K Number
K031074
Manufacturer
Date Cleared
2003-10-15

(194 days)

Product Code
Regulation Number
870.2800
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The VX3 digital Holter recorder is intended for the recording of ECG data collected from ambulatory patients. The recorder can collect data in the presence of implanted pacemaker pulses, and can detect and record the occurrence of signals characteristic of pacemaker pulses. The recorder is used under the order of a physician, who reviews the data after downloading and processing by a Holter playback system. The physician determines the presence of normal and abnormal ECG data as well as pacemaker pulses during the events of the patient's daily activity.

Device Description

The VX3 is a lightweight, compact, digital Holter recorder designed for the recording of ECG data collected from ambulatory patients. A derivative of the Datrix DR512 digital Holter recorder, the VX3 has enhanced features, including an LCD to verify leadwire hookup and display recorder status and error messages, optional keypad for selection of various options, and optional pacemaker pulse detection. Various channel and lead configurations are accommodated by using the appropriate leadwire set without additional recorder reconfiguration. Data are recorded on industry standard compact flashcards for subsequent download and to a Holter playback system. Sampling rates are factory programmable to accommodate compatibility with various OEM Holter playback systems.

AI/ML Overview

The provided document is a 510(k) Premarket Notification Summary for the Datrix VX3 Series Digital Holter Recorder. This type of submission is for demonstrating substantial equivalence to a predicate device, not typically for reporting on a new performance study with detailed acceptance criteria and expert reviews of an AI/algorithm-based device.

Therefore, the document does not contain the information requested in the prompt, such as detailed acceptance criteria for an AI device, sample sizes for test sets, data provenance, number or qualifications of experts, adjudication methods, MRMC study results, standalone performance, type of ground truth used, or details about the training set for an algorithm.

The document primarily focuses on:

  • Device Description: The VX3 is a digital Holter recorder for ECG data collection from ambulatory patients, with features like an LCD, optional keypad, and optional pacemaker pulse detection.
  • Intended Use: Recording ECG data and pacemaker pulses for physician review after processing by a Holter playback system.
  • Predicate Device Comparison: A table comparing the Datrix VX3 to the Datrix DR512 and Braemar DXP1000 across functional, physical, environmental, and electrical specifications. This comparison is used to establish substantial equivalence, meaning the safety and effectiveness of the new device are similar to legally marketed devices.

Conclusion: The provided text describes a medical device's technical specifications and its comparison to predicate devices for regulatory clearance, but it does not detail acceptance criteria or a study proving device performance in the context of an AI/algorithm-based system as requested.

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Jon Barron Inc. dba

OCT 1 5 2003

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510(K) PREMARKET NOTIFCATION SUMMAR Y

Company:Datrix
Address:340 State PlaceEscondido, CA 92029
Phone:(760) 480-8874
Fax:(760) 480-9474
Contact Person:Lauren Luhmann

Date Prepared: April 2, 2003

VX3 Series Digital Holter Recorder Trade Name: Ambulatory ECG Recorder Common Name: Classification Name: Electrocardiograph, Ambulatory (Without Analysis) (CFR 870:2800)

Description

The VX3 is a lightweight, compact, digital Holter recorder designed for the recording of ECG data collected from ambulatory patients. A derivative of the Datrix DR512 digital Holter recorder, the VX3 has enhanced features, including an LCD to verify leadwire hookup and display recorder status and error messages, optional keypad for selection of various options, and optional pacemaker pulse detection. Various channel and lead configurations are accommodated by using the appropriate leadwire set without additional recorder reconfiguration. Data are recorded on industry standard compact flashcards for subsequent download and to a Holter playback system. Sampling rates are factory programmable to accommodate compatibility with various OEM Holter playback systems.

Intended Use

The VX3 digital Holter recorder is intended for the recording of ECG data collected from ambulatory patients. The recorder can collect data in the presence of implanted pacemaker pulses, and can detect and record the occurrence of signals characteristic of pacemaker pulses. The recorder is used under the order of a physician, who reviews the data after downloading and processing by a Holter playback system. The physician determines the presence of normal and abnormal ECG data as well as pacemaker pulses during the events of the patient's daily activity.

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KOBIC74

Jon Barron Inc. dba

Image /page/1/Picture/2 description: The image shows the word "datrix" in a stylized font, enclosed within an oval shape. The word is written in lowercase letters, with two dots above the "i". The oval shape surrounds the word, adding a visual element to the logo. The image is in black and white.

