K Number
K060833
Device Name
12SL ECG ANALYSIS PROGRAM
Date Cleared
2006-08-01

(127 days)

Product Code
Regulation Number
870.1025
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The 12SL ECG Analysis Program with Right Ventricular Analysis assists the physician in interpreting resting 12-lead ECGs for rhythms and contour information by providing an initial automated interpretation. Interpretation by the product is then confirmed, edited, or deleted by the physician. The analysis program is intended for use in the general population ranging from healthy subjects to patients with cardiac and/or non-cardiac abnormalities. The analysis program is intended for use in hospitals, outpatient clinics, emergency departments, and out-of-hospital sites such as ambulances and patient's homes.
Device Description
The 12SL ECG Analysis Program with Right Ventricular Analysis is a software algorithm only.
More Information

Not Found

No
The summary describes a software algorithm for ECG analysis but does not mention AI, ML, or related concepts like deep learning, neural networks, or training/test sets for model development.

No.
The device provides automated interpretation of ECGs to assist physicians; it does not directly treat or manage a disease or condition.

Yes
The device is described as an "ECG Analysis Program" that assists physicians in "interpreting resting 12-lead ECGs for rhythms and contour information by providing an initial automated interpretation." This function directly supports the diagnosis of cardiac conditions.

Yes

The device description explicitly states that the device is a "software algorithm only."

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 Description and Intended Use: The description clearly states that this is a "software algorithm only" that analyzes "resting 12-lead ECGs". ECGs are electrical signals measured from the surface of the body, not samples taken from the body.
  • Input: The input is an ECG signal, not a biological sample.

Therefore, this device falls under the category of a medical device that analyzes physiological signals, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The 12SL ECG Analysis Program assists the physician in interpreting resting 12-lead ECGs for rhythms and contour information by providing an initial automated interpretation. Interpretation by the product is then confirmed, edited, or deleted by the physician. The analysis program is intended for use in the general population ranging from healthy subjects to patients with cardiac and/or non-cardiac abnormalities. The analysis program is intended for use in hospitals, outpatient clinics, emergency departments, and out-of-hospital sites such as ambulances and patient's homes.

Product codes

MHX

Device Description

K002209 12SL ECG Analysis Program
The 12SL ECG Analysis Program with Right Ventricular Analysis is a software algorithm only.

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

general population

Intended User / Care Setting

physician; hospitals, outpatient clinics, emergency departments, and out-of-hospital sites such as ambulances and patient's homes.

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

The 12SL ECG Analysis System with Right Ventricular Analysis complies with the voluntary standards as detailed in Section 9 of this submission. The following quality assurance measures were applied to the development of the system: Risk Analysis, Requirement Specification Reviews, Code Inspections, Software Verification and Validation Testing.

Key Metrics

Not Found

Predicate Device(s)

K042177 MAC 5000 ECG Analysis System

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1025 Arrhythmia detector and alarm (including ST-segment measurement and alarm).

(a)
Identification. The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to produce a visible or audible signal or alarm when atrial or ventricular arrhythmia, such as premature contraction or ventricular fibrillation, occurs.(b)
Classification. Class II (special controls). The guidance document entitled “Class II Special Controls Guidance Document: Arrhythmia Detector and Alarm” will serve as the special control. See § 870.1 for the availability of this guidance document.

