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510(k) Data Aggregation

    Why did this record match?
    510k Summary Text (Full-text Search) :

    Cable (HD) (31-0204-005); Atlas Headbox Expansion Panel (31-0607-0014)

    Regulation Number: 21 CFR 882.1310
    Expansion Panel

    Common Name: ATLAS Stim Headbox, ASHB

    Classification and Product Code: 21 CFR 882.1310
    II

    Predicate Device:

    • K180761 - SD LTM STIM Cortical Stimulator, micromed S.p.A., 21 CFR 882.1310
      -|--------------------------------|---------------------------|---------|
      | Classification Number | 882.1310
      882.1330 | 882.1310 | 882.1330 | Similar |
      | Indications for Use (IFU) statement | The ATLAS Stim Headbox
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ATLAS Stim Headbox is a low power, constant current or voltage mode, bi-phasic stimulator intended for cortical or intracranial stimulation during electroencephalography examinations (i.e. stereoEEG).

    The stimulation is applied to the brain using third-party stimulation probes (including cortical or intracranial electrodes) and the resulting cortical or deep brain potentials themselves are recorded using third-party cortical or intracranial electrodes.

    The ATLAS Stim Headbox itself is an accessory to the ATLAS Neurophysiology System and ATLAS STIM Headbox software. The stimulation parameters, the electrodes selection and the activation of the stimulation current are all set-up and controlled from these devices. The ATLAS Stim Headbox can operate only when so connected and with the Pegasus and ATLAS Stim Headbox software; it cannot serve as a stand-alone stimulator.

    Device Description

    The ATLAS Stim Headbox (ASHB) is a clinical headbox that allows 3rd party Macro electrode contact electrode arrays (ECoG, depth electrodes, grid array, strip array, etc.) to interface with the Neuralynx ATLAS Neurophysiology System, previously cleared in 510(k) K110967, which includes the Pegasus Software.

    The ATLAS Stim Headbox is an accessory to the ATLAS Neurophysiology System (formerly known as SpikeTrax in K110967). The ATLAS Stim Headbox hardware consists of an encased amplifier and embedded firmware for generation and delivery of stimulation energy. The ATLAS Stim Headbox can deliver electrical stimulation current under the control of the associated ATLAS Stim Headbox Software which interfaces via a fiber optic ethernet communications connection.

    AI/ML Overview

    The provided FDA 510(k) clearance letter and summary for the ATLAS Stim Headbox do not contain information about acceptance criteria or a study proving the device meets said criteria in the context of clinical performance or diagnostic accuracy. Instead, the document focuses on demonstrating substantial equivalence to predicate devices through technical comparisons and non-clinical performance testing (electrical safety, mechanical integrity, evoked response, electroencephalograph, and software regression).

    Therefore, I cannot fulfill most of your request regarding acceptance criteria, reported device performance, sample sizes, expert qualifications, adjudication methods, MRMC studies, standalone performance, or ground truth details.

    The document primarily covers the safety and basic functional performance of the hardware and software as a medical device accessory, not its diagnostic or therapeutic accuracy for specific clinical outcomes that would require clinical studies with ground truth.

    Here's a breakdown of what can be extracted from the provided text, and where information is missing:


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

    The document does not present "acceptance criteria" in the sense of a clinical benchmark (e.g., sensitivity, specificity, accuracy) for a diagnostic output. Instead, it describes compliance with recognized standards and successful completion of verification and validation tests for safety and technical performance.

    Acceptance Criterion (Inferred/Stated)Reported Device Performance
    Electrical SafetyConsistent with IEC 60601 (Class 1 ME Equipment)
    Mechanical IntegrityConsistent with standard IEC 60601
    Evoked Response PerformanceConsistent with standard IEC 60601 and particular standard 60601-2-40
    Electroencephalograph PerformanceConsistent with standard IEC 60601 particular standard 80601-2-26
    Software Regression Testing (Functionality & Bug Fixes)Successfully performed iteratively at each software release per IEC 62304; bugs fixed assessed for effectiveness and risk.
    Charge per Pulse Phase LimitEnforces a rule limiting charge per pulse phase to less than 20µC. (Satisfies safety concerns despite longer pulse width.)
    Instantaneous Net Sum of CurrentsEnforces that at any instantaneous moment, the net sum of all currents flowing from all channels between the stimulator and the patient is zero. (Mitigates risk of increased cumulative current from more channels.)
    Compliance with Updated StandardsConforms to updated versions of FDA-recognized standards (IEC 60601 series, IEC 62304, IEC 62366).

    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 as the validation performed is non-clinical (device testing against engineering specifications and international standards), not a clinical study on patient data.

    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/provided. The ground truth for device performance in this context is defined by international standards (e.g., IEC 60601) and engineering specifications. No clinical expert adjudication was mentioned for device functionality.

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

    This information is not applicable/provided. No clinical adjudication method was mentioned for device functionality.

    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

    An MRMC study was not done. The device is an accessory for stimulation and recording of neural activity, not an AI-powered diagnostic tool for interpretation by human readers.

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

    This is not applicable in the context of an "algorithm only" performance for a diagnostic task. The ATLAS Stim Headbox is a hardware accessory with embedded firmware and associated software, designed to be used in conjunction with other systems and by clinical professionals. It cannot operate as a stand-alone stimulator, as explicitly stated: "it cannot serve as a stand-alone stimulator."

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

    The "ground truth" for the device's substantial equivalence and safety is primarily based on:

    • International standards and engineering specifications: Compliance with IEC 60601 series, IEC 62304, IEC 62366.
    • Functional verification: Demonstrating that the device's electrical characteristics (e.g., charge per phase, instantaneous current sum) meet safety limits and design specifications.
    • Predicate device characteristics: The claim of substantial equivalence is made against the technical specifications and known performance of the predicate devices.

    8. The sample size for the training set

    This is not applicable/provided. The document describes a hardware device and its control software. There is no mention of "training set" in the context of machine learning for a diagnostic algorithm. Software regression testing refers to the iterative testing of the software itself against predefined functionalities and bug fixes, not the training of a model on a dataset.

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

    This is not applicable/provided as there is no "training set" in the context of machine learning for a diagnostic algorithm.

