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510(k) Data Aggregation

    K Number
    K134044

    Validate with FDA (Live)

    Manufacturer
    Date Cleared
    2014-03-31

    (90 days)

    Product Code
    Regulation Number
    870.1425
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The EP-Tracer System is an electrophysiology measurement system used to acquire, filter, digitize, amplify, display, and record signals obtained during electrophysiological studies and related procedures. The system allows the user to monitor, display and record the signals. The system incorporates a stimulator intended to be used for diagnostic cardiac stimulation during electrophysiological testing of the heart.

    Device Description

    The EP-Tracer system is a computerized electrophysiology measurement system designed for both regular and experimental EP studies. The EP-Tracer is comprised of these major components, 1. EP-Tracer hardware - Amplifier/stimulator 2. EP-Tracer Software - Software pre-installed

    AI/ML Overview

    The provided text focuses on the 510(k) summary for the EP-Tracer system, primarily comparing its technological characteristics to a predicate device (Mennen Medical EMS-XL Cardiac Electrophysiology System) to demonstrate substantial equivalence.

    From the provided text, there is no detailed experimental study proving the device meets specific performance acceptance criteria beyond demonstrating substantial equivalence to a predicate device. The document outlines the technological characteristics of the new device and the predicate device, indicating that the EP-Tracer system aligns with the predicate's specifications or improves upon them.

    Therefore, many of the requested items (sample size, data provenance, number of experts, adjudication method, MRMC study, standalone performance, type of ground truth, training set size, and training set ground truth establishment) are not explicitly described for this specific 510(k) submission. This is common for 510(k) clearances that rely heavily on demonstrating substantial equivalence to a legally marketed predicate device rather than presenting new clinical performance data from scratch.

    However, I can extract the available information about the device's technical specifications, which are implicitly its acceptance criteria based on its predicate.


    Acceptance Criteria and Reported Device Performance

    The acceptance criteria for the EP-Tracer system are inferred from its technological characteristics being "Same" or improved compared to the predicate device, Mennen Medical EMS-XL. No specific quantitative "acceptance criteria" are explicitly stated with corresponding "reported performance" against those criteria in a tabular format as if it were a direct test. Instead, the comparison demonstrates equivalency.

    Below is a table summarizing the technological characteristics that were compared between the EP-Tracer and its predicate, acting as the de facto "acceptance criteria" for substantial equivalence. The "Reported Device Performance" for the EP-Tracer is simply its measured characteristic as stated in the document.

