K Number
K040559
Device Name
MODIFICATION TO UNITY NETWORK ID
Date Cleared
2004-06-04

(93 days)

Product Code
Regulation Number
870.2300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Unity Network ID is indicated for use in data collection and clinical information management through networks with independent bedside devices. The Unity Network ID is not intended for monitoring purposes, nor is the Unity Network ID intended to control any of the clinical devices (independent bedside devices/ information systems) it is connected to.
Device Description
The Unity Network ID system communicates patient data from sources other than GE Medical Systems Information Technologies equipment to a clinical information system, central station, and/or GE Medical Systems Information Technologies patient monitors. The Unity Network ID acquires digital data from eight serial ports, converts the data to Unity Network protocols, and transmits the data over the monitoring network to a Unity Network device such as a patient monitor, clinical information system or central station.
More Information

Not Found

No
The description focuses on data communication and conversion, with no mention of AI/ML terms or functionalities.

No
The device is described as a system for data collection and clinical information management, acquiring and transmitting patient data to other systems/monitors. It explicitly states it is not for monitoring purposes or controlling clinical devices, which are functions typically associated with therapeutic devices.

No
The device is described as a system for data collection and clinical information management, which acquires and transmits patient data. It is explicitly stated that the Unity Network ID is "not intended for monitoring purposes" and "not intended to control any of the clinical devices." This indicates it processes and transfers existing data rather than generating new diagnostic information or directly assessing a medical condition.

No

The device description explicitly states that the Unity Network ID acquires digital data from eight serial ports and converts it, implying the presence of hardware components (the serial ports and the conversion mechanism) beyond just software.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is for "data collection and clinical information management through networks with independent bedside devices." It explicitly states it's not for monitoring or controlling clinical devices. IVDs are used to examine specimens derived from the human body to provide information for diagnosis, monitoring, or treatment.
  • Device Description: The description focuses on acquiring and transmitting digital data from other devices. It does not mention analyzing biological samples or performing any tests on specimens.
  • Lack of IVD-related information: The document lacks any mention of biological samples, reagents, assays, or any other elements typically associated with IVD devices.

The Unity Network ID appears to be a data management and networking device for clinical information, not a device used for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Unity Network ID is indicated for use in data collection and clinical information management through networks with independent bedside devices. The Unity Network ID is not intended for monitoring purposes, nor is the Unity Network ID intended to control any of the clinical devices (independent bedside devices/ information systems) it is connected to.

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

MWI

Device Description

The Unity Network ID system communicates patient data from sources other than GE Medical Systems Information Technologies equipment to a clinical information system, central station, and/or GE Medical Systems Information Technologies patient monitors.
The Unity Network ID acquires digital data from eight serial ports, converts the data to Unity Network protocols, and transmits the data over the monitoring network to a Unity Network device such as a patient monitor, clinical information system or central station.

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

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)

Test Summary: The Unity Network ID complies with the voluntary standards as detailed in Section 9 of this submission. The following quality assurance measures were applied to the development of the system:

  • Risk Analysis .
  • Requirements Reviews .
  • Design Reviews .
  • Testing on unit level (Module verification) .
  • Integration testing (System verification) .
  • Final acceptance testing (Validation) .
  • Performance testing .
  • Safety testing .
  • Environmental testing .
    The results of these measurements demonstrated that the Unity Conclusion: Network ID is as safe, as effective, and performs as well as the predicate devices.

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.