0

K060833

AUG () 1 2006

Section 2 Summary
510(k) Summary of Safety and Effectiveness
Date:March 17, 2006
Submitter:GE Medical Systems Information Technologies
8200 West Tower Avenue
Milwaukee, WI 53223
USA
Contact Person:Lisa M. Baumhardt
Regulatory Affairs Program Manager
GE Medical Systems Information Technologies
Phone: 414-362-3242
Fax: 414-362-2585
Device:
Trade Name:
Common/Usual Name:12SL ECG Analysis Program with Right Ventricular Analysis
ECG Analysis Program
Classification Names:
21 CFR 870.1025
Predicate Device:Monitor, Physiological Patient (with Arrhythmia Detection or Alarms)
74MHX
K042177 MAC 5000 ECG Analysis System
Device Description:K002209 12SL ECG Analysis Program
The 12SL ECG Analysis Program with Right Ventricular Analysis is a
software algorithm only.
Intended Use:The 12SL ECG Analysis Program assists the physician in interpreting
resting 12-lead ECGs for rhythms and contour information by providing
an initial automated interpretation. Interpretation by the product is then
confirmed, edited, or deleted by the physician. The analysis program is
intended for use in the general population ranging from healthy subjects
to patients with cardiac and/or non-cardiac abnormalities. The analysis
program is intended for use in hospitals, outpatient clinics, emergency
departments, and out-of-hospital sites such as ambulances and
patient's homes.
Technology:The 12SL ECG Analysis System with Right Ventricular Analysis
employs the same functional technology as the predicate devices.
Test Summary:The 12SL ECG Analysis System with Right Ventricular Analysis
complies with the voluntary standards as detailed in Section 9 of this
submission. The following quality assurance measures were applied to
the development of the system:
Risk Analysis
Requirement Specification Reviews
Code Inspections
Software Verification and Validation Testing
Conclusion:The results of these measurements demonstrated that the 12SL ECG
Analysis System with Right Ventricular Analysis is as safe, as effective,
and performs as well as the predicate devices.

:

page 1 of 1

1

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 0 1 2006

GE Medical Information Technologies c/o Ms. Lisa M. Baumhardt, M.T. Regulatory Affairs Manager 8200 West Tower Avenue Milwaukee, WI 53223

Re: K060833

Koooooo
Trade Name: 12SL ECG Analysis System with Right Ventricular Analysis Regulation Number: 21 CFR 870.1025 Regulation Name: 21 CFR 0781722
Regulation Name: Arrhythmia Detector and Alarm (including ST-segment measurement and alarm). Regulatory Class: Class II (two) Product Code: MHX Dated: July 27, 2006 Received: July 28. 2006

Dear Ms. Baumhardt:

We have reviewed your Section 510(k) premarket notification of intent to market the indicati we nave reviewed your Section 510(x) premier is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encrosule) to regary manated prought of the Medical Device Amendments, or to commerce prof to May 28, 1776, the enactions with the provisions of the Federal Food, Drug. devices that have been it classified in accordance what a premarket approval applicians of the Act . The and Costlette Act (Act) that do not require approvinces were al controls provisions of the Act. The Act. The You may, therefore, market the device, baoject to meetirements for annual registration. Ilish and general controls provisions of the Fret Herwas - a adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA). in if your device is classifica (Sec above) into efficial on affecting your device can
may be subject to such additional controls. Existing major may be subject to such additional controlise "Extrems" sonothy" some 800 to 898. In addition. FDA may publish further announcements concerning your device in the Federal Register.

2

Page 2 - Ms. Lisa M. Baumhardt, M.T.

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 no 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 reauirements; 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Bhimura for.

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

Enclosure

3

510(k) Number (if known):

Page 1 of 1

12SL ECG Analysis System with Right Ventricular Analysis Device Name:

Indications For Use:

The 12SL ECG Analysis System with Right Ventricular Analysis assists the physician in interpreting resting 12-lead ECGs for rhythms and contour information by providing an initial automated interpretation. Interpretation by the product is then confirmed, edited, or deleted by the physician. The analysis program is intended for use in the general population ranging from healthy subjects to patients with cardiac and/or non-cardiac abnormalities. The analysis program is intended for use in hospitals, outpatient clinics, emergency departments, and out-of-hospital sites such as ambulances and patient's homes.

Prescription Use X (Per 21 CFR 801.109 Subpart D) 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)

Bhummer

(Division Sign-Off
Division of Cardiovascular Devices
510(k) Number K060833