Cleared Traditional

MODEL 366-30 ADAPTAID(TM) ADAPTER SLEEVE (K873921) - FDA 510(k) Clearance

Class III device cleared through the 510(k) pathway via substantial equivalence to a legally marketed predicate.

K873921 · Intermedics, Inc. · Cardiovascular device
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Dec 1987
Decision
69d
Days
Class 3
Risk

K873921 is an FDA 510(k) clearance for the MODEL 366-30 ADAPTAID(TM) ADAPTER SLEEVE. Classified as Permanent Pacemaker Electrode (product code DTB), Class III - Premarket Approval.

Submitted by Intermedics, Inc. (Freeport, US). The FDA issued a Cleared decision on December 3, 1987 after a review of 69 days - a notably fast clearance cycle.

This device falls under the Cardiovascular FDA review panel, regulated under 21 CFR 870.3680 - the FDA cardiovascular device oversight framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: High-complexity regulatory submission. High regulatory complexity profile. This clearance follows a standard predicate-based equivalence path within the Cardiovascular review framework, consistent with the majority of Class II 510(k) submissions.

View all Intermedics, Inc. devices

Submission Details

510(k) Number K873921 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received September 25, 1987
Decision Date December 03, 1987
Days to Decision 69 days
Submission Type Traditional
Review Panel Cardiovascular (CV)
Summary -
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
56d faster than avg
Panel avg: 125d · This submission: 69d
Pathway characteristics
Predicate-based equivalence.

Device Classification

Product Code DTB Permanent Pacemaker Electrode
Device Class Class 3 - Premarket Approval
CFR Regulation 21 CFR 870.3680
What this classification means

Class III devices typically require Premarket Approval (PMA) with clinical evidence. Clearance through 510(k) for Class III devices is granted only when substantial equivalence to a valid predicate can be established.

Regulatory Peers - DTB Permanent Pacemaker Electrode

All 221
Devices cleared under the same product code (DTB) and FDA review panel - the closest regulatory comparables to K873921.
POLYFLEX(R) EPICARDIAL 439-04 IMPLANT PACING LEAD
K874531 · Intermedics, Inc. · Jan 1988
MODEL 366-12 ADAPTAID(TM) STEP-DOWN ADAPTER
K874930 · Intermedics, Inc. · Jan 1988
MEDTRONIC PERMANENT LEAD INTRODUCER
K874167 · Medtronic Vascular · Dec 1987
MEDTRONIC MODEL 5513 ENDOCARDIAL PACING LEAD
K870885 · Medtronic Vascular · Nov 1987
SLIMLINE UNIPOLAR ENDOCARDIAL PACING LEAD, 030-438
K865098 · Telectronics, Inc. · Aug 1987
IMPLANTABLE PACING LEAD MODELS 487-06 TO 430-01
K871580 · Intermedics, Inc. · May 1987