K Number
K031986
Device Name
ICS MEDICAL CHARTR EP WITH ASSR AND CHARTR OAE SYSTEMS
Manufacturer
Date Cleared
2003-07-24

(27 days)

Product Code
Regulation Number
874.1050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CHARTR® EP with ASSR System is indicated for auditory evoked potential testing as an aid in detecting hearing loss and lesions in the auditory pathway. The CHARTR® OAE is indicated for the determination of cochlear function in infants, children, and adults which provides information about hearing without subjective response from the individual being tested.
Device Description
The CHARTR® EP with ASSR CHARTR® OAE Systems Product is substantially equivalent to the CHARTR® EP and CHARTR OAE Systems which has a cleared 510(k): K002985. The CHARTR® EP with ASSR System is indicated for auditory evoked potential testing as an aid in detecting hearing loss and lesions in the auditory pathway. The CHARTR® OAE is indicated for the determination of cochlear function in infants, children, and adults which provides information about hearing without subjective response from the individual being tested. ASSR (Auditory Steady-State Response) testing is based on the longestablished principle that stimuli presented at fast rates evoke brain responses that overlap (so-called "steady-state" responses). The overlap results in a stable sinusoidal pattern in the patient's electroencephalogram (EEG). The pattern is detectable with computer algorithms, and is stable only in the EEG of patients whose auditory system responds to the stimulus. With auditory stimuli, amplitude- and/or frequency-modulation of a sine wave (pure tone) results in a stimulus that is both relatively frequencyspecific and capable of evoking a detectable steady-state response. Research studies have demonstrated that when several such stimuli are presented to a patient simultaneously, the response to each stimulus can be extracted from the (composite) EEG, and the results are comparable to those obtained when the stimuli are presented sequentially. This technique enables assessment of hearing at several frequencies at once. Responses are detected through analysis of digital samples of the patient's EEG. The analysis consists of two stages: estimation and statistical detection. Estimation involves calculations performed on the EEG samples to produce periodic values for amplitude and/or phase of each response sought. Estimates for each response are passed to a statistical algorithm that calculates the confidence, in percent, that the estimates are consistent with a stable response to the corresponding stimulus. The software declares a response to be present when the confidence reaches a predetermined threshold (i.e. 95%). If the confidence does not reach this threshold within a predetermined amount of time (i.e. 5 minutes of testing), the software declares that no response could be found.
More Information

Not Found

No
The description mentions "computer algorithms" and "statistical algorithm" for detecting responses, but does not use terms like AI, ML, deep learning, or neural networks. The process described is a deterministic statistical analysis based on predetermined thresholds, not a learning-based approach.

No.
The device is indicated for testing hearing and detecting lesions, which are diagnostic purposes, not therapeutic ones.

Yes

The "Intended Use / Indications for Use" states that the device is "indicated for auditory evoked potential testing as an aid in detecting hearing loss and lesions in the auditory pathway" and for "determination of cochlear function...which provides information about hearing." These actions are directly related to diagnosing a medical condition.

No

The description mentions detecting responses through analysis of the patient's EEG, which implies the need for hardware (EEG electrodes and recording equipment) to acquire the physiological signals. The software processes these signals, but it is not a standalone software device.

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

Here's why:

  • IVDs analyze samples taken from the human body. The device description clearly states that the CHARTR® EP with ASSR System detects responses through analysis of the patient's electroencephalogram (EEG), which is a measurement of electrical activity within the body. The CHARTR® OAE determines cochlear function, which is also a measurement of a physiological process within the body.
  • The intended use is for in vivo testing. The system is used for "auditory evoked potential testing" and "determination of cochlear function," both of which are performed directly on the patient.

Therefore, this device falls under the category of in vivo diagnostic devices, not in vitro diagnostic devices.

N/A

Intended Use / Indications for Use

The CHARTR® EP with ASSR System is indicated for auditory evoked potential testing as an aid in detecting hearing loss and lesions in the auditory pathway.

The CHARTR® OAE is indicated for the determination of cochlear function in infants, children, and adults which provides information about hearing without subjective response from the individual being tested.

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

EWO

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Auditory pathway, cochlear

Indicated Patient Age Range

infants, children, and adults

Intended User / Care Setting

Not Found

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)

Not Found

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.

K002985

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

§ 874.1050 Audiometer.

(a)
Identification. An audiometer or automated audiometer is an electroacoustic device that produces controlled levels of test tones and signals intended for use in conducting diagnostic hearing evaluations and assisting in the diagnosis of possible otologic disorders.(b)
Classification. Class II. Except for the otoacoustic emission device, the device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, if it is in compliance with American National Standard Institute S3.6-1996, “Specification for Audiometers,” and subject to the limitations in § 874.9.

