GARMENT ELECTRODES

K141076 · Shenzhen Dongdixin Technology Co., Ltd. · GXY · Nov 14, 2014 · Neurology

Device Facts

• Record ID: K141076
• Device Name: GARMENT ELECTRODES
• Applicant: Shenzhen Dongdixin Technology Co., Ltd.
• Product Code: GXY · Neurology
• Decision Date: Nov 14, 2014
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 882.1320
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Cutaneous Electrodes including Garment electrodes, which are intended to be used with legally marketed electrical stimulating devices such as transcutaneous electrical nerve stimulators or powered muscle stimulators. The cutaneous electrodes will deliver the stimulation signals generated by the body surface with which they are in contact. The Garment electrodes including glove, socks, sleeve, knee belt and back belt which are made up of silver or conductive silicone rubber.

Device Story

Cutaneous electrodes (models AC 3018, AC3024, AC3032, AC 3041, AC3051) function as passive interface components; they transmit electrical stimulation signals from external TENS or powered muscle stimulator devices to the patient's skin. Garment-style electrodes (gloves, socks, sleeves, knee belts, back belts) incorporate silver or conductive silicone rubber to maintain contact with the body surface. Used in home or clinical settings by patients or clinicians. Device does not generate signals; it acts solely as a conduit for stimulation therapy. Benefits include facilitating delivery of electrical stimulation for nerve or muscle stimulation purposes.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Passive cutaneous electrodes and garment-style electrodes (glove, sock, sleeve, knee belt, back belt). Materials: silver or conductive silicone rubber. Interface: connects to external TENS or powered muscle stimulators. Non-powered, passive components.

Indications for Use

Indicated for use with legally marketed electrical stimulating devices (TENS or powered muscle stimulators) to deliver stimulation signals to the body surface. Intended for Over-The-Counter use.

Regulatory Classification

Identification

A cutaneous electrode is an electrode that is applied directly to a patient's skin either to record physiological signals (e.g., the electroencephalogram) or to apply electrical stimulation.

Submission Summary (Full Text)

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

November 14, 2014

Shenzhen Dongdixin Technology Co., Ltd Qilian Liu, Regulatory Affairs Director No. 3 Building, Xilibaimang Xusheng Industrial Estate Nanshan District, Shenzhen CHINA 518108

Re: K141076

Trade/Device Name: Cutaneous Electrodes, Models AC 3018, AC3024, AC3032. AC 3041. AC3051 Regulation Number: 21 CFR 882.1320 Regulation Name: Cutaneous Electrodes Regulatory Class: Class II Product Code: GXY Dated: September 30, 2014 Received: October 14, 2014

Dear Qilian Liu:

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, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration. Isting of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical

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device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

## Felipe Aguel -S

Carlos L. Peña. PhD. MS for Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known) K141076

Device Name

Cutaneous Electrodes, Models AC 3018, AC3024, AC3032, AC 3041, AC3051

Indications for Use (Describe)

The Cutaneous Electrodes including Garment electrodes, which are intended to be used with legally marketed electrical stimulating devices such as transcutaneous electrical nerve stimulators or powered muscle stimulators. The cutaneous electrodes will deliver the stimulation signals generated by the body surface with which they are in contact. The Garment electrodes including glove, socks, sleeve, knee belt and back belt which are made up of silver or conductive silicone rubber.

Type of Use (Select one or both, as applicable)

| <input type="checkbox"/> Prescription Use (Part 21 CFR 201 Subpart D) |
|----------------------------------------------------------------------------------------|
| <input checked="checked" type="checkbox"/> Over-The-Counter Use (21 CFR 201 Subpart C) |

_ | Prescription Use (Part 21 CFR 801 Subpart D)

|X Over-The-Counter Use (21 CFR 801 Subpart C)

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