K Number
K013032
Device Name
PHYSIOLOG, SERIES 95000
Manufacturer
Date Cleared
2002-06-04

(267 days)

Product Code
Regulation Number
870.1425
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
VERICIS Physiolog monitors, measures, and/or records physiologic data and patient images from a patient undergoing a cardiac catheterization procedure. VERICIS Physiolog is intended for use in hospital cardiac catheterization laboratories.
Device Description
VERICIS Physiolog monitors, measures, and/or records physiologic data and patient images from a patient undergoing a cardiac catheterization procedure. VERICIS Physiolog is intended for use in hospital cardiac catheterization laboratories.
More Information

Not Found

No
The summary describes a system for monitoring and recording physiological data and images, but there is no mention of AI or ML being used for analysis, interpretation, or any other function. The performance studies focus on validating basic data acquisition and processing functions using simulators.

No
The device monitors, measures, and records physiologic data and patient images; it does not directly treat or provide therapy.

Yes.
The device monitors, measures, and records physiologic data during a cardiac catheterization procedure, which is a diagnostic procedure to assess the heart's function and identify issues.

No

The device description and performance studies mention testing with "physiologic simulators" and "each unit undergoes final product testing," including "Patient isolation and leakage current tests." These tests are typically associated with hardware components, not purely software. The predicate devices also appear to be hardware-based monitoring systems.

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

Here's why:

  • Intended Use/Indications for Use: The description clearly states that the device "monitors, measures, and/or records physiologic data and patient images from a patient undergoing a cardiac catheterization procedure." This involves directly interacting with the patient and their physiological signals.
  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are performed outside of the living organism.
  • Device Description: The description reinforces the monitoring and recording of physiological data from a patient.
  • Lack of Mention of Samples: There is no mention of analyzing biological samples or performing tests on specimens.

The VERICIS Physiolog is a device used for physiological monitoring during a medical procedure, which is distinct from in vitro diagnostics.

N/A

Intended Use / Indications for Use

VERICIS Physiolog monitors, measures, and/or records physiologic data and patient images from a patient undergoing a cardiac catheterization procedure. VERICIS Physiolog is intended for use in hospital cardiac catheterization laboratories.

Product codes

DOK

Device Description

VERICIS Physiolog monitors, measures, and/or records physiologic data and patient images from a patient undergoing a cardiac catheterization procedure. VERICIS Physiolog is intended for use in hospital cardiac catheterization laboratories.

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

hospital cardiac catheterization laboratories.

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

The VERICIS Physiolog software was tested using physiologic simulators. Various types of ECG aberrations, rates, amplitudes, and deviations were used for validation of R-Wave detection for the rate meter and timing measurements related to pressure analysis. Multiple pressures were simulated under various conditions to validate the pressure and valves. Multiple oxygen saturations were entered to validate hemodynamic calculations. Multiple erroneous and/or incongruous entries were made in data entry locations to validate data entry restrictions. Multiple cases were created to validate data integrity. All command buttons were tested for their appropriate response. Multiple reports were generated to validate the report generation functions. The software responded appropriately in the tests described. After assembly is completed, each unit undergoes final product testing. Patient isolation and leakage current tests are to be performed on each unit prior to packaging for shipment.

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

Not required for determination of substantial equivalence for this class of device.

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

Not Found

Predicate Device(s)

K950436

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

K013032

JUN 0 4 2002

510(k) Summary

Date prepared: May 31, 2002 Name of contact person: Scott Pease Device trade name: VERICIS Physiolog Common name: Cardiac Cath Lab Physiologic Data Recording System Classification name: Predicate substantially equivalent devices: K950436 Witt Biomedical Series IV Physiomonitoring System Device description and intended use: VERICIS Physiolog monitors, measures, and/or records physiologic data and patient images from a patient undergoing a cardiac catheterization procedure. VERICIS Physiolog is intended for use in hospital cardiac catheterization laboratories.

