K Number
K051883
Device Name
DATEX-OHMEDA S/5 EEG MODULE, E-EEG AND DATEX-OHMEDA S/5 EEG HEADBOX, N-EEG AND ACCESSORIES.
Manufacturer
Date Cleared
2005-08-05

(24 days)

Product Code
Regulation Number
882.1400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Datex-Ohmeda S/5™ EEG module , E-EEG and the Datex-Ohmeda S/5™ EEG headbox, N-EEG and accessories are intended to be used with Datex-Ohmeda modular multiparameter monitors for monitoring neurophysiological status of hospitalized patients. The Datex-Ohmeda S/5™ EEG module , E-EEG and the Datex-Ohmeda S/5™ EEG headbox, N-EEG and accessories are indicated for monitoring of electroencephalograph (EEG), frontal electromyograph (FEMG) and auditory evoked potentials (AEP) of all hospital patients. The device is indicated for use by qualified medical personnel only.
Device Description
The Datex-Ohmeda S/5M EEG module, E-EEG is a single-width plug-in parameter module for a a Datex-Ohmeda modular monitoring system. The Datex-Ohmeda EEG module, E-EEG is for controlling the EEG, FEMG and AEP measurements in the N-EEG. The Datex-Ohmeda EEG headbox, N-EEG is a separate preamplifier and measurement unit for EEG, FEMG and AEP measurements. N-EEG can measure up to 4 real-time EEG waveform channels and an FEMG measurement from one channel. It can also measure AEP from two channels. The N-EEG can only be used with the Datex-Ohmeda EEG module, E-EEG. The Datex-Ohmeda EEG module, E-EEG can be used with the following Datex-Ohmeda modular monitors: S/5TM Anesthesia Monitor (AM) with main software S-ANE99(A) or L-ARK99(A) or newer S/5™ Compact Anesthesia Monitor (CAM) with main software S-ANE99(A) or L-ARK99(A) or newer S/5TM Critical Care Monitor (CCM) with main software L-ICU99(A) or newer. S/57M Compact Critical Care Monitor (CCCM) with main software L-ICU99(A) or newer. The raw EEG signal is displayed from all the monitored channels. The waveform size, color and sweep speed can be adjusted. Spectral analysis is performed on all of the measured EEG channels. Total power is calculated, and several parameters are calculated based on the power spectrum of the signal. The burst suppression pattern is detected, and suppression ratio is calculated. All the calculated parameters can be selected on the display, and trended. For auditory evoked potentials, the stimulation intensity and frequency can be set, and the number of averaged responses can be determined. The averaged AEP can be stored and markers can be set manually. Six sets of AEP's can be stored and printed. One of the saved responses can be selected as a reference on screen. Electrode impedance is measured automatically, when the electrodes are attached, and during monitoring at user-defined intervals. There are no alarms associated with the measurement, except for a message and an auditory beep for leads off situations. To simplify the patient connections, a series of preconfigured lead sets for different EEG measurements are available. The lead wires are connected together by a plastic piece, which has labels indicating where to attach which lead. The lead wire goes through the plug so that the connectors of the wire are visible from the other side to be plugged into the headbox. The lead set has an identification pin by which the monitor can automatically select the correct montage. There are 8 different lead sets, of which 3 are preconfigured and 5 are empty ones, for the user's own montages. The length of the leads is 0.60 m. The headphones for AEP monitoring are connected to a standard 3.5 mm stereo female plug in the headbox. The headphones supplied by Datex-Ohmeda generate the sound wave in a speaker, from where the pulse is transmitted to the ear through plastic tubes. Standard safety pin EEG leads and commercial headphones can also be used with the device. The accessories are the same for the E- EEG module and the predicate device, the M- EEG (K000892).
More Information

Not Found

No
The description focuses on signal processing techniques (spectral analysis, burst suppression detection, averaging) and hardware components, with no mention of AI or ML algorithms.