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Predicate Device Comparison

The VX3 is substantially equivalent to other commercially distributed ECG Holter recorders. The following chart compares the VX3 with its predecessor device (Datrix DR512 digital Holter recorder (510(k): K982975), and another predicate device, (Braemar DXP1000 digital Holter recorder (510(k): K993618) with pacemaker pulse detection).

SpecificationDatrix VX3Datrix DR512Braemar DXP1000*
Functional
ECG Channels2 or 32 or 32 or 3
Resolution8 or 10 bit(programmable)8 bit12-bit sampling/ 10-bitrecording
Sample Rate128 to 512 perchannel/sec,programmable128 to 512 perchannel/sec,programmable256 samples per second
Recording Duration24 or 48 hours,programmable24 hours24 or 48 hours
Memory TypeNon-volatile flashNon-volatile flashNon-volatile flash
Data TransferRemovable flashcardRemovable flashcardUSB interface
Liquid Crystal DisplayYesNoYes
KeypadYes, optionalNoYes
Pacemaker Pulse DetectionYes, optionalNoYes
Physical
Dimensions4.46 x 2.75 x 1.02 in.(113 x 70 x 26) mm4.94 x 2.75 x 0.94 in.2.75 x 4.37 x .80 in.(69.9 x 111 x 20.3) mm
Weight4oz. w/out batteries4oz. w/out batteries5oz.(141 gm) w/batteries
Enclosure Materialplasticplasticplastic/water resistant
Enclosure flammabilityABS 94-V0ABS 94-IIBnot available
Operating PositionAnyAnyAny

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<03107 >

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Jon Barron Inc. dba

. .

.

SpecificationDatrix VX3Datrix DR512Braemar DXP1000*
Environmental
Operating Temperature0 to 45°C, (32-113°F)0 to 60°C0 to 45°C, (32 to 113°F)
Non-operating Temperature-20 to 65°C (-4 -149°F)-20 to 65°C (-4 to 149°F)-20 to 65°C (-4 to 149°F)
Operating Humidity10% to 95%(non-condensing)8% to 95%10% to 95%(non-condensing)
Non-operating Humidity5% to 95% (non-condensing)5% to 95% (non-condensing)5% to 95% (non-condensing)
Operating Altitude/Pressure700 - 1060 millibars8000 ft.not available
Operating Shock1 meter drop26 inch drop inpouchnot available
Electrical
Bandwidth0.05Hz to 60Hz @-3dB0.05Hz to 50Hz0.05Hz to 60Hz @-3dB
Signal Input Range±2.5 mV 8 bit±5.0 mV 10 Bit5mVnot available
Input Impedence> 5MΩ>5MΩnot available
Common Mode RejectionRatio (CMMR)> 60dB60 dBnot available
Power Requirements
Battery2 AA or one 9 VoltOne 9 Volt2 AA or 2 NiMH
Average Operating Current(varies with flashcard)5 mA @ 9V5-40 mA @ 3V5 mAnot available
Peak Operating Current(varies with flashcard)55 mA @ 9V250 mA @ 3V55 mAnot available
  • Specifications taken from manufacturer's specification sheet

40535

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 1 5 2003

Datrix c/o Ms. Lauren M. Luhmann Quality Assurance Manager 340 State Place Escondido, CA 92029

Re: K031074

Trade Name: Digital Ambulatory ECG Holter Recorder Model VX3 and VX3i Regulation Number: 21 CFR 870.2800 Regulation Name: Medical Magnetic Tape Recorder Regulatory Class: Class II (two) Product Code: MWJ Dated: July 18, 2003 Received: July 21, 2003

Dear Ms. Luhmann:

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.

Image /page/3/Picture/10 description: The image is a black and white circular logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around a stylized eagle. The eagle is depicted with its wings spread, and its head facing to the left.

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Page 2 – Ms. Lauren M. Luhmann

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), please contact the Office of Compliance at (301) 594-4646. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Ulegan mayn
C. R. B. Zukerman, M.D.

Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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STATEMENT OF INDICATIONS FOR USE

The VX3 digital Holter recorder is intended for the recording of ECG data collected from ambulatory patients. The recorder can collect data in the presence of implanted pacemaker pulses, and can detect and record the occurrence of signals characteristic of pacemaker pulses. The recorder is used under the order of a physician, who reviews the data after downloading and processing by a Holter playback system. The physician determines the presence of normal and abnormal ECG data as well as pacemaker pulses during the events of the patient's daily activity.

MMe May
(Division Sign Off)

510(k) Number K031074

§ 870.2800 Medical magnetic tape recorder.

(a)
Identification. A medical magnetic tape recorder is a device used to record and play back signals from, for example, physiological amplifiers, signal conditioners, or computers.(b)
Classification. Class II (performance standards).