K Number
K061993
Device Name
EQUIVITAL, MODEL EQ-01
Manufacturer
Date Cleared
2006-11-03

(112 days)

Product Code
Regulation Number
870.1025
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Equivital™ Vital Signs Physiological Monitor is an ambulatory multiparameter vital signs telemetry device intended for monitoring of adults (16 - 65years) in hospital care facilities, the home, workplace, and alternate care settings. The device consists of a chest belt harness and a body worn electronics module (SEM) supported by the chest belt). The device collects and transmits ECG data and rate, respiration data and rate, skin temperature, body orientation and motion. The monitor is indicated for use as a general patient monitor, to provide physiological information as part of an occupational welfare monitoring system, and for general research and performance measurement purposes.
Device Description
The Equivital™ Vital Signs Physiological Monitor comprises two components: i) A chest belt containing skin electrodes and an expansion sensor ii) A battery powered electronics module which connects directly to the chest belt and which acts to record, digitise and transmit the physiological information wirelessly to a receiving display device. The device offers continuous monitoring of two views of the user's heart electrical activity (ECG) and respiratory breathing frequency inferred from thoracic cavity movement and uses this data to derive a Heart Rate and a Breathing Effort Rate. The sensor also provides the following information: - ECG and Respiration physiological waveforms. . - an indication of the user's activity level (none, low or high) derived from a movement . detection sensor. - . Body orientation. - Chest skin surface temperature. . - alternate secondary measurement of heart rate based on the detection of the user's R . wave using a separate hardware processing function. - indications and alerts if physiology exceeds predefined boundaries. . The device offers two variants for the wireless interface: a low power radio interface designed for military applications and a general purpose interface using Bluetooth™ technology. The device offers two battery power options for the user, rechargeable or primary disposable cells. The wireless data provided by the sensor may be viewed using a standalone PC based viewing application, or integrated into third party monitoring applications.
More Information

Not Found

No
The summary describes a device that collects and transmits physiological data and derives basic metrics (heart rate, respiration rate, activity level) based on direct sensor readings and predefined thresholds. There is no mention of AI, ML, or any complex algorithms that would typically be associated with these technologies.

No
The device is described as a "Vital Signs Physiological Monitor" intended for "monitoring" and to "provide physiological information." It collects and transmits data like ECG and respiration but does not explicitly state that it provides therapy or treatment.

No

The device is described as a "Physiological Monitor" intended for "monitoring of adults" and to "provide physiological information". It collects and transmits data like ECG, respiration, temperature, and orientation, and derives heart rate and breathing effort rate. While it measures physiological data, it is not explicitly stated to be used for diagnosing diseases or conditions, but rather for "general patient monitor", "occupational welfare monitoring system", and "general research and performance measurement purposes". It provides "indications and alerts if physiology exceeds predefined boundaries" but does not interpret this data for diagnostic purposes itself.

No

The device description explicitly states it comprises a chest belt harness and a body worn electronics module (SEM), which are hardware components.

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 Equivital™ Vital Signs Physiological Monitor is a device that directly measures physiological parameters from the body (ECG, respiration, skin temperature, orientation, motion) using sensors attached to the skin. It does not analyze samples taken from the body.
  • Intended Use: The intended use describes monitoring of vital signs and physiological information, not the analysis of biological samples.

Therefore, the device falls under the category of a physiological monitor, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Equivital™ Vital Signs Physiological Monitor is an ambulatory multiparameter vital signs telemetry device intended for monitoring of adults (16 - 65years) in hospital care facilities, the home, workplace, and alternate care settings.
The device collects and transmits ECG data and rate, respiration data and rate, skin temperature, body orientation and motion.
The monitor is indicated for use as a general patient monitor, to provide physiological information as part of an occupational welfare monitoring system, and for general research and performance measurement purposes.

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

DRT, DPS, BZQ, FLL, MHX

Device Description

The Equivital™ Vital Signs Physiological Monitor comprises two components:
i) A chest belt containing skin electrodes and an expansion sensor
ii) A battery powered electronics module which connects directly to the chest belt and which acts to record, digitise and transmit the physiological information wirelessly to a receiving display device.