No
The device is used for monitoring neurophysiological status, specifically electroencephalograph (EEG), frontal electromyograph (FEMG), and auditory evoked potentials (AEP). It does not administer any therapy or treatment.

Yes

The device is indicated for monitoring various physiological signals (EEG, FEMG, AEP) to assess the "neurophysiological status of hospitalized patients," which inherently involves gaining information to help diagnose conditions or understand a patient's state.

No

The device description clearly outlines hardware components including the EEG module (E-EEG), EEG headbox (N-EEG), and accessories like lead sets and headphones. While software is involved in processing and displaying data, the device is not solely software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices intended for use in vitro for the examination of specimens, including blood, tissue, and urine, derived from the human body, solely or principally for the purpose of providing information concerning a physiological or pathological state, or concerning a congenital abnormality.
  • Device Function: The Datex-Ohmeda S/5™ EEG module and headbox are used for monitoring neurophysiological status by measuring electrical activity directly from the patient's body (EEG, FEMG, AEP). This is an in vivo measurement, not an in vitro examination of a specimen.
  • Intended Use: The intended use clearly states monitoring of hospitalized patients and their neurophysiological status. It does not mention the analysis of biological specimens.

Therefore, the device falls under the category of a medical device for physiological monitoring, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

Intended Use: The Datex-Ohmeda S/5TM EEG module , E-EEG and the Datex-Ohmeda S/5TM EEG headbox, N-EEG are intended to be used with Datex-Ohmeda modular multiparameter monitors for monitoring neurophysiological status of hospitalized patients.

Indications for use: The Datex-Ohmeda S/5™ EEG module , E-EEG and the Datex-Ohmeda S/5™ EEG headbox, N-EEG and accessories are indicated for monitoring of electroencephalograph (EEG), frontal electromyograph (FEMG) and auditory evoked potentials (AEP) of all hospital patients. The device is indicated for use by qualified medical personnel only.

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

GWQ, GWJ, GWS, OLT, GWJ, OMC, MHX, MLD, ORT

Device Description

The Datex-Ohmeda S/5M EEG module, E-EEG is a single-width plug-in parameter module for a a Datex-Ohmeda modular monitoring system. The Datex-Ohmeda EEG module, E-EEG is for controlling the EEG, FEMG and AEP measurements in the N-EEG. The Datex-Ohmeda EEG headbox, N-EEG is a separate preamplifier and measurement unit for EEG, FEMG and AEP measurements. N-EEG can measure up to 4 real-time EEG waveform channels and an FEMG measurement from one channel. It can also measure AEP from two channels. The N-EEG can only be used with the Datex-Ohmeda EEG module, E-EEG.

The Datex-Ohmeda EEG module, E-EEG can be used with the following Datex-Ohmeda modular monitors: S/5TM Anesthesia Monitor (AM) with main software S-ANE99(A) or L-ARK99(A) or newer S/5™ Compact Anesthesia Monitor (CAM) with main software S-ANE99(A) or L-ARK99(A) or newer S/5TM Critical Care Monitor (CCM) with main software L-ICU99(A) or newer. S/57M Compact Critical Care Monitor (CCCM) with main software L-ICU99(A) or newer. The raw EEG signal is displayed from all the monitored channels. The waveform size, color and sweep speed can be adjusted. Spectral analysis is performed on all of the measured EEG channels. Total power is calculated, and several parameters are calculated based on the power spectrum of the signal. The burst suppression pattern is detected, and suppression ratio is calculated. All the calculated parameters can be selected on the display, and trended. For auditory evoked potentials, the stimulation intensity and frequency can be set, and the number of averaged responses can be determined. The averaged AEP can be stored and markers can be set manually. Six sets of AEP's can be stored and printed. One of the saved responses can be selected as a reference on screen. Electrode impedance is measured automatically, when the electrodes are attached, and during monitoring at user-defined intervals. There are no alarms associated with the measurement, except for a message and an auditory beep for leads off situations. To simplify the patient connections, a series of preconfigured lead sets for different EEG measurements are available. The lead wires are connected together by a plastic piece, which has labels indicating where to attach which lead. The lead wire goes through the plug so that the connectors of the wire are visible from the other side to be plugged into the headbox. The lead set has an identification pin by which the monitor can automatically select the correct montage. There are 8 different lead sets, of which 3 are preconfigured and 5 are empty ones, for the user's own montages. The length of the leads is 0.60 m. The headphones for AEP monitoring are connected to a standard 3.5 mm stereo female plug in the headbox. The headphones supplied by Datex-Ohmeda generate the sound wave in a speaker, from where the pulse is transmitted to the ear through plastic tubes. Standard safety pin EEG leads and commercial headphones can also be used with the device. The accessories are the same for the E- EEG module and the predicate device, the M- EEG (K000892).

