K Number
K042022
Date Cleared
2004-08-12

(15 days)

Product Code
Regulation Number
870.2920
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Datrix E-Tac EX-1000 Electrocardiographic Event Recorder device is intended for long-term monitoring of ambulatory cardiac patients who experience intermittent symptoms associated with cardiac arrhythmia. Upon activation by the patient, ECG data are stored for future transmission via telephone to a receiving station. Data transmission is initiated by the patient and confirmed by the receiving station. Once data are transmitted, they are immediately available for review solely by a physician or other qualified medical professionals.

Device Description

The Datrix E-Tac EX-1000 (here simply: EX-1000) Electrocardiographic [ECG] Event Recorder is intended for long-term monitoring of ambulatory cardiac patients who experience intermittent symptoms associated with cardiac arrhythmia. Lightweight and compact, the EX-1000 is designed to be as non-intrusive as possible to the patient, and can operate up for 30 days on two AAA alkaline batteries. The patient's ECG data are acquired via patient leadwires (two-lead, one-channel). At the onset of an event, the patient presses the [Record] button to store his or her ECG data in the recorder's flash memory. Events are recorded according to one of four user-selectable memory configurations. Up to two events may be recorded before transmission of the data to a compatible receiving station is required. The patient initiates data transmission via telephone by removing the patient leadwires and pressing the [Send] button, upon which the stored data are transmitted. A physician or other qualified medical professional reviews the transmitted data. Feedback on the EX-1000 recorder status is provided to the user (technician and/or patient) via a multi-colored LED and audible tones.

AI/ML Overview

Here's an analysis of the Datrix E-Tac EX-1000 Electrocardiographic Event Recorder's acceptance criteria and the study proving it meets them:

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria for the Datrix E-Tac EX-1000 are implicitly defined by its compliance with recognized performance standards and its substantial equivalence to predicate devices, particularly regarding amplitude and timing (frequency) reproduction of ECG signals.

Acceptance Criterion (Implicit)Reported Device Performance
Compliance with AAMI/ANSI EC38:1998 for Ambulatory Electrocardiographs (General performance requirements for ambulatory ECG devices)The device has been tested and conforms to AAMI/ANSI EC38:1998 Ambulatory Electrocardiographs. This implies it meets the standards' specifications for signal acquisition, recording, and basic functionality.
Accurate reproduction of timing/frequency of known input signals (No variance within or between devices). This relates to the device's ability to faithfully capture the temporal characteristics of the ECG.Met: All recorders (EX-1000 and predicates) accurately reproduced the timing/frequency of the known input signals with no variance within or between devices.
Accurate reproduction of amplitude measurements (Performance to requirements and tolerances specified in AAMI/ANSI EC38:1998 standard). This relates to the device's ability to faithfully capture the voltage characteristics of the ECG.Met: For amplitude measurements, all devices performed to requirements and tolerances specified in the AAMI/ANSI EC38:1998 standard. Additionally, a detailed comparison to predicate devices showed:EX-1000: Amplitude reproduction was not significantly different or better than all other devices in 20 of 24 cases, and not significantly different or better than at least one device in 3 of 24 cases.Only 1 of 24 cases showed significant difference for EX-1000: This occurred for a 2.0mV and 0.5 Hz input signal with measurements from EKG Speaks™ software. For the same signal with GEMS™ Lite, it was substantially equivalent to the King of Hearts Express.The overall conclusion was that the performance of the Datrix EX-1000 was substantially equivalent or better than the three predicate devices with regards to amplitude reproduction in nearly all combinations tested.
Compliance with Safety Standards: IEC 60601-1, IEC 60601-1-2, ISO 14971 (General requirements for safety, electromagnetic compatibility, and risk management).Met: The device has been tested and conforms to IEC 60601-1, IEC 60601-1-2, and ISO 14971. This indicates it meets safety, EMC, and risk management requirements.
Software firmware considered "minor level" of concern and in compliance with FDA guidance and design controls (21 CFR 820.30, FDA "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices", ISO 14971, "Medical Device Use-Safety: Incorporating Human Factors Engineering into Risk Management").Met: The firmware was designed, documented, and validated in accordance with required device Design Controls and considered "minor level" of concern. Risks were analyzed per FDA guidance.
Substantial Equivalence to Predicate Devices (Overall comparison of features, specifications, and performance).Met: The study concluded that the Datrix E-Tac EX-1000 is substantially equivalent to other predicate ambulatory ECG event recorders currently in commercial distribution, based on direct comparisons of performance (amplitude and timing reproduction) and detailed specification breakdowns in the provided tables. The device demonstrated performance that was generally equivalent or superior to the predicate devices.

