K Number
K062533
Date Cleared
2006-12-22

(115 days)

Product Code
Regulation Number
882.1400
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The BWII system may be used for electroencephalography (EEG) and sleep recordings (polysomnography) in research and dinical environments. It acquires, displays, and archives EEG and PSG data for on screen review, annotation and event marking by the user. The BWII system also allows for computer-assisted, usercontrolled quantitative analysis of EEG.

The BWII system is not intended to replace conventional devices or methods used for EEG and PSG monitoring in critical care or intraoperative settings.

The BWII system requires competent user input, and its output must be reviewed and interpreted by a trained technicians or neurologists who will exercise professional judgment in using this information.

The BWII system does not make any judgment of normality or abnormality of the displayed signals or the results of an analysis. In no way are any of the functions represented as being in and of themselves diagnostic.

Device Description

BWII is multi-channel (up to 25 channels) system designed for electroencephalograph (EEG) and polysomnography (PSG) recording application, in sleep lab, hospital or dinical environment under the supervision of a physician, using a lap top or a desk top computer.

The BWII system consists of three maior components: the Amplifier Unit, the Power Module (Both plastic made) and the BWAnalysis Software (a CD to be installed on a regular PC). The system provides connections for electrodes and sensors, and connects to the computer using an Ethernet cable.

The BWII works with any good quality patient leads / electrodes and sensors (snore, flow, effort belts and position) that have the safety touch connectors and are legally marketed in accordance with FDA requirements. As these accessories are already legally on the market from different manufactures, they are not part of this submission.

The BWII does not make any judgment of normality of the displayed signals or the results of an analysis. In no way are any of the functions represented as being in and of themselves diagnostic.

AI/ML Overview

This document is a 510(k) premarket notification for the Neurovirtual BWII Digital (Amplifier and Power Module) and BWAnalysis (Software), an electroencephalograph (EEG) and polysomnography (PSG) recording system. The submission aims to demonstrate substantial equivalence to previously cleared devices.

Based on the provided text, a formal study demonstrating the device meets specific acceptance criteria is not present. Instead, the document focuses on establishing substantial equivalence to predicate devices and adherence to relevant safety and quality standards.

Here's an analysis of the requested information based on the provided text:

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

No explicit table of acceptance criteria and reported device performance is included in this 510(k) summary. The submission primarily uses a comparison chart (Section J) to demonstrate technological characteristics are similar to predicate devices, rather than outlining specific performance metrics and acceptance thresholds.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

Not applicable. The document does not describe a clinical study with a test set of data for performance evaluation. The comparison is based on technological characteristics of the device itself and predicate devices.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

Not applicable. No ground truth establishment by experts for a test set is described.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable. No test set adjudication method 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 an EEG/PSG recording and analysis system, not an AI-assisted diagnostic tool that would typically involve a multi-reader multi-case comparative effectiveness study with human readers. The document explicitly states: "The BWII does not make any judgment of normality of the displayed signals or the results of an analysis. In no way are any of the functions represented as being in and of themselves diagnostic."

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

Not applicable. As noted above, the device does not make diagnostic judgments on its own. It's a data acquisition and display system with user-controlled analysis.

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

Not applicable. There is no mention of a ground truth used for performance validation in the context of a clinical study. The device's safety and effectiveness are established through compliance with standards and substantial equivalence to predicate devices, not by direct comparison to a clinical ground truth.

8. The sample size for the training set

Not applicable. This document does not describe a machine learning algorithm that would require a training set.

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

Not applicable. No training set is mentioned in the context of this device.

Summary of the Study and Acceptance Criteria from the Text:

The "study" presented in this 510(k) summary is primarily a technological characteristics comparison study and a standards compliance declaration.

  • Acceptance Criteria (Implied):

    • Substantial Equivalence: The primary acceptance criterion for this 510(k) is demonstrating that the BWII Digital and BWAnalysis system is substantially equivalent to legally marketed predicate devices (Cadwell Easy Write and Easy Reader, Excel Tech PSG-40, Excel Tech Neuro Works, Persyst Prism). This implied acceptance is based on similar intended use, technological characteristics, and safety profiles.
    • Compliance with Standards: The device must comply with a list of recognized national and international safety and quality standards (e.g., EN 60601-1, EN 60601-1-1, EN 60601-2, EN 60601-2-26, EN 60601-1-4, EN ISO 14971, EN 13485, FDA Guidance on Software Validation).
  • Reported Device Performance:

    • The document provides a comparative table (Section J) outlining the technological characteristics of the BWII system against its predicate devices. This includes hardware specifications (application, number of channels, data communication, material, power source) and software features (platform, impedance, calibration, spectrum analyzer, montage editor). The "performance" is implicitly demonstrated by showing that these characteristics are comparable or equivalent to those of the predicate devices.
    • The manufacturer declares compliance with the listed safety and quality standards, implying that the device meets the performance and safety requirements outlined in those standards.