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

qualified medical personnel only / hospitalized patients

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.

K000892

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

§ 882.1400 Electroencephalograph.

(a)
Identification. An electroencephalograph is a device used to measure and record the electrical activity of the patient's brain obtained by placing two or more electrodes on the head.(b)
Classification. Class II (performance standards).

0

Page 1 of 4

・・

AUG 5 - 2005

Premarket Notification 510(k) Summary As required by section 807.92 Datex-Ohmeda S/5™ EEG Module, E-EEG and Datex-Ohmeda S/5™ EEG Headbox, N-EEG and Accessories

GENERAL COMPANY INFORMATION as required by 807.92(a)(1)

COMPANY NAME/ADDRESS/PHONE/FAX;

GE Healthcare 86 Pilgrim Road Needham, MA 02492 USA Tel: 781-449-8685 Fax: 781-433-1344

NAME OF CONTACT:

Mr. Joel Kent

DATE:

July 9, 2005

DEVICE NAME as required by 807.92(a)(2)

TRADE NAME:

Datex-Ohmeda S/5™ EEG Module, E-EEG and Datex-Ohmeda S/5TM EEG Headbox, N-EEG and Accessories.

COMMON NAME:

EEG Measurement Module, Headbox, and Accessories

CLASSIFICATION NAME:

The following Class II classification appears applicable:

Product CodeClassification NameCFR Section
GWQElectroencephalograph882.1400
GWJStimulator, Auditory, Evoked response882.1900
GWSElectroencephalogram (EEG) signal spectrum analyzer882.1420
The following Class I classification appears applicable:

1

NAME OF LEGALLY MARKETED DEVICE FOR WHICH A CLAIM OF SUBSTANTIAL EQUIVALENCE IS MADE as required by 807.92(a)(3)

(051883

The Datex-Ohmeda S/S™ EEG Module, E-EEG and Datex-Ohmeda S/5™ EEG Headbox, N-EEG and accessories is substantially equivalent in safety and effectiveness to the legally marketed (predicate) Datex-Ohmeda M- EEG Module (K000892).

DEVICE DESCRIPTION as required by 807.92(a)(4)

The Datex-Ohmeda S/5M EEG module, E-EEG is a single-width plug-in parameter module for a a Datex-Ohmeda modular monitoring system. The Datex-Ohmeda EEG module, E-EEG is for controlling the EEG, FEMG and AEP measurements in the N-EEG. The Datex-Ohmeda EEG headbox, N-EEG is a separate preamplifier and measurement unit for EEG, FEMG and AEP measurements. N-EEG can measure up to 4 real-time EEG waveform channels and an FEMG measurement from one channel. It can also measure AEP from two channels. The N-EEG can only be used with the Datex-Ohmeda EEG module, E-EEG.

The Datex-Ohmeda EEG module, E-EEG can be used with the following Datex-Ohmeda modular monitors:

S/5TM Anesthesia Monitor (AM) with main software S-ANE99(A) or L-ARK99(A) or newer S/5™ Compact Anesthesia Monitor (CAM) with main software S-ANE99(A) or L-ARK99(A) or newer

S/5TM Critical Care Monitor (CCM) with main software L-ICU99(A) or newer.

