K Number
K040753
Device Name
R-TEST EVOLUTION 3
Manufacturer
Date Cleared
2004-06-10

(78 days)

Product Code
Regulation Number
870.2800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The R-Test Evolution 3 is a miniature ambulatory ECG Event Recorder that is connected to the patient. As the R-Test Evolution (previous model), this version is capable of memorizing the most significant pathological events (symptomatic or silent) as well as the patient's continuous heart rate trend, and is capable of up to eight day ambulatory recording. The registered data could be sent by a modem or by an e-mail application software.
Device Description
The R-Test Evolution 3 is a miniature ambulatory ECG Recorder, which is easy to connect to the patient. The most advanced version (automatic mode) is capable of memorizing the most significant pathological events (symptomatic or silent) as well as the patient's continuous heart rate, and is capable of up to eight days ambulatory recording. The system consists of a unit weighing about 40 grams and includes a lightweight cable which can be worn without any discomfort. The R-Test Evolution 3 is connected to the patient by the electrodes and the cable. Cardiac events are memorized by the R-Test Evolution 3 and then transferred for interpretation: either by a decoder, the Decotest to an electrocardiograph (or an ECG monitor), or to a computer, or by a cable directly to a computer. This transfer is generally done at the physician's surgery at the following visit. It can also be transferred by phone or by e-mail, by modem, either from the patient's home, or from the office of a physician working in connection with an interpretation center. The R-Test Evolution 3 can also transmit real time ECG recordings by telephone; and after reading or not read level and the R-Test Evolution 3 can continue recording any further pathological events which may occur on the same patient. Using a computer enables you to: define the conditions and criteria of the recordings to be made by the R-Test Evolution 3, to select, organize and store the patient data and the results of a procedure, and to print them using specific report parameters.
More Information

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No
The description focuses on the device's ability to record and store ECG data and transfer it for interpretation. There is no mention of AI or ML being used for analysis or event detection. The "automatic mode" likely refers to automated detection based on predefined criteria, not learned patterns.

No.
The device is described as an ECG Event Recorder that memorizes and transfers pathological events and heart rate trends for interpretation, not for treating a condition.

Yes

The device records and memorizes "pathological events" and "continuous heart rate trend" to be "transferred for interpretation" by a physician, which indicates its use in diagnosing cardiac conditions.

No

The device description explicitly states it is a "miniature ambulatory ECG Recorder" that is "connected to the patient by the electrodes and the cable" and includes a "unit weighing about 40 grams and includes a lightweight cable". These are physical hardware components, not solely software.

Based on the provided text, the R-Test Evolution 3 is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to provide information about a person's health. These tests are performed outside of the living body (in vitro).
  • R-Test Evolution 3 Function: The R-Test Evolution 3 is an ambulatory ECG recorder. It is connected directly to the patient to record electrical activity of the heart. This is a form of in vivo (within the living body) measurement.
  • Lack of Sample Analysis: The device records physiological signals from the patient's body; it does not analyze samples taken from the patient.

Therefore, the R-Test Evolution 3 falls under the category of a physiological monitoring device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The R-Test Evolution 3 is a miniature ambulatory ECG Event Recorder that is connected to the patient. As the R-Test Evolution (previous model), this version is capable of memorizing the most significant pathological events (symptomatic or silent) as well as the patient's continuous heart rate trend, and is capable of up to eight day ambulatory recording. The registered data could be sent by a modem or by an e-mail application software.

Product codes

MLO

Device Description

The R-Test Evolution 3 is a miniature ambulatory ECG Recorder, which is easy to connect to the patient. The most advanced version (automatic mode) is capable of memorizing the most significant pathological events patient's continuous heart rate, and is capable of up to eight days ambulatory recording.

The system consists of a unit weighing about 40 grams and includes a lightweight cable which can be attached to the patient, without causing any discomfort. The R-Test Evolution 3 is connected to the patient by the electrodes and the cable.

Cardiac events are memorized by the R-Test Evolution 3 and then transferred for interpretation:

  • either by a decoder, the Decotest to an electrocardiograph (or an ECG monitor), or to a computer,
  • or by a cable directly to a computer.

This transfer is generally done at the physician's surgery at the following visit. It can also be transferred by phone or by e-mail, by modem, either from the patient's home, or from the office of a physician working in connection with an interpretation center.

The R-Test Evolution 3 can also transmit real time ECG recordings by telephone; and after reading or not reading level and the R-Test Evolution 3 can continue recording any further pathological events which may occur on the same patient.

Using a computer enables you to:

  • define the conditions and criteria of the recordings to be made by the R-Test Evolution 3,
  • to select, organize and store the patient data and the results of a procedure, and to print them using specific report parameters.

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

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Indicated Patient Age Range

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Intended User / Care Setting

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Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

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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)

Not Found

Reference Device(s)

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Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

Image /page/0/Picture/0 description: The image shows the word "NOVACOR" in a bold, sans-serif font. Above the word is a barcode-like symbol, consisting of a series of vertical lines of varying widths. The word is in all caps, with the letters evenly spaced.

