Charlotte ACC25 Surface Electrode Array; Charlotte ACC25 Reusable Surface Electrode Array
K261442 · Cadwell Industries, Inc. · GXY · Jun 26, 2026 · Neurology
Device Facts
Record ID
K261442
Device Name
Charlotte ACC25 Surface Electrode Array; Charlotte ACC25 Reusable Surface Electrode Array
Applicant
Cadwell Industries, Inc.
Product Code
GXY · Neurology
Decision Date
Jun 26, 2026
Decision
SESE
Submission Type
Abbreviated
Regulation
21 CFR 882.1320
Device Class
Class 2
Attributes
Pediatric
Indications for Use
Charlotte Surface Electrode Arrays are indicated for non-invasive use with recording and monitoring equipment to acquire physiological electrical signals from Electromyography (EMG), Electroencephalograph (EEG), and Evoked Potentials (EP).
Device Story
Charlotte Surface Electrode Arrays consist of surface electrodes assembled with connectors or printed circuit boards; optionally affixed to a proprietary carrier. Device functions as a passive interface to acquire physiological electrical signals (EMG, EEG, EP) from patient skin; requires use of FDA-cleared conductive paste. Operated by medical professionals in clinical settings; connects to compatible recording/monitoring equipment via proprietary latching mechanism. Output is raw electrical signal transmitted to monitoring device for clinical interpretation. Benefits include non-invasive signal acquisition for diagnostic monitoring.
Clinical Evidence
Bench testing only. Performance data included electrical characterization per ANSI/AAMI EC12 (AC impedance, offset voltage, combined offset instability/noise, bias current voltage). Biocompatibility established via identical material composition to predicate and history of safe use for skin-contacting materials per FDA 2023 guidance.
Technological Characteristics
Materials: Disposable (Ag/AgCl, ABS); Reusable (Ag, Ag/AgCl, or Au-plated). Sensing: Passive cutaneous electrode. Connectivity: Proprietary latching connector. Form factor: Electrode array assembly with optional carrier. Sterilization: Non-sterile. Standards: ANSI/AAMI EC12 for electrical performance.
Indications for Use
Indicated for adults and pediatric patients requiring non-invasive acquisition of physiological electrical signals (EMG, EEG, EP) for use with recording and monitoring equipment. Prescription use only.
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.
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**FDA** **U.S. FOOD & DRUG**
ADMINISTRATION
June 26, 2026
Jason Ford
Regulatory Affairs Manager
Cadwell Industries, Inc.
909 N Kellogg St.
Kennewick, Washington 99336
Re: K261442
Trade/Device Name: Charlotte ACC25 Surface Electrode Array; Charlotte ACC25 Reusable Surface Electrode Array
Regulation Number: 21 CFR 882.1320
Regulation Name: Cutaneous Electrode
Regulatory Class: Class II
Product Code: GXY
Dated: April 30, 2026
Received: April 30, 2026
Dear Jason Ford:
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 (the 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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database available at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. 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.
Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device"
U.S. Food & Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
www.fda.gov
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K261442 - Jason Ford
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(https://www.fda.gov/media/99812/download) and 'Deciding When to Submit a 510(k) for a Software Change to an Existing Device' (https://www.fda.gov/media/99785/download).
Your device is also subject to, among other requirements, the Quality Management System Regulation (QMSR) (21 CFR Part 820), which includes, but is not limited to, ISO 13485 clause 7.3 (Design controls), ISO 13485 clause 8.3 (Nonconforming product), ISO 13485 clause 8.5.2 (Corrective action), and ISO 13485 clause 8.5.3 (Preventative action). Please note that regardless of whether a change requires premarket review, the QMSR requires device manufacturers to review and approve changes to device design and production (ISO 13485 clause 7.3 and ISO 13485 clause 7.5) and document changes and approvals in the Medical Device File (ISO 13485 clause 4.2.3).
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 device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the Quality Management System Regulation (QMSR) (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.
All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ('UDI Rule'). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system.
Also, please note the regulation entitled, 'Misbranding by reference to premarket notification' (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
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K261442 - Jason Ford
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Sincerely,

For Tushar Bansal
Acting Assistant Director
DHT5B: Division of Neuromodulation and
Physical Medicine Devices
OHT5: Office of Neurological and
Physical Medicine Devices
Office of Product Evaluation and Quality
Center for Devices and Radiological Health
Enclosure
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# Indications for Use
| Please type in the marketing application/submission number, if it is known. This textbox will be left blank for original applications/submissions. | K261442 | ? |
| --- | --- | --- |
| Please provide the device trade name(s). | | ? |
| Charlotte ACC25 Surface Electrode Array; Charlotte ACC25 Reusable Surface Electrode Array | | |
| Please provide your Indications for Use below. | | ? |
| Charlotte Surface Electrode Arrays are indicated for non-invasive use with recording and monitoring equipment to acquire physiological electrical signals from Electromyography (EMG), Electroencephalograph (EEG), and Evoked Potentials (EP). | | |
| Please select the types of uses (select one or both, as applicable). | ☑ Prescription Use (21 CFR 801 Subpart D) ☐ Over-The-Counter Use (21 CFR 801 Subpart C) | ? |
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# Electrode Array 510(k) Summary K261442
## Submitter Information
| Submitter Name: | Cadwell Industries, Inc. 909 N. Kellogg Street Kennewick, Washington 99336 |
| --- | --- |
| Submitter Phone: | 509-735-6481 |
| Contact Person: | Jason Ford Regulatory Affairs Manager |
| Date Summary Prepared: | June 25, 2026 |
## Subject Device
| Trade Name: | Charlotte ACC25 Surface Electrode Array; Charlotte ACC25 Reusable Surface Electrode Array |
| --- | --- |
| Common Name: | Cutaneous Electrode |
| Classification Name: | 21 CFR section 882.1320 |
| Product Code: | GXY |
## Predicate Device
| 510(k) Number: | K072016 |
| --- | --- |
| Trade Name: | Cutaneous Electrodes |
| Submitter Name: | Technomed Europe |
| Classification Name: | Neurology 21 CFR 882.1320 |
| Product Code: | GXY |
## Device Description
Charlotte Surface Electrode Arrays consist of an assembly of surface electrodes terminated to one or more connectors or printed circuit boards. The arrays are intended to record the indicated monitored physiological signals in a non-invasive manner. The electrodes are provided non-sterile. Optionally, Surface Electrode Arrays may be affixed to a proprietary carrier intended to facilitate a Surface Electrode Array’s connection with separately FDA-cleared compatible recording devices.