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    K Number
    K242618
    Device Name
    Layer 7-T
    Date Cleared
    2025-03-30

    (208 days)

    Product Code
    Regulation Number
    882.1310
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Santa Clara, California 95054

    Re: K242618

    Trade/Device Name: Layer 7-T Regulation Number: 21 CFR 882.1310
    Usual Name: Cortical electrode

    Classification Name: Electrode, Cortical

    Regulatory Class: 21 CFR 882.1310

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

    Layer 7-T cortical electrodes are intended for temporary (less than 30 days) use with recording, monitoring, and stimulation equipment for the recording, monitoring, and stimulation of electrical signals on the surface of the brain. The electrodes may be placed in either open or burr hole procedures with the optional use of standard imaging techniques such as intraoperative x-ray, fluoroscopy, and computerized tomography (CT).

    Device Description

    The Layer 7-T is intended for temporary (less than 30 days) use with recording, monitoring, and stimulation equipment for the recording, monitoring, and stimulation of electrical signals on the surface of the brain. The electrodes may be placed in either open or burr hole procedures with the optional use of standard imaging techniques such as intraoperative x-ray, fluoroscopy, and computerized tomography (CT).

    The overall Layer 7-T consists of a sterile thin film 1024-electrode array connected to a more rigid PCB package (known as the headstage) with ribbon cables. Each ribbon cable connects to 64 channels from the electrode array. There are a total of 16 ribbon cables in the headstage, connecting 1024 electrodes on the array. The device is also provided with an intermediary yoke cable that connects the ribbon cables from the Layer 7-T headstage to standard EEG equipment via 64 standard DIN connectors. A yoke stand is also provided as an optional accessory that allows up to 16 yokes to be stacked. Surgical accessories are provided with the array and are intended to aid in deployment of the array.

    The system allows the surgeon to place electrode arrays on the surface of the brain through burr holes. The inserted portion of the device can be retrieved following use by pulling the electrode array through the burr hole.

    The thin film electrode array is designed to operate in a fashion identical to the currently used ECoG arrays, in that it is to be placed on the surface of the brain to interface with brain tissue through electrical recording and stimulation.

    The electrode array consists of a polyimide substrate with platinum electrodes and associated electrically connecting traces and another layer of polyimide on top. A polyimide pocket is adhered via silicone to the backside of the electrode array tip. The array also contains gold radiopaque markers embedded in the silicone pocket adhesive. A rigid stainless steel radiopaque stylet is temporarily placed in the pocket during electrode array deployment.

    The overall Layer 7-T system, including the yoke, is intended for single use only. The Layer 7-T is a passive device and only receives power from a connected FDA-cleared EEG system. It does not have any wireless capabilities and does not contain any software. It is not MRI-compatible. It is only intended for use in a professional healthcare environment.

    AI/ML Overview

    The provided text is a 510(k) summary for a medical device called "Layer 7-T," a cortical electrode. While it details numerous performance tests, biocompatibility studies, electrical safety, human factors, and animal testing, it does not describe a study involving human-in-the-loop performance with an AI component or any study that would require acceptance criteria related to diagnostic accuracy, sensitivity, specificity, or reader improvement.

    The document states: "The Layer 7-T is a passive device and only receives power from a connected FDA-cleared EEG system. It does not have any wireless capabilities and does not contain any software." This clearly indicates that the device itself is a passive hardware component and does not incorporate AI or any form of software that analyzes or interprets data to provide a diagnostic or assistive output that would require a "study that proves the device meets the acceptance criteria" in the context of AI performance.

    Therefore, I cannot provide the requested information regarding AI acceptance criteria or a study proving device performance in that context, as the provided document explicitly states the device does not contain software or AI.

    However, I can extract the general "performance data" that demonstrates the device's safety and effectiveness relative to its predicate, as described in the document.

    General Performance Data and Acceptance (Based on Equivalence to Predicate)

    The acceptance criteria for the Layer 7-T are implicitly defined by its ability to demonstrate substantial equivalence to the predicate device (Ad-Tech Subdural Electrodes, K191186) through various non-clinical tests. The goal is to show that it is "as safe and effective" as the predicate, even with minor technological differences.

    1. Table of Acceptance Criteria and Reported Device Performance:

    Since there's no AI or diagnostic software, the "acceptance criteria" for the device relate to fundamental device properties, material safety, and functional performance, with the implicit criterion being "Pass" compared to established standards or a predicate.

    Test/ParameterAcceptance Criteria (Implicit from "Passed")Reported Device Performance
    Dimensional MeasurementsConform to hardware specifications by measurement and visual assessment.Pass
    DurabilityFunction safely and effectively under normal use conditions (mechanical testing).Pass
    Electrochemical PerformanceConductive properties appropriate for intended use; electrical continuity.Pass
    Platinum Dissolution TestingLevel of platinum released following stimulation protocol is acceptable.Pass
    Signal-to-Noise Ratio TestingSNR comparable to the predicate.Pass
    ReliabilityMaintain electrochemical and physical properties after accelerated aging.Pass
    EEG System CompatibilityVerification of signal acquired following cycling of connector.Pass
    Packaging Shelf LifePass ASTM F2096-11(2019) and ASTM D4169-23 standards.Pass
    SterilizationPass ISO 11135:2014 for ethylene oxide sterilization.Pass
    BiocompatibilityAll assessed endpoints (Cytotoxicity, Sensitization, Irritation, Acute Systemic Toxicity, Material Mediated Pyrogenicity, Genotoxicity, Implantation Testing, Hemolysis, Chemical characterization/Toxicological Risk Assessment) are acceptable.Results support biocompatibility.
    Electrical Safety & EMCConform to IEC 60601-1 (various amendments), IEC 60601-1-2 (various amendments), IEC 80601-2-49:2018, and IEC TR 60601-4-2:2024.Passed applicable clauses.
    Human FactorsUsability validated per "Applying Human Factors and Usability Engineering to Medical Devices" guidance and ANSI AAMI HE75:2009.All evaluations performed and support safety/effectiveness.
    Animal Testing (GLP Study)No adverse events specifically related to the Layer 7 cortical electrode array; similar cortical inflammatory response to predicate, subsiding by 6 weeks.Confirmed biocompatibility; no ongoing neurotoxicity; similar inflammatory response to predicate.

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

    The document describes non-clinical bench testing and animal studies. There is no "test set" in the context of an AI model's performance on patient data.

    • Bench Testing: Sample sizes are not explicitly stated for most bench tests (e.g., durability, electrochemical performance), but it's implied that sufficient samples were tested to demonstrate compliance.
    • Animal Testing: 16 female Göttingen swine were used, divided into a 1-week and a 6-week implant duration cohort.
    • Data Provenance: The animal study was a GLP (Good Laboratory Practices) study, indicating a controlled, prospective experimental setting. The origin of the animals is not specified beyond "Göttingen swine."