0

231986

JUL 2 4 2003

510(k) SUMMARY

| Submitted by: | ICS MEDICAL
125 Commerce Drive
Schaumburg, IL 60173-5329 |
|--------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Telephone: | (847)-534-2150 |
| Fax: | (847)-534-2151 |
| Contact Person: | Delmar F. Bloem, President |
| Date Summary Prepared: | June 26, 2003 |
| Trade Name of Device: | ICS Medical CHARTR® EP with
ASSR and CHARTR® OAE
Systems |
| Common Name: | Auditory Evoked Potential
System and Otoacoustic
Emissions Analyzer System. |
| Classification Name: | Auditory Evoked Potential
System and Audiometer |
| Substantial Equivalence: | The CHARTR® EP with ASSR
CHARTR® OAE Systems
Product is substantially
equivalent to the CHARTR® EP
and CHARTR OAE Systems
which has a cleared 510(k):
K002985. |

Intended Use:

The CHARTR® EP with ASSR System is indicated for auditory evoked potential testing as an aid in detecting hearing loss and lesions in the auditory pathway.

The CHARTR® OAE is indicated for the determination of cochlear function in infants, children, and adults which provides information about hearing without subjective response from the individual being tested

Scientific Principle:

1

ASSR (Auditory Steady-State Response) testing is based on the longestablished principle that stimuli presented at fast rates evoke brain responses that overlap (so-called "steady-state" responses). The overlap results in a stable sinusoidal pattern in the patient's electroencephalogram (EEG). The pattern is detectable with computer algorithms, and is stable only in the EEG of patients whose auditory system responds to the stimulus.

With auditory stimuli, amplitude- and/or frequency-modulation of a sine wave (pure tone) results in a stimulus that is both relatively frequencyspecific and capable of evoking a detectable steady-state response. Research studies have demonstrated that when several such stimuli are presented to a patient simultaneously, the response to each stimulus can be extracted from the (composite) EEG, and the results are comparable to those obtained when the stimuli are presented sequentially. This technique enables assessment of hearing at several frequencies at once.

Responses are detected through analysis of digital samples of the patient's EEG. The analysis consists of two stages: estimation and statistical detection. Estimation involves calculations performed on the EEG samples to produce periodic values for amplitude and/or phase of each response sought. Estimates for each response are passed to a statistical algorithm that calculates the confidence, in percent, that the estimates are consistent with a stable response to the corresponding stimulus. The software declares a response to be present when the confidence reaches a predetermined threshold (i.e. 95%). If the confidence does not reach this threshold within a predetermined amount of time (i.e. 5 minutes of testing), the software declares that no response could be found.

Electrical Safety:

Both Systems are designed to meet EN 60601-1 standard for Medical devices.

EMI Compatibility:

Both Systems are designed to meet EN 60601-1-2 standard.

2

CHARTR EPCHARTR EP with ASSR
StimulusClick or tone burstModulated continuous pure tone
TransducersInsert, boneInsert, bone, speaker
Intensity0-90 db HL0-120 dB HL
Electrode montageLow forehead, high
forehead and both earsLow forehead, high forehead and
one ear
Patient stateSleeping or resting
quietlySame
InterpretationAudiologist subjectively
identifies responsesAlgorithm objectively identifies
responses
Clinical purposeIndicated for auditory
evoked potential testing
as an aid in detecting
hearing loss and lesions
in the auditory pathwaySame
Patient populationAdults, children, and
infants.Same
Hardware
configurationAudio boardAudio board with daughter board to
provide multiple AM/FM modulated
tones
Operating systemWin98Same
Software - protocol
with ASSRNoYes
Electrical SafetyDesigned to comply with
EN 60601-1 (UL2601)Same
EMI CompatibilityDesigned to comply with
EN 60601-1-2Same
Computer SystemMCU-90 (IBM
compatible tower) and
Portable (TFT active
matrix screen) computerSame
LabelingIdentical for both unitsSame
Operator ManualCovers CHARTR EP
version 2.0Contains updates for EP versions
3.0 and 4.0

Comparison Table for

CHARTR® EP vs. CHARTR® EP with ASSR

.

:

3

Image /page/3/Picture/1 description: The image shows the seal for the Department of Health & Human Services - USA. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is a stylized symbol consisting of three curved lines above two wavy lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 2 4 2003

ICS Medical c/o Delmar F. Bloem, President 125 Commerce Drive Schaumburg, IL 60173-5329

Re: K031986

Trade/Device Name: ICS MEDICAL CHARTR® EP WITH ASSR AND CHARTR® OAE SYSTEMS

Regulation Number: 21 CFR 874.1050 Regulation Name: Audiometer Regulatory Class: II Product Code: EWO Dated: June 26, 2003 Received: June 27, 2003

Dear Mr. Bloem:

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 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.

4

Page 2 - Delmar F. Bloem, President

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) 594-4613. 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,

A. halyi Rosenthal

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Page_1_of_1

510(k) Number (if known):_Ko 3 1986

Device Name: ICS Medical CHARTR® EP with ASSR and CHARTR® OAE Systems Indications For Use:

The CHARTR® EP System is indicated for auditory evoked potential testing as an aid in detecting hearing loss and lesions in the auditory pathway.

The CHARTR® OAE is indicated for the determination of cochlear function in infants, children, and adults which provides information about hearing without subjective response from the individual being tested.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Orms K. Kan, Ph D
Division Sign-Off

Division of Ophthalmic Ear,
Nose and Throat Devices

510(k) Number K031582

(Optional Format 3-10-98)