2. Sample Size Used for the Test Set and Data Provenance

  • Sample Size: A total of 24 in-house simulated events were recorded. These 24 events were then transmitted twice each (2 x 24 = 48 transmissions) to two different receiving stations.
  • Data Provenance: The data was in-house simulated, meaning it was generated under controlled laboratory conditions rather than collected from actual patients.

3. Number of Experts and Qualifications for Ground Truth

  • The document does not explicitly state that human experts were used to establish ground truth for this performance testing.
  • Instead, the ground truth was based on "known input signals." This implies that the amplitude and frequency characteristics of the signals fed into the devices were precisely defined and known beforehand due to their simulated nature.

4. Adjudication Method for the Test Set

  • There was no explicit adjudication method described for the test set in the traditional sense (e.g., 2+1, 3+1).
  • Since the study used "known input signals" as the ground truth, the comparison was directly between the device's output and these pre-defined, objective reference signals. Measurements were taken from printouts, implying direct quantitative comparison rather than a qualitative human assessment requiring adjudication.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

  • No MRMC comparative effectiveness study was done. This study focused on the technical performance of the device itself (measurement accuracy) rather than its impact on human reader performance or diagnosis. The ECG data transmission is for a physician or qualified medical professional to review, but the study did not evaluate human interpretation.

6. Standalone (Algorithm Only) Performance

  • Yes, standalone performance was evaluated. The study measured the ability of the EX-1000 (and predicate devices) to accurately reproduce amplitude and timing/frequency of known input signals without human interaction in the measurement process (beyond setting up the simulation and taking measurements from printouts). The device's firmware handles the acquisition, storage, and transmission of data autonomously. The comparison was device-to-predicate and device-to-ground truth (known input signals).

7. Type of Ground Truth Used

  • The ground truth used was based on precisely controlled and "known input signals." This is a form of objective, engineered ground truth where the exact characteristics (amplitude and frequency) of the test signals are defined prior to testing.

8. Sample Size for the Training Set

  • The document does not mention a training set in the context of machine learning or AI. This device appears to be a hardware-based event recorder with firmware, not a learning algorithm. The "firmware" was designed, documented, and validated according to design controls, implying traditional software engineering development and testing, not a dataset-driven training process.

9. How Ground Truth for the Training Set Was Established

  • As there was no stated training set for a machine learning model, this question is not applicable. The device's functionality is based on its direct electronic processing of ECG signals according to its engineering design and firmware instructions.

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AUG 1 2 2004

510(k) Summary of Safety and Effectiveness

Submitter:Datrix, Inc.340 State PlaceEscondido, CA 92029 USA
Phone:(760) 480-8874
Fax:(760) 480-9474
Contact:Lauren Luhmann, Quality Assurance Manager
Date Prepared:July 15, 2004
Trade Name:E-Tac EX-1000 Electrocardiographic Event Recorder
Common Name:Ambulatory ECG Event Recorder
Classification Name:Telephone electrocardiographic transmitter and receiver(class 2 device; 21 CFR 870.2920; product code: DXH)
Predicate Devices:

Predicate Devices

  • Instromedix King of Hearts Express 3x [K920984] .
  • Braemar ER300 series (ER300, ER310, ER320) [K923930] .
  • Braemar ER700 series (ER710 and ER720) [K981394] .

Indications for Use

The Datrix E-Tac EX-1000 Electrocardiographic Event Recorder device is intended for long-term monitoring of ambulatory cardiac patients who experience intermittent symptoms associated with cardiac arrhythmia. Upon activation by the patient, ECG data are stored for future transmission via telephone to a receiving station. Data transmission is initiated by the patient and confirmed by the receiving station. Once data are transmitted, they are immediately available for review solely by a physician or other qualified medical professionals.

