K Number
K053606
Manufacturer
Date Cleared
2006-01-24

(28 days)

Product Code
Regulation Number
882.1835
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The BE Plus / AURA-LTM64 Amplifier is intended to be used by or under the direction of a physician for acquisition of EEG, polygraphy and polysomnography signals and transmission of these signals to a PC during recording of neurophysiology examinations.

Device Description

The BE Plus / AURA-LTM64 Amplifier is a fully programmable system which provides a total of 64 analog input channels each of which can be configured, amplified and converted to digital form (analog to digital conversion). The amplifier receives its power from a dedicated AC/DC adapter, meeting the IEC 60601-1 requirements, which feeds a +15VDC. Internally, the +15VDC is further isolated by a dedicated DC/DC CF type converter. The BE Plus / AURA-LTM64 Amplifier is intended to be used to amplify and filter bioelectric signals captured via a lead or transducer on the surface of the human body. It captures the data, converts it into a digital form and passes it on to a host computer running appropriate amplification software. Typical fields of application will be: Electroencephalograph (EEG), Evoked Potentials (EP), Polysomnography (Sleep Analysis) and General Polygraphy. The BE Plus / AURA-LTM64 Amplifier does not contains a Pulse Oximeter module. The host computer must use one of the following Operating Systems: Microsoft Windows 98, Microsoft Windows NT or Microsoft Windows XP. The BE Plus / AURA-LTM64 Amplifier system consists of three interconnected units: the amplifier box, the PC interface (PCMCIA interface or BE Net) and the AC/DC adapter; optionally the system may be completed by a led visual stimulator.

AI/ML Overview

The provided text is a 510(k) Summary for a medical device (BE Plus / AURA-LTM64 Amplifier) seeking FDA clearance. It focuses on demonstrating substantial equivalence to predicate devices based on technological characteristics and intended use. This type of submission document does not typically include detailed information about specific acceptance criteria or a dedicated study proving performance against those criteria in the way a clinical trial or performance study report would.

Therefore, I cannot extract the full scope of requested information from the provided text. However, I can provide what is explicitly mentioned or can be reasonably inferred from the document regarding "acceptance criteria" through a comparison to predicate devices.

Here's an analysis based on the available text:

The "acceptance criteria" for this 510(k) submission are fundamentally based on demonstrating substantial equivalence to legally marketed predicate devices, specifically the EB Neuro MIZAR Amplifier (K003154) and the EB Neuro Nic36 Amplifier (K041198). The study that "proves" the device meets these criteria is the comparison of technological characteristics presented in the 510(k) summary itself. The FDA's acceptance (issuance of a substantial equivalence determination) is the "proof" that these criteria have been met for market clearance.

1. A table of acceptance criteria and the reported device performance

The acceptance criteria are not explicitly stated as quantitative thresholds like in a performance study. Instead, they are implicitly defined by the characteristics of the predicate devices. The "reported device performance" is the description of the new device's characteristics.