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

    Not applicable, as this is neither an AI device nor does it involve a "test set" requiring expert-established ground truth in the diagnostic sense. The ground truth for biocompatibility and animal study outcomes would be established by qualified pathologists and veterinarians, but their specific number and qualifications are not detailed.

    4. Adjudication Method for the Test Set:

    Not applicable, as there's no AI model output requiring adjudication.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done:

    No, an MRMC study was not performed. This type of study is typically used for AI-assisted diagnostic devices to assess the impact of AI on human reader performance, which is not relevant for this passive hardware device.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done:

    Not applicable, as the device is a passive hardware component with no embedded algorithm or software for standalone performance evaluation beyond its physical and electrical characteristics.

    7. The Type of Ground Truth Used:

    • Bench Testing: Ground truth is based on engineering specifications, physical measurements, and adherence to international standards (e.g., ASTM, ISO, IEC).
    • Animal Testing: Ground truth was established through neurological evaluations, gross and microscopic pathological analysis performed by qualified personnel (implied).

    8. The Sample Size for the Training Set:

    Not applicable, as there is no AI or machine learning model that requires a training set.

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

    Not applicable, as there is no AI or machine learning model.

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    K Number
    K221123
    Manufacturer
    Date Cleared
    2022-11-22

    (218 days)

    Product Code
    Regulation Number
    882.1310
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    California 94704

    Re: K221123

    Trade/Device Name: WISE Cortical Strip (WCS) Regulation Number: 21 CFR 882.1310
    | Cortical electrode |
    | Regulation Number: | 21 CFR 882.1310
    Wisconsin 53154 |
    | | Regulation Number: 21 CFR 882.1310

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

    The WISE Cortical Strip is intended for intraoperative (≤24 hours) use with recording, monitoring and stimulation equipment for the recording, monitoring, and stimulation of electrical signals on the surface of the brain.
    The WCS is indicated as an aid to IntraOperative Neurophysiological Monitoring (IONM) during brain surgeries.

    Device Description

    The WISE Cortical Strip is medical device composed of:

    • A strip containing 4 electrodes that is positioned during surgery on the exposed surface of the brain
    • A cable composed of 4 conductive channels intended to transfer electrical signals to and from a commercial connecting cable.
      The device is intended to be used only for intraoperative monitoring during brain surgery and is not implanted.
      The WCS is a sterile, single-use device, individually packaged with a shelf life of 18 months.
      Manufacture of the device uses a WISE proprietary patented technology called "Supersonic Cluster Beam Implantation" (SCBI). This technology produces flexible conductors by enabling thin conducting metal layers to be deposited on a silicone substrate. This enables the strip to be flexible and conform to the brain's surface.
      The WCS is intended to be used with FDA-cleared IONM equipment and a reusable connecting cable. The device does not include (as an accessory or component) these separate devices.
    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the WISE Cortical Strip (WCS). However, it does not contain the information requested regarding acceptance criteria and a study proving the device meets those criteria in the context of an AI/ML medical device.

    The document details:

    • Device Description: The WISE Cortical Strip is a medical device composed of a strip with 4 electrodes and a cable for transferring electrical signals. It's intended for intraoperative use (≤24 hours) with recording, monitoring, and stimulation equipment.
    • Intended Use: Aid to IntraOperative Neurophysiological Monitoring (IONM) during brain surgeries for recording, monitoring, and stimulation of electrical signals on the brain surface.
    • Technological Characteristics Comparison: Compares the WCS to predicate devices (Ad-Tech Intraoperative Strip Electrode and Ad-Tech Intraoperative Subdural Electrode). Key similarities include intraoperative use, sterilization method, electrode configuration, and stimulation charge density. Differences include contact materials (Platinum only for WCS vs. Platinum:Iridium or stainless steel for predicate), non-pyrogenic labeling for WCS, and the unique Supersonic Cluster Beam Implantation (SCBI) manufacturing process for WCS.
    • Non-Clinical Performance Data: A table of bench testing performed, including:
      • Labeling and packaging integrity verification
      • Label indelibility test
      • Dielectric strength test
      • Device integrity verification
      • AC impedance test (with a specific acceptance criterion of ≤ 10 kΩ @ 10 Hz)
      • Insulation test
      • Compatibility with recorders test
      • Compatibility with stimulators test
      • Stimulation and metal release test
      • Bias current tolerance test
        All tests passed.
    • Biocompatibility Testing: Performed according to ISO 10993-1 for an externally communicating device with tissue and cerebrospinal contact (limited duration ≤ 24 hours). Tests included Cytotoxicity, Sensitization, Intracutaneous reactivity, Pyrogenicity, Acute Systemic Toxicity, and Indirect Hemolysis. All results indicated the device materials are safe.
    • Sterilization and Shelf-Life Testing: Validated Ethylene Oxide sterilization (SAL of 10-6) and established an 18-month shelf-life via accelerated aging.

    What is missing for the requested information regarding AI/ML device acceptance criteria and studies:

    The provided text describes a hardware medical device (cortical strip electrode), not an AI/ML software device. Therefore, the concepts of "test set," "training set," "ground truth establishment," "number of experts," "adjudication methods," and "MRMC studies" as they apply to AI/ML performance evaluation are not applicable and are not present in this document.

    The "acceptance criteria" presented are for the physical and electrical performance of the electrode itself (e.g., AC impedance ≤ 10 kΩ), mechanical integrity, biocompatibility, and sterility, which are standard for such devices.

    Therefore, it is impossible to complete the requested table and answer the specific questions about AI/ML device performance from the provided document.

    If the intent was to find information on a software component that uses AI/ML with the data from this cortical strip, that information is not in this FDA submission summary. This document focuses solely on the WISE Cortical Strip hardware.

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    K Number
    K211954
    Manufacturer
    Date Cleared
    2022-11-10

    (505 days)

    Product Code
    Regulation Number
    882.1310
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Intraoperative Grid, Multi-Strip and Split Grid, Intraoperative Mapping Grid Regulation Number: 21 CFR 882.1310
    |
    | Classification Regulation: | 21 CFR 882.1310
    |
    | Regulation Number | 882.1310
    | 882.1310

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

    The Recording and stimulating for Central Nervous System electrodes (Strip/Intraoperative Strip, Grid/Intraoperative Grid, Multi-Strip and Split Grid, Intraoperative Mapping Grid) are intended for limited (≤24 hours) use with recording, monitoring, and stimulation equipment for electrical stimulation, monitoring of the signals on the surface of the brain for intraoperative monitoring, brain mapping and location of epileptogenic foci.