Predicate device specifications comparison:

| Feature | Camtronics
VERICIS Physiolog | Witt Biomedical Central Station
Monitoring System K973474 and Series |
|---------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------|
| | | IV Physiomonitoring System K950436 |
| Signals transduced | 12-lead EKG (heart rate) | 12-lead EKG (heart rate) |
| | Respiratory rate | Respiratory rate |
| | 4 invasive pressures | Invasive pressures |
| | NIPB/SpO2 | NIPB/SpO2 |
| Cardiac output | Yes | Yes |
| Display screens | CRT color monitor | CRT color monitor |
| HIS Interface | Yes, optional | Yes, optional |
| Digital Imaging System Interface | Yes | Yes |
| Computer system | PC-based off-the-shelf hardware;
Windows 2000 | PC-based off-the-shelf hardware, Windows |
| User interface | Keyboard, mouse | Keyboard, mouse |
| Automated hemodynamic data
analysis functions | Continuous systolic, diastolic, and
mean pressure, wedge, end diastolic
pressure.
Gradients by pullback or differential
pressure. Valve area calculations.
Automatic beat selection. Resistance,
shunt, and flow calculations. Assumed
oxygen consumption.
AJI calculations may be displayed for
verification or edit. | Instantaneous hemodynamic results and on-
line QCA |
| Automatic time stamped log of
catheterization events and
procedures | Menu selection from customized
protocols, automatic entries, and free
text. Correlated by time to waveform
recordings and measurements. Also
menu selections for emergency
protocols and medications. | Same |

1

Page 2 Camtronics VERICIS Physiolog 510(k) Summary May 29, 2002

Performance data: The VERICIS Physiolog software was tested using physiologic simulators. Various types of ECG aberrations, rates, amplitudes, and deviations were used for validation of R-Wave detection for the rate meter and timing measurements related to pressure analysis. Multiple pressures were simulated under various conditions to validate the pressure and valves. Multiple oxygen saturations were entered to validate hemodynamic calculations. Multiple erroneous and/or incongruous entries were made in data entry locations to validate data entry restrictions. Multiple cases were created to validate data integrity. All command buttons were tested for their appropriate response. Multiple reports were generated to validate the report generation functions. The software responded appropriately in the tests described. After assembly is completed, each unit undergoes final product testing. Patient isolation and leakage current tests are to be performed on each unit prior to packaging for shipment.

Conclusions drawn from clinical and nonclinical test data: Not required for determination of substantial equivalence for this class of device.

Substantial equivalence summary: The Camtronics VERICIS Physiolog System is a comparable type and substantially equivalent to a legally marketed predicate device. The intended use of the Camtronics VERICIS Physiolog System is the same as that of the predicate device "Series IV Physiomonitoring System" marketed by Witt Biomedical. No new safety or effectiveness issues are raised with the Camtronics VERICIS Physiolog System. The subject device has substantially equivalent technological characteristics, features, materials, modes of operation, and intended uses as a legally marketed predicate device.

2

Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized symbol that resembles three abstract human profiles facing to the right.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 0 4 2002

Camtronics Medical Systems c/o Mr. Scott J. Pease Director, Quality Assurance and Regulatory Affairs 900 Walnut Ridge Drive P.O. Box 950 Hartland. WI 53029

Re: K013032

Trade Name: Vericis Physiolog Regulation Number: 21 CFR 870.1425 Regulation Name: Programmable Diagnostic Computer Regulatory Class: Class II (two) Product Code: DOK Dated: March 27, 2002 Received: March 29, 2002

Dear Mr. Pease:

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.

3

Page 2 - Mr. Scott J. Pease

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); 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.

This letter will allow you to begin marketing your device as described in your Section 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 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4646. 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 Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, 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 vours.

QabTuk

Donna-Bea Tillman, Ph.D. Acting Director Division of Cardiovascular and Respiratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Ver/ 3 - 4/24/96
Applicant:Camtronics Medical Systems
510(k) Number (if known):K013032
Device Name:VERICIS Physiolog
Page 1 of 1

Indications For Use:

VERICIS Physiolog monitors, measures, and/or records physiologic data and patient images from a patient undergoing a cardiac catheterization procedure. VERICIS Physiolog is intended for use in hospital cardiac catheterization laboratories.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division of Cardiovascular & Respiratory Devices
510(k) NumberK013032
(Per 21 CFR 801.109) Prescription Use (Per 21 CFR 801.109) (Optional Format 1-2-96)

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