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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January 20, 2014

K134044

EP-Tracer 510(k) Summary per 21CFR §807.92

Submitter'sinformationContact: Leon DohmenCardioTek, B.V.Amerikalaan 706199 AE Maastricht-AirportThe NetherlandsContact: Melissa WalkerGraematter, Inc.1324 Clarkson Clayton Ctr#332Ballwin, MO 63011Phone: 636-405-7498Date: 12/27/2013
Device/classificationnameDevice Name:The EP-Tracer is a Class 2 device (product code DQK).Classification/Common name:• Programmable diagnostic computer, 21 CFR §870.1425,The marketed device(s) to which substantial equivalence is claimed:• Mennen Medical EMS-XL Cardiac Electrophysiology System, K071348
DevicedescriptionThe EP-Tracer system is a computerized electrophysiology measurementsystem designed for both regular and experimental EP studies.
The EP-Tracer is comprised of these major components,
1. EP-Tracer hardware - Amplifier/stimulator2. EP-Tracer Software - Software pre-installed
Indications foruse"The EP-Tracer System is an electrophysiology measurement system used toacquire, filter, digitize, amplify, display, and record signals obtained duringelectrophysiological studies and related procedures.
"The system allows the user to monitor, display and record the signals. Thesystem incorporates a stimulator intended to be used for diagnostic cardiacstimulation during electrophysiological testing of the heart".

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Appendix 1: 510(k) Summary per 21CFR §807.92, Continued

The table below lists the technological characteristics for both the new and Technological characteristics predicate devices

Device CharacteristicPredicate Device Mennen EMS-XLNew Device EP-Tracer™
Amplifier Dimensions (withintegrated stimulator) WxDxH32 channels: 29x22x11 in cm64 channels: 29x22x22 in cm38 channels: 28x27x7 in cm70/102 channels: 28x27x12 in cm
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 A38 channels:±5 V, 0.3 A & +12 V, 0.9 A70 channels:+5 V, 0.3 A & -12 V, 1.5 A102 channels:+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
Patient Sink< 10 µASame
Patient Sink (measured at patientleads under single fault conditions)< 50 µASame
Chassis Leakage< 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
Low Pass Filter100 Hz150 Hz
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

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EP-Tracer 510(k) Summary per 21CFR §807.92, Continued

Technological characteristics (continued)

Device CharacteristicPredicate Device Mennen EMS-XLNew Device F.P-TracerTM
Input/ Output
Inputs 32/38 channels18 intracardiac channels, 2 pressurechannels, 12 ECG channels20 intracardiac channels, 6auxiliary channels. 12 ECGchannels
Inputs 64/70 channels50 intracardiac channels, 2 pressurechannels, 12 ECG channels52 intracardiac channels, 6auxiliary channels, 12 ECGchannels
Inputs 102 channelsN/A84 intracardiac channels, 6auxiliary (pressure) channels, 12ECG channels
OutputsNo outputsSame
SwitchingEach channel can be either bipolar orunipolar with manual switchingSame
High Pass Filter0.05 Hz, 0.2 Hz, 40 Hz, 80 HzSame
Low Pass Filter500 Hz350 Hz
RF FilteringAll inputsSame
GainBetween 0 and 255 mm/mV –continuousSame
Saturation Recovery< 1 s< 1 s (manual reset)
Notch FilterPower line (50/60 Hz)Same
Dynamic Range±5 mVSame
Baseline Correction±300 mVSame
Stimulator (integrated into device)
Isolated Stimulus Channels2Same
Pulse Amplitude
Range0.1 - 25 mA into 1500 Ω load0 - 25.5 mA into 1000 Ω load
Increment0.1 msSame
Accuracy±0.15 msSame
Pulse Duration
Range0.1 - 9.9 msSame
Increment0.1 msSame
Accuracy±0.15 msSame
Inter-Stimulus Interval (ISI)
Range180 ms to 9990 ms +1 ms or ±0.1 %(whichever is larger)10 - 9999 ms
Range (Burst)30 ms to 9900 ms ±1 ms or ±0.1 %(whichever is larger)10 - 9999 ms
Increment10 msSame

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EP-Tracer 510(k) Summary per 21CFR §807.92, Continued

Technological characteristics (continued)

Device Characteristic .Predicate Device Mennen EMS-XLNew Device EP-Tracer™
Sequential Delay (AV)
Range11 - 250 msSame
Increment1 msSame
Programmed ProtocolsThreshold panel keySNRT panel keyVent. Burst keyAtrial burst keyVent. Overdrive keyAtrial overdrive keyMulti-SxPreprogrammed protocols:BASIC 1 (induction)BASIC 2 (termination)BASIC 3 (backup)ACUTEMulti-Sx
Programmed ProtocolsPaceUser defined protocolUser defined protocolPaceAutomatic modeWenkebach modeUser defined protocols
Programmable Protocol Key510
Number of Extra-Stimuli4 (S2 - S5)5 (S2 - S6)
Sensing (ECG Synchronization)
Automatic or Manual TriggerSetting - SensitivityInternal from any surface or intra-cardiac channelSame
Automatic or Manual TriggerSetting - Trigger lockup(refractory time)5 - 5000 msSame
Automatic or Manual TriggerSetting - ECG Delay5 - 5000 msSame
Additional OutputsNoSame
Power SourceIntegrated with amplifier-5 V, 0.0 - 0.2 A+12 V, 0.0 - 0.3 A-12 V. 0.0 - 0.3 AIntegrated with amplifier38 channels:+5 V, 0.3 A & +12 V. 0.9 A70 channels:+5 V, 0.3 A & +12 V, 1.5 A102 channels:-5 V, 0.3 A & -12 V, 2 A
Pacing Channels
Isolated Channels(i) atrial and(ii) ventricular and(iii) emergency fixed pace output toventricle(i) atrial and(ii) ventricular and(iii) emergency fixed pace outputto atrium and ventricle
Circuit IsolationCompliant with IEC 60601-1, ClassCF, 5 kV, common & differential modeSame