The device is intended to be used with FDA-cleared electrode conductive paste.
Available as Single-use disposable assemblies, or reusable assemblies.
## Indications for Use
Charlotte Surface Electrode Arrays are indicated for non-invasive use with recording and monitoring equipment to acquire physiological electrical signals from Electromyography (EMG), Electroencephalograph (EEG) and Evoked Potentials (EP).
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## Electrode Array 510(k) Summary K261442
### Summary of Technological Characteristics and Comparison to the predicate devices
**Table 1**
| *Characteristics* | *Subject Device Charlotte ACC25 Surface Electrode Array; CharlotteACC25 Reusable Surface Electrode Array (K261442)* | *Predicate Device Technomed Cutaneous Electrodes (K072016)* | *Discussion of Major Differences* |
| --- | --- | --- | --- |
| *Device Class* | Class II | Class II | No differences |
| Class Name | Cutaneous Electrode | Cutaneous Electrode | No differences |
| Product Code | GXY = Electrode, Cutaneous | GXY = Electrode, Cutaneous | No differences |
| Regulation | 882.1320 | 882.1320 | |
| Intended User | Medical Professional | Medical Professional | No differences |
| Target Patient Population | Adults and Pediatric | Adults and Pediatric | No differences |
| Prescription | Prescription use only | Prescription use only | No differences |
| Type of Use | Single Use, Reusable | Single Use, Reusable | No differences |
| Indications for Use | Charlotte Surface Electrode Arrays are indicated for non-invasive use with recording and monitoring equipment to acquire physiological electrical signals from Electromyography (EMG), Electroencephalograph (EEG) and Evoked Potentials (EP). | The cup electrodes are intended for non-invasive use with recording and monitoring equipment (active and reference), of Electromyography (EMG), Electroencephalograph (EEG) and Evoked Potentials. | No significant differences |
| Electrode Materials | Disposable: Silver/Silver Chloride (Ag/AgCl); Acrylonitrile Butadiene Styrene (ABS) Reusable: Ag, Ag/AgCl, or Gold (Au)-plated. | Disposable: Ag/AgCl; ABS Reusable: Ag/AgCl, Au-plated | No differences |
| Electrode Connector | Proprietary connection with latching mating mechanism | DIN 42-802 touch proof connector | These design differences do not introduce new questions of safety or effectiveness |
| Safety and Performance Characteristics | Same | Same | This submission uses the Safety and Performance Based Pathway; therefore a direct comparison of the safety and performance characteristics is not required. |
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CADWELL®
# Electrode Array 510(k) Summary
K261442
Performance Data
In accordance with the FDA guidance document, “Cutaneous Electrodes for Recording Purposes-Performance Criteria for Safety and Performance Based Pathway”, issued on August 14, 2020, the following performance data were provided to demonstrate safety and efficacy in support of substantial equivalence determination.
Electrode Characterization:
- Electrical Performance per FDA-recognized consensus standard, ANSI/AAMI EC12
Disposable ECG Electrodes
- AC Impedance
- Offset Voltage
- Combined offset instability and internal noise
- Bias Current Voltage (DC Voltage Offset)
Sufficient justification was provided to ensure the device characteristics of shelf life and conductive connection compliance considerations under the Cutaneous Electrodes guidance did not impact the safety and effectiveness of the subject device.
Biocompatibility
The biocompatibility of the subject device is based upon verified claims of identical materials of construction compared to the predicate devices, as well as on the use of skin-contacting, low biocompatibility risk materials with a long history of safe use in accordance with Attachment G of the FDA’s 2023 Biocompatibility Guidance.
Summary of Non-clinical Testing
Safety and Performance bench testing of Charlotte Surface Electrode Arrays that confirm the claimed performance characteristics of the subject device. The results of the completed evaluations and testing demonstrate that any differences relative to the predicate device do not raise different questions of safety and effectiveness. Therefore, the performance data demonstrate acceptable safety and performance compared to the predicate devices.
Conclusion
The Charlotte ACC25 Surface Electrode Arrays have the same intended use as the predicate device. The differences in technological characteristics do not raise different questions of safety and effectiveness, and the performance data demonstrate that the Charlotte ACC25 Surface Electrode Arrays are substantially equivalent to the cleared predicate device.
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Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.