Description

The Datrix E-Tac EX-1000 (here simply: EX-1000) Electrocardiographic [ECG] Event Recorder is intended for long-term monitoring of ambulatory cardiac patients who experience intermittent symptoms associated with cardiac arrhythmia. Lightweight and compact, the EX-1000 is designed to be as non-intrusive as possible to the patient, and can operate up for 30 days on two AAA alkaline batteries. The patient's ECG data are acquired via patient leadwires (two-lead, one-channel). At the onset of an event, the patient presses the [Record] button to store his or her ECG data in the recorder's flash memory. Events are recorded according to one of four user-selectable memory configurations. Up to two events may be recorded before transmission of the data to a compatible receiving station is required. The patient initiates data transmission via telephone by removing the patient leadwires and pressing the [Send] button, upon which the stored data are transmitted. A physician or other qualified medical professional reviews the transmitted data. Feedback on the EX-1000 recorder status is provided to the user (technician and/or patient) via a multi-colored LED and audible tones.

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Standards/Guidance Documents

  • AAMI/ANSI EC38:1998 Ambulatory Electrocardiographs .
  • IEC 60601-1, Medical Electrical Equipment Part 1: General Requirements . for Safety, 1988; Amendment 1, 1991-11, Amendment 2, 1995-03
  • AAMI / ANSI / IEC 60601-1-2:2001, Medical Electrical Equipment Part 1-. 2: General Requirements for Safety - Collateral Standard: Electromagnetic Compatibility - Requirements and Tests
  • ISO 14971, "Medical devices --- Application of risk management to medical . devices" (December 15, 2000)
  • Partially Applicable: Cardiac Monitor Guidance (including Cardiotachometer . and Rate Alarm); Final, Version 1.0, November 5, 1998.
  • Guidance for the Content of Premarket Submissions for Software Contained . in Medical Devices; Final, May 29, 1998.
  • Medical Device Use-Safety: Incorporating Human Factors Engineering into . Risk Management, July 18, 2000.

Operational Principle(s)

The operational principles for the EX-1000 are as follows: ECG data are acquired via patient leadwires, sampled with an analog/digital converter, and subsequently saved to the flash memory. Stored ECG data are transmitted to a compatible receiving station utilizing FM Modulation and Frequency Shift Keying techniques. Transmission characteristics include carrier center frequency, carrier deviation, and transmission speeds commensurate with the predicate devices, which ensure compatibility with many commercially available receiving stations.

System Descriptions

  • Modes of Operation: 1 .
    • Monitoring mode- ECG data continuously acquired and written to flash . memory in a loop. The size of the looping memory varies according to one of four selectable memory configurations.
    • Recording mode when the patient presses the [Record] button, data are . stored in flash memory until transmitted.
    • Transmission mode data are transmitted via telephone to a compatible . receiving station
  • Software Software pertaining to the EX-1000 consists of the firmware 2. instructions to the microcontroller for managing the different functions of the recorder. The firmware is considered to be of "minor level" of concern as evaluated using the FDA's "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices, Final" (May 29, 1998). Software

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Documentation was provided in the submission commensurate with this evaluation. The firmware was designed, documented, and validated in accordance with required device Design Controls [i.e., 21 CFR 820.30]. Risks associated with the firmware were analyzed in accordance with FDA's Guidance "Medical Device Use-Safety: Incorporating Human Factors Engineering into Risk Management" (July 18, 2000), and ISO 14971, "Medical devices -- Application of risk management to medical devices" (December 15, 2000).

Performance Testing

In addition to thorough verification and validation testing, the Datrix E-Tac EX-1000 has been tested and conforms to the following recognized performance standard for safety and effectiveness:

  • AAMVANSI EC38:1998 Ambulatory Electrocardiographs .
    By the time of marketing, the Datrix E-Tac EX-1000 has and will have been further tested to conform to the following recognized safety standards:

  • IEC 60601-1. Medical Electrical Equipment Part 1: General Requirements . for Safety, 1988; Amendment 1, 1991-11, Amendment 2, 1995-03

  • AAMI / ANSI / IEC 60601-1-2:2001, Medical Electrical Equipment Part 1-. 2: General Requirements for Safety - Collateral Standard: Electromagnetic Compatibility - Requirements and Tests

  • ISO 14971, "Medical devices Application of risk management to medical . devices" (December 15, 2000)

Predicate Device Performance Comparisons

Compliance to the ISO 14971 risk assessment requirements was accomplished by demonstrating in-house conformance to safety and reliability standards for acquiring, recording and transmission of known input signals. In addition to testing to AAMI/ANSI EC38:1998, verification, and validation, a predicate comparison test was conducted between the EX-1000 and the listed predicate devices. Performance of each device was evaluated over a range of input amplitudes and frequencies. A total of 24 in-house simulated events were recorded, and subsequently transmitted twice (2 x 24), once each to two separate, commercially available receiving stations (GEMS™ Lite and EKG Speaks TM). Reports were printed out from each receiving station, and multiple measurements of each transmitted event were made of 2 key data characteristics: amplitude and timing (frequency). Results are summarized as follows:

  • . All recorders (EX-1000 and predicates) accurately reproduced the timing/frequency of the known input signals with no variance within or between devices.
  • . For amplitude measurements, all devices performed to requirements and tolerances specified in the AAMI/ANSI EC38:1998 standard.