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EP-Tracer 510(k) Summary per 21CFR §807.92, Continued

Technological characteristics (continued)

Device CharacteristicPredicate Device Mennen EMS-XLNew Device EP-Tracer™
Computer Controlled Stimulus Pulses
Current0.1 - 25.5 mA into 1500 (2 load 40 V0 - 25.5 mA into 1000 £2 load
Current Steps0.1 mASame
Accuracy10.1 mASame
Pulse durationPulse width 0.1 - 9.9 ms, steps of 0.1חוקSame
Accuracy=0.1 mASame
Load Impedance1500 ಬ1000 ರ
Max. Output Voltage40 V25 V
Inter-Stimulus Intervals
Si Range180 - 9990 ms (pace)30 - 9990 ms (Burst pace)10 - 9999 ms
StabilityQuartz computer clock, = 30 parts permillion at -- 25°CSame
Extra-Stimuli4 (S2 - S5), independent5 (S2 - S6)
Coupling Interval30 - 999() msSame
Accuracy±10 msSame
Protocol Automation
Auto decrement/incrementYesSame
Backup Manually ControlledStimulationUse external backup stimulatorSame
Emergency Backup PacingUse external backup stimulatorSame
Compliance with Standards
StandardsCL 2601-1IEC 60601-1-2EN 60601-1EN 60601-1-2
Device DirectiveEuropean Union Medical DeviceDirective (CE Marked)Same
Environmental/ Electrical Specifications
Operating Temperature0°C to +35°C+10°C to +30°C
Storage Temperature-200C to +65℃-29°C to +66°C
Operating Humidity30 - 75 % rH (non-condensing)20 - 80 % rH (non-condensing)
Storage Humidity5 - 95 % rH (non-condensing)< 95 % rH (non-condensing)
Max. Current Draw15 A/115 V. 7 A/230 VSame
Chassis Leakage Current< 100 μ.ΑSame

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EP-Tracer 510(k) Summary per 21CFR §807.92, Continued

Technological characteristics (continued)

Device CharacteristicPredicate Device Mennen EMS-XLNew Device EP-Tracer™
Advanced Features
Display Ablation ParametersConnection to RF ablation generator(s)Same
Certification
MDD Device ClassClass IIbSame
IEC 60601-1CertifiedSame
EMC ComplianceCertifiedSame
CE MarkingCertified CE 0473Certified CE 0459
US Regulations510(k) clearedCurrent submission
System Dimensions
WxDxHCart with display: 61x61x162 cmConsole with display: 90x85x125 cmCustomer OptionMobile Cart: 100x80x170 cmMobile Desk: 125x80x150 cmControl Desk: customer defined

Performance data

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.

The following lists the harmonized standards currently applicable to the EP-Tracer product:

  • · EN ISO 14971: 2012
  • · EN 980 : 2008
  • · EN 1041: 2008
  • · EN 60601-1 : 1998 + A1 : 1991 + A2 : 1995
  • · EN 60601-1-1 : 2000
  • · EN 60601-1-2 : 2001 + A1 : 2006
  • · EN 60601-1-4: 1996 + AI : 1999
  • · IEC 60601-1-6: 2004
  • · EN 60601-2-34 : 2000
  • IEC 62304 : 2006
  • IEC 62366 : 2008
  • · ISO 13485: 2003 + CI : 2009
  • · EN 60601-2-27

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

Image /page/6/Picture/3 description: The image shows a partial view of a circular emblem or logo. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged around the upper portion of the circle. To the right of the text is a stylized symbol consisting of three curved shapes, possibly representing a person or abstract form.

March 31, 2014

.. .

Cardiotek, B.V. c/o Melissa Walker Graematter, Inc. 1324 Clarkson Clayton Center #332 Ballwin, MO 63011

K134044 Re:

Trade/Device Name: EP-Tracer system 38, EP-Tracer system 70, EP-Tracer system 102 Regulation Number: 21 CFR 870.1425 Regulation Name: Programmable Diagnostic Computer Regulatory Class: Class II Product Code: DQK Dated: January 20, 2014 Received: January 22, 2014

Dear Melissa Walker,

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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

{7}------------------------------------------------

Page 2 - Melissa Walker

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 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 devicerelated 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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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/ReportaProblem/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.goy/MedicalDevices/Resourcesfor You/Industry/default.htm.

for

Sincerely yours,

LindaJ.RICCI-S

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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Traditional Premarket Notification CardioTek B.V.

. .

K134044 1/1 12/27/2013

Appendix 2: Indications for Use Statement

Statement

The Indications for Use Statement:

510(k) Number: K______________________________________________________________________________________________________________________________________________________________

Device Name: EP-Tracer System

"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".

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

Over-The-Counter Use (Part 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)

Page of of ___________________________________________________________________________________________________________________________________________________________________

Image /page/8/Picture/14 description: The image shows a logo with the text "Linda J. Ricca S". The text is stylized and appears to be part of a larger design. The logo has a geometric and somewhat abstract appearance, with the letters integrated into a pattern of lines and shapes.

The information berein is considered CONFIDENTIAL to CardioTek B.V. per the provisions and expectations of 21 CFR §20.61, 21 CFR §812.38, and 21 CFR §814.9.

Page 73

§ 870.1425 Programmable diagnostic computer.

(a)
Identification. A programmable diagnostic computer is a device that can be programmed to compute various physiologic or blood flow parameters based on the output from one or more electrodes, transducers, or measuring devices; this device includes any associated commercially supplied programs.(b)
Classification. Class II (performance standards).