K Number
K060900
Device Name
SPACELABS MEDICAL BISPECTRAL INDEX (BISX) ANALYSIS MODULE 91482 AND ACCESSORIES MODEL-91842
Date Cleared
2006-06-23

(81 days)

Product Code
Regulation Number
882.1400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Spacelabs Medical Bispectral Index (BISx) Analysis Module 91482 is intended for use under the direct supervision of a licensed healthcare practitioner or by personnel trained in its proper use. It is intended for use on adult and pediatric patients within a hospital or medical facility providing patient care to monitor the state of the brain by data acquisition of EEG signals. The Spacelabs Medical Bispectral Index (BISx) Analysis Module 91482 may be used as an aid in monitoring the effects of certain anesthetic agents. Use of BIS monitoring to help guide anesthetic administration may be associated with the reduction of the incidence of awareness with recall in adults during general anesthesia and sedation.
Device Description
The Spacelabs Medical Bispectral Index (BISx) Analysis Module 91482 (BISx Module 91482) is an easy-to-use, slim, single module in the Spacelabs Medical family of Spacelabs Medical Ultraview System (Ultraview) modules. The BISx Module 91482 is a microprocessor based, two-channel EEG unit designed for use on adult and pediatric patients within a hospital or medical facility. Its system configuration includes the BISx Module 91482 with connectors for external serial data connections, a BISx pod, a patient interface cable, disposable sensors, and printer options. The BISx pod, patient interface cable and disposable sensors are manufactured by Aspect Medical Systems, and distributed by Spacelabs Medical for use with the BISx Module 91482, The Spacelabs Medical Ultraview monitor provides the display capabilities for the care provider.
More Information

Not Found

No
The document describes a microprocessor-based EEG analysis module that processes EEG signals to provide a Bispectral Index (BIS) value. There is no mention of AI, ML, or related terms, nor any description of training or test sets typically associated with such technologies. The description focuses on signal acquisition and processing, which is standard for EEG devices.

No

The device is described as a "monitoring" device ("monitor the state of the brain," "monitoring the effects of certain anesthetic agents," "BIS monitoring to help guide anesthetic administration"), which suggests it measures physiological parameters rather than directly treating a condition.

Yes

The device "monitor[s] the state of the brain by data acquisition of EEG signals" and "may be used as an aid in monitoring the effects of certain anesthetic agents," suggesting it is used to assess a patient's condition to help make medical decisions, which aligns with the definition of a diagnostic device.

No

The device description explicitly lists hardware components such as the BISx Module 91482, connectors, a BISx pod, a patient interface cable, and disposable sensors.

Based on the provided text, 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 Spacelabs Medical BISx Analysis Module 91482 monitors the state of the brain by acquiring EEG signals. This is a measurement of electrical activity within the body, not an analysis of a sample taken from the body.
  • Intended Use: The intended use describes monitoring the brain and the effects of anesthetic agents, which are in-vivo (within the living organism) measurements.

Therefore, the device is a medical device used for physiological monitoring, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Spacelabs Medical Bispectral Index (BISx) Analysis Module 91482 is intended for use under the direct supervision of a licensed healthcare practitioner or by personnel trained in its proper use. It is intended for use on adult and pediatric patients within a hospital or medical facility providing patient care to monitor the state of the brain by data acquisition of EEG signals.

The Spacelabs Medical Bispectral Index (BISx) Analysis Module 91482 may be used as an aid in monitoring the effects of certain anesthetic agents. Use of BIS monitoring to help guide anesthetic administration may be associated with the reduction of the incidence of awareness with recall in adults during general anesthesia and sedation.

