K Number
K051450
Device Name
EXTENDED MEASUREMENTS SYSTEM
Date Cleared
2005-11-10

(161 days)

Product Code
Regulation Number
870.1875
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Extended Measurements System, when used with AUDICOR Sensors on the chest wall, is intended for use in acquiring, analyzing and reporting ECG and heart sound data and to provide interpretation of the data in an integrated COR report for consideration by physicians. In addition the data can be presented in the format of real-time and trended display of cardiac indices derived from simultaneous ECG data and heart sounds data. The Extended Measurements System can be used as an add-on device to work in conjunction with an AUDICOR-enabled device, or as a stand-alone electrocardiograph. The interpretations of ECG and heart sound data offered by the device are only significant when used in conjunction with physician over read as well as consideration of other relevant patient data. The device is intended for use only under the direct supervision of a physician, and is for use on adults (≥ 18 years).
Device Description
The Extended Measurements System is a software-based device that that can be installed into a compatible computer to communicate with an AUDICOR-capable device via a Blue tooth interface. The Extended Measurements system will also be offered as a stand-alone electrocardiograph/ monitoring device.
More Information

Not Found

No
The summary explicitly states "Mentions AI, DNN, or ML: Not Found" and provides no other indication of AI/ML use in the device description or performance studies.

No
The device is described as acquiring, analyzing, and reporting ECG and heart sound data, providing interpretation for physician consideration, and displaying cardiac indices. It is an electrocardiograph/monitoring device used for diagnostic purposes, not for treating any condition.

Yes

Explanation: The "Intended Use / Indications for Use" section states the device is intended for "acquiring, analyzing and reporting ECG and heart sound data and to provide interpretation of the data in an integrated COR report for consideration by physicians." Furthermore, the performance studies mention compliance with "ANSI/AAMI EC-11 Standard for Diagnostic Electrocardiographic Devices," explicitly indicating its diagnostic nature.

No

The device description explicitly states it communicates with an "AUDICOR-capable device" and can be used with "AUDICOR Sensors on the chest wall," indicating reliance on external hardware components for data acquisition.

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

Here's why:

  • IVD definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device function: The Extended Measurements System acquires, analyzes, and reports ECG and heart sound data directly from the patient's chest wall using sensors. This is a non-invasive process that does not involve testing samples taken from the body.
  • Intended Use: The intended use clearly describes the acquisition and analysis of physiological signals (ECG and heart sounds) from the patient's body.

Therefore, the device falls under the category of a medical device that performs physiological measurements, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Extended Measurements System, when used with AUDICOR Sensors on the chest wall, is intended for use in acquiring, analyzing and reporting ECG and heart sound data and to provide interpretation of the data in an integrated COR report for consideration by physicians. In addition the data can be presented in the format of real-time and trended display of cardiac indices derived from simultaneous ECG data and heart sounds data.

The Extended Measurements System can be used as an add-on device to work in conjunction with an AUDICOR-enabled device, or as a stand-alone electrocardiograph.

The interpretations of ECG and heart sound data offered by the device are only significant when used in conjunction with physician over read as well as consideration of other relevant patient data.

The device is intended for use only under the direct supervision of a physician, and is for use on adults (≥ 18 years).

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

DQD

Device Description

The Extended Measurements System is a software-based device that that can be installed into a compatible computer to communicate with an AUDICOR-capable device via a Blue tooth interface. The Extended Measurements system will also be offered as a stand-alone electrocardiograph/ monitoring device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

chest wall

Indicated Patient Age Range

adults (≥ 18 years)

Intended User / Care Setting

only under the direct supervision of a physician

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)

The Extended Measurements System was tested to the applicable requirements of the following standards, and shown to comply.
ANSI/AAMI EC-11 Standard for Diagnostic Electrocardiographic Devices EN 60601-1 (UL 60601-1) Standard for Medical Electrical Equipment: General Requirements for Safety EN 60601-1-2 Standard for Medical Electrical Equipment Part 1-2: General Requirements for Safety - Collateral Standard: Electromagnetic Compatibility - Requirements and Tests IEC 60601-2-25 Medical Electrical Equipment Part 2: Particular requirements for the safety of electrocardiographs

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.

K043074

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

§ 870.1875 Stethoscope.

(a)
Manual stethoscope —(1)Identification. A manual stethoscope is a mechanical device used to project the sounds associated with the heart, arteries, and veins and other internal organs.(2)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.(b)
Electronic stethoscope —(1)Identification. An electronic stethoscope is an electrically amplified device used to project the sounds associated with the heart, arteries, and veins and other internal organs.(2)
Classification. Class II (special controls). The device, when it is a lung sound monitor, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

0

K051450

Inovise Medical, Inc.