JUN 1 0 2004

4, passage Saint Antoine 92508 Rucil Malmaison Cedex 08 France K040753 Tel : +33 1 41 39 01 61 Fax : +33 1 41 39 01 99

01/29/2004

SAFETY & EFFECTIVENESS DATA SUMMARY

Classification Name : Common/Usual Name: Proprietary Name:

Electrocardiograph ECG Event Recorder R-Test Evolution 3

Establishment Registration Number : 9612397

Reg. Number : 8702800 Classification : Class II

Performance Standards : Devices are manufactured according EN 60-601-1, 93/42/EEC – European Medical Device Directive, EN 46002, ISO 9001 (2000) and ISO 13485 (1996).

Material Composition : Ag/AgCl Electrodes

Testing conducted to assure safety and effectiveness include but is not limited to :

Testing conducted for conformity to these standards

EN 60601-1 EN 60601-1-1 EN 60601-1-1-2 En 60601-1-14 En 5501 l

Note : This testing will be completed, reviewed and approved prior to release and distribution of this product.

1

4, passage Saint Antoine 92508 Rueil Malmaison Cedex 08 France Tel : +33 1 41 39 01 61 Fax : +33 1 41 39 01 99

01/29/2004

SAFETY & EFFECTIVENESS DATA SUMMARY

Description of the modified device :

The R-Test Evolution 3 is a miniature ambulatory ECG Recorder, which is easy to connect to the patient. The most advanced version (automatic mode) is capable of memorizing the most significant pathological I he most atranoou version (datomatic attes patient's continuous heart rate, and is capable of up to eight days ambulatory recording.

The system consists of a unit weighing about 40 grams and includes a lightweight cable which can be I ho system consists or a une welging wount any discomfort. The R-Test Evolution 3 is connected to the patient by the electrodes and the cable.

Cardiac events are memorized by the R-Test Evolution 3 and then transferred for interpretation :

  • either by a decoder, the Decotest to an electrocardiograph (or an ECG monitor), or to a computer, "
  • or by a cable directly to a computer. ﮯ

This transfer is generally done at the physician's surgery at the following visit. It can also be t the stansferred by phone or by e-mail, by modem, either from the patient's home, or from the office of a physician working in connection with an interpretation center.

ph storal workering in 3 can also transmit real time ECG recordings by telephone; and after reading or r no t read evel and the R-Test Evolution 3 can continue recording any further pathological events which may occur on the same patient.

Using a computer enables you to :

  • define the conditions and criteria of the recordings to be made by the R-Test Evolution 3, -
  • to select, organize and store the patient data and the results of a procedure, and to print them using specific report parameters.

Intended use :

The R-Test Evolution 3 is a miniature ambulatory ECG Event Recorder that is connected to the patient. This version is capable of memorizing the most significant pathological events (symptomatic or silent) as well as the patient's continuous heart rate trend, and is capable of up to eight day ambulatory recording.

2

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 1 0 2004

Novacor, S.A. c/o Ms. Dominique Grenier 4 Passage Saint-Antoine 92508 Rueil-Malmaison Cedex FRANCE

Re: K040753

Trade Name: R-test Evolution 3 Regulation Number: 21 CFR 870.2800 Regulation Name: Medical Magnetic Tape Recorder Regulatory Class: II (two) Product Code: MLO Dated: March 19, 2004 Received: March 24, 2004

Dear Ms. Grenier:

We have reviewed your Section 510(k) premarket not intent to market the device We have reviewed your Section 9 ro(x) premained is substantially equivalent (for the indications
referenced above and have determined the devices marketed in interstate referenced above and have determined the devices marketed in interstate for use stated in the enclosure) to regary manced prouter Americal Device Amendments, or to
commerce prior to May 28, 1976, the enactment and consisses of the Federal Food. D commerce prior to May 28, 1970, the chance with the provisions of the Federal Food. Drug, devices that have been reclassified in accordance with approval application (PMA).
and Cosmetic Act (Act) that do not require approval astronomissions of the Act . The and Cosmetic Act (Act) that do not require approval controls provisions of the Act. The
You may, therefore, market the device, subject to the general controls provisions of You may, therefore, market the device, saoject to the gents for annual registration, listing of
general controls provisions of the Act include required statist misbranding an general controls provisions of the Act merate requirements
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 If your device is classified (see above) mo chair case in existems on the vice can
may be subject to such additional controls. Existing major regulations alfective EDA may may be subject to such additions, Title 21, Parts 800 to 898. In addion, FDA may
be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addion, FDA may be found in the Code of Federal Regarations, and any and register.

3

Page 2 – Ms. Dominique Grenier

Please be advised that FDA's issuance of a substantial equivalence determination does not mean I loase of action and 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 or any I odotal blacked and 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. product radianon of to begin marketing your device as described in your Section 510(k) I mis letter will anow you've ought inding of substantial equivalence of your device to a legally premainer notificate 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 It you dosir office of Compliance at (301) 594-4648. 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 other general informational 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,

Neil R. Ogden

Bram D. Zuckerman, M.D Division Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if known):

Device Name: R-TEST EVOLUTION 3

Indications For Use:

The R-Test Evolution 3 is a miniature ambulatory ECG Event Recorder that is connected to the patient. As the R-Test Evolution (previous model), this version is capable of memorizing the most significant pathological events (symptomatic or silent) as well as the patient's continuous heart rate trend, and is capable of up to eight day ambulatory recording. The registered data could be sent by a modem or by an e-mail application software.

Neik1 Ogl
(Division Sign-Off) for
B.O.Z

BDZ Division of Cardiovascular Devices

510(k) Number

Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR

N. A Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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