Product codes

OLW, OMC, OLT, ORT

Device Description

The Spacelabs Medical Bispectral Index (BISx) Analysis Module 91482 (BISx Module 91482) is an easy-to-use, slim, single module in the Spacelabs Medical family of Spacelabs Medical Ultraview System (Ultraview) modules. The BISx Module 91482 is a microprocessor based, two-channel EEG unit designed for use on adult and pediatric patients within a hospital or medical facility. Its system configuration includes the BISx Module 91482 with connectors for external serial data connections, a BISx pod, a patient interface cable, disposable sensors, and printer options. The BISx pod, patient interface cable and disposable sensors are manufactured by Aspect Medical Systems, and distributed by Spacelabs Medical for use with the BISx Module 91482, The Spacelabs Medical Ultraview monitor provides the display capabilities for the care provider.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

brain

Indicated Patient Age Range

adult and pediatric patients

Intended User / Care Setting

licensed healthcare practitioner or by personnel trained in its proper use / hospital or medical facility providing patient care

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

510(k) Premarket Notification K060900 Spacelabs Medical Bispectral Index (BISx) Analysis Module 91482 and Accessories Summary of Safety and Effectiveness

May 15, 2006

The SIO(k) summary of safety and effectiveness information is submitted in accordance with the requirements of SMDA 1990 and 1992.

| Subject: | 510(k) Summary of Safety and Effectiveness Information for the Spacelabs
Medical Bispectral Index (BISx) Analysis Module 91482 |
|---------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter: | Spacelabs Medical, Inc.
PO Box 7018
Issaquah, WA 98029 |
| | David J. Geraghty
Phone: 1 425 657 7200
Fax: 1 425 657 7207
david.geraghty@slmd.com |
| Proprietary
Name: | Spacelabs Medical Bispectral Index (BISx) Analysis Module, model 91482 |
| Common
Name and
Classification: | Electroencephalograph (EEG) Monitor
(84 GWQ, §882.1400, Class II) |
| Device
Description: | The Spacelabs Medical Bispectral Index (BISx) Analysis Module 91482
(BISx Module 91482) is an easy-to-use, slim, single module in the Spacelabs
Medical family of Spacelabs Medical Ultraview System (Ultraview) modules.
The BISx Module 91482 is a microprocessor based, two-channel EEG unit
designed for use on adult and pediatric patients within a hospital or medical
facility. Its system configuration includes the BISx Module 91482 with
connectors for external serial data connections, a BISx pod, a patient interface |

cable, disposable sensors, and printer options. The BISx pod, patient interface cable and disposable sensors are manufactured by Aspect Medical Systems, and distributed by Spacelabs Medical for use with the BISx Module 91482, The Spacelabs Medical Ultraview monitor provides the display capabilities for the

BISx Summary of Safety and Effectiveness Addendum to 510(k), K060900

care provider.

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three wing segments, representing the department's mission to protect the health of all Americans and provide essential human services. The department's name is written in a circular fashion around the eagle. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES USA".

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

Spacelabs Medical Inc. c/o Mr. David J. Geraghty Manager, Regulatory and Quality P.O. Box 7018 Issaquah, Washington 98027

APR - 9 2012

Re: K060900

Trade/Device Name: Spacelabs Medical Bispectral Index (BIS) Analysis Module 91482 and Accessories

Regulation Number: 21 CFR 882.1400 Regulation Name: Electroencephalograph Regulatory Class: II Product Code: OLW, OMC, OLT, ORT Dated (Date on orig SE ltr): May 23, 2006 Received (Date on orig SE Itr): May 25, 2006

Dear Mr. Geraghty:

This letter corrects our substantially equivalent letter of June 23, 2006.

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.

2

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

3

Indications for Use

KOGO900

510(k) Number (if known):

Device Name:

Indications for Use:

Spacelabs Medical Bispectral Index (BIS) Analysis Module 91482, and Accessories

The Spacelabs Medical Bispectral Index (BISx) Analysis Module 91482 is intended for use under the direct supervision of a licensed healthcare practitioner or by personnel trained in its proper use. It is intended for use on adult and pediatric patients within a hospital or medical facility providing patient care to monitor the state of the brain by data acquisition of EEG signals.

The Spacelabs Medical Bispectral Index (BISx) Analysis Module 91482 may be used as an aid in monitoring the effects of certain anesthetic agents. Use of BIS monitoring to help guide anesthetic administration may be associated with the reduction of the incidence of awareness with recall in adults during general anesthesia and sedation.

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 CDRH2 Office of Device Evaluation (ODE)

Helmut Werner

(Division Sign-Off) Division of General, Restorative, and Neurological Devices

Ko 60900 510(k) Number.

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