K Number
K051686
Date Cleared
2005-07-14

(21 days)

Product Code
Regulation Number
870.2800
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The CardioMem® CM 3000-12 digital Holter recorder is intended to continuously record up to 48 hours of ECG data on a digital flash memory card. The CardioMem® CM 3000-12 performs no cardiac analysis by itself and is intended to be used with the analysis evaluation software CardioDay®. The recorded data are downloaded to a PC for analysis and following evaluation by a trained physician or health care professional.

Federal law restricts CardioMem® CM 3000-12 to use on order of a physician.

This device is available only upon the order of a physician or other licensed medical professional.

The CardioMem® CM 3000-12 is a Holter recorder which is indicated for patients who may benefit from a long-term continuous electrocardiographic (ECG) recording, including, but not limited to, those with complaints of palpitations, syncope, chest pain, shortness of breath, or those that need to be monitored to judge their current cardiac functionality.

Device Description

The CM 3000-12 is a Holter recorder designed to be used in conjunction with the evaluation software CardioDay® (not included in this 510(k)). This recorder is not capable of any diagnosis nor can it provide any interpretation of the data. The CM 3000-12 acquires, digitizes and stores data to be analyzed by CardioDay". The CM 3000-12 uiliizes a 10-lead electrode hookup and placement to provide CardioDay® with 12 channels of full disclosure for H analysis. The cardiac data provided by CardioDay® is used by trained medical personnel to assist in the diagnosis of patients with various rhythm patterns. The CM 3000-12 Holter recorder stores 12 ECG channels continuously for up to 48-hours. A keypad is available to set up system configuration, to enter patient's ID and name, to check lead quality during hook-up. and to start the recording. During the recording, the keypad can be used to enter event markers. The CM 3000-12 has a LCD screen to allow ECG display during the hook-up, lead quality check, system configuration and various messages for the hook-up technician. The CM 3000-12 uses one or two AA batteries, and a removable memory card for data storage.

AI/ML Overview

The provided document is a 510(k) summary for the CardioMem® CM 3000-12 Holter recorder. This document focuses on demonstrating substantial equivalence to predicate devices rather than proving performance against specific acceptance criteria through a clinical study.

The device, CardioMem® CM 3000-12, is a Holter recorder that acquires, digitizes, and stores ECG data. Crucially, the document states: "This recorder is not capable of any diagnosis nor can it provide any interpretation of the data." and "The CardioMem® CM 3000-12 performs no cardiac analysis by itself and is intended to be used with the analysis evaluation software CardioDay®."

Therefore, the "acceptance criteria" and "device performance" in this context do not refer to diagnostic accuracy or clinical effectiveness metrics, but rather to the recorder's technical specifications and compliance with regulatory standards for device safety and electrical performance. The study described is not a clinical performance study but a series of tests to confirm safety and efficacy based on technical standards.

Here's a breakdown of the requested information based on the provided text:

1. A table of acceptance criteria and the reported device performance

The document implicitly defines "acceptance criteria" through comparison with predicate devices and adherence to regulatory standards (IEC and AAMI). The "reported device performance" is essentially that the device meets these technical specifications and standards.

Acceptance Criteria (Implied)Reported Device Performance
Functional Equivalence to Predicate Devices:
Continuous recording of ECG dataRecords 12 ECG channels continuously for up to 48-hours
No online data monitoring & alarmNo
Patient Hookup (10 ECG electrodes)10 ECG electrodes
Number of ECG channels derived (12)12
A to D sample rate (1024 samples/sec - matching one predicate)1024 samples/sec
A to D resolution (12 bit - matching one predicate)12 bit
Uses CompactFlash™ Memory CardCompactFlash™ Memory Card
Data transfer via removable memory cardVia removable memory card
Standard file system for memory card dataStandard file system
Liquid Crystal Display (LCD) presentYes
Display purposes (ECG, lead quality, patient ID, messages)Display ECG, check lead quality, input patient ID, display messages
Keyboard type (Protected touch keys)Protected touch keys (membrane)
System configuration method (keyboard/LCD)Per keyboard and LCD display
Marker button presentYes
External patient cable presentYes
Record identification procedureYes
ECG channel previewYes
Safety and Efficacy Standards Compliance:
Compliance with Quality System Regulation 21 CFR 820Basis for development
Environmental and safety tests (including EMC)Tested according to IEC 60601-1, IEC 60601-1-2, IEC 60601-2-25, IEC 60601-2-47 and ANSI/AAMI EC 38:1998 standards.
(Lack of Pacemaker Detection - deviation from some predicates)No (Pacemaker detection)