In essence, the submission does not detail experimental performance data against predefined statistical acceptance criteria typical of some AI/diagnostic device clearances. Instead, it relies on demonstrating that the device is functionally similar, equally safe, and meets the same fundamental technical requirements as other legally marketed devices, as assessed against established medical device standards.

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[K062533]/A1

Image /page/0/Picture/1 description: The image shows the logo for Neurovirtual. The logo consists of a stylized "N" symbol on the left, followed by the word "NEUROVIRTUAL" in bold, sans-serif font. The logo is black and white.

23 15NW 107th Avenue - B.133 - WH. 1A16
Doral, FL - USA - 33172 Phone: (786) 693-8200 - Fax (305) 393-8429

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1 Z

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Section S 510(k) Summary

A) Submitter's Name:Neurovirtual USA, Inc.DEC 2 2 2006
Owner / Operator Registration Number:
Manufacture Registration Number:
B) Address:2315NW 107th Ave - B.133 - WH. 1A16Doral, FL - 33172
C) Phone and Fax Numbers
Phone:(786) 693-8200
Fax:(305) 393-8429
D) Contact Person:Eduardo J.M. Faria
E) Preparation Date:August 14, 2006November 28, 2006 (Reviewed)
F) Classification Name:
Common / Usual Name:Electroencephalograph
Proprietary Name:BWII Digital (Amplifier and Power Module)
Product Code:GWQ
Class:Class II
Regulation:882.1400
Common / Usual Name:Analyzer, spectrum, electroencephalogram signal
Proprietary Name:BWAnalysis (Software)
Product Code:OLT, GWQ, OLV
Class:Class I
Regulation:882.1420

FDA# G) Substantial Equivalence:

510(k) NumberModelManufacture
K932407Easy Write and Easy ReaderCadwellLaboratories, Inc.
K991900XLTEC PSG-40PolysomnographyExcel Tech Ltd.

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Image /page/1/Picture/0 description: The image shows the logo for Neurovirtual. The logo consists of a stylized waveform symbol on the left, followed by the word "NEUROVIRTUAL" in bold, sans-serif font. The "O" in "NEUROVIRTUAL" contains a circular design with a pattern inside.

2315NW 107th Avenue - B.133 - WH. 1A16 Doral, FL - USA - 33172 Phone: (786) 693-8200 - Fax (305) 393-8429

Page ② of 4

And the BWAnalysis software is equivalent with the following:

510(k) NumberModelManufacture
K980214Excel Neuro WorksExcel Tech Ltd.
K932407Easy Write and Easy ReaderCadwellLaboratories, Inc.
K974718Persyst PrismPersystDevelopment Corp.

F) Description:

BWII is multi-channel (up to 25 channels) system designed for electroencephalograph (EEG) and polysomnography (PSG) recording application, in sleep lab, hospital or dinical environment under the supervision of a physician, using a lap top or a desk top computer.

The BWII system consists of three maior components: the Amplifier Unit, the Power Module (Both plastic made) and the BWAnalysis Software (a CD to be installed on a regular PC). The system provides connections for electrodes and sensors, and connects to the computer using an Ethernet cable.

The BWII works with any good quality patient leads / electrodes and sensors (snore, flow, effort belts and position) that have the safety touch connectors and are legally marketed in accordance with FDA requirements. As these accessories are already legally on the market from different manufactures, they are not part of this submission.

The BWII does not make any judgment of normality of the displayed signals or the results of an analysis. In no way are any of the functions represented as being in and of themselves diagnostic.

I) Intended Used:

The BWII system may be used for electroencephalography (EEG) and sleep recordings (polysomnography) in research and dinical environments. It acquires, displays, and archives EEG and PSG data for on screen review, annotation and event marking by the user. The BWII system also allows for computer-assisted, usercontrolled quantitative analysis of EEG.

The BWII system is not intended to replace conventional devices or methods used for EEG and PSG monitoring in critical care or intraoperative settings.

The BWII system requires competent user input, and its output must be reviewed and interpreted by a trained technicians or neurologists who will exercise professional judgment in using this information.

{2}------------------------------------------------

Image /page/2/Picture/0 description: The image shows the logo for Neurovirtual. The logo consists of a stylized waveform symbol on the left, followed by the word "NEUROVIRTUAL" in bold, sans-serif font. The waveform symbol is a simple, angular line that resembles a brainwave pattern.

2315NW 107th Avenue - B.133 - WH. 1A16 Doral, FL - USA - 33172 Phone: (786) 693-8200 - Fax (305) 393-8429

page 3 of 4

The BWII system does not make any judgment of normality or abnormality of the displayed signals or the results of an analysis. In no way are any of the functions represented as being in and of themselves diagnostic.