Characteristic (Implicit Acceptance Criterion by Predicate)Predicate Devices (Accepted Performance)BE Plus / AURA-LTM64 Amplifier (Reported Performance - Must be substantially equivalent)
Intended UseAcquisition of EEG, polygraphy and polysomnography signals and transmission of these to a PC during recording of neurophysiology examinationsAcquisition of EEG, polygraphy and polysomnography signals and transmission of these to a PC during recording of neurophysiology examinations
EEG/Polygraphic channels32/40 (MIZAR), 36 fixed (Nic36)64 monopolar (128 with double Amplifier configuration expansion)
DC channels32/40 (MIZAR), 4 (Nic36)4
A/D conversion16 bit Sigma-Delta (MIZAR), 16 bit SAR (Nic36)16 bit SAR effectively transferred to host
Sampling rateUser selectable (up to 32KHz/Channel for MIZAR, up to 8192 Hz/Channel for Nic36)User selectable (128, 256, 512... up to 4096 Hz/Channel)
CMRR (Common Mode Rejection Ratio)>100dB (Both Predicates)>100dB
Noise<1.5μVpp (0.5μVrms) (MIZAR), <0.5μVrms (AC) / <7μVrms (DC) (Nic36)<0.5μVrms (AC) / <7μVrms (DC)
Power SupplyExternal IEC 60601-1 Mains (Both)External IEC 60601-1 Mains
Internal storageN/A (Both)Auxiliary FLASH memory to accumulate data when optical link is temporary unconnected. Real time clock on board. Precision of hundreds of seconds. Coin battery auxiliary supply. (This is a new feature that does not detract from substantial equivalence, as it is an enhancement).
Amplifier - PC InterfacePCMCIA or BE Net (Both)PCMCIA or BE Net
Other Interfaces128x64 graph LCD, 5 push buttons (MIZAR); Power On LED / LED matrix Ohm Meter (Nic36)Power On LED (bicolor) / LED matrix Ohm Meter
Use standard sensors and electrodesYes (Both)Yes
Dimensions250 (L) x 170 (W) x 65 (H) (MIZAR); 203 (L) x 135 (W) x 38 (H) (Nic36)194 (L) x 125 (W) x 37 (H)
Case materialPolycarbonate plastic (Both)Polycarbonate plastic
Total weight1.5 Kg (MIZAR), 0.55 Kg (Nic36)0.48 Kg
IsolationFiber optic link; Patient isolation BF type (MIZAR); Patient isolation CF type (Nic36)Fiber optic link; Patient isolation CF type
Safety StandardIEC 60601-1, IEC 60601-1-2, IEC 60601-2-26, IEC 60601-1-4 (MIZAR); + IEC 60601-2-40 (Nic36)IEC 60601-1, IEC 60601-1-2, IEC 60601-2-26, IEC 60601-2-40, IEC 60601-1-4
FirmwareResident and Runtime downloadable (Both)Resident and Runtime downloadable
Patient connection and inputsVarious configurations of Monopolar, Bipolar, Reference, ISO GROUND inputs. (Both)64 Monopolar inputs - 64 plugs; 2 References inputs - 2 plugs; 2 ISO GROUND inputs - 2 plugs

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

This information is not provided in the 510(k) summary. 510(k) submissions demonstrating substantial equivalence, especially for devices like physiological signal amplifiers, typically rely on engineering testing to confirm specifications, not patient data in the sense of a clinical trial. The "test set" here refers to the device itself being tested against its specifications and then compared to the predicate.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This information is not provided and is not applicable to a 510(k) submission for a physiological signal amplifier based on substantial equivalence. There is no "ground truth" in the clinical sense established by experts as would be for an AI diagnostic device. The performance specifications are engineering parameters.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

This information is not provided and is not applicable for this type of submission.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

No, an MRMC comparative effectiveness study was not done. This device is a physiological signal amplifier, not an AI-assisted diagnostic tool for human readers.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

No, a standalone algorithm performance study was not done. This device is hardware and associated firmware/software for signal acquisition, not a standalone algorithm.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

The "ground truth" for this device's performance, in the context of a 510(k) submission for substantial equivalence, is essentially the engineering specifications and demonstrated performance of the predicate devices. The new device's performance characteristics (e.g., CMRR, noise, sampling rate) are measured and then compared to those of the predicates to show it is as safe and effective. It does not involve clinical "ground truth" from patient data.

8. The sample size for the training set

This information is not provided and is not applicable. This device is not an AI/ML model that requires a training set of data.

9. How the ground truth for the training set was established

This information is not provided and is not applicable.

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510(k) Summary EB Neuro. S.p.A. BE Plus / AURA-LTM64 Amplifier

JAN 2 4 2006

053606

510(k) Summary

The following 510(k) summary has been prepared pursuant to requirements specified in 21CFR¶807.92(a).

807.92(a)(1)

Submitter Information

Carri Graham
Official Correspondent
The Anson Group
11460 N. Meridian St.
Suite 150
Carmel, IN 46032

Phone:(317) 569-9500 x 103
Facsimile:(317) 569-9520
Contact Person:Carri Graham
Date:December 22, 2005

807.92(a)(2)

Trade Name:BE Plus / AURA-LTM64 Amplifier
Common Name:Physiological Signal Amplifier
Classification Name(s):Physiological Signal Amplifier
Classification Number:84GWL

807.92(a)(3)
Predicate Device(s)

EB Neuro, S.p.A.MIZAR AmplifierK003154
EB Neuro, S.p.A.NIC36 AmplifierK041198

Additional Substantial Equivalence Information is provided in the following Substantial Equivalence Comparison Table.

f. 1 of 5

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510(k) Summary EB Neuro, S.p.A. BE Plus / AURA-LTM64 Amplifier

807.92 (a)(4)

Device Description

The BE Plus / AURA-LTM64 Amplifier is a fully programmable system which provides a total of 64 analog input channels each of which can be configured, amplified and converted to digital form (analog to digital conversion). The amplifier receives its power from a dedicated AC/DC adapter, meeting the IEC 60601-1 requirements, which feeds a +15VDC. Internally, the +15VDC is further isolated by a dedicated DC/DC CF type converter.

