device; there is no training set in the context of machine learning.

    9. How the Ground Truth for the Training Set Was Established

    • N/A. There is no training set for an AI/ML model. The comparable information is how the performance of the predicate devices (which serve as the basis for comparison) was established, which is through extensive clinical experience.
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    K Number
    K132588
    Date Cleared
    2013-11-22

    (95 days)

    Product Code
    Regulation Number
    882.1320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ADHESIVE ELECTRODES

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Adhesive electrodes are intended for use as the disposable, conductive adhesive interface between the patient's skin and the Electrical Stimulator. Top-Rank Adhesive Electrodes are intended to be used with marketed Electrical Stimulators, i.e. TENS (Transcuaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation). It is for OTC use.

    Device Description

    Adhesive electrodes are intended for use as the disposable, conductive interface between the patient's skin and the Electrical Stimulator. Top-Rank Adhesive Electrodes are intended to be used with marketed Electrical Stimulators, i.e. TENS (Transcuancous Electrical Nerver Stimulation) and EMS (Electrical Muscular Stimulation). It is for OTC use.

    The proposed device. Adhesive Electrode, is intended to be used with U.S. legally marketed Electrical Stimulator. i.e. TENS and EMS, as a conductive adhesive interface between the patient's skin and such stimulators. It is for single patient use only.

    The proposed device mainly consists of substrate and wire. The substrate is available in rectangular shape and round shape.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for "Adhesive Electrodes". This type of submission focuses on demonstrating substantial equivalence to a predicate device, rather than proving novel clinical effectiveness for a new medical device. Therefore, the information typically found in a clinical study for a new device (like specific performance metrics, sample sizes for test/training sets, expert qualifications, MRMC studies, or detailed ground truth establishment) is not present in this document.

    The "study" that proves the device meets acceptance criteria, in this context, is a non-clinical test that demonstrates compliance with relevant standards and substantial equivalence to a predicate device.

    Here's a breakdown of the requested information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    Given the nature of a 510(k) for an adhesive electrode, the acceptance criteria are generally compliance with recognized standards and demonstration of substantial equivalence to a predicate device. Specific numerical performance metrics against acceptance criteria are not detailed in this summary for the product itself beyond standard compliance.

    Acceptance Criteria (from predicate/standards)Reported Device Performance (Proposed Device)
    Intended Use: Disposable, conductive adhesive interface between patient's skin and electrical stimulator (TENS/EMS)Intended Use: Adhesive electrodes are intended for use as the disposable, conductive adhesive interface between the patient's skin and the Electrical Stimulator. Top-Rank Adhesive Electrodes are intended to be used with marketed Electrical Stimulators, i.e. TENS (Transcutaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation). It is for OTC use. (Matches predicate, with clarification for OTC use).
    Design Feature: Substrate / Wire / Hydro-Gel / Scrim / Conductive Fiber / Carbon Conductive Film / LinerDesign Feature: Substrate / Wire / Hydro-Gel / Scrim / Conductive Fiber / Carbon Conductive Film / Liner (Identical to predicate)
    Labeling: Conforms to 21 CFR 801Labeling: Conforms to 21 CFR 801 (Identical to predicate)
    Biocompatibility: Complies with ISO 10993Biocompatibility: Complies with ISO 10993 (Identical to predicate)
    Performance: Complies with ANSI/AAMI HF18:2001Performance: Complies with ANSI/AAMI HF18:2001 (Identical to predicate)
    Overall substantial equivalence to predicate (K070612)Conclusion: The proposed device, Adhesive Electrodes, is determined to be Substantially Equivalent (SE) to the predicate device, Top-Rank Adhesive Electrodes (K070612), in respect of safety and effectiveness.

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size for Test Set: Not specified. The document only mentions "Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device." These would likely involve testing of manufactured units, but the number of units is not provided.
    • Data Provenance: The tests are "Non clinical tests", implying laboratory testing of the device itself rather than data from human subjects. The manufacturing company, Top-Rank Health Care Co., Ltd, is located in China.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications

    This type of information is not applicable to this 510(k) submission. "Ground truth" in the context of expert consensus or pathology is relevant for diagnostic or AI-driven devices. For an adhesive electrode, the "ground truth" is established by adherence to recognized performance standards (like ANSI/AAMI HF18:2001) and material biocompatibility standards (ISO 10993). No human experts are described as establishing "ground truth" for the performance of the adhesive electrode itself.

    4. Adjudication Method for the Test Set

    Not applicable. Adjudication methods (like 2+1, 3+1) are used for resolving disagreements among human readers or evaluators in diagnostic studies. This is not a diagnostic device and the referenced "Non clinical tests" are likely laboratory-based.

    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    No. This is not a diagnostic device, and there is no mention or implication of AI or human readers being involved in its evaluation.

    6. If a Standalone (i.e. algorithm only without human-in-the loop performance) was done

    No. This is not an algorithm-based device.

    7. The Type of Ground Truth Used

    For this device, the "ground truth" for proving it meets acceptance criteria is primarily:

    • Compliance with established industry performance standards (ANSI/AAMI HF18:2001 for electrosurgical devices).
    • Compliance with biocompatibility standards (ISO 10993).
    • Demonstration of functional and material correspondence to a legally marketed predicate device.

    8. The Sample Size for the Training Set

    Not applicable. There is no "training set" as this is not an AI/machine learning device.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable. See point 8.

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    K Number
    K102842
    Date Cleared
    2010-12-02

    (64 days)

    Product Code
    Regulation Number
    882.1320
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    ADHESIVE ELECTRODES

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Adhesive Electrodes are intended for use as the disposable, conductive adhesive interface between the patient's skin and the Electrical Stimulator. It is intended to be used with U.S. legally marketed Electrical Stimulators, i.e. TENS (Transcutaneous Electrical Nerve Stimulation) and EMS (Electrical Muscular Stimulation).

    Device Description

    Adhesive Electrodes

    AI/ML Overview

    This document is a 510(k) premarket notification letter from the FDA regarding "Reno Medical Adhesive Electrodes". It focuses on the regulatory approval of the device based on substantial equivalence to existing predicate devices.

    Based on the provided text, there is no information about acceptance criteria, a study proving the device meets acceptance criteria, or any of the detailed study parameters you've requested.

    The letter explicitly states:

    • "We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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..."

    This indicates that the approval is based on a comparison to existing devices, not a new study demonstrating performance against specific acceptance criteria.

    Therefore, I cannot provide a table of acceptance criteria or details about a study to prove device performance because this information is not present in the provided FDA letter.

    The document is a regulatory approval letter, not a scientific study report.

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