J) Technological Characteristics:

NeurovirtualBWIICadwellEasy WriteExcel TechPSG-40Excel TechNeuro Works
HARWARE
510(k) NumberK062533K932407K991900K980214
ClassificationElectroencephalographElectroencephalographElectroencephalographElectroencephalograph
ApplicationEEG and PSGEEG and PSGEEG and PSGEEG
Number ofChannelsUp to 25324040
DataCommunicationEthernetEthernetEthernetEthernet
Material(External)Hard PlasticHard PlasticHard PlasticHard Plastic
Power SourceExternal Power ModuleExternal Power ModuleInternal Power ModuleInternal Power Module
SOFTWARE
PlatformWindows XPWindows XPWindows XPWindows NT
ImpedanceYESYESYESYES
CalibrationYESYESYESYES
SpectrumAnalyzer(Frequency andPower)YESYESYESYES
Montage EditorYESYESYESYES

K) Safety and Effectiveness:

The BWII is in compliance with the applicable clauses of the following standards:

  • EN 60601-1:1990, "Medical Device Equipment: General Requirements for Safety"
  • EN 60601-1-1:2000, Medical electrical equipment Part 1: General requirements for safety - Section 1: Collateral standard: Safety requirements for medical electrical systems
  • EN 60601-2: 2001, "Medical Device Equipment General Requirements l for Safety, Collateral Standard: Electromagnetic Compatibility, Requirements and Test"
  • -EN 60601-2-26:1994, "Medical Device Equipment - Particular requirements for the safety of electroencephalographs"
  • -EN 60601-1-4: 1996, "Medical Device Equipment - General Requirement for Safety, Collateral Standard: Programmable Electrical Medical Systems"
  • -EN ISO 14971:2000, "Medical Devices: Application of Risk Management to Medical Devices"

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Page (4) of 4

Image /page/3/Picture/1 description: The image shows the logo for Neurovirtual. The logo consists of a stylized waveform symbol on the left, followed by the word "NEUROVIRTUAL" in bold, sans-serif font. The waveform symbol is a series of sharp, angular lines resembling a brainwave pattern.

2315NW 107th Avenue – B.133 – WH. 1A16
Doral, FL – USA – 33172
Phone: (786) 693-8200 – Fax (305) 393-8429

  • EN 13485: 2003, "Medical Devices, Quality Management Systems:
    Requirements for Regulatory Purposes" .
  • General Principles of Software Validation: FDA Guidance software
    validation version 1.1 (June 09, 1997) -

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Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, positioned to the right of a circular emblem. Encircling the eagle is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" in a circular arrangement.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Neurovirtual c/o Mr. Eduardo J.M. Faria President 2315 NW 107th Avenue Box #133 Warehouse 1A16 Doral, Florida 33172

APR - 9 2012

Re: K062533

Trade/Device Name: BWII Digital EEG and BWII Digital PSG with BWAnalysis Software Regulation Number: 21 CFR 882.1400 Regulation Name: Electroencephalograph Regulatory Class: II Product Code: OLT, GWQ, OLV Dated (Date on orig SE 1tr): December 8, 2006 Received (Date on orig SE ltr): December 19, 2006

Dear Mr. Faria:

This letter corrects our substantially equivalent letter of January 16, 2007.

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 (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 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.

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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 or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportalProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Kesia Alexander

Malvina B. Eydelman, M.D. Director Division of Ophthalmic, Neurological, and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Image /page/6/Picture/0 description: The image shows the logo for Neurovirtual. The logo consists of a stylized waveform graphic to the left of the word "NEUROVIRTUAL". The word is in all caps and in a bold sans-serif font. The letter "O" in "NEUROVIRTUAL" contains a circular design inside it.

2315NW 107th Avenue - B.133 - WH. 1A16 Doral, FL - USA - 33172 Phone: (786) 693-8200 - Fax (305) 393-8429

Section 4 Indications for Use

510(k) Number (if known): K062533

Device Name: BWII Digital EEG and BWII Digital PSG with BWAnalysis Software

Indications for Use:

The BWII system may be used for electroencephalography (EEG) and sleep recordings (polysomnography) in research and dinical environments. It acquires, displays, and archives EEG and PSG data for on screen review, annotation and event marking by the user. The BWII system also allows for computer-assisted, usercontrolled quantitative analysis of EEG.

The BWII system is not intended to replace conventional devices or methods used for EEG and PSG monitoring in critical care or intraoperative settings.

The BWII system requires competent user input, and its output must be reviewed and interpreted by a trained technicians or neurologists who will exercise professional judgment in using this information.

The BWII system does not make any judgment of normality or abnormality of the displayed signals or the results of an analysis. In no way are any of the functions represented as being in and of themselves diagnostic.

AND/OR

Prescription Use X
(Part 21 CFR 801 Subpart D)

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Plo

and Neurologics

510(k) Number L06253

§ 882.1400 Electroencephalograph.

(a)
Identification. An electroencephalograph is a device used to measure and record the electrical activity of the patient's brain obtained by placing two or more electrodes on the head.(b)
Classification. Class II (performance standards).