K Number
K012005
Device Name
MODIFICATION TO ALARMVIEW WIRELESS DATA NETWORK SYSTEM
Date Cleared
2001-07-24

(27 days)

Product Code
Regulation Number
870.2300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The AlarmView™ Wireless Data Network System is for use in real-time monitoring of routine patient status and alarm events on medical devices. It serves as a parallel, redundant mechanism to inform the clinical staff of patient events. The AlarmView™ System provides a secondary means of annunciating and displaying patient alarm information to mobile healthcare professionals. The AlarmView™ Wireless Data Network System is limited to use by qualified medical professionals who have been trained on the use of the device. It is for use in hospital type environments and is not for home use. The AlarmView™ Wireless Data Network System is to supplement and not replace any part of the current device monitoring procedure. The AlarmView™ Wireless Data Network System is not considered in and of itself to be diagnostic without skilled interpretation and does not replace physician's care.
Device Description
The modified AlarmView™ Wireless Data Network System is a low powered local area wireless paging system that provides secondary annunciation of primary medical device alarms via wireless communication devices carried by healthcare professionals.
More Information

Not Found

No
The description focuses on a wireless paging system for alarm annunciation and does not mention any AI/ML capabilities. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

No
The device is described as a system for "monitoring routine patient status and alarm events on medical devices" and provides "secondary annunciation of primary medical device alarms." Its function is to inform clinical staff of patient events and supplement existing monitoring procedures, not to treat or diagnose patients.

No

The "Intended Use / Indications for Use" section explicitly states, "The AlarmView™ Wireless Data Network System is not considered in and of itself to be diagnostic without skilled interpretation and does not replace physician's care." It functions as a communication system for alarm events, supplementing existing monitoring procedures, rather than providing a diagnosis.

No

The device description explicitly states it is a "low powered local area wireless paging system" that provides annunciation via "wireless communication devices carried by healthcare professionals." This implies the system includes hardware components beyond just software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the system is for "real-time monitoring of routine patient status and alarm events on medical devices." It serves as a "parallel, redundant mechanism to inform the clinical staff of patient events" and provides a "secondary means of annunciating and displaying patient alarm information." This is focused on communication and notification of existing medical device data, not on analyzing biological samples or providing diagnostic information based on in vitro testing.
  • Device Description: The description reinforces this by stating it's a "low powered local area wireless paging system that provides secondary annunciation of primary medical device alarms."
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), performing tests on these samples, or providing diagnostic information based on such analysis. The system is relaying information from other medical devices.

In summary, the AlarmView™ Wireless Data Network System is a communication and notification system for medical device alarms, not a device that performs in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The AlarmView™ Wireless Data Network System is for use in real-time monitoring of routine patient status and alarm events on medical devices. It serves as a parallel, redundant mechanism to inform the clinical staff of patient events. The AlarmView™ System provides a secondary means of annunciating and displaying patient alarm information to mobile healthcare professionals.

The AlarmView™ Wireless Data Network System is limited to use by qualified medical professionals who have been trained on the use of the device. It is for use in hospital type environments and is not for home use.

The AlarmView™ Wireless Data Network System is to supplement and not replace any part of the current device monitoring procedure.

The AlarmView™ Wireless Data Network System is not considered in and of itself to be diagnostic without skilled interpretation and does not replace physician's care.

Product codes

74 MSX

Device Description

The modified AlarmView™ Wireless Data Network System is a low powered local area wireless paging system that provides secondary annunciation of primary medical device alarms via wireless communication devices carried by healthcare professionals.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

qualified medical professionals / hospital type environments

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The safety and effectiveness of the modified AlarmView™ Wireless Data Network System described in this submission has been demonstrated through risk analysis and validation testing. Test results demonstrated that the modified AlarmView™ Wireless Data Network System, functionality and safety characteristics are substantially equivalent to the predicate device.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

AlarmView™ Wireless Data Network System K010912

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.2300 Cardiac monitor (including cardiotachometer and rate alarm).

(a)
Identification. A cardiac monitor (including cardiotachometer and rate alarm) is a device used to measure the heart rate from an analog signal produced by an electrocardiograph, vectorcardiograph, or blood pressure monitor. This device may sound an alarm when the heart rate falls outside preset upper and lower limits.(b)
Classification. Class II (performance standards).

0

JUL 24 2001

510(k) SUMMARY

This 510(k) summary is submitted in accordance with 21 CFR 807.92.