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  • Twelve of the 24 combinations of amplitude, frequency, and receiving station . combinations tested were input signals for frequencies at 25Hz; the remaining twelve were at 40Hz. All devices showed amplitude attenuation commensurate with their bandwidth specifications.
    Two in-house, three-factor ANOVA evaluations were performed separately on amplitude data from each of the receiving stations. Results and statistical analyses indicated that performance of the Datrix EX-1000 was substantially equivalent or better than the three predicate devices with regards to amplitude reproduction in nearly all combinations of input amplitudes, input frequencies, and receiving stations (total of 24 cases). The following Performance Table summarizes these statistical results:
DeviceAmplitudereproduction notsignificantlydifferent or betterthan all otherdevicesAmplitudereproduction notsignificantlydifferent or betterthan at least onedeviceAmplitudereproductionsignificantlydifferent thanother devicesStatistic
EX-100020 of 24 cases3 of 24 cases1 of 24 cases†p <0.001
ER32011 of 24 cases13 of 24 cases0 of 24 casesp <0.001
ER7209 of 24 cases8 of 24 cases7 of 24 cases*p <0.001
King of HeartsExpress6 of 24 cases15 of 24 cases3 of 24 cases‡p <0.001

† This case occurred for an input signal of 2.0mV and 0.5 Hz with measurements taken from printouts generated by the EKG Speaks™ receiving station software. For the same signal when evaluated using the GEMS™ Lite receiving station, the EX-1000 was substantially equivalent to the King of Hearts Express recorder. See the note (+) below for further explanation.

  • 5 of these cases were in the high frequency range, and significantly different results may be affected by bandwidth specifications.

  • all 3 cases were for the low frequency (0.5Hz) measurements taken using the EKG Speaks™ receiving station software. The same effect was not seen with the GEMSTM Lite receiving station. Filtering algorithms used by the EKG Speaks™ program may have affected these results.

The Comparison Tables on the following pages provide comparisons of the features and specifications of the EX-1000 device and each of the predicate devices.

Conclusion

The Datrix E-Tac EX-1000 is substantially equivalent to other predicate ambulatory ECG event recorders currently in commercial distribution.