The BE Plus / AURA-LTM64 Amplifier is intended to be used to amplify and filter bioelectric signals captured via a lead or transducer on the surface of the human body. It captures the data, converts it into a digital form and passes it on to a host computer running appropriate amplification software. Typical fields of application will be: Electroencephalograph (EEG), Evoked Potentials (EP), Polysomnography (Sleep Analysis) and General Polygraphy.

The BE Plus / AURA-LTM64 Amplifier does not contains a Pulse Oximeter module.

The host computer must use one of the following Operating Systems: Microsoft Windows 98, Microsoft Windows NT or Microsoft Windows XP.

The BE Plus / AURA-LTM64 Amplifier system consists of three interconnected units: the amplifier box, the PC interface (PCMCIA interface or BE Net) and the AC/DC adapter; optionally the system may be completed by a led visual stimulator.

807.92(a)(5)

Intended Use(s)

The BE Plus / AURA-LTM64 Amplifier is intended to be used by or under the direction of a physician for acquisition of EEG, polygraphy and polysomnography signals and transmission of these signals to a PC during recording of neurophysiology examinations.

5 2015 11

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807.92(a)(6)

Technological Characteristics

ItemEB NeuroMIZAR AmplifierK003154EB NeuroNic36 AmplifierK041198EB NeuroBE Plus / AURA-LTM64 AmplifierThis Submission
Intended useAcquisition of EEG, polygraphy and polysomnography signals and transmission of these to a PC during recording of neurophysiology examinationsAcquisition of EEG, polygraphy and polysomnography signals and transmission of these to a PC during recording of neurophysiology examinationsAcquisition of EEG, polygraphy and polysomnography signals and transmission of these to a PC during recording of neurophysiology examinations
EEG/Polygraphic channel32/40 (64/96/128 with expansion boards)36 monopolar fixed – (no expansion boards)64 monopolar (128 with the double Amplifier configuration expansion)
DC channel32/4044
A/D conversion16 bit Sigma-Delta A/D effectively transferred to host16 bit SAR effectively transferred to host16 bit SAR effectively transferred to host
Sampling rateUser selectable (128, 256, 512 ... up to 32KHz/Channel)User selectable (128, 256, 512... up to 8192 Hz/Channel)User selectable (128, 256, 512... up to 4096 Hz/Channel)
CMRR>100dB>100dB>100dB
Noise<1.5μVpp (0.5μVrms)<0.5μVrms (AC)<7μVrms (DC)<0.5μVrms (AC)<7μVrms (DC)
Power SupplyExternal IEC 60601-1 MainsInternal batteries (optional)External IEC 60601-1 MainsExternal IEC 60601-1 Mains
Internal storageN/AN/AAuxiliary FLASH memory to accumulate data when optical link is temporary unconnected.Real time clock on board. Precision of hundreds of seconds. Coin battery auxiliary supply.
Time marker of data acquisition flowN/AN/A
Amplifier - PC InterfacePCMCIA or BE NetPCMCIA (NicPCMCIA) or BE Net (NicNet)PCMCIA or BE Net
ItemEB NeuroMIZAR AmplifierK003154EB NeuroNic36 AmplifierK041198EB NeuroBE Plus / AURA-LTM64 AmplifierThis Submission
Other Interfaces128x64 graph LCDdisplay 5 push buttonsPower On LED / LEDmatrix Ohm MeterPower On LED (bicolor) /LED matrix Ohm Meter
Use standardsensors andelectrodesYes (electrodes andsensors are not includedwith the Amplifier)Yes (electrodes andsensors are not includedwith the Amplifier)Yes (electrodes andsensors are not includedwith the Amplifier)
Dimension250 (L) x 170 (W) x 65(H) (mm)203 (L) x 135 (W) x 38(H) (mm)194 (L) x 125 (W) x 37(H) (mm)
Case materialPolycarbonate plasticPolycarbonate plasticPolycarbonate plastic
Total weight1.5 Kg0.55 Kg0.48 Kg
IsolationFiber optic linkPatient isolation BF typeAuxiliary I/Ocomponents ports:N°2 BF typeN°1 B typeFiber optic linkPatient isolation CF typeAuxiliary I/Ocomponents ports:N°2 B typeFiber optic linkPatient isolation CF typeAuxiliary I/O componentsports:N°2 B type
Safety StandardIEC 60601-1IEC 60601-1-2IEC 60601-2-26IEC 60601-1-4IEC 60601-1IEC 60601-1-2IEC 60601-2-26IEC 60601-2-40IEC 60601-1-4IEC 60601-1IEC 60601-1-2IEC 60601-2-26IEC 60601-2-40IEC 60601-1-4
SystemComponentsAmplifierHead boxAC/DC AdapterPCMCIA or BE NetInterfacesDC Input box (optional)LED Flash stimulator(optional)AmplifierAC/DC AdapterPCMCIA(NicPCMCIA) or BENet (NicNet) InterfacesDC Input box(NicDCIN) (optional)LED Flash stimulator(NicLED PhoticStimulator) (optional)AmplifierAC/DC AdapterPCMCIA or BE NetInterfacesDC Input box (optional)LED Flash stimulator(optional)
FirmwareResident and RuntimedownloadableResident and RuntimedownloadableResident and Runtimedownloadable
Patient connectionand inputs32 Monopolar inputs -32 plugs8 Bipolar inputs - 16plugs1 Thermistor - 2 plugs2 Reference inputs - 2plugs14 ISO GROUNDinputs — 14 plugs36 Monopolar inputs -36 plugs2 Reference inputs - 2plugs2 ISO GROUND inputs- 2 plugs64 Monopolar inputs - 64plugs2 References inputs - 2plugs2 ISO GROUND inputs -2 plugs
ItemEB NeuroMIZAR AmplifierK003154EB NeuroNic36 AmplifierK041198EB NeuroBE Plus / AURA-LTM64 AmplifierThis Submission
I/O connections1 Fiber optic port1 AC/DC Adapter port3 Auxiliary componentsport: generic TX/RXserial I/O, LED Flashstimulator, pressionbutton connector1 Fiber optic port2 Auxiliary componentsport: AC/DC Adapter,generic TX/RX serialI/O, DC Input box(NicDCIN), LED Flashstimulator (NicLEDPhotic Stimulator)1 Fiber optic port1 Auxiliary componentsport: AC/DC Adapter,generic TX/RX serial I/O,DC Input box, LED Flashstimulator1 Amplifier Linkexpansion port: AC/DCAdapter, BE Plus/AURA-LTM64 Amplifier