Submitter's Name:Data Critical Corporation
Submitter's Address:19820 North Creek Parkway
Bothell, WA 98011
Telephone:425-482-7000
Fax:425-482-7010
Contact Person:Teresa M. Davidson
Date Prepared:June 26, 2001
Device Trade Name:AlarmView™ Wireless Data Network System
Device Classification Name:System, Network and Communication, Physiological Monitor
Device Classification:Class II
Predicate Device(s):AlarmView™ Wireless Data Network System
K010912

Device Description

The modified AlarmView™ Wireless Data Network System is a low powered local area wireless paging system that provides secondary annunciation of primary medical device alarms via wireless communication devices carried by healthcare professionals.

Indications For Use

The AlarmView™ Wireless Data Network System is for use in real-time monitoring of routine patient status and alarm events on medical devices. It serves as a parallel, redundant mechanism to inform the clinical staff of patient events. The AlarmView™ System provides a secondary means of annunciating and displaying patient alarm information to mobile healthcare professionals.

The AlarmView™ Wireless Data Network System is limited to use by qualified medical professionals who have been trained on the use of the device. It is for use in hospital type environments and is not for home use.

The AlarmView™ Wireless Data Network System is to supplement and not replace any part of the current device monitoring procedure.

The AlarmView™ Wireless Data Network System is not considered in and of itself to be diagnostic without skilled interpretation and does not replace physician's care.

Performance Data

The safety and effectiveness of the modified AlarmView™ Wireless Data Network System described in this submission has been demonstrated through risk analysis and validation testing. Test results demonstrated that the modified AlarmView™ Wireless Data Network System, functionality and safety characteristics are substantially equivalent to the predicate device.

Conclusions

Based on the information provided in this submission, the modified AlarmView™ Wireless Data Network System is substantially equivalent to the predicate device and does not raise of safety and effectiveness.

000729

1

Image /page/1/Picture/1 description: The image is a black and white seal for the U.S. Department of Health and Human Services. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the top half of the circle. Inside the circle is a stylized image of an eagle with three lines representing its wings.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 2 4 2001

Ms. Teresa M. Davidson Ms. Teresa Nr. Davidson
Director of Regulatory Affairs and Quality Assurance Data Critical Corporation 19820 North Creek Parkway Bothell, WA 98011

Re: K012005

Trade Name: AlarmView™ Wireless Data Network System Regulation Number: 21 CFR 870.2300 Regulatory Class: II (two) Product Code: 74 MSX Dated: June 26, 2001 Received: June 27, 2001

Dear Ms. Davidson:

We have reviewed your Section 510(k) notification of intent to market the device referenced above We have reviewed your Section 310(K) nothoution of the indications for use stated in
and we have determined the device is substantially equivalent semmerse wrige to and we have determined the devices is sucstantly equartered in interstate commerce prior to the enclosure) to legally marketed predical Device Amendments, or to devices that have been May 28, 1976, the ellactificate of the medical Food, Drug, and Cosmetic Act (Act).
reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act feciassified in accordance with the provisions of the general control provisions of the Act. The You may, therefore, market the device, subject to the gatination, listing of devices, general control provisions of the rise mendorotibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarke If your device is classified (SCC above) into entrols. Existing major regulations affecting your Approval), It may be subject to such additions, Title 21, Parts 800 to 895. A substantially device can be found in the Code of I casial Regulture Current Good Manufacturing Practices General equirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General requirements, as set form in the Quality bystelli respections, the Food and Drug
regulation (21 CFR Part 820) and that, through periodic OS inspections, the Food and Drug regulation (21 CFR 1 at 820) and that, and assumptions. Failure to comply with the GMP regulation Administration (1 DA) will verty such assumptions and our communicements concerning may result in regulatory action: "In addition, a be this response to your premarket notification your device in the rederal Register. Thease noter and responses of through 542 of the

2

Page 2 - Ms. Teresa M. Davidson

Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification 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 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4645. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers 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,

Nola Tillh

nes E. Dillard III Director Division of Cardiovascular and Respiratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

INDICATIONS FOR USE STATEMENT

510(k) Number:

Device Name: AlarmView™ Wireless Data Network System

Indications For Use:

The AlarmView™ Wireless Data Network System is for use in real-time monitoring of routine patient status and alarm events on medical devices. It serves as a parallel, redundant mechanism to inform the clinical staff of patient events. The AlarmView™ System provides a secondary means of annunciating and displaying patient alarm information to mobile healthcare professionals.

The AlarmView™ Wireless Data Network System is limited to use by qualified medical professionals who have been trained on the use of the device. It is for use in hospital type environments and is not for home use.

The AlarmView™ Wireless Data Network System is to supplement and not replace any part of the current device monitoring procedure.

The AlarmView™ Wireless Data Network System is not considered in and of itself to be diagnostic without skilled interpretation and does not replace physician's care.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Dale Tull

Division of Cardiovascular & Respiratory Devices
510(k) Number K012605

OR

Prescription Use
(Per 21 CFR 801.109)

Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________

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