    Device Description

    The Recording and stimulating for Central Nervous System electrodes are used for electrical stimulation, monitoring and recording of the signals on the surface of the brain for intraoperative monitoring, brain mapping and location of epileptogenic foci. The electrodes are multipole arrays of electrodes that are positioned on the surface of the brain. The electrode must be designed to follow the complex anatomy and they can assume different conformations in relation to the requests of clinical needs. The neurosurgeon is the person recommended for electrode placement. The electrodes have to be used under the direction of the neurosurgeon and other skilled physicians to support their clinical needs.

    AI/ML Overview

    The provided text describes the acceptance criteria and the results of various performance tests for the Subdural Electrode, Strip/Intraoperative Strip, Grid/Intraoperative Grid, Multi-Strip and Split Grid, Intraoperative Mapping Grid (hereinafter referred to as "the device").

    1. Table of Acceptance Criteria and Reported Device Performance:

    TestAcceptance CriteriaReported Device PerformanceConclusion
    CytotoxicityReactivity grade of 0 (none reactivity)Test sample results to have a reactivity grade of 0 (=none reactivity)NON-CYTOTOXIC. No test extract does not show any reactivity.
    Skin IrritationFinal test sample score of 1.0 or lessThe final test sample score is 1.0. Very slight erythema (barely perceptible).NON-IRRITATING. The test item satisfied the requirements of the test.
    Skin Sensitization% sensitising treated guinea pigs equal to 0% (no visible change)The results show a % sensitising treated guinea pigs equal to 0% (=no visible change).NON-SENSITIZING. The tested item is considered not sensitizing.
    Systemic ToxicityNo weight loss, mortality, or toxic signs/symptoms in treated and control animalsWeight increase: no weight loss was recorded in any treated and control animals. Mortality: in none of the treated and control animals mortality was observed. Clinical symptoms: in none of the treated and control animals toxic signs or symptoms were observed.DO NOT CAUSE TOXIC SYMPTOMS. The tested item doesn't cause toxic symptoms and satisfies the requirements of the test.
    Pyrogenicity TestSum of individual temperature rises 30NAll the tensile strength evaluates results to be greater than 30N (average 41.35 N).The device demonstrates very high strength during pull-out tests, ensuring manufacturing process safety and strength of use.
    Impedance Test and Dielectric StrengthImpedance
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    K Number
    K201931
    Manufacturer
    Date Cleared
    2021-10-02

    (446 days)

    Product Code
    Regulation Number
    882.1310
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Name: DIXI Medical Intraoperative Subdural Electrodes (Strips and Grids) Regulation Number: 21 CFR 882.1310
    Strips and Grids) Common or Usual Name: Intraoperative Subdural Electrode Classification Name: 21 CFR §882.1310

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

    The DIXI Medical Intraoperative Subdural Electrodes (Strips and Grids) are intended for intraoperative use for less than or equal to 24 hours with recording and stimulation equipment for the recording and stimulation of electrical signals on the surface level of the brain. The recording of electrical activity supports brain mapping.

    Device Description

    The DIXI Medical Intraoperative Subdural Electrode (Strips and Grids) is an intra-cranial electrode used intraoperatively on the surface of the brain. The device is designed for electroencephalography (EEG) recording and brief stimulation for brain mapping purposes. The DIXI Medical Intraoperative Subdural Electrode consists of circular contacts sandwiched between two layers of silicone substrate. The brain contacting side of the silicone substrate body has material removed to expose an amount of contact surface area. Insulated wires extend from each contact through a flexible tube which terminates in connectors for direct connection to user's equipment.

    AI/ML Overview

    The device in question is the DIXI Medical Intraoperative Subdural Electrodes (Strips and Grids), which are intended for intraoperative use (less than or equal to 24 hours) for recording and stimulating electrical signals on the brain's surface to support brain mapping.

    Here's an analysis of the acceptance criteria and the study that proves the device meets them:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document describes non-clinical and biocompatibility testing. The acceptance criteria are implicit in the "Objective" column for non-clinical tests and the "Conclusion" column for biocompatibility tests, which all show a "Pass" result indicating the device met the predefined safety and performance standards for each test.

    Test PerformedObjective / Reported Device PerformanceConclusion / Outcome
    Nonclinical Testing
    Dimensional CharacteristicsVerification of electrodes dimensional characteristicsPass
    Electrical CharacteristicsVerification of the electrodes ability to transmit a stimulation signalPass
    Electrical CharacteristicsVerification of the electrodes resistance to a stimulation signal under worst case charge density conditionPass
    Electrical CharacteristicsVerification of the electrodes resistance to a stimulation signal under worst case current conditionPass
    Electrical CharacteristicsVerification of the electrodes dielectric strengthPass
    Electrical CharacteristicsVerification of electrodes stability under conditions of use (absence of corrosion)Pass
    Mechanical CharacteristicsVerification of the resistance to torsion of the active part and silicon sheathPass
    Mechanical CharacteristicsVerification of electrodes resistance to bendingPass
    Mechanical CharacteristicsVerification of electrodes resistance to tractionPass
    Biocompatibility Testing
    CytotoxicityPercent viability of test article was 93.9%, 98.6%, and 88.5% of reagent control (across three tests).Non-cytotoxic
    SensitizationTopical application of the 0.9% sodium chloride extract and the sesame oil extract did not induce delayed sensitization in the guinea pig.Non-sensitizer
    Intracutaneous ReactivityDifference between each test extract overall mean score and corresponding control blank overall mean score was lower than 1.0 (0.0 for the 0.9% sodium chloride extract and sesame oil test extracts).Non-irritant
    PyrogenicityNo rabbit showed an individual temperature rise higher or equal to 0.5℃ above its initial temperature.Non-pyrogenic
    Indirect (extract) HemolysisMean hemolytic index for test article extract was of 0.0%.Non-hemolytic
    Acute Systemic ToxicityNo evidence of significant systemic toxicity or mortality after test article extracts injection.Non-toxic

    2. Sample Sizes Used for the Test Set and Data Provenance:

    • Test Set Sample Size: The document mentions that nonclinical testing was conducted on specific product references: C10-04CIOM, C10-08AIOM, and C10-16CIOM, C10-16AIOM for biocompatibility. However, it does not specify the exact number of units of each product that were tested for each individual test. It also refers to testing on "baseline and aged devices," with aged devices undergoing three sterilization cycles, accelerated aging (5 years), extreme climatic conditions, and transport tests, implying multiple units were used for aging studies.
    • Data Provenance: The document does not explicitly state the country of origin of the data. It is a submission by DIXI Medical, located in France. The testing was conducted according to international standards (ASTM and ISO). The data is from nonclinical, pre-market testing, not patient-derived data (retrospective or prospective).

