K Number
K013615
Device Name
MICRO-INDUCTION 1000 SYSTEM
Date Cleared
2002-05-29

(205 days)

Product Code
Regulation Number
870.2340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The MI-1000 is used to measure Wavelet Surface Residuan indices at rest and during low level electrical stimulation during the cardiac refractory period. This data is presented in a graphical format for interpretation by a trained physician. The MI-1000 is also used for the measurement of SAECG indices. The MI-1000 should be used only as an adjunct to clinical history and the results of other noninvasive and/or invasive tests.
Device Description
The device consists of an IBM compatible PC, nine skin surface ECG type electrodes, one electronics board, a patient interface module and software. Seven of the electrodes are used for sensing cardiac electrical activity. The remaining two electrodes are used to apply low level current pulses (maximum of 40 milliamps) to the patient. This technology uses noninvasive, externally applied, subthreshold (low amplitude) far-field stimulus while acquiring electrocardiogram data. The MI-1000 system is a tool used to identify heart cells that are significantly less stable than normal or conduct slower than normal and, thus, are an indication of cardiac electrical problems.
More Information

Not Found

No
The document describes standard signal processing and analysis techniques for ECG data, with no mention of AI or ML algorithms.

No.
The device is used for diagnostic purposes to measure Wavelet Surface Residuan indices and SAECG indices, identify heart cells with instability, and provide data for interpretation by a physician. It does not provide any treatment or therapy.

Yes

The device description explicitly states, "The MI-1000 system is a tool used to identify heart cells that are significantly less stable than normal or conduct slower than normal and, thus, are an indication of cardiac electrical problems." This language directly indicates its role in identifying or diagnosing abnormal physiological conditions. Furthermore, it measures "Wavelet Surface Residuan indices" and "SAECG indices" which are interpreted by a physician, all pointing to a diagnostic function.

No

The device description explicitly states that the device consists of hardware components including an IBM compatible PC, electrodes, an electronics board, and a patient interface module, in addition to software.

Based on the provided information, the MI-1000 is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs analyze samples taken from the human body. The MI-1000 uses externally applied electrodes to measure electrical activity on the body surface. It does not analyze blood, urine, tissue, or any other biological sample.
  • The device description clearly states it uses "skin surface ECG type electrodes" and applies "low level current pulses to the patient." This describes a non-invasive, external measurement technique, not an in vitro analysis.
  • The intended use describes measuring "Wavelet Surface Residuan indices" and "SAECG indices" from electrical signals. These are measurements of the heart's electrical activity as detected on the skin, not analyses of biological components.

Therefore, the MI-1000 falls under the category of a medical device that performs a diagnostic function, but it is not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The MI-1000 is used to measure Wavelet Surface Residuan indices at rest and during low level electrical stimulation during the cardiac refractory period. This data is presented in a graphical format for interpretation by a trained physician. The MI-1000 is also used for the measurement of SAECG indices. The MI-1000 should be used only as an adjunct to clinical history and the results of other noninvasive and/or invasive tests.

Product codes (comma separated list FDA assigned to the subject device)

DPS, DRX

Device Description

The device consists of an IBM compatible PC, nine skin surface ECG type electrodes, one electronics board, a patient interface module and software. Seven of the electrodes are used for sensing cardiac electrical activity. The remaining two electrodes are used to apply low level current pulses (maximum of 40 milliamps) to the patient. This technology uses noninvasive, externally applied, subthreshold (low amplitude) far-field stimulus while acquiring electrocardiogram data.
The MI-1000 system is a tool used to identify heart cells that are significantly less stable than normal or conduct slower than normal and, thus, are an indication of cardiac electrical problems.

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

trained physician

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)

Functional and safety testing of the Micro-Induction 1000 system consisted of bench and human clinical testing, Examination of device function was done under conditions similar to those found in normal usage to ensure conformance to product specifications. The results of the examination and testing were successful; the device performed as designed and met or exceeded all product specifications. Human clinical study data was collected on over 264 patients at two sites in the United States and one site in Europe.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K950018 - K983102 - K001034, K002230, K962115, K955015

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 870.2340 Electrocardiograph.

(a)
Identification. An electrocardiograph is a device used to process the electrical signal transmitted through two or more electrocardiograph electrodes and to produce a visual display of the electrical signal produced by the heart.(b)
Classification. Class II (performance standards).

