K Number
K063447
Device Name
INSIGHT DISCOVERY
Manufacturer
Date Cleared
2007-08-16

(274 days)

Product Code
Regulation Number
890.1375
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
To measure bilateral differences in surface EMG along the spine To measure surface EMG along the spine during functional tasks To measure bilateral differences in skin temperature along the spine To measure Range of Motion of the three spinal regions To measure patient self-reported pressure sensitivity in joints and muscles To measure Heart Rate To chart patient progress during the course of treatment
Device Description
The Insight Discovery is a non-invasive, multi-modality physiologic monitoring device. The Insight Discovery contains the following six sensor types: (1) surface EMG used to measure muscle activity, (2) infrared temperature sensor used to measure skin temperature, (3) algometer used to measure patient self-reported pressure sensitivity, and (4) heart rate sensor to measure heart rate, (5) an inclinometer used to measure end-point range of motion, and (6) a wireless version of the inclinometer.
More Information

Not Found

No
The summary describes a multi-modality physiological monitoring device with various sensors, but there is no mention of AI, ML, or any related technologies in the intended use, device description, or specific sections for AI/ML information.

No
The device measures physiological parameters and tracks patient progress, but it does not claim to treat, prevent, or mitigate any disease or condition. Its stated uses are for measurement and monitoring.

Yes
The device is used to measure various physiological parameters along the spine, in joints and muscles, and heart rate, which are then charted to "measure patient progress during the course of treatment." This monitoring and charting of progress for treatment indicate a diagnostic purpose, even if not for initial disease diagnosis.

No

The device description explicitly lists multiple hardware sensor types (surface EMG, infrared temperature sensor, algometer, heart rate sensor, inclinometer) that are part of the device.

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 Insight Discovery measures physiological parameters directly from the patient's body surface (surface EMG, skin temperature, range of motion, pressure sensitivity, heart rate). It does not analyze samples taken from the body.
  • Intended Use: The intended uses listed are all related to measuring physiological responses and patient-reported information directly from the patient, not from in vitro samples.

Therefore, the Insight Discovery falls under the category of a non-invasive physiological monitoring device, not an IVD.

N/A

Intended Use / Indications for Use

  • To measure bilateral differences in surface EMG along the spine
  • To measure surface EMG along the spine during functional tasks .
  • . To measure bilateral differences in skin temperature along the spine
  • I To measure Range of Motion of the three spinal regions
  • l To measure patient self-reported pressure sensitivity in joints and muscles
  • . To measure Heart Rate
  • 미 To chart patient progress during the course of treatment

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

IKN, HCC

Device Description

The Insight Discovery is a non-invasive, multi-modality physiologic monitoring device. The Insight Discovery contains the following six sensor types: (1) surface EMG used to measure muscle activity, (2) infrared temperature sensor used to measure skin temperature, (3) algometer used to measure patient self-reported pressure sensitivity, and (4) heart rate sensor to measure heart rate, (5) an inclinometer used to measure end-point range of motion, and (6) a wireless version of the inclinometer.

Hardware

The Insight Discovery hardware consists of an instrument console and six different sensor types. The sensor types plug directly into the front panel of the Insight Instrument Console, with the exception of the wireless inclinometer. The Insight Discovery Instrument Console is powered via a UL2601 listed power supply. The Instrument Console is connected to a personal computer (IBM compatible) via an isolated USB port connection.

Software

The Insight Discovery software displays real-time surface EMG, spinal Range of Motion, skin temperature, pressure, and heart rate readings, allowing the user to ensure that readings are stable prior to data collection. The Insight Discovery software allows the user to: (1) enter patient information, (2) record surface EMG, spinal Range of Motion, skin temperature, pressure and heart rate readings, (3) graph surface EMG, spinal Range of Motion, skin temperature, pressure and heart rate readings, and (4) print out reports, including an integrated report containing the results of all five recording types.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

spine, joints, muscles

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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): 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.

K023209

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

§ 890.1375 Diagnostic electromyograph.

(a)
Identification. A diagnostic electromyograph is a device intended for medical purposes, such as to monitor and display the bioelectric signals produced by muscles, to stimulate peripheral nerves, and to monitor and display the electrical activity produced by nerves, for the diagnosis and prognosis of neuromuscular disease.(b)
Classification. Class II (performance standards).