2. Sample size used for the test set and the data provenance

The document does not describe a clinical "test set" in the traditional sense involving patient data for diagnostic evaluation. The "tests" mentioned are primarily engineering and electrical safety tests, not performance on a clinical dataset. Therefore, there is no sample size of patients or data provenance (country, retrospective/prospective) for a clinical test set.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

Not applicable. As this is not a clinical performance study involving diagnostic outputs, there was no ground truth for a test set established by medical experts. The device explicitly states it performs no analysis or diagnosis.

4. Adjudication method for the test set

Not applicable, as no clinical test set requiring adjudication is described.

5. 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 a Holter recorder, not an AI analysis tool. It does not perform analysis itself, nor does it involve human readers interpreting AI-assisted outputs.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

Not applicable. The device is a data acquisition and storage tool, not an algorithm performing standalone analysis.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

Not applicable. The "ground truth" for this device's acceptance is its adherence to technical specifications and safety standards, rather than diagnostic accuracy against clinical ground truth.

8. The sample size for the training set

Not applicable. This document is about a hardware device, a Holter recorder, not an AI or analytical algorithm that requires a training set.

9. How the ground truth for the training set was established

Not applicable, as there is no training set for this device.

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Abbreviated 510(k) Notification

♥ geter

CardioMem® CM 3000-12

510(k) - Summary

Project ID: 0404H1

Section 16-0001-Rev B

Submitted By:getemed AGOderstr. 5914513 TeltowGermanyTel.: +49 3328 - 3942-0Fax: +49 3328 - 3942-99JUL 1 4 2005
Contact:Dr. Bert SchadowRegulatory Affairs Manager
Manufacturing Facility:getemed Medizin- und Informationstechnik AGOderstr. 5914513 TeltowGermany
Date of Preparation:2005-05-25
Trade Name:CardioMem® CM 3000-12 Holter recorder
Common Name:Holter recorder
Classification Name:Electrocardiograph, ambulatory (without Analysis)
Product Classification:21 CFR 870.2800, Class II
Product Code:MWJ
Legally Marketed Devices:DR180+ Holter recorder (K004007, NorthEastMonitoring, Inc.)H12+ Holter recorder (K021373, Mortara InstrumentInc.)CardioID+ (RZ 153+) Holter recorder (K022540,Rozinn Electronics. Inc.)

Reason for Submission

510(k) - Summary

Premarket notification (Abbreviated 510(k)) for CardioMem® CM 3000-12, a New Device, seeking authority to market the device under Section 510(k) as a device that is substantially equivalent to the DR180+ Holter recorder (K004007, NorthEast Monitoring, Inc.), the H12+ Holter recorder (K021373, Mortara Instrument, Inc.) and CardioID+ (RZ 153+) Holter recorder (K022540, Rozinn Electronics, Inc.).

Device Description

The CM 3000-12 is a Holter recorder designed to be used in conjunction with the evaluation software CardioDay® (not included in this 510(k)). This recorder is not capable of any diagnosis nor can it provide any interpretation of the data. The CM 3000-12 acquires, digitizes and stores data to be analyzed by CardioDay". The CM 3000-12 uiliizes a 10-lead electrode
hookup and placement to provide CardioDay® with 12 channels of full disclosure for H analysis. The cardiac data provided by CardioDay® is used by trained medical personnel to assist in the diagnosis of patients with various rhythm patterns. The CM 3000-12 Holter recorder stores 12 ECG channels continuously for up to 48-hours. A keypad is available to set up system configuration, to enter patient's ID and name, to check lead quality during hook-up. and to start the recording. During the recording, the keypad can be used to enter event markers. The CM 3000-12 has a LCD screen to allow ECG display during the hook-up, lead

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Abbreviated 510(k) Notification● getemed
CardioMem® CM 3000-12Project ID: 0404H1
510(k) - SummarySection 16-0001-Rev B

quality check, system configuration and various messages for the hook-up technician. The CM 3000-12 uses one or two AA batteries, and a removable memory card for data storage.