The device offers continuous monitoring of two views of the user's heart electrical activity (ECG) and respiratory breathing frequency inferred from thoracic cavity movement and uses this data to derive a Heart Rate and a Breathing Effort Rate. The sensor also provides the following information: ECG and Respiration physiological waveforms, an indication of the user's activity level (none, low or high) derived from a movement detection sensor, Body orientation, Chest skin surface temperature, alternate secondary measurement of heart rate based on the detection of the user's R wave using a separate hardware processing function, indications and alerts if physiology exceeds predefined boundaries.

The device offers two variants for the wireless interface: a low power radio interface designed for military applications and a general purpose interface using Bluetooth™ technology. The device offers two battery power options for the user, rechargeable or primary disposable cells. The wireless data provided by the sensor may be viewed using a standalone PC based viewing application, or integrated into third party monitoring applications.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Chest

Indicated Patient Age Range

16 - 65years

Intended User / Care Setting

hospital care facilities, the home, workplace and alternate care settings.

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)

Performance measurement and review to the applicable sections of the following standards has been undertaken and successfully demonstrated as recommended by available guidrance from the agency: EN60601-1, IEC60601-1-2: 2001, ISO 10993-1, ANSI/AAMI EC13: 2002, ASTM E 1 12-00.
The device was not evaluated against the criteria for defibrillation and pacemaker immunity as it is not indicated for use in either of these cases.
Additional voluntary testing has been undertaken to the following: General functional test, Environmental Performance Test.

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.

K030795, K040605, K003520, K012451, K052489, K043604

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

§ 870.1025 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.

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Image /page/0/Picture/0 description: The image shows the word "hidalgo" followed by four filled circles. Below the circles, there is handwritten text that reads "K061993" and "P 1/4". The text appears to be a label or identifier associated with the image.

510(k) Summary

Submitter

NOV - S 2006

: :

Hidalgo Ltd Stable Block at the Grange 20 Market St Cambridge CB4 5QG United Kingdom

Contact: J.Pisani - Operations Director Tel: +441954233430

Manufacturer

Hidalgo Ltd Stable Block at the Grange 20 Market St Cambridge CB4 5QG United Kingdom

Hidalgo propose to register as the manufacturer of the device in accordance with 21CFR Part 807.

Name of Device

Equivital™ Vital Signs Physiological Monitor Device Trade Name:

Device Common Name: Ambulatory Patient Monitor

Device Classification and Product Code:

74 DRT870.2300 - Monitor, Cardiac (incl Cardiotachometer & rate alarm)
74DPS870.2340 - Electrocardiograph
73BZQ868.2375 - Monitor, Breathing Frequency
80FLL880.2910 - Thermometer, Electronic, Clinical

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Predicate Devices

GMP Wireless MedicineLifeSync™- K030795
Dymedix IncRe-usable Respiratory Effort Belt Sensor- K040605
Nexan IncNX-300- K003520
Protocol SystemsPropaq Encore 200- K012451
RespironicsActiheart®- K052489
VivometricsLife Shirt™ Real Time-K043604

The device has been compared to the following predicates:

Device Description

The Equivital™ Vital Signs Physiological Monitor comprises two components:

i) A chest belt containing skin electrodes and an expansion sensor

ii) A battery powered electronics module which connects directly to the chest belt and which acts to record, digitise and transmit the physiological information wirelessly to a receiving display device.

The device offers continuous monitoring of two views of the user's heart electrical activity (ECG) and respiratory breathing frequency inferred from thoracic cavity movement and uses this data to derive a Heart Rate and a Breathing Effort Rate.

The sensor also provides the following information:

  • ECG and Respiration physiological waveforms. .
  • an indication of the user's activity level (none, low or high) derived from a movement . detection sensor.
  • . Body orientation.
  • Chest skin surface temperature. .
  • alternate secondary measurement of heart rate based on the detection of the user's R . wave using a separate hardware processing function.
  • indications and alerts if physiology exceeds predefined boundaries. .

The device offers two variants for the wireless interface: a low power radio interface designed for military applications and a general purpose interface using Bluetooth™ technology.

The device offers two battery power options for the user, rechargeable or primary disposable cells.

The wireless data provided by the sensor may be viewed using a standalone PC based viewing application, or integrated into third party monitoring applications.

Intended Use Summary

The Equivital™ Vital Signs Physiological Monitor is an ambulatory multiparameter vital signs telemetry device intended for monitoring of adults (16 - 65years) in hospital care facilities, the home, workplace, and alternate care settings.