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ATTACHMENT 4

AUG 16 2007

Insight Discovery

510(k) Summary

Submitted by:

Company Name: Company Address #1: Company Address #2: Contact Person: Phone Number: Fax Number:

Fasstech 76 Treble Cove Road, #2 North Billerica, MA 01862 Lee Brody 978.663.2800 978.663.0999

Submitted on:

April 13, 2007

Insight Discovery 510(k) Summary

1

Section 1: Device Name

Proprietary Model Name: Common or Usual Name: Regulatory Name: Regulation Number: Product Code: Regulatory Class:

Insight Discovery Diagnostic Electromyograph Diagnostic Electromyograph 21 CFR 890.1375 IKN II

Section 2: Indications for Use

  • I To measure bilateral differences in surface EMG along the spine
  • To measure surface EMG along the spine during functional tasks .
  • . To measure bilateral differences in skin temperature along the spine
  • I To measure Range of Motion of the three spinal regions
  • l To measure patient self-reported pressure sensitivity in joints and muscles
  • . To measure Heart Rate
  • 미 To chart patient progress during the course of treatment

Section 3: Device Description

The Insight Discovery is a non-invasive, multi-modality physiologic monitoring device. The Insight Discovery contains the following six sensor types: (1) surface EMG used to measure muscle activity, (2) infrared temperature sensor used to measure skin temperature, (3) algometer used to measure patient self-reported pressure sensitivity, and (4) heart rate sensor to measure heart rate, (5) an inclinometer used to measure end-point range of motion, and (6) a wireless version of the inclinometer.

Hardware

The Insight Discovery hardware consists of an instrument console and six different sensor types. The sensor types plug directly into the front panel of the Insight Instrument Console, with the exception of the wireless inclinometer. The Insight Discovery Instrument Console is powered via a UL2601 listed power supply. The Instrument Console is connected to a personal computer (IBM compatible) via an isolated USB port connection.

Software

The Insight Discovery software displays real-time surface EMG, spinal Range of Motion, skin temperature, pressure, and heart rate readings, allowing the user to ensure that readings are stable prior to data collection. The Insight Discovery software allows the user to: (1) enter patient information, (2) record surface EMG, spinal Range of Motion, skin temperature, pressure and heart rate readings, (3) graph surface EMG, spinal Range of Motion, skin temperature, pressure and heart rate readings, and (4) print out reports, including an integrated report containing the results of all five recording types.

2

Section 4: Predicate Device

This section documents the substantial equivalence of the Insight Discovery to a legally marketed device. Specifically, this section documents the substantial equivalence of Insight Discovery to the following product:

ManufacturerPredicate Device Name510(k) Number
Insight Millennium IIIFasstechK023209

The Insight Discovery is equivalent to this legally marketed device in the following ways:

  • The physical characteristics and electrical characteristics (performance characteristics) of the . Insight Discovery are identical as to the Insight Millennium III, as cleared by FDA. The only difference is the addition of an optional wireless dual inclinometer in the place of the standard wired inclinometer.
    The Insight Discovery differs from the legally marketed device in the following ways:

  • l The addition of an optional wireless dual inclinometer

  • . The extension of the Insight software to interface with the new inclinometer

FeatureInsight DiscoveryInsight Millennium III
Four Channels of surface EMGYesYes
Skin Temperature measurement via infrared thermal scannerYesYes
Range of Motion SensorYesYes
AlgometerYesYes
UL-2601 listed power supplyYesYes
Heart-rate measure using IR PhethsmographYesYes
Wireless version of the inclinometerYesN/A

Predicate Device Comparison Chart

Section 5: Performance Specification

Insight Discovery 510(k) Summary

3

The Insight Discovery specifications are summarized below and are identical to Insight Millennium III (except for the addition of the Dual Inclinometer):

EMG

Electrodes:

Calibrated Range: Input Bias Current: Differential Input Impedance: Common Mode Rejection: Bandwidth: Noise: Detector: Controls:

Temperature

Calibrated Range: Accuracy: Sensors:

Controls: Physical:

Size:

Algometer

Calibrated Range: Accuracy: Contact Area: Sensor: Controls: Physical:

Size:

Heart Rate Sensor Sensor Type

Output Voltage: Output Impedance: Weight: Sensor Size:

Single Inclinometer Range: Accuracy: Axes: Controls:

4 ea. Smart Sensors with low-noise preamplifiers integral to clectrode assemblies 0.1 - 999 uV Less than 2.0 Picoamperes Greater than 1,000,000 Megaohms 150 dB 20-500 Hz (50/60 Hz notch) Less than 0.1 uV (inputs shorted) Log power detector, 250 mS averaging filter. None

55°F - 120°F +0.2°F nominal Two thermopile, fixed 2.5" apart (center-tocenter) Enter button Case Material: Impact-resistant, Aluminum with 0.5" ABS Plastic Outer Ring. 5.5"L x 3.5"W x 2.5"H. Weight 15 oz.

