K Number
K062970
Device Name
I-PAD
Date Cleared
2008-01-22

(480 days)

Product Code
Regulation Number
870.5310
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The i-PAD NF1200 is used to treat a person suffering from sudden cardiac arrest (SCA) and who exhibits symptoms of - No movement and no response when shaken . - No normal breathing .
Device Description
The i-PAD NF1200 is a semi-automated external defibrillator designed for minimally trained individuals. It provides simple and direct voice prompts and indications for a straightforward rescue operation. The i-PAD NF1200 needs the user to press its SHOCK button to deliver a defibrillating shock. During a resoue operation, it continuously acquires the electrocardiogram (ECG) of the patient. It also conducts arrhythmia detection continuously except during cardiopulmonary resuscitation (CPR). The timing and duration of the CPR are in accordance with the recommendations of the American Heart Association (AHA) 2005 Guidelines for CPR and Emergency Cardiovascular Care (ECC). The i-PAD NF1200 is lightweight and battery powered for maximum portability. Its battery pack has a capacity of 200 shocks (10 hours of operating time.) It delivers a 150-Joule biphasic truncated exponential shock waveform that it compensates for patient impedance by adjusting its timing parameter. If the user decides not to deliver a charge, the i-PAD NF1200 disarms itself by dumping the charge into an internal resistive load. The i-PAD NF1200 is capable of saving data and transmitting them to an external device. The i-PAD NF1200 conducts periodic (daily, weekly, and 28-day) self-tests, a battery insertion self-test, and self-tests during power-ON and run-time. It informs the user if an error is detected through audio and visual indicators.
More Information

Not Found

No
The description focuses on standard AED functionality, arrhythmia detection based on established guidelines, and basic signal processing (impedance compensation). There is no mention of AI, ML, or related concepts.

Yes
The device is described as "used to treat a person suffering from sudden cardiac arrest (SCA)" and "deliver a defibrillating shock," which are therapeutic actions.

Yes

The device continuously acquires the electrocardiogram (ECG) of the patient and conducts arrhythmia detection, which are diagnostic functions.

No

The device description clearly outlines hardware components such as a SHOCK button, battery pack, and internal resistive load, and describes physical actions like delivering a shock and dumping charge. It also mentions electrical safety and compliance testing for hardware standards (EN60601-1, EN60601-2-4, ANSI/AAMI DF80).

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Function: The i-PAD NF1200 is an external defibrillator. Its primary function is to deliver an electrical shock to a patient experiencing sudden cardiac arrest. It analyzes the patient's ECG to determine if a shock is necessary, but it does not analyze specimens taken from the body.
  • Intended Use: The intended use is to treat a person suffering from sudden cardiac arrest, not to diagnose a condition based on laboratory analysis of a specimen.
  • Device Description: The description focuses on the device's ability to acquire ECG, detect arrhythmias, and deliver a shock. There is no mention of analyzing biological samples.

Therefore, the i-PAD NF1200 falls under the category of a therapeutic or diagnostic device that operates in vivo (on the living body), not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The i-PAD NF1200 is used to treat a person suffering from sudden cardiac arrest (SCA) and who exhibits symptoms of

  • No movement and no response when shaken .
  • No normal breathing .

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

MKJ

Device Description

The i-PAD NF1200 is a semi-automated external defibrillator designed for minimally trained individuals. It provides simple and direct voice prompts and indications for a straightforward rescue operation. The i-PAD NF1200 needs the user to press its SHOCK button to deliver a defibrillating shock.

During a resoue operation, it continuously acquires the electrocardiogram (ECG) of the patient. It also conducts arrhythmia detection continuously except during cardiopulmonary resuscitation (CPR). The timing and duration of the CPR are in accordance with the recommendations of the American Heart Association (AHA) 2005 Guidelines for CPR and Emergency Cardiovascular Care (ECC).

The i-PAD NF1200 is lightweight and battery powered for maximum portability. Its battery pack has a capacity of 200 shocks (10 hours of operating time.)

It delivers a 150-Joule biphasic truncated exponential shock waveform that it compensates for patient impedance by adjusting its timing parameter. If the user decides not to deliver a charge, the i-PAD NF1200 disarms itself by dumping the charge into an internal resistive load.

The i-PAD NF1200 is capable of saving data and transmitting them to an external device.

The i-PAD NF1200 conducts periodic (daily, weekly, and 28-day) self-tests, a battery insertion self-test, and self-tests during power-ON and run-time. It informs the user if an error is detected through audio and visual indicators.