2

The device consists of a chest belt hamess and a body wom electronics module (SEM) supported by the chest belt).

The device collects and transmits ECG data and rate, respiration data and rate, skin temperature, body orientation and motion.

The monitor is indicated for use as a general patient monitor, to provide physiological information as part of an occupational welfare monitoring system, and for general research and performance measurement purposes.

hidalo

Technological Characteristics

Substantial equivalence has been measured by the technological review and comparison of performance data for the following.

FunctionPredicate 1Additional Predicates
ECG Heart Rate,
Breathing Rate
Temperature and
General Physical
PropertiesProtocol Systems Propaq
Encore 200
K003520Nexan Inc NX-300
K003520
Chest Expansion
RespirationDymedix
Re-usable Respiratory
Effort Belt - K040605Nexan Inc NX-300
K003520
Vivometrics LifeShirt
Real Time
K043604
Activity/Motion
DetectionRespironics
Actiheart - K052489Vivometrics LifeShirt
Real Time
K043604
Bluetooth telemetry
and ECG transmissionGMP Wireless Medicine -
LifeSyncTM K030795
Low Power 40.68MHz
PANRespironics
Actiheart - K052489

The device technological characteristics compare to the following predicates:

Performance Measurement Summary

Performance measurement and review to the applicable sections of the following standards has been undertaken and successfully demonstrated as recommended by available guidrance from the agency:

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  • EN60601-1: Medical Electrical Equipment -- Part 1 General Requirements for Safety. .
  • IEC60601-1-2: 2001 Medical Electrical Equipment Part 1-2: Collateral Standard: . Electromagnetic Compatibility.
  • ISO 10993-1: Biological Evaluation of Medical Devices: Evaluation and Testing. .
  • ANSI/AAMI EC13: 2002 Cardiac Monitors, heart rate meters, and alarms. The device was . not evaluated against the criteria for defibrillation and pacemaker immunity as it is not indicated for use in either of these cases.
  • ASTM E 1 12-00 Standard Specification for intermittent determination of patient . temperature.

Additional voluntary testing has been undertaken to the following:

  • . General functional test.
  • Environmental Performance Test. .

The device software has been developed using a structured software lifecycle which meets the requirements of EN60601-1-4 Programmable Systems, which also applies to ongoing maintenance of the software.

Substantial Equivalence Conclusion

This pre-market notification has demonstrated the substantial equivalence of the Equivital™ Vital Signs Physiological Monitor to the predicates identified, by comparison to the describition material and performance testing of the device.

4

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV - 3 2006

Hidalgo Limited c/o Mr. Justin Pisani Operations Director 20 Market Street Cambridge, CB4 5QG United Kingdom

Re: K061993

Equivital Vital Signs Physiological Monitor Regulation Number: 21 CFR 870 1025 Regulation Name: Arrhythmia detector and alarm (including ST-segment measurement and alarm) Regulatory Class: Class II Product Code: MHX Dated: September 29, 2006 Received: October 5, 2006

Dear Mr. Pisani:

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 max publish further announcements concerning your device in the Federal Register.

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Page 2 - Mr. Justin Pisani

Please be advised that FDA's issuance of a substantial equivalence determination docs not mean that FDA has made a determination that vour 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

B.Bimmofor for

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

Enclosure

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Indications for Use

510(k) Number (if known): K061993

Device Name: Equivital™ Vital Signs Physiological Monitor

Indications For Use:

The Equivital™ Vital Signs Physiological Monitor is an ambulatory multiparameter vital signs The Equivilal™ Vital Signs Friyslological Rions and and States (16 - 65years) in hospital care facilities, the home, workplace and alternate care settings.

The device consists of a chest belt hamess and a body worn electronics module (SEM) supported by the chest belt.

The device collects and transmits ECG data and rate, respiration data and rate, skin temperature, body orientation and motion.

The monitor is indicated for use as a general patient monitor, to provide physiological The monitor is inalcated for ose as a general patient maniforing system, and for general research and performance measurement purposes.

Federal Law (US) restricts this device to sale by or on the order of a physician

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (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)

B/Bummerman

(Division Sign-Off)
Division of Cardiovascular Devices
510(k) Number K011993