Intended use

The CardioMem® CM 3000-12 digital Holter recorder is intended to continuously record up to 48 hours of ECG data on a digital flash memory card. The CardioMem® CM 3000-12 performs no cardiac analysis by itself and is intended to be used with the analysis evaluation software CardioDay®. The recorded data are downloaded to a PC for analysis and following evaluation by a trained physician or health care professional.

Federal law restricts CardioMem® CM 3000-12 to use on order of a physician.

This device is available only upon the order of a physician or other licensed medical professional.

Indications for use

The CardioMem® CM 3000-12 is a Holter recorder which is indicated for patients who may benefit from a long-term continuous electrocardiographic (ECG) recording, including, but not limited to, those with complaints of palpitations, syncope, chest pain, shortness of breath, or those that need to be monitored to judge their current cardiac functionality.

Comparison of Technology Characteristics

The CardioMem® CM 3000-12 Holter recorder, the DR180+ Holter recorder, the H12+ Holter recorder, and the CardiolD+ (RZ153+) Holter recorder have the following technology specifications:

SpecificationLegally MarketedDeviceDR180+ HolterrecorderLegally MarketedDeviceH12+ Holter recorderLegally MarketedDeviceCardiolD+ (R2153+)New DeviceCardioMemCM3000-12
Online datamonitoring &alarmNoNoNoNo
Patient hookup10 ECG electrodes10 ECG electrodes7 ECG electrodes10 ECG electrodes
Number of ECGchannels derived1212312
ECG lead namesRA, LA, LL, RL, V1, V2,V3, V4, V5, V6RA, LA, LL, RL, V1, V2,V3, V4, V5, V6Holter configuration perAAMI EC38RA, LA, LL, RL, V1, V2,V3, V4, V5, V6
A to D sample rate720 samples/sec.180 samples/sec.1024 samples/sec.1024 samples/sec.
A to D resolution12 bit20 bit12 bit12 bit
PacemakerdetectionYesYesYesNo
Open-Leaddetectionnot specifiedYesYesYes
Memory typeCompactFlash™Memory CardCompactFlash™Memory CardCompactFlash™Memory CardCompactFlash™Memory Card
Data transfermethodVia removablememory cardVia removablememory cardVia removablememory cardVia removablememory card
Memory card dataformatStandard file systemStandard file systemStandard file systemStandard file system
Liquid crystaldisplay (LCD)YesYesYesYes
Display purposeDisplay ECG,check lead quality,input patient ID,display messagesDisplay ECG,check lead quality,input patient ID,display messagesDisplay ECG,check lead quality,input patient ID,display messagesDisplay ECG,check lead quality,input patient ID,display messages

