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510(k) Data Aggregation

    K Number
    K131262

    Validate with FDA (Live)

    Date Cleared
    2013-11-14

    (195 days)

    Product Code
    Regulation Number
    870.2340
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Digital Electrocardiographs, IE3/ IE12/ IE12P/ IE15, are intended to acquire ECG signals from adult and pediatric patients through body surface ECG electrodes. The obtained ECG records can help users to analyze and diagnose heart disease. Digital Electrocardiographs shall be used in healthcare facilities by doctors and/or trained healthcare professionals.

    Device Description

    Digital Electrocardiographs, IE3/ IE12/ IE12/ IE15, are designed to acquire, analyze, display and record ECG signals from patient body surface by ECG electrodes. After been amplified, filtered and analyzed, the ECG signals waveforms and analysis results are displayed in the LCD and recorded in the paper through thermal printer. ECG data, analysis result and patient information could be stored in the memory of the device.
    The device consists of three modules, which are power supply module, amplification module, and control module.
    The device has three recording mode, AUTO mode, MAN mode and RHY mode,
    They are standard twelve leads, including bipolar limb leads, augmented unipolar limb leads and unipolar chest leads.

    AI/ML Overview

    The provided 510(k) summary for K131262 does not contain information related to a clinical study or performance data against specific acceptance criteria for the device's diagnostic capabilities. Instead, it focuses on demonstrating substantial equivalence to predicate devices through non-clinical testing and technical specifications.

    Therefore, many of the requested sections regarding acceptance criteria, study details, and performance metrics cannot be directly addressed from the provided document.

    Here's a breakdown of what can be extracted and what is missing:


    Description of Acceptance Criteria and Device Performance

    The submission focuses on establishing substantial equivalence to predicate devices (K122712 and K123816) based on technical specifications and compliance with international standards, rather than defining specific diagnostic acceptance criteria for the device's analytical function.

    The non-clinical tests were conducted to verify that the proposed device met all design specifications and was Substantially Equivalent (SE) to the predicate devices. The test results demonstrated compliance with the following standards:

    • IEC 60601-1:1990+ A1:1993+ A11:1993+ A12:1993+ A13:1996, Medical electrical equipment, Part 1: General requirements for safety.
    • IEC 60601-2-25:1993+A1:1999. Medical electrical equipment, Part 2-25: Particular requirements for the safety of electrocardiographs.
    • IEC 60601-1-2: 2007, Medical electrical equipment, Part 1-2: General requirements for basic safety and essential performance- Collateral standard: Electromagnetic compatibility- Requirements and tests.

    Table of Acceptance Criteria and Reported Device Performance (Based on Technical Specifications and Compliance to Standards):

    Acceptance Criteria (from Predicate/Standard Compliance)Reported Device Performance (K131262 Device)
    Intended Use (Similar to predicates)Acquires ECG signals, helps users analyze/diagnose heart disease
    Lead (Standard 12-lead)Standard 12-lead
    Acquisition mode (Simultaneous 12-lead acquisition)Simultaneous 12-lead acquisition
    Recording format (Automatic / Manual / Rhythm)Automatic / Manual / Rhythm
    Analysis mode (No integrated analysis)No (similar to predicates)
    CMRR (>60dB, >100 with AC filter)>60dB, >100 with AC filter
    Paper Speed (4 or 6 levels)4 levels (6.25, 12.5, 25, 50mm/s) OR 6 levels (5, 6.25, 10, 12.5, 25, 50mm/s)
    Input CIR current (<0.1μA)<0.1μA
    Input impedance (>50MΩ)>50MΩ
    Patient leak current (<10μA)<10μA
    Frequency response (0.05~150Hz)0.05~150Hz
    Noise level (<15μVpp)<15μVpp
    Electrical Safety (Comply with IEC 60601-1)Comply with IEC 60601-1
    EMC (Comply with IEC 60601-1-2)Comply with IEC 60601-1-2
    Particular requirements (Comply with IEC 60601-2-25)Comply with IEC 60601-2-25
    Biocompatibility (Comply with ISO 10993)Comply with ISO 10993

    Missing Information from the Provided Document:

    1. Sample size used for the test set and the data provenance: Not mentioned. The submission relies on non-clinical testing for compliance with standards and technical equivalency, not clinical diagnostic performance data.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable, as no diagnostic performance study with specific ground truth from experts is described.
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.
    4. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This device is an electrocardiograph, which acquires and displays ECG signals for human interpretation, it does not include AI for interpretation or an automated analysis mode (as per "Analysis mode: No" in the comparison table).
    5. If a standalone (i.e. algorithm only without human-in-the loop performance) was done: Not applicable. The device's "Analysis mode" is listed as "No," indicating it does not perform automated algorithmic diagnosis. It is intended for healthcare professionals to analyze and diagnose heart disease from the acquired ECG records.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable, as no diagnostic performance study with ground truth is presented. The "ground truth" here is compliance with established safety and performance standards for an ECG device.
    7. The sample size for the training set: Not applicable, as there is no mention of an algorithm or AI component that would require a training set.
    8. How the ground truth for the training set was established: Not applicable.

    Conclusion:

    This 510(k) summary is for a traditional Digital Electrocardiograph, which is a signal acquisition and display device, not an AI-powered diagnostic system. Its approval is based on demonstrating substantial equivalence to existing legally marketed devices through compliance with industry standards and shared technical specifications. The document does not include data from a clinical performance study measuring diagnostic accuracy against specific acceptance criteria for disease detection or classification by an algorithm. The device "can help users to analyze and diagnose heart disease," implying the diagnostic responsibility remains with the human healthcare professional.

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