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

    This information is not applicable. The studies described are non-clinical (device performance and biocompatibility) and do not involve expert-established ground truth in the context of clinical decision-making or diagnosis. The "truth" or acceptance criteria are based on established engineering and biological safety standards.

    4. Adjudication Method for the Test Set:

    This information is not applicable. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies involving human readers or expert consensus on patient data. The current studies are bench tests and animal studies (for biocompatibility).

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study is relevant for diagnostic or AI-assisted interpretation devices to compare human performance with and without AI. The DIXI Medical Intraoperative Subdural Electrodes are physical medical devices for electrical signal recording and stimulation, not for diagnostic image interpretation or AI-driven analysis.

    6. Standalone Performance Study:

    Yes, standalone (algorithm only without human-in-the-loop performance) studies were done for the device's physical and electrical characteristics and biocompatibility. The reported "Pass" results for all tests indicate the device met its predefined performance and safety criteria independently. The non-clinical and biocompatibility tests were conducted directly on the device itself or its materials.

    7. Type of Ground Truth Used:

    The "ground truth" for these tests refers to established engineering specifications, regulatory standards, and biological safety limits. For example:

    • Nonclinical Testing: Ground truth is defined by the expected electrical (e.g., ability to transmit signal, resistance), dimensional, and mechanical properties of the device as per its design and intended use, validated against engineering standards.
    • Biocompatibility Testing: Ground truth is based on the biological response limits defined by standards like ISO 10993, ensuring materials are non-cytotoxic, non-sensitizing, non-irritant, non-pyrogenic, non-hemolytic, and non-toxic.

    8. Sample Size for the Training Set:

    This information is not applicable. The device is a physical medical device, not an AI or machine learning algorithm that requires a "training set" in the conventional sense. The development of the device would have involved iterative design and testing, but not a formally defined "training set" for an algorithm.

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

    This information is not applicable for the reasons stated in point 8.

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    K Number
    K201678
    Date Cleared
    2021-03-08

    (262 days)

    Product Code
    Regulation Number
    882.1330
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    | GZL / 21 CFR 882.1330
    GYC / 21 CFR 882.1310

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

    iCE-SG Subcutaneous Electrode Arrays are intended for temporary (

    Device Description

    The iCE-SG Subcutaneous Electrode Arrays are intended for use with recording and monitoring equipment for the purpose of recording electroencephalograph (EEG) signals. The subject device allows for continuous EEG monitoring in the subcutaneous space. The iCE-SG Subcutaneous Electrode Arrays can connect to commonly used electrophysiology systems. The subject device is provided sterile and for single patient use in hospitals by healthcare professionals (HCPs).

    A kit includes the following components:

    1. Preparation box
    2. Insertion kit box
    3. Two iCE-SG electrode boxes
    AI/ML Overview

    Here's an analysis of the acceptance criteria and supporting study for the iCE-SG Subcutaneous Electrode Arrays, based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state "acceptance criteria" in a quantitative, measurable format for device performance. Instead, it details various tests to demonstrate safety and equivalence to a predicate device. The "results" column below reflects the outcomes reported for these tests, which were deemed sufficient for demonstrating substantial equivalence.

    CategorySpecific Test / CriterionReported Device Performance / Result
    BiocompatibilityCytotoxicity (L-929 cells; EMEM extract; % viability / morphological grading)Non-cytotoxic
    Sensitization (Intradermal injection and topical application in guinea pigs; sesame oil/0.9% saline / cottonseed oil/0.9% sodium chloride extracts)Non-sensitizing
    Irritation (Intracutaneous injection in New Zealand white rabbits; cottonseed oil/sodium chloride extracts)Non-irritating
    Acute Systemic Toxicity (Intraperitoneal injection of albino swiss mice with cottonseed oil/sodium chloride extracts / Intravenous injection of albino swiss mice with 0.9% sodium chloride extract)Non-toxic
    Pyrogenicity (Marginal ear vein injection of New Zealand white rabbits; 0.9% sodium chloride extract)Non-pyrogenic
    Material-Mediated Pyrogenicity / Implantation (Implantation of two articles for 28/29 days)Non-toxic
    Implantation (Four weeks, left hemisphere in New Zealand White rabbits)Non-bioreactive
    Genotoxicity (L5178Y cells; RPMIi and PEG extracts; Visual assessment; Top agar plating)Non-mutagenic
    Performance Testing (Bench)Kit component dimensions examinationDemonstrated equivalence
    Packaging opening orientation examinationDemonstrated equivalence
    Kit components colors, markings, and graphics examinationDemonstrated equivalence
    Sharp edges examinationDemonstrated equivalence
    Opacity of the packaging examinationDemonstrated equivalence
    Trocar sheath tool's penetration tip bending force enduranceDemonstrated equivalence
    Bending force endurance of the exit assist deviceDemonstrated equivalence
    Holding endurance of the posterior stopperDemonstrated equivalence
    Trocar sheath tool adhesion enduranceDemonstrated equivalence
    Adhesion of the passage assist deviceDemonstrated equivalence
    Passage assist device bending resistanceDemonstrated equivalence
    Anterior stopper enduranceDemonstrated equivalence
    Cadaver studyDemonstrated equivalence
    Performance Testing (Animal)Durability to record EEG after 14 days continuous implantation in the subcutaneous spaceDemonstrated durability
    Technological Characteristics ComparisonIndications for Use (
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    K Number
    K191346
    Date Cleared
    2020-02-14

    (270 days)

    Product Code
    Regulation Number
    882.1310
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Name: Blackrock NeuroCoG Subdural Cortical Electrodes (Strips and Grids) Regulation Number: 21 CFR 882.1310
    | Classification Regulation, Class, Product Code, and Panel:
    21 CFR 882.1310
    Interhemispheric, Grid, Intraoperative, Strip, Wyler)
    Product Code: GYC
    Classification: 21 CFR 882.1310
    |
    | Regulation | CFR 882.1310
    | CFR 882.1310

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

    Blackrock NeuroCoG Subdural Cortical Electrodes (Strips and Grids) are intended for temporary (

    Device Description

    Cortical Electrode (Per FDA Classification)

    AI/ML Overview

    This document is a Traditional 510(k) Summary for the Blackrock NeuroCoG Subdural Cortical Electrodes (Strips and Grids). It asserts substantial equivalence to a predicate device (AD-TECH Subdural Cortical Electrodes) rather than claiming specific performance criteria and a study to meet them. Therefore, the requested information on acceptance criteria and a study proving the device meets them cannot be directly extracted as it would for a claim of new performance.

