← Product Code [GXY](/submissions/NE/subpart-b%E2%80%94neurological-diagnostic-devices/GXY) · K963236

# M & R DISPOSABLE ELECTRODE (14200) (K963236)

_M & R Mfg., Inc. · GXY · Nov 15, 1996 · Neurology · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/NE/subpart-b%E2%80%94neurological-diagnostic-devices/GXY/K963236

## Device Facts

- **Applicant:** M & R Mfg., Inc.
- **Product Code:** [GXY](/submissions/NE/subpart-b%E2%80%94neurological-diagnostic-devices/GXY.md)
- **Decision Date:** Nov 15, 1996
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 882.1320
- **Device Class:** Class 2
- **Review Panel:** Neurology
- **Attributes:** Therapeutic

## Indications for Use

M&R Disposable Electrodes are intended for single-patient/single-application use in TENS ("traditional" TENS, microcurrent TENS, etc.) and NMES ("traditional" NMES, interferential NMES, high-volt pulsed galvanic NMES, functional electrical stimulation (FES), etc.) applications.

## Device Story

M&R Disposable Electrodes are laminated, flexible cutaneous electrodes designed for TENS and NMES applications. The device consists of a polyester backing with biocompatible adhesive, a conductive element (rubber strip, film, or foil with optional Ag/AgCl coating), and a biocompatible conductive gel. It features a standard .080-inch female lead wire pin connection or male snap assembly. The electrodes are applied to the patient's skin by a clinician or the patient to interface with standard TENS/NMES stimulation devices. The device delivers electrical current from the stimulator to the target tissue to facilitate nerve or muscle stimulation. Intended for single-patient, single-application use.

## Clinical Evidence

No clinical data provided. Substantial equivalence is based on design, material composition, and intended use comparisons to legally marketed predicate devices.

## Technological Characteristics

Laminated, flexible cutaneous electrodes. Materials: polyester backing, biocompatible adhesive, conductive rubber/film (with optional Ag/AgCl coating), and biocompatible conductive gel. Connection: standard .080-inch female pin or male snap. Dimensions: 2.0x2.0 in. to 3.0x6.0 in. range. Single-use. Passive device; no energy source or software.

## Regulatory 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.

## Predicate Devices

- Medtronic ComfortEase Disposable TENS and NMES Electrodes ([K851303](/device/K851303.md))
- Medical Designs, Inc. Protector Disposable TENS and NMES Electrodes (K911366A)

## Submission Summary (Full Text)

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K963236

NOV 15 1996

M &amp; R Manufacturing, Inc.
M&amp;R Disposable Electrodes
510(k) Summary of Safety and Effectiveness

The following information is submitted in accordance with the requirements of 21 CFR §807.92:

Contact Person: Mark E. Dailey

Date Prepared: 12 August 1996

Proprietary Name: M&amp;R Disposable Electrodes

Common/Usual Name: Disposable electrodes for Transcutaneous Electrical Nerve Stimulation (TENS) and Neuromuscular Nerve Stimulation (NMES).

Classification Name: Electrodes, cutaneous (84GXY); Class II in accordance with 21 CFR §882.1320.

Device Description: M&amp;R Disposable Electrodes are laminated, flexible structures composed of materials commonly used in this application (e.g., cloth with biocompatible adhesive, conductive rubber, and biocompatible conductive gel). The electrodes have a direct lead wire pin connection design and are compatible with all standard, marketed TENS and NMES stimulation devices.

Intended Use: M&amp;R Disposable Electrodes are intended for single-patient/single-application use in TENS ("traditional" TENS, microcurrent TENS, etc.) and NMES ("traditional" NMES, interferential NMES, high-volt pulsed galvanic NMES, functional electrical stimulation (FES), etc.) applications.

Predicate Devices: Medtronic ComfortEase Disposable TENS and NMES Electrodes, and Medical Designs, Inc. Protector Disposable TENS and NMES Electrodes. A chart comparing characteristics of M&amp;R Disposable Electrodes to the predicate devices, demonstrating substantial equivalence, is attached.

Submitted by:

Mark E. Dailey

Mark E. Dailey, President
M &amp; R Manufacturing, Inc.
11967 Upper Fredericktown Amity Road
Fredericktown, Ohio 43019
614/694-6511

49

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|  Device Characteristic | M & R Manufacturing., Inc.
M&R Disposable TENS & NMES Electrodes | Medtronic ComfortEase
Disposable TENS & NMES
Electrodes - K851303 | Medical Designs, Inc.
Protector Disposable TENS &
NMES Electrodes - K911366A  |
| --- | --- | --- | --- |
|  Number of Models | 1 model* | 3 models | 4 models  |
|  Electrode Sizes (in.)/Shapes | 2.0 x 2.25 in. (rectangle)
* Additional models of various sizes will be added within size range of: 2.0 x 2.0 in. (min.) and 3.0 x 6.0 in. (max.). | 1) 2.2 x 2.5 in. (rectangle)
2) 2.0 x 3.5 in. (rectangle)
3) 1.5 x 3.0 in. (butterfly) | 1) 2.0 x 2.25 in. (rectangle)
2) 2.0 x 2.75 in. (rectangle)
3) 2.5 x 6.0 in. (rectangle)  |
|  Electrode Construction | Polyester w/ biocompatible adhesive
Conductive rubber strip
Biocompatible gel

* Additional models of the above and following constructions will be added:
1) Polyester w/ biocompatible adhesive
Conductive film w/ or w/o Ag/AgCl coating
Lead wire assembly
Biocompatible gel
2) Polyester w/ biocompatible adhesive
Conductive film w/ or w/o Ag/AgCl coating
Male snap assembly
Biocompatible gel | Polyester w/ biocompatible adhesive
Conductive rubber strip
Biocompatible gel | 1) Polyester w/ biocompatible adhesive
Conductive rubber strip
Biocompatible gel

2) Polyester w/ biocompatible adhesive
Conductive foil
Male snap connector
Biocompatible gel  |

{2}

|  Device Characteristic | M & R Manufacturing., Inc.
M&R Disposable TENS & NMES Electrodes | Medtronic ComfortEase
Disposable TENS & NMES Electrodes - K851303 | Medical Designs, Inc.
Protector Disposable TENS & NMES Electrodes - K911366A  |
| --- | --- | --- | --- |
|  Lead Wire Connector Type | Std. .080 in. female connection
(hole in conductive rubber strip) | Std. .080 in. female connection
(hole in conductive rubber strip) | 1) Std. .080 in. female connection
(hole in conductive rubber strip)
2) Std. wire snap connector  |
|  Labeled as Reusable or Single-Use / Disposable? | Single-Use / Disposable | Single-Use / Disposable | Single-Use / Disposable  |
|  Indications For Use | TENS & NMES | TENS & NMES | TENS & NMES  |
|  Potential adverse effects | Skin irritation | Skin rash | Skin irritation  |

---

**Source:** [https://fda.innolitics.com/submissions/NE/subpart-b%E2%80%94neurological-diagnostic-devices/GXY/K963236](https://fda.innolitics.com/submissions/NE/subpart-b%E2%80%94neurological-diagnostic-devices/GXY/K963236)

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