S/57M Compact Critical Care Monitor (CCCM) with main software L-ICU99(A) or newer. The raw EEG signal is displayed from all the monitored channels. The waveform size, color and sweep speed can be adjusted. Spectral analysis is performed on all of the measured EEG channels. Total power is calculated, and several parameters are calculated based on the power spectrum of the signal. The burst suppression pattern is detected, and suppression ratio is calculated. All the calculated parameters can be selected on the display, and trended. For auditory evoked potentials, the stimulation intensity and frequency can be set, and the number of averaged responses can be determined. The averaged AEP can be stored and markers can be set manually. Six sets of AEP's can be stored and printed. One of the saved responses can be selected as a reference on screen. Electrode impedance is measured automatically, when the electrodes are attached, and during monitoring at user-defined intervals. There are no alarms associated with the measurement, except for a message and an auditory beep for leads off situations. To simplify the patient connections, a series of preconfigured lead sets for different EEG measurements are available. The lead wires are connected together by a plastic piece, which has labels indicating where to attach which lead. The lead wire goes through the plug so that the connectors of the wire are visible from the other side to be plugged into the headbox. The lead set has an identification pin by which the monitor can automatically select the correct montage. There are 8 different lead sets, of which 3 are preconfigured and 5 are empty ones, for the user's own montages. The length of the leads is 0.60 m. The headphones for AEP monitoring are connected to a standard 3.5 mm stereo female plug in the headbox. The headphones supplied by Datex-Ohmeda generate the sound wave in a speaker, from where the pulse is transmitted to the ear through plastic tubes. Standard safety pin EEG leads and commercial headphones can also be used with the device.

The accessories are the same for the E- EEG module and the predicate device, the M- EEG (K000892).

2

KO51883

INTENDED USE as required by 807.92(a)(5)

Intended Use:

Intended use:

The Datex-Ohmeda S/5M EEG module , E-EEG and the Datex-Ohmeda S/5TM EEG headbox, N-EEG are intended to be used with Datex-Ohmeda modular multiparameter monitors for monitoring neurophysiological status of hospitalized patients.

Indications for use:

The Datex-Ohmeda S/5™ EEG module , E-EEG and the Datex-Ohmeda S/5™ EEG headbox, N-EEG and accessories are indicated for monitoring of electroencephalograph (EEG), frontal electromyograph (FEMG) and auditory evoked potentials (AEP) of all hospital patients. The device is indicated for use by qualified medical personnel only.

SUMMARY OF TECHNOLOGICAL CHARACTERITICS OF DEVICE COMPARED TO THE PREDICATE DEVICE as required by 807.92(a)(6)

The Datex-Ohmeda S/5TM EEG Module, E-EEG and Datex-Ohmeda S/5TM EEG Headbox, N-EEG and accessories is substantially equivalent in safety and effectiveness to the legally marketed (predicate) Datex-Ohmeda M- EEG Module (K000892).

The E- EEG module has the following similarities compared to the predicate M- EEG (K000892):

  • identical intended use and indications for use �
  • . identical fundamental scientific technology
  • identical electronic measurement board .
  • same module software ●
  • same EEG-specific monitor software .
  • use the same operating principle .
  • identical accessories and headbox N-EEG .
  • have the same user interface at the monitor and alarms (can be used with the same . monitor software)
  • the Customer and parameter specifications are the same ●
  • have the same safety and effectiveness .
  • are manufactured using the same processes

The main differences between the new E-EEG and the predicate M-EEG (K000892) is primarily due to fact that the new E-EEG module has the following changes:

  • new color, shape, and size and thus differing mechanics .
  • The front panel and labeling have changed .
  • New layout of electronic input board between module connector and measurement board .

Based on the analysis and other documentation included in this 510(k) notification and attachments it is evident that the main features and indications for use of the Datex-Ohmeda S/5™ EEG Module, E-EEG are substantially equivalent to the predicate Datex-Ohmeda M- EEG Module (K000892).