    Device CharacteristicAcceptance Criteria (Predicate: Mennen EMS-XL)Reported Device Performance (EP-Tracer™)
    Environmental Specifications
    Temperature Operating0°C to +35°C+10°C to +30°C
    Temperature Transport/Storage-15°C to +50°C-29°C to -66°C
    Humidity Operating< 95 % rH at -35°C (non-condensing)20 - 80 % rH (non-condensing)
    Humidity Transport/Storage< 95 % rH at -35°C (non-condensing)< 95 % rH (non-condensing)
    Power Specifications
    Power Requirements100 - 240 V AC, 50 - 60 HzSame
    Power Input-5 V, 0.0 - 0.2 A; +12 V, 0.0 - 0.3 A; -12V, 0.0 - 0.3 A(38 ch) ±5 V, 0.3 A & +12 V, 0.9 A; (70 ch) +5 V, 0.3 A & -12 V, 1.5 A; (102 ch) +5 V, 0.3 A & -12 V, 2 A
    Design
    Sampling and HoldEach channel sampled prior acquisitionSame
    Sampling Rate1 kHzSame
    CMRR> 100 dBSame
    Input ImpedanceTypical 20 MΩSame
    Leakage Current Patient Source< 10 µASame
    Leakage Current Patient Sink< 10 µASame
    Leakage Current Patient Sink (single fault)< 50 µASame
    Chassis Leakage Current< 100 µASame
    ECG Input
    Outputs12 lead ECG producedSame
    High Pass Filter0.05 Hz, 0.2 Hz, 40 Hz, 80 Hz0.05 Hz, 0.2 Hz (for ECG); Same (for other inputs)
    Low Pass Filter100 Hz (ECG) / 500 Hz (Inputs)150 Hz (ECG) / 350 Hz (Inputs)
    RF FilteringAll inputsSame
    GainBetween 0 and 255 mm/mV - continuousSame
    Saturation Recovery< 1 sec< 1 sec (manual reset)
    Notch FilterPower line (50/60 Hz)Same
    Dynamic Range±5 mVSame
    Baseline Correction±300 mVSame
    Input/Output (Channels)
    32/38 channels18 intracardiac, 2 pressure, 12 ECG20 intracardiac, 6 auxiliary, 12 ECG
    64/70 channels50 intracardiac, 2 pressure, 12 ECG52 intracardiac, 6 auxiliary, 12 ECG
    102 channelsN/A84 intracardiac, 6 auxiliary (pressure), 12 ECG
    OutputsNo outputsSame
    SwitchingBipolar or unipolar with manual switchingSame
    Stimulator
    Isolated Stimulus Channels2Same
    Pulse Amplitude Range0.1 - 25 mA into 1500 Ω load0 - 25.5 mA into 1000 Ω load
    Increment (Pulse Amplitude)0.1 msSame
    Accuracy (Pulse Amplitude)±0.15 msSame
    Pulse Duration Range0.1 - 9.9 msSame
    Increment (Pulse Duration)0.1 msSame
    Accuracy (Pulse Duration)±0.15 msSame
    Inter-Stimulus Interval (ISI) Range180 ms to 9990 ms +1ms or ±0.1% (whichever is larger)10 - 9999 ms
    ISI Range (Burst)30 ms to 9900 ms ±1ms or ±0.1% (whichever is larger)10 - 9999 ms
    Increment (ISI)10 msSame
    Sequential Delay (AV) Range11 - 250 msSame
    Increment (Sequential Delay)1 msSame
    Programmed ProtocolsThreshold, SNRT, Vent./Atrial Burst/Overdrive, Multi-Sx, Pace, User definedBASIC 1/2/3, ACUTE, Multi-Sx, Pace, Automatic mode, Wenkebach mode, User defined protocols
    Prog. Protocol Key510
    Number of Extra-Stimuli4 (S2 - S5)5 (S2 - S6)
    Trigger Lockup (Refractory Time)5 - 5000 msSame
    ECG Delay5 - 5000 msSame
    Pacing Channels Isolated(i) atrial, (ii) ventricular, (iii) emergency fixed pace output to ventricle(i) atrial, (ii) ventricular, (iii) emergency fixed pace output to atrium and ventricle
    Circuit IsolationIEC 60601-1, Class CF, 5 kVSame
    Current Output (Computer Controlled)0.1 - 25.5 mA into 1500 Ω load 40 V0 - 25.5 mA into 1000 Ω load
    Current Steps0.1 mASame
    Accuracy (Current)±0.1 mASame
    Accuracy (Pulse Duration)±0.1 mA (likely error, should be time unit)Same
    Load Impedance1500 Ω1000 Ω
    Max. Output Voltage40 V25 V
    Si Range180 - 9990 ms (pace); 30 - 9990 ms (Burst pace)10 - 9999 ms
    StabilityQuartz clock, ±30 ppm at --25°CSame
    Coupling Interval Accuracy±10 msSame
    Auto decrement/incrementYesSame
    Backup Stimulation/PacingUse external backup stimulatorSame
    Compliance with Standards
    StandardsCL 2601-1, IEC 60601-1-2EN 60601-1, EN 60601-1-2 (and others listed in Section 5, implying compliance as "performance data")
    Device DirectiveEU Medical Device Directive (CE Marked)Same
    MDD Device ClassClass IIbSame
    IEC 60601-1CertifiedSame
    EMC ComplianceCertifiedSame
    CE MarkingCertified CE 0473Certified CE 0459
    US Regulations510(k) clearedCurrent submission

    Regarding the specific study details:

    1. Sample size used for the test set and the data provenance: Not provided. The submission relies on technological comparison to a predicate device. Performance data is stated as "Based upon the documentation presented in this 510(k) it has been demonstrated that the EP-Tracer System is safe and effective for its intended use." This implies that the demonstration of compliance with harmonized standards and comparison to the predicate serve as the "study" for safety and effectiveness, rather than a clinical trial with a specific test set.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not provided. The ground truth for this type of submission is typically based on established engineering standards and the performance of the predicate device.
    3. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not provided.
    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 electrophysiology measurement system and stimulator, not an AI-based diagnostic image interpretation tool. No "human readers" or "AI assistance" are mentioned in the context of improving interpretation.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable in the context of an AI algorithm. The device itself is a "standalone" system in that it measures and stimulates, but its "performance" is about accurate signal acquisition and stimulation, not algorithm output.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): The "ground truth" implicitly relies on established engineering principles, international harmonized standards (e.g., IEC 60601 series, EN ISO 14971), and the performance characteristics of the legally marketed predicate device.
    7. The sample size for the training set: Not applicable. This is not an AI/machine learning device that requires a training set.
    8. How the ground truth for the training set was established: Not applicable.

    In summary, the 510(k) submission for the EP-Tracer system uses substantial equivalence to a predicate device as its primary method for demonstrating safety and effectiveness. The "study" for this submission consists of a detailed comparison of technological characteristics to show that the new device is as safe and effective as the predicate, along with compliance with relevant international and national harmonized standards.

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