0404H1-Sec16-0001-RevB-CM3000-12-510k_Summary.doc CONFIDENTIAL AND PROPRIETARY

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Abbreviated 510(k) Notification
CardioMem® CM 3000-12Project ID: 0404H1
510(k) - SummarySection 16-0001-Rev B
SpecificationLegally MarketedDeviceDR180+ HolterrecorderLegally MarketedDeviceH12+ Holter recorderLegally MarketedDeviceCardiolD+ (RZ153+)New DeviceCardioMemCM 3000-12
KeyboardProtected touch keys(membrane)Protected touch keys(membrane)Protected touch keys(membrane)Protected touch keys(membrane)
SystemconfigurationCheck lead quality,input patient ID,recording mode,start recordingCheck lead quality,input patient ID,start recordingCheck lead quality,input patient ID andname,start recordingCheck lead quality,input patient ID andname,start recording
SystemconfigurationmethodPer keyboard and LCDdisplayPer keyboard and LCDdisplayPer keyboard and LCDdisplayPer keyboard and LCDdisplay
Marker buttonYesYesYesYes
Size125 x 70 x 25 mm64 x 91 x 25 mm108 x 79 x 22 mm108 * 86 * 22 mm
Weight142 g (without battery)125 g (without battery)<160 g (without battery)<160 g (without battery)
Belt clip / Carrierpouchnot specifiedCarrier bag (Pouch)Carrier bag (Pouch)Carrier bag (Pouch)
Battery1 or 2 x 1.5 V AAalkaline1 x 1.5 V AA alkaline1 or 2 x 1.5 V AAalkaline1 or 2 x 1.5 V AAalkaline
Battery checkprior to recordingYesYesYesYes
External patientcableYesYesYesYes
RecordidentificationprocedureYesYesYesYes
ECG channelpreviewYesYesYesYes

Conclusion

The CardioMem® CM 3000-12 Holter recorder, the DR180+ Holter recorder, the H12+ Holter recorder, and the CardiolD+ (RZ153+) Holter recorder are intended to store continuously ECG Data for a period of at least 24 hours. The CM 3000-12, the DR180+, the H12+, and the RZ153+ do not analyze the data at the time of the recording. The recorded data of the mentioned recorders are downloaded to a PC for analysis and following evaluation by a trained physician or health care professional.

Quality system regulation 21 CFR 820 (outlined by the FDA) is a basis for the development of the CardioMem® CM 3000-12 Holter recorder. This recorder is safe and effective for the application for which it is intended and has been tested (environmental and safety tests, including EMC (Electromagnetic Compatibility) tests, according to the IEC 60601-1, IEC 60601-1-2, IEC 60601-2-25, IEC 60601-2-47 and ANSI/AAMI EC 38:1998 standards) to confirm the safety and efficacy of the recorder.

CardioMem® CM 3000-12 is found to be substantially equivalent to the DR180+ Holter recorder (K004007), the H12+ Holter recorder (K021373) and the CardiolD+ (RZ153+) Holter recorder (K022540).

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the Department of Health and Human Services, USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" arranged around the perimeter. Inside the circle is a stylized symbol resembling a caduceus, with three abstract human figures connected by flowing lines.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 1 4 2005

Getemed Medizin-und Informationstechnik AG c/o Ms. Carolann Kotula MDI Consultants Inc. 55 Northern Blvd., Suite 200 Great Neck, NY 11021

Re: K051686

CardioMem® CM3000-12 Regulation Number: 21 CFR 870.2800 Regulation Name: Medical magnetic tape recorder Regulatory Class: Class II (two) Product Code: MWJ Dated: June 20, 2005 Received: June 27, 2005

Dear Ms. Kotula:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act

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Page 2 – Ms. Carolann Kotula

or any Federal statutes and regulations administered by other Federal agencies. You must of any I cuttin statures and regaranents, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set CITY art 6077, adomig (Dr CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. product laulation control pro hasis (seems (seems ) our device as described in your Section 510(k) I mis letter will anow you to oegill maing of substantial equivalence of your device to a legally prematics notineation: The Pro Pressification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please If you desire specific acreoliance at (240) 276-0295 Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97) you may obtain. Iviliouraliums of reference to prour responsibilities under the Act may be obtained from the Other general miormation sturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Bhimman for

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known):

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CardioMem® CM 3000-12 Device Name:

Indications For Use:

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but not limited to, those with complaints of palpitations, syncope functionslity but for limited to, those with oomplaints of pairms cardiac functionality.

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use ____ (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Blummenston

asion Sign-Off Division of Cardiovascular Devices 510(k) Number

Page 1 of

§ 870.2800 Medical magnetic tape recorder.

(a)
Identification. A medical magnetic tape recorder is a device used to record and play back signals from, for example, physiological amplifiers, signal conditioners, or computers.(b)
Classification. Class II (performance standards).