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

Adults
Children over 55 lbs or 8 years old .
The device is not to be used on children below 8 years old or under 55 lbs .

Intended User / Care Setting

The device is intended for use by persons:

  • who have been specifically trained in its operation. .
  • who have training in cardiopulmonary resuscitation (CPR) or other physician-authorized . emergency medical response program in accordance with local and state requirements

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)

Shock Waveform Effectiveness and Safety
Substantial equivalence with the predicate device is shown by bench testing. The submission device and the predicate device are discharged and the shock waveform parameters are captured using an oscilloscope with energy measurement capability.
Statistical analysis is used to show that the mean values of the shock waveform parameters of the i-PAD NF1200 are closer to the mean values of the shock waveform parameters of the Philips HeartStart FR2+ than the mean values of the Defibtech DDU-100A shock waveform parameters.

Arrhythmia Detection Algorithm
The arrhythmia detection algorithm is tested using the recommendations of the American Heart Association and the ANSI/AAMI DF80 Standard.

Electrical Safety and Compliance to Defibrillator Standard
The i-PAD NF1200 was tested using EN60601-1 and EN60601-2-4. The EN60601-2-4 has the same contents as the ANSI/AAMI DF80 Standard except for some additional sections in the ANSI/AAMI DF80 regarding Defibrillator Electrodes and External Pacing.

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.

K020715, K013425, K013896

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

§ 870.5310 Automated external defibrillator system.

(a)
Identification. An automated external defibrillator (AED) system consists of an AED and those accessories necessary for the AED to detect and interpret an electrocardiogram and deliver an electrical shock (e.g., battery, pad electrode, adapter, and hardware key for pediatric use). An AED system analyzes the patient's electrocardiogram, interprets the cardiac rhythm, and automatically delivers an electrical shock (fully automated AED), or advises the user to deliver the shock (semi-automated or shock advisory AED) to treat ventricular fibrillation or pulseless ventricular tachycardia.(b)
Classification. Class III (premarket approval)(c)
Date PMA or notice of completion of PDP is required. A PMA will be required to be submitted to the Food and Drug Administration by April 29, 2015, for any AED that was in commercial distribution before May 28, 1976, or that has, by April 29, 2015, been found to be substantially equivalent to any AED that was in commercial distribution before May 28, 1976. A PMA will be required to be submitted to the Food and Drug Administration by April 29, 2015, for any AED accessory described in paragraph (a) that was in commercial distribution before May 28, 1976, or that has, by April 29, 2015, been found to be substantially equivalent to any AED accessory described in paragraph (a) that was in commercial distribution before May 28, 1976. Any other AED and AED accessory described in paragraph (a), shall have an approved PMA or declared completed PDP in effect before being placed in commercial distribution.

0

JAN 222 2008

167970

510(k) Summary

Submitted on behalf of:

Company Name: CU Medical Systems, Inc Address: Medical Industry Complex, Bldg. No. 2, 1720-26 Taejang-dong, Wonju-si, Gangwon-do, 220-120 Republic of Korea Telephone: 8233 747 7657 8233 747 7659 Fax:

by:

Telephone: Fax:

CONTACT PERSON: DATE PREPARED:

Elaine Duncan January 15, 2008

Stillwater, MN 55082

PO Box 560

715-549-6035

715-549-5380

Elaine Duncan, MS.ME., RAC President, Paladin Medical, Inc.

DEVICE TRADE NAME: i-PAD NF1200 Semi-automated External Defibrillator COMMON NAME: Semi-automated External Defibrillator CLASSIFICATION NAMES: Low Energy Defibrillator PRODUCT CODE and REGULATION NUMBER: MKJ, 21 CFR 870.5310 -Automated External Defibrillator

PREDICATE DEVICES:

The i-PAD NF1200 is substantially equivalent to other marketed AEDs in the United States, specifically the following:

Device NameManufacturer510(K) Number
Philips HeartStart OnSitePhilips Medical SystemsK020715
Philips HeartStart FR2+Philips Medical SystemsK013425
Defibtech Sentry DDU-100ADefibtech, LLCK013896

The shock delivered by the device is in the form of a Biphasic Truncated Exponential which has characteristics and results that are substantially equivalent to the cited predicate devices (K013425 and K013896). The operation of this device and its minor differences with the predicate device does not raise new issues regarding safety and efficacy.

1

DESCRIPTION of the DEVICE:

The i-PAD NF1200 is a semi-automated external defibrillator designed for minimally trained individuals. It provides simple and direct voice prompts and indications for a straightforward rescue operation. The i-PAD NF1200 needs the user to press its SHOCK button to deliver a defibrillating shock.