Extended Measurements Modification to AUDICOR® 200 System

NOV 1 0 2005

Summary of Safety and Effectiveness

As required by 21 CFR, part 807.92
Submitted By:Inovise Medical, Inc.
10565 SW Nimbus Ave, Suite 100
Portland, OR 97233-4311
Phone 503-431-3837
Fax 503-431-3801
Contact:Steve Hesler
Director, Quality and Regulatory
Date Prepared:May 30, 2005
Proprietary
Name:Extended Measurements AUDICOR System
Common/ Usual
Name:Electrocardiograph
Classification:870.2340, 74 DPS
Performance
Standards:AANSI/AAMI EC 11
Intended Use:The Extended Measurements System, when used with AUDICOR Sensors on the
chest wall, is intended for use in acquiring, analyzing and reporting ECG and heart
sound data and to provide interpretation of the data in an integrated COR report for
consideration by physicians. In addition the data can be presented in the format of
real-time and trended display of cardiac indices derived from simultaneous ECG
data and heart sounds data.

The Extended Measurements System can be used as an add-on device to work in
conjunction with an AUDICOR-enabled device, or as a stand-alone
electrocardiograph.

The interpretations of ECG and heart sound data offered by the device are only
significant when used in conjunction with physician over read as well as
consideration of other relevant patient data.

The device is intended for use only under the direct supervision of a physician, and
is for use on adults (≥ 18 years). |
| Device
Description: | The Extended Measurements System is a software-based device that that can be
installed into a compatible computer to communicate with an AUDICOR-capable
device via a Blue tooth interface. The Extended Measurements system will also
be offered as a stand-alone electrocardiograph/ monitoring device. |
| Test Summary &
Conclusion: | The Extended Measurements System was tested to the applicable requirements of
the following standards, and shown to comply.
ANSI/AAMI EC-11 Standard for Diagnostic Electrocardiographic Devices EN 60601-1 (UL 60601-1) Standard for Medical Electrical Equipment: General
Requirements for Safety EN 60601-1-2 Standard for Medical Electrical Equipment Part 1-2: General
Requirements for Safety - Collateral Standard: Electromagnetic Compatibility -
Requirements and Tests IEC 60601-2-25 Medical Electrical Equipment Part 2: Particular requirements
for the safety of electrocardiographs |

1

Substantial Equivalence:

The Inovise Medical Extended Measurements System is substantially equivalent to the AUDICOR® 200 system (K043074, cleared as Liberty).

Technological Characteristics:

The Extended Measurements System and the AUDICOR predicate device are technologically equivalent in that both acquire 12 lead ECG and heart sounds data from adult patients then present the data in the COR report format which includes graphic display of MI and LVH conditions along with detection and display of S3 and S4 heart sounds.

The Extended Measurements System adds the capability of displaying and monitoring cardiac indices derived form the ECG and hearts sounds information. These indices include:

  • . Left Ventricular Systolic Time (LVST)
  • Left Ventricular Diastolic Time (LVDT) .
  • Pre-atrial Diastolic Filling Time (PADT) .
  • Accelerated Atrial Filling Time (AAFT) .
  • QS1 (EMAT) .
  • � QS2
  • R-R Interval .
  • � S3 Evidence
  • S4 Evidence .
  • S1 Intensity .
  • S2 Intensity t
  • S1/S2 Intensity Ratio ↓

2

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health and Human Services (HHS). The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH AND HUMAN SERVICES. USA" arranged around the perimeter. Inside the circle is a stylized graphic of three human profiles facing to the right, stacked on top of each other.

Public Health Service

NOV 1 0 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Steve Hesler Director, Quality and Regulatory Inovise Medical Inc. 10565 SW Nimbus Ave, Suite 100 Portland, OR 97223-4311

Re: K051450

Trade Name: AUDICOR® Extended Measurements System Regulation Number: 21 CFR 870.1875 Regulation Name: Electronic Stethoscope Regulatory Class: Class II (two) Product Code: DQD Dated: May 31, 2005 Received: June 2, 2005

Dear Mr. Hesler:

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.

3

Page 2 - Mr. Steve Hesler

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 (240) 276-0120. 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/industry/support/index.html.

Sincerely yours,

Bhimmar for

Bram D. Zuckerman, M.D. 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): K051450

Extended Measurements AUDICOR System Device Name:

Indications For Use:

The Extended Measurements System, when used with Audicor Sensors on the chest wall, is intended for use in acquiring, analyzing and reporting ECG and heart sound data and to provide interpretation of the data in an integrated COR report for consideration by physicians. In addition, the data can be presented in the format of real-time and trended display of cardiac indices derived from simultaneous ECG data and heart sounds data.

The Extended Measurements System can be used as an add-on device to work in conjunction with an Audicor-enabled device, or as a stand-alone electrocardiograph.

The interpretations of ECG and heart sound data offered by the device are only significant when used in conjunction with physician over read as well as consideration of other relevant patient data.

The device is intended for use only under the direct supervision of a physician, and is for use on adults (> 18 years).

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Bhumimmar

Division of Cardlovascular Devices

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