3

KOSI883

SUMMARY OF NONCLINICAL TESTING FOR THE DEVICE and CONCLUSIONS as required by 807.92(b)(1)(3)

The Datex-Ohmeda S/5™ EEG Module, E-EEG is substantially equivalent in safety and cffectiveness to the legally marketed (predicate) Datex-Ohmeda M- EEG Module (K000892) have been assessed against the standards below. The device has been thoroughly tested through validation and verification of specifications.

  • COUNCIL DIRECTIVE 93/42/EEC of 14 June 1993 concerning medical devices .
  • FDA/DCRND Reviewer Guidance for Premarket Notification Submissions, November 1993 ●
  • IEC 60601-1:1988 + Amdt. 1:1991 + Amdt. 2:1995 (Part 1: General requirements for safety) ●
  • EN 60601-1:1990+ A1:1993 + A13:1996 + A2:1995 (identical to IEC60601-1:1988 + Amdt. ● 1:1991 + Amdt. 2:1995)
  • CAN/CSA C22.2 No. 601.1-M90 + S1:1994 (Canadian deviations to IEC 60601-1:1988 + Amdt. ● 1:1991) + S2:1998 (=IEC Amdt 2:1995)
  • IEC 60601-1-2:2001 (Electromagnetic compatibility Requirements and tests) .
  • AAMI ESI-1993 (Safe current limits for electromedical apparatus) .
  • Electroencephalograph Devices Guidance for 510(k) Content, Draft Document Version 1.0 . November 3, 1997
  • FDA/ODE Guidance for Content of Premarket Submission for Software Contained in Medical ● Devices. (May 11, 2005)
  • IEC 60601-2-26 Medical electrical equipment. Part 2: Particular requirements for the safety of ● electroencephalographs, 2002.
  • ISO 14971 Ed. I: Medical devices Application of risk management to medical devices .
  • FDA Performance standard, 21 CFR Part 898.12 .

CONCLUSION:

The summary above shows that there are no new questions of safety and effectiveness for the Datex-Ohmeda S/5TM EEG Module, E-EEG is substantially equivalent in safety and effectiveness to the legally marketed (predicate) Datex-Ohineda M- EEG Module (K000892).

4

Image /page/4/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo consists of a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight. The symbol is composed of three curved lines that form the body and wings of the bird.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

GE Healthcare c/o Mr. Joel C. Kent Manager, Quality and Regulatory Affairs 86 Pilgrim Road Needham, MA 02492

APR - 9 2012

Re: K051883

Trade/Device Name: Datex-Ohmeda S/5"14 EEG Module, E-EEG and Datex-Ohmeda S/57M EEG Headbox, N-EEG and Accessories Regulation Number: 21 CFR 882.1400 Regulation Name: Electroencephalograph Regulatory Class: II Product Code: OLT, GWJ, OMC, MHX, MLD, ORT Dated (Date on orig SE ltr): July 10, 2005 Received (Date on orig SE ltr): July 12, 2005

Dear Mr. Kent:

This letter corrects our substantially equivalent letter of August 5, 2005.

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 (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 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.

5

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Kesia Alexander

Malvina B. Eydelman, M.D. Director Division of Ophthalmic, Neurological, and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Indications for Use

510(k) Number (if known): _KOS1883

Device Name: Datex-Ohmeda S/5™ EEG Module, E-EEG and Datex-Ohmeda S/5™ EEG Headbox, N-EEG and Accessories.

Indications for Use:

The Datex-Ohmeda S/5™ EEG module , E-EEG and the Datex-Ohmeda S/5™ EEG headbox, N-EEG and accessories are indicated for monitoring of electroencephalograph (EEG), frontal electromyograph (FEMG) and auditory evoked potentials (AEP) of all hospital patients.

The device is indicated for use by qualified medical personnel only.

Over-The-Counter Use Prescription Use __ X AND/OR (21 CFR 801 Subpart C) (Part 21 CFR 801 Subpart D) (Please DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

127-017

Page I of _ !

Division of General, Restorative, and Neurological Devices

510(k) Number_KOS1883