During a resoue operation, it continuously acquires the electrocardiogram (ECG) of the patient. It also conducts arrhythmia detection continuously except during cardiopulmonary resuscitation (CPR). The timing and duration of the CPR are in accordance with the recommendations of the American Heart Association (AHA) 2005 Guidelines for CPR and Emergency Cardiovascular Care (ECC).

The i-PAD NF1200 is lightweight and battery powered for maximum portability. Its battery pack has a capacity of 200 shocks (10 hours of operating time.)

It delivers a 150-Joule biphasic truncated exponential shock waveform that it compensates for patient impedance by adjusting its timing parameter. If the user decides not to deliver a charge, the i-PAD NF1200 disarms itself by dumping the charge into an internal resistive load.

The i-PAD NF1200 is capable of saving data and transmitting them to an external device.

The i-PAD NF1200 conducts periodic (daily, weekly, and 28-day) self-tests, a battery insertion self-test, and self-tests during power-ON and run-time. It informs the user if an error is detected through audio and visual indicators.

Indications for Use

The i-PAD NF1200 is used to treat a person suffering from sudden cardiac arrest (SCA) and who exhibits symptoms of

  • No movement and no response when shaken .
  • No normal breathing .

Contraindication for Use

The device must not be used on a person who:

  • Is moving or is responsive when shaken .
  • . Is breathing normally
  • Target Patients
  • . Adults
  • Children over 55 lbs or 8 years old .
  • The device is not to be used on children below 8 years old or under 55 lbs .

Intended User

The device is intended for use by persons:

  • who have been specifically trained in its operation. .
  • who have training in cardiopulmonary resuscitation (CPR) or other physician-authorized . emergency medical response program in accordance with local and state requirements

2

COMPARISON OF TECHNOLOGY CHARACTERISTICS

The i-PAD NF1200 employs the same fundamental technological characteristics as the predicate devices. Differences in implementation are verified and validated using relevant test protocols.

SUMMARY of TESTING:

Shock Waveform Effectiveness and Safety

Substantial equivalence with the predicate device is shown by bench testing. The submission device and the predicate device are discharged and the shock waveform parameters are captured using an oscilloscope with energy measurement capability.

Statistical analysis is used to show that the mean values of the shock waveform parameters of the i-PAD NF1200 are closer to the mean values of the shock waveform parameters of the Philips HeartStart FR2+ than the mean values of the Defibtech DDU-100A shock waveform parameters.

Arrhythmia Detection Algorithm

The arrhythmia detection algorithm is tested using the recommendations of the American Heart Association and the ANSI/AAMI DF80 Standard.

Electrical Safety and Compliance to Defibrillator Standard

The i-PAD NF1200 was tested using EN60601-1 and EN60601-2-4. The EN60601-2-4 has the same contents as the ANSI/AAMI DF80 Standard except for some additional sections in the ANSI/AAMI DF80 regarding Defibrillator Electrodes and External Pacing.

CONCLUSION

The i-PAD NF1200 is substantially equivalent to its predicate devices. Testing shows that the submission device does not raise new issues of safety and effectiveness.

3

Public Health Service

Image /page/3/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which features a staff with a serpent entwined around it, and three horizontal lines above it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the symbol.

JAN 22 2008

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

CU Medical Systems, Inc c/o Ms. Elaine Duncan, M.S.M.E., RAC President, Paladin Medical, Inc. PO Box 560 Stillwater, MN 55082

Re: K062970

Trade/Device Name: I-Pad NF1200 Semi-Automated External Defibrillator Regulation Number: 21 CFR 870.5310 Regulation Name: Automated external defibrillator Regulatory Class: Class III Product Code: MKJ Dated: November 28, 2007 Received: November 29, 2007

Dear Ms Duncan:

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.

4

Page 2 - Ms. Elaine Duncan, M.S.M.E., RAC

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 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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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,

Bram D. Zuckerman, M.D.

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

Enclosure

5

Indications for Use

510(k) Number (if known):

Device Name: i-PAD NF1200

Indications For Use:

The i-PAD NF1200 is used to treat a person suffering from sudden cardiac arrest (SCA) and who exhibits symptoms of

  • No movement and no response when shaken .
  • No normal breathing .
Prescription UseX
(Part 21 CFR 801 Subpart D)

AND/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)(Division Sign/Off)

Division of Cardiovascular Devices
510(k) number K062970

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