    However, I can interpret the document's content to provide related information about the device's safety and effectiveness testing where it implicitly establishes "acceptance criteria" through conformance to recognized standards and successful test results.

    Here's a breakdown of the available information, structured to align as closely as possible with your request:


    Acceptance Criteria and Device Performance (Indirectly Derived from Safety and Performance Testing)

    The document focuses on demonstrating substantial equivalence to a predicate device, which means proving the new device is as safe and effective as the legally marketed predicate. The "acceptance criteria" are generally implied to be compliance with relevant standards and successful completion of various tests, demonstrating that the device performs as intended and does not raise new questions of safety or efficacy.

    CategoryAcceptance Criteria (Implicit/Standard-based)Reported Device Performance (Results)
    BiocompatibilityISO 10993 Series (parts 1, 4, 5, 6, 10, 11) and ASTM F756-17, ASTM F2901:2019 standards for biological compatibility (e.g., non-hemolytic, non-cytotoxic, non-irritant, non-sensitizer, non-toxic, non-demyelinating, non-neurodegenerative, non-astrocytotic, non-microglial-proliferative with subdural rabbit brain implantation)Hemolysis: Non-hemolytic (Indirect Contact)
    Cytotoxicity: Non-cytotoxic (L929 MEM Elution)
    Implantation: Non-demyelinating, Non-neurodegenerative, Non-astrocytotic, and Non-microglial-proliferative (Subdural Rabbit Brain)
    Irritation: Non-irritant (Intracutaneous Reactivity)
    Sensitization: Non-sensitizer (Kligman Maximization)
    Acute Systemic Toxicity: Non-toxic (Systemic Injection)
    PyrogenicityANSI/AAMI ST72:2011/(R)2016 for bacterial endotoxins; Endotoxin limit of 2.15 EU/Device (0.06 EU/ml) based on potential contact with Cerebrospinal Fluid.BET/LAL: Non-pyrogenic (Kinetic Chromogenic Technique)
    SterilizationConformance to ISO 11135-1, ISO 11138-1, ISO 11138-2 standards for Ethylene Oxide sterilization (implied to achieve sterility assurance level).Ethylene Oxide sterilization method, "Sterile only" status. (Specific sterility assurance level not quantified here, but compliance to standards indicates successful sterilization).
    Packaging IntegrityConformance to ASTM F88/F88M-15, ASTM F1886-16, ASTM F1980-16, ASTM F2096-11, BS/EN/ISO 11607-1:2017 for seal strength, visual inspection, accelerated aging, and gross leak detection.Studies are ongoing, but "Currently 1 year (per accelerated aging) and 1-year and 5-year real-time aging studies are ongoing)" leading to an initial 1-year shelf life. Packaging configuration is double (Tyvek) pouched and placed in a chipboard box.
    Electrical PerformanceElectrical continuity, resistance, dielectric strength, impedance, and charge injection capacity (on new and aged products). For patient cable: channel mapping, resistance, shorts, dielectric strength, and impedance.The devices were physically tested for dielectric strength, impedance, resistance and charge injection capacity on new and aged products. The NeuroCoG Patient Cable was tested for channel mapping, resistance, shorts, dielectric strength, and impedance. Results are stated as successful but not quantified with specific values in this summary.
    Mechanical PerformanceTensile strength, bending, and chemical compatibility on new and aged products. For patient cable: tensile strength, mating, bending, dropping, and chemical compatibility.The Blackrock NeuroCoG Subdural Electrodes were physically tested for tensile strength, bending, and chemical compatibility on new and aged products, as well as underwent extensive verification of their mechanical properties. The NeuroCoG Patient Cable was tested for tensile strength, mating, bending, dropping, and chemical compatibility. Results are stated as successful but not quantified with specific values in this summary.
    Cleaning & Disinfection (Patient Cable)AAMI TIR12:2010, AAMI TIR30:2011(R)2016 for cleaning (protein and carbohydrate markers) and low-level disinfection (6-log reduction in bacteria).Cleaning: Protein Marker:
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    Why did this record match?
    510k Summary Text (Full-text Search) :

    Grid Subdural Electrode, 5) Intraoperative Mapping Grid Subdural Electrode Regulation Number: 21 CFR 882.1310
    |
    | Classification Name: | Cortical Electrode
    21 CFR 882.1310

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

    The Ad-Tech Subdural Electrodes (Strip/Intraoperative Strip, Grid/Intraoperative Grid, Dual-Sided Interhemissheric, Multi-Strip and Split Grid, Intraoperative Mapping Grid) are intended for temporary (

    Device Description

    The device under review is a family of Subdural Electrodes. These electrodes provide surface brain contact to support recording, monitoring and stimulation from user supplied equipment.

    The family of Subdural Electrodes under review are used under the direction of neurosurgeons and other skilled physicians to support their clinical needs for subdural electrodes on the brain. Based upon the needs of their clinical practice and particular patients, various 2-dimensional geometric shapes (length and width) resulting in variations of Subdural Electrode body shapes and orientation configurations are necessary.

    All variations of Subdural Electrodes under review consist of the same materials and fundamental design as the predicate Subdural Electrodes. Either round discs or rectangular electrode contact material are sandwiched between two layers of silicone substrate electrode body material. The brain contacting side of the silicone substrate body has material removed to expose an amount of electrode contact surface area. The subdural electrode wires between the electrode contact and connector contacts at the most distal end of the subdural electrode tail pass through a tube for interface with the user's equipment.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the Ad-Tech Subdural Electrodes based on the provided document:

    This document is a 510(k) summary for a medical device, which typically aims to demonstrate substantial equivalence to a predicate device rather than providing extensive clinical study data that would be found in a PMA (Premarket Approval) application. Therefore, you will find information related to design and performance verification rather than large-scale clinical trials.