0-100 lbs. +3% nominal 1.0 cm4 One pressure transducer attached to a stiff rod. Enter button Case Material: Impact-resistant, Aluminum with 3.0" ABS Plastic Stiff Rod. 5.5"L x 1.75"W x 2.5"H. Weight 9 oz.

IR Plethsmograph (attached to finger with Velcro) 5 - 50 mV, typical at rest 1 kΩ2, nominal 28 grams 15 x 15 x6.3 mm

360 degrees +/- 1 degree nominal One Enter and Skip Buttons

Insight Discovery 510(k) Summary

4

Physical:Case Material: Impact resistant, flame retardant ABS.
3.4"H x 3.5"W x 1.25"D. Weight 6.5 oz.
Dual Inclinometer
Range:360 degrees
Accuracy:+/- 1 degree nominal
Axes:Three
Controls:None
Bluetooth Type:Class 1 / +7dBm 5 mW
Physical:Case Material: Impact resistant, flame retardant ABS.
(1) 3.9"L x 2.0"W x 0.8"D. Weight 2.9 oz.
(2) 1.4"L x 1.4"W x 0.6"D. Weight 1.8 oz.
Instrument Console
Inputs:4 each EMG electrodes
1 each inclinometer
1 each temperature sensor
1 each algometer sensor
1 each Heart Rate sensor
Output:Isolated USB
A/D converter:16 bit, 16 channel
Controls:None
Power:12V, 500 mA UL-2601 listed power supply.
Physical:Case Material: Impact resistant, flame retardant ABS.
3.5"H x 8.375"W x 9"D. Weight 3 lbs. 11 oz.

Section 6: Patient Safety

The Insight Discovery patient isolation is assured by the following two electrical isolation barriers:

  • 1 . Medical-Grade Universal Power Supply: This device is a UL2601 compliant AC line to 12 VDC, 28 W converter. This internal power supply is partitioned from all other circuitry via an earthed steel chassis. The power supply accepts 85-264 VAC, and 47-63 Hz via a IEC 60320 fused input module.
    This supply provides low-level isolated power to the Non-Patient Side of the Insight Discovery circuitry, as well as power to the DC-to-DC isolation converter that powers to the Patient Side (see #2 below).

    1. DC-to-DC Patient Isolation Converter: This converter is a UL2601 compliant DC-to-DC converter, and meets the dielectric withstand and leakage current requirements of the UL2601 standard for Patient Care Equipment with isolated patient leads.
      This converter supplies all power to patient-applied parts and related circuitry. Each of the direct patient-applied parts have individual current limiters for fault condition.

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In addition, the Patient Side of the Insight Discovery is isolated from the host PC as follows:

  • Signals are converted from analog voltages to 16 bit 3. Optically Isolated Data Link: digital values by the analog-to-digital converter (ADC). The digital data is sent to and from the USB of the PC across an optically isolated data link.
    This optical link is UL2601 compliant, providing the dielectric withstand and low leakage current characteristics specified in UL2601.

Section 7: Conclusion

The Insight Discovery is substantially equivalent to the predicate device. Furthermore, the device is safe and effective for its intended use.

6

Image /page/6/Picture/11 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized symbol resembling an eagle or bird in flight, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Fasstech % Intertek Testing Services NA, Inc. 2307 East Aurora Road Unit B7 Twinsburg, Ohio 44087 ATTN: Daniel W. Lehtonen

DEPARTMENT OF HEALTH & HUMAN SERVICES

AUG 1 6 2007

Re: K063447

Trade/Device Name: Insight Discovery Diagnostic Electromyograph Regulation Number: 21 CFR 890.1375 Regulation Name: Diagnostic Electromyograph Regulatory Class: Class II Product Code: IKN, HCC Dated: August 2, 2007 Received: August 3, 2007

Dear Mr. Lehtonen:

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

7

Page 2 -- Mr. Daniel W. Lehtonen

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,
Mark A. Millham

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

Enclosure

8

Indications for Use

510(k) Number (if known):

Device Name: Insight Discovery

Indications for Use:

To measure bilateral differences in surface EMG along the spine To measure surface EMG along the spine during functional tasks To measure bilateral differences in skin temperature along the spine To measure Range of Motion of the three spinal regions

To measure patient self-reported pressure sensitivity in joints and muscles To measure Heart Rate

To chart patient progress during the course of treatment

Prescription Use (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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Mudk N. Willians

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

510(k) Number K06344

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