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510(k) Summary
EB Neuro, S.p.A.
BE Plus / AURA-LTM64 Amplifier

.

{4}------------------------------------------------

510(k) Summary
EB Neuro, S.p.A. BE Plus / AURA-LTM64 Amplifier

:

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Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" around the perimeter. Inside the circle is a stylized eagle-like symbol with three curved lines representing the body and wings.

Public Health Service

JAN 2 4 2006

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

EB Neuro. S.P.A. c/o Ms. Carri Graham Anson Group 11460 N. Meridian Street, Suite 150 Carmel, Indiana 46032

Re: K053606

Trade/Device Name: BE Plus / AURA-LTM64 Amplifier Regulation Number: 21 CFR 882.1835 Regulation Name: Physiological signal amplifier Regulatory Class: II Product Code: GWL Dated: December 21, 2005 Received: December 27, 2005

Dear Ms. Graham:

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.

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

{6}------------------------------------------------

Page 2 - Ms. Graham

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) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.ida.gov/cdrh/industry/support/index.html.

Sincerely vours.

Kaibaichnichum

Mark N. Melkerson Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known):

Device Name: BE Plus / AURA-LTM64 Amplifier

Indications For Use:

The BE Plus / AURA-LTM64 Amplifier is intended to be used by or under the direction of a physician for acquisition of EEG, polygraphy and polysomnography signals and transmission of these signals to a PC during recording of neurophysiology examinations.

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

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)

Charbare Buchupdomxr

Division of General. Restorative, and Neurological Devices

Page 1 of 1

510(k) Number K053606

§ 882.1835 Physiological signal amplifier.

(a)
Identification. A physiological signal amplifier is a general purpose device used to electrically amplify signals derived from various physiological sources (e.g., the electroencephalogram).(b)
Classification. Class II (performance standards).