0

MAY 2 9 2002

SECTION 2. SUMMARY AND CERTIFICATION

A. 510(k) Summary

Submitter:Harbinger Medical, Inc.
Contact Person:Harold Hoium
6466 City West Parkway
Eden Prairie, MN 55344
Ph: 952-943-1684
Fax: 952-943-1686
Date Prepared:May 24, 2002
Trade Name:Micro-Induction 1000 system
Classification Name and Number:Electrocardiograph
Class II, 21 CFR 870.2340
Electrode Electrocardiograph
Class II, 21 CFR 870.2360
Product Code:DPS
DRX
Predicate Device(s):The Micro-Induction 1000 system is substantially
equivalent to the Cambridge Heart CH 2000 Cardiac
Diagnostic System (K950018 - K983102 - K001034), and
the Cambridge Heart Micro-V Alternans Sensor (K002230)
and Cambridge Heart Hi-Res ECG Electrode (K962115) all
manufactured by Cambridge Heart, Inc. Harbinger
Medical also considers the MI 1000 to be substantially
equivalent to the Zymed Model 2010 Holter Scanner
(K955015), manufactured by Zymed, Inc., and other
similar devices made by other manufacturers.
Device Description:The device consists of an IBM compatible PC, nine skin
surface ECG type electrodes, one electronics board, a
patient interface module and software. Seven of the
electrodes are used for sensing cardiac electrical activity.
The remaining two electrodes are used to apply low level
current pulses (maximum of 40 milliamps) to the patient.
This technology uses noninvasive, externally applied,
subthreshold (low amplitude) far-field stimulus while
acquiring electrocardiogram data.
The MI-1000 system is a tool used to identify heart cells
that are significantly less stable than normal or conduct
slower than normal and, thus, are an indication of cardiac
electrical problems.

.

K013615

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(013615

Intended Use:

The MI-1000 is used to measure Wavelet Surface Residuan indices at rest and during low level electrical stimulation during the cardiac refractory period. This data is presented in a granhical format for interpretation by a trained physician. The MI-1000 is also used for the measurement of SAECG indices. The MI-1000 should be used only as an adjunct to clinical history and the results of other noninvasive and/or invasive tests.

Functional and Safety Testing:

Conclusion:

Functional and safety testing of the Micro-Induction 1000 system consisted of bench and human clinical testing, Examination of device function was done under conditions similar to those found in normal usage to ensure conformance to product specifications. The results of the examination and testing were successful; the device performed as designed and met or exceeded all product specifications. Human clinical study data was collected on over 264 patients at two sites in the United States and one site in Europe.

The Micro-Induction 1000 system is substantially equivalent to the Cambridge Heart CH 2000 Cardiac Diagnostic System (K950018 - K983102 - K001034) and the Cambridge Heart Micro-V Alternans Sensor (K002230) and Cambridge Heart Hi-Res ECG Electrode (K962115) all manufactured by Cambridge Heart, Inc. Harbinger Modical also considers the MI 1000 system to be substantially equivalent to the Zymed Model 2010 Holter Scanner (K955015), manufactured by Zymed, Inc. and other similar devices made by other manufacturers. This conclusion is based upon the devices' similarities in functional design, materials, indications for use and low level of cisk to the patient as demonstrated throughout the clinical studies.

2

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 2 9 2002

Mr. Harold Hoium Harbinger Medical, Inc. 12086 Oxbow Drive Eden Prairie, MN 55347

Re: K013615

Trade Name: Micro-Induction (MI) 1000 System Regulation Name: Electrocardiograph Regulation Number: 21 CFR 870.2340 Regulatory Class: Class II (two) Product Code: DPS Dated: February 27, 2002 Received: March 1, 2002

Dear Mr. Hoium:

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 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

3

Page 2 - Mr. Harold Hoium

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 yours,

Dale Tiller

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

Enclosure

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K013612 |21

Indications for use Page

Device Name: Micro-Induction 1000 system

Indications for Use:

The MI-1000 is used to measure Wavelet Surface Residunn indices at rest and during low level clecatical stimalation during the cardiac refractory period. This data is presented in a graphical for and interpretation by a trained physician. The MI-1000 is also used for the measurement of SAECG indices. interpreading of a anned yayans an adjunct to clinical history and the results of other nouncies ive and or invasive tests.

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

Division of Cardiovascular & Respiratory Devices
510(k) Number K013615