Cleared Traditional

K921124 - MODELS 6917T, 6917AT & 4951M EPICARDIAL PACE LEADS

K921124 is an FDA 510(k) clearance for MODELS 6917T, manufactured by Medtronic Vascular. The device is a Class 3 Cardiovascular device with product code DTB cleared through the Traditional 510(k) pathway after a 102-day FDA review.

K921124 · Medtronic Vascular · Cardiovascular device
Download Printable Device Report (PDF)
Optimized for regulatory review, auditing and printing
May 1992
Decision
102d
Days
Class 3
Risk

K921124 is an FDA 510(k) clearance for the MODELS 6917T, 6917AT & 4951M EPICARDIAL PACE LEADS. Classified as Permanent Pacemaker Electrode (product code DTB), Class III - Premarket Approval.

Submitted by Medtronic Vascular (Minneapolis, US). The FDA issued a Cleared decision on May 22, 1992 after a review of 102 days - within the typical 510(k) review window.

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 Medtronic Vascular devices

FDA 510(k) Submission Details - K921124

510(k) Number K921124 FDA.gov
FDA Decision Cleared Substantially Equivalent - Product Development Protocol (SESP)
Date Received February 10, 1992
Decision Date May 22, 1992
Days to Decision 102 days
Submission Type Traditional
Review Panel Cardiovascular (CV)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
23d faster than avg
Panel avg: 125d · This submission: 102d
Pathway characteristics
Predicate-based equivalence.

DTB Device Classification - Class 3, Premarket Approval

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 423
Devices cleared under the same product code (DTB) and FDA review panel - the closest regulatory comparables to K921124.
MEDTRONIC MODELS 5069 AND 5071 MYOCARDIAL PACING
K915736 · Medtronic Vascular · Dec 1992
MODEL P IN-LINE BIPOLAR ENDOCARDIAL TINED LEAD
K915188 · Cook Pacemaker Corp. · Sep 1992
NEW EXTRUSION VENDOR FOR POLYURETHANE TUBING
K914489 · Telectronics Pacing Systems, Inc. · Aug 1992
PERMANENT CARDIAC PACING LEADS AND ADAPTORS
K912464 · Medtronic Vascular · Feb 1992
OSCOR MEDICAL CORP PERMANENT PACING LEAD
K912867 · Oscor Medical Corp. · Feb 1992
PERMANENT PACING LEADS, MODIFICATION
K915007 · Oscor Medical Corp. · Jan 1992