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SpecificationDatrix E-TacEX-1000InstromedixKing of Hearts(From the manual)BraemarER 300 series(From the manual)BraemarER 700 series
Intended UseThe Datrix E-Tac EX-1000Electrocardiographic EventRecorder device is intendedfor long-term monitoring ofambulatory cardiac patientswho experience intermittentsymptoms associated withcardiac arrhythmia. Uponactivation by the patient,ECG data are stored forfuture transmission viatelephone to a receivingstation. Data transmissionis initiated by the patientand confirmed by thereceiving station. Once data The King of HeartsExpress® 3X™ cardiacevent recorder is a patient-activated device designedfor diagnostic evaluation oftransient symptoms such asdizziness, palpitations andchest pain. The King ofHearts Express® 3X™ hasfive minutes of loopingECG memory to captureECG data both before andafter the patient experiencesa cardiac symptom. Thefrequency response is .05 to30Hz The ER300 Series EventRecorders are battery operated,solid state patient activated eventrecorders designed to recorderinfrequent and elusive heartarrhythmias. The recorders offerten preprogrammed recordingoptions and will operate for aminimum of 7 days with a 9Valkaline battery. To record infrequent andelusive ECG heartarrhythmia data. Once anevent is recorded, patientstransmit the recorded ECGdata over the telephone. Or,as an alternative, the ER700Series allows the ECG datato be transferred directly toa host PC if the patientreturns the unit to the clinic.
StandardsPerformanceAAMI/ANSI EC38unknownunknownAAMI/ANSI EC38
SafetyIEC60601-1 +A1 +A2unknownunknownIEC60601-1 +A1 +A2
EMCIEC60601-1-2unknownunknownIEC60601-1-2
Specification
OperationalPrinciplesAcquire Data: BandwidthDatrix E-TacEX-1000InstromedixKing of HeartsBraemarER 300 seriesBraemarER 700 series
.05 - 35 Hz -3db.05 - 35 Hz -3dbER300: .5 -35 HzER310/320: .05- 30 Hz.05 - 30 Hz
Input Impedance>5M ohm2M ohm5M ohm2M ohm
Signal Input Range±2.5 mV2 mV±2 mV±2mV
Common ModeRejection>60 db60 dbNot available60 db
ECG Channels111 or 2ER710 - 1,ER720 - 2
Digitize Data:
Resolution8 bit$15.6 \mu V$8 bit8 bit
Sample Rate128 samples/sec218 Hz120/sec.120/sec.
Record Data
Looping memoryYesYesER300: No (post)ER310/320: YesYes
Memory TypeFlashMicroprocessor basedRAMFlash
Max. Recording Duration360 sec.300 sec.ER300: 270 sec.,ER310: 240 pre/135 postER 320: 240 pre/100 post1 channel: 955 sec.2 channels: 477 sec.
Maximum # of Events2602120
SpecificationDatrix E-TacEX-1000InstromedixKing of HeartsBraemarER 300 seriesBraemarER 700 series
Operational Principles(continued):Data Transmission:
Center FrequencyTranstelephonic (TTP)FM Modulation, FSK1900 HzTranstelephonic (TTP)FM Modulation, FSK1900 HzTranstelephonic (TTP)FM Modulation1900 HzTranstelephonic (TTP)FM Modulation; ordownload to PC, RS2321900 Hz
Deviation100 Hz/mV100 Hz/mV100 Hz/mV100 Hz/mV
Transmission Speed1x or 3x1x or 3x1x1x or 3x
User Interface
Start recorderInsert batteries, insertleadwiresInsert batteries, insertleadwiresER300: Insert battery, press[Record] and [Play] buttons atsame timeER310/320: Insert battery, press[On/Erase] buttonInsert batteries, insertleadwires
RecordingPress [Record] buttonPress [Record] buttonER300: Press [Record] buttonER310/320: Press [Play/Record]buttonPress [Event/Send] button
Transmit DataRemove leadwires, press[Send] buttonRemove leadwires1x: press [Send] button3x: press [Send] and[Record] buttons sequenceER300: Press [Play] buttonER310/320: remove leadwires,press [Play/Record] buttonRemove leadwires, press[Send] button
Erase DataFollowing transmission orstartup, insert leadwiresFollowing transmission,insert leadwiresER300: Press [Play] and[Record] buttons togetherER310/320: Press [On/Erase]Following transmission,insert leadwires
FeedbackLED, audible tonesLCD, audible tonesER300: audible tonesER310/320: LED, audible tonesLCD, audible tones
Selectable/programmableDipswitchesInsert program key, selectusing buttonsVarious sequence of buttonsInsert program plug, selectusing buttons

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SpecificationDatrix E-Tac EX-1000Instromedix King of HeartsBraemar ER 300 seriesBraemar ER 700 series
PowerRequirements
Battery2- AAA alkaline2- AAA alkaline9V alkaline2 - AAA alkaline
Battery Life30 days7 daysER300: 30days,ER310/320: 19 days7 days
Physical SpecsDimension, inches2.5 x 1.6 x 0.573.38 x 2.13 x 0.65ER 300: 4.15 x 2.39 x 1.06ER 310/320: 4.15 x 2.39 x 0.863.5 x 2.125 x .65
Weight (w/batteries)1.5 oz.3.5 oz.ER 300: 5.6 oz.ER 310/320: 3 oz.3.5 oz.
ColorBlackBlackBlackBlack
EnclosureABS, IPX0Not availableMolded Plastic (UL94V-0)Molded Plastic (UL94V-0)
EnvironmentalOperating Temp.0-45° C10-40°C0-45° C0-45° C
Storage Temp.-20-65° C-10-+60°C-20-+65° C-20-+65° C
Operating Humidity(non-condensing)5-95%10-95%10-95%10-95%
Non-operating Humidity5-95%Not available5-95%5-95%

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Image /page/8/Picture/2 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized depiction of an eagle or bird with outstretched wings, rendered in black. The bird is positioned above the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA", which is arranged in a circular fashion around the top portion of the logo.