K033672

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

§ 870.2300 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

K04-0559

JUN - 4 2004

| Section 2 Summary

510(k) Summary of Safety and Effectiveness
Date:March 1, 2004
Submitter:GE Medical Systems Information Technologies
8200 West Tower Avenue
Milwaukee, WI 53223 USA
Contact Person:Diana M. Thorson
Regulatory Affairs Specialist
GE Medical Systems Information Technologies
Phone: 714-247-4135
Fax: 714-247-4155
Device:Unity Network ID
Trade Name:
Common/Usual Name:21 CFR 870.2300 Monitor, Physiological, Patient
Classification Name:21 CFR 870.2300 Monitor, Physiological, Patient (without arrhythmia detection or alarms)
Predicate Device:K033672 Unity Network ID
Device Description:The Unity Network ID system communicates patient data from sources
other than GE Medical Systems Information Technologies equipment to
a clinical information system, central station, and/or GE Medical
Systems Information Technologies patient monitors.
The Unity Network ID acquires digital data from eight serial ports,
converts the data to Unity Network protocols, and transmits the data
over the monitoring network to a Unity Network device such as a patient
monitor, clinical information system or central station.
Intended Use:The Unity Network ID is indicated for use in data collection and clinical
information management through networks with independent bedside
devices.
The Unity Network ID is not intended for monitoring purposes, nor is the
Unity Network ID intended to control any of the clinical devices
(independent bedside devices/ information systems) it is connected to.
Technology:The Unity Network ID employs the same functional technology as the
predicate device.

.

1

Test Summary: The Unity Network ID complies with the voluntary standards as detailed in Section 9 of this submission. The following quality assurance measures were applied to the development of the system:

  • Risk Analysis .
  • Requirements Reviews .
  • Design Reviews .
  • Testing on unit level (Module verification) .
  • Integration testing (System verification) .
  • Final acceptance testing (Validation) .
  • Performance testing .
  • Safety testing .
  • Environmental testing .

The results of these measurements demonstrated that the Unity Conclusion: Network ID is as safe, as effective, and performs as well as the predicate devices.

2

Image /page/2/Picture/1 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 an abstract symbol resembling an eagle or bird in flight, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN - 4 2004

Mr. Andrew Kluessendorf Regulatory Affairs Specialist GE Medical Systems Information Technologies 8200 West Tower Avenue Milwaukee, WI 53223

Re: K040559

Trade/Device Name: Unity Network ID Regulation Number: 21 CFR 870.2300 Regulation Name: Cardiac Monitor (including cardiotachometer and rate alarm) Regulatory Class: Class II Product Code: MWI Dated: April 21, 2004 Received: May 11, 2004

Dear Mr. Kluessendorf:

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 mendments, or to devices that have been reclassified in accordance with the provisions of Amendinents, or to de roses was a cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general approvisions of the Act. The general controls provisions of the Act include controls provisions or an 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 If your device is clabories (so as additional controls. Existing major regulations affecting (I MA), it may of subject to same and of Federal Regulations, Title 21, Parts 800 to 898. In your device ean or round in further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not I icase that FDA has made a determination that your device complies with other requirements moan that I Dr. Inde made statutes and regulations administered by other Federal agencies. of the Act of ally rederal and of the requirements, including, but not limited to: registration

3

Page 2 -- Mr. Andrew Kluessendorf

and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practices and listing (21 CFR 1 art 807), laceming (21 cegulation (21 CFR Part 820); and if requirents as set form in the quality of economic (Sections 531-542 of the Act); 21 CFR 1000-1050.

21 CFR 1000-1050.
This letter will allow you to begin marketing your device as described in your Section 510(k) I mis letter with anow you to objamiations.
The First with anow you to of substantial equivalence of your device to a premiarket notification. The PDF milling of succem.
Iegally 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), If you desire specific ad not for your as at (301) 594-4646. Also, please note the regulation in prease contact the Office or Ochiphan promarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the may obtain 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,

Ken Muluy
for Chiu Lin, Ph.D.

Chiu Lin. Ph.D Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if known):

510(k) filed on March 1, 2004

.

Device Name: Unity Network ID

Indications For Use:

The Unity Network ID is indicated for use in data collection and clinical information management through networks with independent bedside devices. The Unity Network (D is management ufrough networks with macpondont boutle vork ID intended to control any of not miended for monitoring purposes, from to the Unity reation systems) it is connected to.

Prescription Use X
(Per 21 CFR 801.109)

OR

Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

and the same of the same of the same of the same of the same of the same of the same of the same of the same of the same of the same of the secure of the second of the states

Auybulion

(Division Sign-Off) Division of Anesthesiol - General Hospital, Infection Control, Dental Devices

204055 510(k) Number:

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