    1. Table of Acceptance Criteria and Reported Device Performance

    Device: Ad-Tech Subdural Electrodes (Strip/Intraoperative Strip, Grid/Intraoperative Grid, Dual-Sided Interhemispheric, Multi-Strip and Split Grid, Intraoperative Mapping Grid)

    Acceptance Criteria / Performance RequirementReported Device Performance
    Electrical Resistance: Measure electrical resistance from the electrode contact to connector. Verification of electrical resistance from electrode contact to connector meet specification, no electrical contact or connector cross connects to another electrode contact or connector.Pass: Verification of electrical resistance from electrode contact to connector meet specification, no electrical contact or connector cross connects to another electrode contact or connector. (The specific resistance values/specifications are not provided in this summary but are implied to be met).
    Dimensional Characteristics: Dimensional requirements are met by manufacturing. Verification of the dimensional characteristics, electrode contact placement is confirmed using the same manufacturing methods and processes as the predicate electrodes.Pass: Verification of the dimensional characteristics, electrode contact placement is confirmed using the same manufacturing methods and processes as the predicate electrodes. (The specific dimensional requirements are not provided, but the document mentions modifications like range of contact spacing (1-20mm) and range of round electrode contact diameters (1.96-6.35mm), and exposed surface area (1.08-19.6 mm²), all confirmed through manufacturing methods.)
    Stimulation Effect: Stimulation at 30 µC/cm² does not affect the electrodes. Verification that under the anticipated duration of electrical stimulation at the maximum limit does not affect the electrode resistance.Pass: Verification that under the anticipated duration of electrical stimulation at the maximum limit does not affect the electrode resistance. (Confirmed that charge density limits of
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    K Number
    K192764
    Manufacturer
    Date Cleared
    2019-11-26

    (57 days)

    Product Code
    Regulation Number
    882.1310
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Minnesota 55343

    Re: K192764

    Trade/Device Name: NeuroOne Cortical Electrode Regulation Number: 21 CFR 882.1310
    -------|--------------------------------------|
    | Classification Name: | Cortical electrode (21 CFR§882.1310
    | Cortical electrode |
    | Classification Number: | 21 CFR 882.1310
    | 21 CFR 882.1310 |
    | Classification Name: |

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

    The NeuroOne Cortical Electrodes are intended for temporary (less than 30 days) use with recording, monitoring, and stimulation equipment for the recording, monitoring, and stimulation of electrical signals on the surface of the brain.

    Device Description

    The NeuroOne Cortical Electrode is a sterile, single use electrical conductor that is temporarily placed (

    AI/ML Overview

    The provided text is a 510(k) summary for the NeuroOne Cortical Electrode. This document outlines the device's characteristics and compares it to a predicate device to establish substantial equivalence, which is a regulatory pathway for medical device clearance. It does not contain information about a study proving the device meets acceptance criteria in the context of a standalone or comparative effectiveness clinical study with performance metrics like sensitivity, specificity, or F1-score.

    Instead, the "acceptance criteria" discussed here refer to the regulatory requirements for demonstrating equivalence to a legally marketed predicate device. The "study" proving acceptance criteria is a series of engineering and biocompatibility tests intended to show that the differences between the new device and the predicate do not raise new questions of safety or efficacy.

    Therefore, I cannot provide a table of acceptance criteria and reported device performance in the format typically used for studies evaluating diagnostic or predictive AI systems, nor can I answer questions related to sample size for test sets, ground truth establishment by experts, adjudication methods, or MRMC studies. These elements are not applicable to the type of regulatory submission described.

    Here's a breakdown of what can be extracted from the document regarding the criteria and the "study" (testing) that supports the device:

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

    The acceptance criteria are implicitly defined by the benchmarks set by the predicate device and relevant international standards. The "reported device performance" refers to the successful completion of various tests deemed sufficient to demonstrate equivalence.

    Acceptance Criteria (Implicit from Predicate & Standards)Reported Device Performance (Summary of Testing)
    Premarket Requirements (Regulatory Substantial Equivalence):
    Same Indications for UseAchieved (stated explicitly)
    Same Intended UseAchieved (stated explicitly)
    Used in the same anatomical siteAchieved (stated explicitly)
    Uses similar technological characteristicsAchieved (bench testing)
    Uses same principles of operationAchieved (stated explicitly)
    Uses same sterilization methodologyAchieved (stated explicitly)
    Biocompatible for its intended useAchieved (Biocompatibility Testing)
    Device Performance (Engineering & Biocompatibility):
    Dimensional conformanceDesign Verification Testing (Dimensional Measurements)
    DurabilityDesign Verification Testing (Durability)
    Mapping/Stimulation capabilityDesign Verification Testing (Mapping/Stimulation)
    ReliabilityDesign Verification Testing (Reliability)
    Electrical safety & performanceElectrical testing to IEC 60601
    BiocompatibilityBiocompatibility Testing to ISO 10993-1 and ASTM F756
    Packaging integrity & shelf lifePackaging/Shelf Life testing to ASTM D4169-16, ASTM F1980-16, ASTM 2096-11, ASTM F88-15
    Sterilization effectivenessSterilization Validation to ISO 11135
    Labeling complianceLabeling to ISO 15223-1

    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 the "testing" is primarily engineering and bench testing, not a clinical study on patient data. There isn't a "test set" of patient data in the typical sense.

    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. Ground truth as defined for clinical studies (e.g., expert consensus for diagnostic accuracy) is not part of this 510(k) submission, which focuses on device safety and performance equivalence through engineering and biocompatibility testing.

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

    Not applicable. There is no clinical test set requiring adjudication in this context.

    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 not an AI device, and no MRMC study was conducted or referenced. The device is a cortical electrode, a physical medical instrument.

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

    Not applicable. This is not an algorithm or AI device. The testing described focuses on the physical and electrical characteristics of the electrode.

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

    The "ground truth" for this device's evaluation is primarily based on:

    • Engineering specifications and standards: Conformance to pre-defined physical dimensions, electrical properties (IEC 60601), and material properties.
    • Biocompatibility standards: Conformance to ISO 10993-1 and ASTM F756.
    • Predicate device characteristics: The NeuroOne Cortical Electrode is deemed substantially equivalent if its performance aligns with that of the legally marketed predicate device (PMT Subdural Cortical Electrode) in terms of intended use, indications for use, technological characteristics, and safety profile, such that any differences do not raise new questions of safety or efficacy.

    8. The sample size for the training set:

    Not applicable. There is no "training set" in the context of an AI/machine learning model for this physical medical device.

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

    Not applicable. As there is no training set, there is no establishment of ground truth for one.