AUG 1 2 2004

Datrix, Inc. c/o Alfredo J. Quattrone, Ph.D., D.A.B.T. California Department of Health Services Food and Drug Branch Medical Device Safety Section, MS 7602 1500 Capitol Avenue Sacramento, CA 95814

Re: K042022

Trade Name: Datrix E-Tac EX-1000 ECG Event Recorder Regulation Number: 21 CFR 870.2920 Regulation Name: DXH Regulatory Class: II (two) Regulatory Class: It (viro)
Product Code: Telephone Electrocardiograph Transmitter and Receiver Dated: August 6, 2004 Received: August 9, 2004

Dear Dr. Quattrone:

We have reviewed your Section 510(k) premarket notification of intent to market the device indication we nave reviewed your Section 910(x) premaired is substantially equivalent (for the indications felerenced above and nave determined ly marketed predicate devices marketed in interstate 10 tuse stated in the enclosure) to regarry manates of the Medical Device Amendments, or to
commerce prior to May 28, 1976, the enactment date of the Federal Food Frya commerce prof to hay 28, 1776, the enaontance with the provisions of the Federal Food. Drug, devices that have been recatismed in accessfroval of a premarket approval application (PMA).
and Cosmetic Act (Act) that do not require approval of a premarket approval appli and Cosment Act (Act) that do not require subject to the general controls provisions of the Act. The Y ou may, therefore, market the act include requirements for annual registration, listing of general controls provisions of the rist 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 (SCP above) the existing major regulations affecting your device can
may be subject to such additional controls. Existing major may be subject to such additional connections, Title 21, Parts 800 to 898. In addition, FDA may be found in the Ood of Pourist concerning your device in the Federal Register.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

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Page 2 – Alfredo J. Quattrone, Ph.D., D.A.B.T.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that FDA s issualice of a substition requirements of the Act
that FDA has made a determination that your device of a caleral accepcios. You must that FDA has made a delefinitiation that your acrises by other Federal agencies. You must a or any Federal statules and regulations duminstered of end limited to: registration and listing (21
comply with all the Act's requirements, including, but not limited to: req comply with all the Act s requirements, more and course requirements as set CFR Part 807); labeling (21 CFR Part 801); good manager (20); and if applicable, the electronic
forth in the quality systems (QS) regulation (2) CFR 1000 (2) CFR 1000 1050 forth in the quality systems (QS) regulation (21-542 of the Act); 21 CFR 100-1050.
product radiation control provisions (Sections 531-542 of the Action S product radiation control provisions (Sections our device as described in your Section 510(k)
This letter will allow you to begin marketing your device of your device to a le I his letter will anow you to begin maneling your avvel equivalence of your device to a legally premarket notification. The PDA miding of backanda experies and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (1 CFR Part 801), please If you desire specific advice for your act (301) 594-4646. Also, please note the regulation entitled, contact the Office of Compilance as (s st ) it ) it (21CFR Part 807.97) you may obtain. "Misbranding by reference to premation on your responsibilities under the Act may be obtained from the Other general information on your responsional 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,

Niel R.P. Ogden

Bram D. Zuckerman, 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

510(k) Number:K042022
Device Name:Datrix E-Tac EX-1000 Electrocardiographic Event Recorder
Indications for Use:The Datrix E-Tac EX-1000 Electrocardiographic Event Recorderdevice is intended for long-term monitoring of ambulatorycardiac patients who experience intermittent symptomsassociated with cardiac arrhythmia. Upon activation by thepatient, ECG data are stored for future transmission viatelephone to a receiving station. Data transmission is initiatedby the patient and confirmed by the receiving station. Oncedata are transmitted, they are immediately available for reviewsolely by a physician or other qualified medical professionals.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescriptive Use _ X

OR Over-The-counter Use

(Per 21 CFR 801.109)

Nail R. Ogden for 302

היישוב להיירה ל

510(k) Number K042022

§ 870.2920 Telephone electrocardiograph transmitter and receiver.

(a)
Identification. A telephone electrocardiograph transmitter and receiver is a device used to condition an electrocardiograph signal so that it can be transmitted via a telephone line to another location. This device also includes a receiver that reconditions the received signal into its original format so that it can be displayed. The device includes devices used to transmit and receive pacemaker signals.(b)
Classification. Class II (performance standards).