← Product Code [DRX](/submissions/CV/subpart-c%E2%80%94cardiovascular-monitoring-devices/DRX) · K960968

# MEDI-TRACE 200, MEDI-TRACE 200-30 (K960968)

_Graphic Controls Corp. · DRX · Oct 28, 1996 · Cardiovascular · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/CV/subpart-c%E2%80%94cardiovascular-monitoring-devices/DRX/K960968

## Device Facts

- **Applicant:** Graphic Controls Corp.
- **Product Code:** [DRX](/submissions/CV/subpart-c%E2%80%94cardiovascular-monitoring-devices/DRX.md)
- **Decision Date:** Oct 28, 1996
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 870.2360
- **Device Class:** Class 2
- **Review Panel:** Cardiovascular

## Indications for Use

Intended for use in general electrocardiograph procedures where ECG monitoring is deemed necessary and is ordered by a physician.

## Device Story

Disposable ECG monitoring electrode; conductive wet gel interface; silver/silver chloride plated ABS eyelet; nickel plated brass stud; adhesive foam substrate; vinyl label; polystyrene release liner. Used in clinical settings for ECG monitoring; applied to patient skin by healthcare personnel to acquire electrical signals for diagnostic/monitoring equipment. Benefits include reliable signal acquisition for cardiac monitoring.

## Clinical Evidence

Bench testing only. Device tested per AAMI EC12-1991 standards for electrical performance, labeling, shelf life, packaging, and safety. Biocompatibility testing performed per ISO-10993; results confirmed non-irritating, non-cytotoxic, and non-sensitizing. Real-time shelf life studies substantiated.

## Technological Characteristics

Conductive wet gel electrode. Materials: silver/silver chloride plated ABS eyelet, nickel plated brass stud, adhesive foam substrate, vinyl label, polystyrene release liner. Complies with AAMI EC12-1991 standards.

## Regulatory Identification

An electrocardiograph electrode is the electrical conductor which is applied to the surface of the body to transmit the electrical signal at the body surface to a processor that produces an electrocardiogram or vectorcardiogram.

## Special Controls

*Classification.* Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9. The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance Document: Electrocardiograph Electrodes.” See § 870.1(e) for availability information of guidance documents.

## Predicate Devices

- Medi-Trace® 500 Electrodes

## Submission Summary (Full Text)

> This content was OCRed from public FDA records by [Innolitics](https://innolitics.com). If you use, quote, summarize, crawl, or train on this content, cite Innolitics at https://innolitics.com.
>
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10/25/1996 14:58 7168477531 GRAPHIC CONTROLS PAGE 04

Graphic Controls Corporation
189 Van Rensselaer Street
PO Box 1274
Buffalo, New York 14240-1274 USA
716 853-7500

Customer Relations: 900 609 1009
Fax: 800 347-2421

K960968

OCT 28 1996

![img-0.jpeg](img-0.jpeg)

## 510(k) SUMMARY; K960968

## Graphic Controls

Date: October 25, 1996

Manufacturer: Graphic Controls Corporation
189 Van Rensselaer Street
PO Box 1271
Buffalo, NY 14240
Registration Number 1317188

Manufacturing Location: Graphic Controls, Canada, Ltd.
215 Herbert Street
Gananoque, Ontario
Canada, K7G 2Y7

Telephone: (716) 853-7500

Contact Person: Kathleen H. Selover
Regulatory Affairs Specialist
(716) 853-7500, Extension 7630
Fax Number: (716) 847-7531

Device Trade Name: Medi-Trace® 200 and Medi-Trace® 200-30 ECG Electrodes

Common Name: Disposable ECG Monitoring Electrode

Classification Name: Electrocardiograph Electrode

Regulatory Reference: 74 DRX

Predicate Device: Medi-Trace® 500 Electrodes

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10/25/1996 14:58 7168477531 GRAPHIC CONTROLS PAGE 05

## Description:

A conductive wet gel electrode consisting of a conductive adhesive gel, a silver/silver chloride plated ABS eyelet, nickel plated brass stud, an adhesive foam substrate, vinyl label and polystyrene release liner. Electrodes are packaged either as 100 per pouch (Medi-Trace® 200) or 30 per pouch (Medi-Trace® 200-30); pouches are heat sealed.

Unit of sale for each packaging is a case of either 600 or 1000 electrodes.

## Intended Use:

Intended for use in general electrocardiograph procedures where ECG monitoring is deemed necessary and is ordered by a physician.

## Physical/Technical Comparison:

Medi-Trace® 200 is equivalent to the predicate device. Physical and technical characteristics, including materials used in construction, size, intended use and conductive gel type of device and the predicate are comparable.

## Performance Summary:

The device and the predicate were subjected to AAMI electrical performance tests as described in EC12-1991. Test results indicate that this device meet or exceeds the performance specifications as established in EC12-1991 for Disposable ECG Electrodes. In addition, the device was found to meet EC12-1991 AAMI standard for labeling, shelf life, packaging and safety and Graphic Controls' internal specifications for trace performance.

## Biocompatibility Testing:

The device was subjected to biocompatibility testing as recommended in the May 1, 1995 FDA memorandum entitled: *Use of International Standard ISO-10993, "Biological Evaluation of Medical Devices Part 1: Evaluation and Testing"*. The device was found to be non-irritating, non-cytotoxic and non-sensitizing.

## Shelf Life:

Data obtained in real time shelf life studies was reviewed and found to substantiate our claimed shelf life.

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**Source:** [https://fda.innolitics.com/submissions/CV/subpart-c%E2%80%94cardiovascular-monitoring-devices/DRX/K960968](https://fda.innolitics.com/submissions/CV/subpart-c%E2%80%94cardiovascular-monitoring-devices/DRX/K960968)

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