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    K Number
    K183437
    Manufacturer
    Date Cleared
    2019-03-12

    (90 days)

    Product Code
    Regulation Number
    882.1310
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Re: K183437

    Trade/Device Name: AirRay Subdural Cortical Electrodes Regulation Number: 21 CFR 882.1310
    |
    | Classification | Cortical Electrode
    21 CFR 882.1310
    Interhemispheric
    Grid, Intraoperative, Strip, Wyler)
    Product Code: GYC
    Classification: 21 CFR 882.1310
    |
    | FDA Regulation | CFR 882.1310
    | CFR 882.1310

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

    The °AirRay® Subdural Cortical Electrodes (Strips and Grids) are intended for temporary (

    Device Description

    The ° AirRay® Subdural Cortical Electrodes Subdural electrodes are single patient use, disposable, sterile devices. The electrodes are invasive as they are placed in contact with the brain. The electrodes provide the patient contact device. The electrodes connect to the user's recording, monitoring and stimulation/response equipment. The electrodes are used under the supervision of a physicians in the areas of biopotential recording, monitoring and stimulation/response studies understand the use of subdural electrodes.

    AI/ML Overview

    The provided text is a 510(k) summary for the CorTec AirRay Subdural Cortical Electrodes. This document focuses on demonstrating substantial equivalence to a predicate device, rather than proving the device meets specific acceptance criteria through a clinical study.

    Therefore, much of the requested information regarding acceptance criteria, a test set, ground truth establishment for a test set, expert involvement, and comparative effectiveness studies is not present in this document, as these are typically part of a different type of submission (e.g., a PMA or De Novo) or a more detailed clinical study report, which is not included here.

    However, the document does contain information about biocompatibility testing, which does have acceptance criteria for physical and chemical characteristics, and the results of those tests. I will focus on that section for the table, as it is the only part that directly addresses acceptance criteria and performance against them.

    Here's a breakdown of what can be extracted and what is not available:

    1. Table of acceptance criteria and the reported device performance:

    The document provides a "Biocompatibility Summary Table" with test methods, results, and conclusions. The acceptance criteria are implicitly "Pass" for each test, indicating that the device's performance met the required biological safety standards.

    Test (Applicable ISO 10993 Part No.)Acceptance Criteria (Implicit)Reported Device PerformanceConclusion (Met Acceptance Criteria)
    Cytotoxicity (10993-5)Non-cytotoxicPassNon-cytotoxic
    Sensitization (10993-10)Non-sensitizerPassNon-sensitizer
    Irritation (ISO 10993-10)Non-irritantPassNon-irritant
    Acute Systemic Toxicity (ISO 10993-11)No acute systemic toxicityPassNo acute systemic toxicity
    Material-mediated Pyrogenicity (ISO 10993-11)Non-pyrogenicPassNon-pyrogenic
    Hemocompatibility (ISO 10993-4)Non-hemolyticPassNon-hemolytic
    Subchronic Toxicity (ISO 10993-11)No subchronic systemic toxicity and acceptable local toxicitiesNo systemic or local toxicities were observed, and all measured parameters (clinical observations, body weights, organ weights, hematology, clinical chemistry, necropsy, microscopic evaluation) were acceptable.No subchronic systemic toxicity
    Genotoxicity (ISO 10993-3) - Bacterial Mutagenicity Test (Ames Assay)Non-mutagenicPassNon-mutagenic
    Genotoxicity (ISO 10993-3) - In Vitro Mouse Lymphoma AssayNon-mutagenic / non-clastogenicPassNon-mutagenic / clastogenic
    Implantation (ISO 10993-6)No adverse local effects in neural tissues, no neurotoxicityOverall, no adverse local effects attributed to the implanted articles. All implanted animals survived with no clinical or neurological findings attributable to the test article or negative control. No evidence of CSF leakage or infection. Considered to elicit no or minimal reaction compared to negative control at 1 and 4 weeks.No adverse local effects in neural tissues, no neurotoxicity

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

    • Sample Size: The document mentions that "All biocompatibility studies were conducted in compliance with Good Laboratory Practices (GLP), 21 CFR Part 58." While specific numbers for each test are not listed, the document states, for example, that the "4-week brain implantation study was conducted in rabbits" and "Both male and female animals were used." This implies a typical sample size used in GLP studies for animal testing, which adheres to specific guidelines for statistical significance (though exact numbers are often not in a 510(k) summary).
    • Data Provenance: The studies were conducted on the "finished, sterilized device." The location of the studies (e.g., country) is not explicitly stated beyond the submitter's location in Germany. These are prospective tests performed specifically for this submission.

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

    • Biocompatibility Ground Truth: For the implantation study, it is stated that "The macroscopic and microscopic evaluations were performed by a board certified veterinary pathologist." This pathologist served as the expert for establishing the "truth" (i.e., the presence or absence of adverse tissue reactions) in that specific test. For other biocompatibility tests (cytotoxicity, sensitization, etc.), these are standardized laboratory assays with defined pass/fail criteria, so the "ground truth" is established by the assay's results per validated protocols, interpreted by qualified lab personnel.
    • For human clinical performance (not applicable to this 510(k) summary): No information is provided as this is a device clearance based on substantial equivalence and non-clinical testing.

    4. Adjudication method for the test set:

    • For the biocompatibility studies, standard GLP practices and validated test protocols are followed. Results are typically reviewed and signed off by the study director and relevant subject matter experts (e.g., the veterinary pathologist). There's no "adjudication" in the sense of multiple human readers disagreeing on clinical image interpretation, as this is laboratory testing.

    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 device is a passive implant (subdural cortical electrodes) and is not an AI-powered diagnostic device. Therefore, a MRMC study of human reader performance with or without AI assistance is not applicable and was not conducted.

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

    • No. This device does not have an algorithm or software component that operates in a standalone capacity. It is a physical medical device. The document explicitly states "Contains Software/Firmware: No".

    7. The type of ground truth used:

    • For the biocompatibility studies, the ground truth was laboratory test results and expert pathological evaluation (specifically for the implantation study). This is empirical data derived from standardized biological and chemical tests.

    8. The sample size for the training set:

    • Not applicable. This device is not an AI/ML device that requires a training set. The clearance is based on substantial equivalence to a predicate device and non-clinical performance testing.

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

    • Not applicable. As a non-AI/ML device, there is no training set and therefore no ground truth established for one.

    In summary, the provided document focuses on the physical and biological safety of the device through non-clinical testing, particularly biocompatibility. It is a substantial equivalence submission, comparing the new device to an existing predicate rather than demonstrating clinical efficacy through a structured clinical study with human patients and expert review of clinical outcomes/interpretations.

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