(31 days)
ECG is intended to disclose either normal condition or patterns of arrhythmia, myocardial ischemia, rate abnormalities, or features of prognostic value in the following cases: Patients with suspected cardiac abnormalities; Populations of patients at an age or period in which a routine baseline evaluation of ECG characteristics is desired. Stress Testing: Angina pectoris (chest pain) is a clinical syndrome resulting from myocardial ischemia, indicative of reduced blood supply to the cardiac muscle. The electrocardiogram may establish the diagnosis of ischemic heart disease if characteristic changes are present. Stress testing is the most widely used method to decide whether this chest pain is related to myocardial ischemia, and thus to coronary artery disease. In stress testing, the contractile capability of the heart muscle is monitored via ECG during patient exercise by bicycle, treadmill, or other means, while the ECG is monitored continuously. Exercise loads are determined by predefined protocols. The ECG signals as well as the HF-QRS signals are recorded for the resting, exercise, and recovery phase portions of the exercise protocol. The changes in both ECG waveforms are compared to the resting ECG records. In the HyperQ™ stress test, changes in the high frequency of the mid QRS complex, calculated as root-mean-square (RMS) values, are compared to the resting values. Most of the commercial stress test systems control the bicycle or treadmill automatically according to the requirements of the chosen protocol, although this is not essential. ST segment monitoring is intended as an aid in the evaluation of myocardial ischemia in patients with known or suspected coronary artery disease. The ST segment algorithm has been tested for acuracy of the ST segment data, and a database is used as a tool for performance testing. The significance of the ST segment changes must be determined by a physician. HyperQ™: The HyperQ™ Software is intended to be used as an aid to the ECG stress test by means of analysis of high frequency components present within the central portion of the QRS complex. The significance of the HF-QRS changes must be determined by a physician.
The HyperQ™ System is a compact monitor for measuring, processing, storing, and displaying information derived from an electrocardiogram (ECG). The device analyzes and records the high frequency components of the QRS complex of standard ECG.
The provided text is a 510(k) summary for the HyperQ™ System, which is an ECG monitoring device. It describes the device's intended use and compares it to a predicate device, but it does not include detailed acceptance criteria or a study proving the device meets specific performance metrics.
Here's a breakdown of what can be extracted and what is missing:
1. Table of Acceptance Criteria and Reported Device Performance
Missing. The document states that "The ST segment algorithm has been tested for accuracy of the ST segment data, and a database is used as a tool for performance testing" and similar for "validation results" of enhancements, but it does not provide specific numerical acceptance criteria (e.g., sensitivity, specificity, accuracy thresholds) or reported performance values for these metrics.
2. Sample Size for the Test Set and Data Provenance
Missing specific details. The document mentions "a database is used as a tool for performance testing" for the ST segment algorithm and that "validation results" were obtained for the modified device. However, it does not specify the sample size of this database or the nature of the data (e.g., number of patients, number of ECGs, country of origin, retrospective or prospective). Given the manufacturer is based in Israel, it's possible the data originated there, but this is not explicitly stated.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications
Missing. The document indicates that "The significance of the ST segment changes must be determined by a physician" and "The significance of the HF-QRS changes must be determined by a physician." This implies physician involvement in interpreting results, which could be related to ground truth. However, it does not specify the number of experts used, their qualifications, or their role in establishing ground truth for the test set.
4. Adjudication Method for the Test Set
Missing. There is no information provided about any adjudication methods used (e.g., 2+1, 3+1 consensus) for establishing ground truth or evaluating the device's performance.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done
No. The document describes the device itself and its equivalence to a predicate device. It does not mention any MRMC study or comparative effectiveness study involving human readers with or without AI assistance. The device is presented as an aid to the stress ECG test, assisting physicians, but not in the context of comparative performance against human readers.
6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done
The document heavily implies a standalone algorithm's performance was evaluated, as it states: "The ST segment algorithm has been tested for accuracy of the ST segment data..." and "changes in the high frequency of the mid QRS complex, calculated as root-mean-square (RMS) values, are compared to the resting values." These statements suggest the algorithm generates data and makes comparisons autonomously. However, no specific "standalone study" with detailed results is described. The context is that the output of the algorithm needs to be interpreted by a physician.
7. The Type of Ground Truth Used
The document states, "The significance of the ST segment changes must be determined by a physician" and similarly for HF-QRS changes. This suggests that expert physician interpretation or diagnosis serves as the ultimate ground truth for the clinical significance of the ECG changes detected by the device. It's not explicitly stated whether this ground truth was derived from pathology, outcomes data, or only expert consensus on ECG readings.
8. The Sample Size for the Training Set
Missing. The document does not provide any information about a training set or its sample size. This is typical for a 510(k) for a device like this, which focuses on substantial equivalence rather than a de novo marketing application requiring detailed algorithm development and validation data.
9. How the Ground Truth for the Training Set Was Established
Missing. As no training set information is provided, there is no mention of how its ground truth was established.
In summary, the provided text serves as a regulatory submission focused on substantial equivalence to a predicate device, highlighting its intended use and technological characteristics rather than providing a detailed scientific study report with specific performance metrics and validation methodologies.
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510(k) Summary of Safety & Effectiveness
Pursuant to CFR 807.92, the following 510(k) Summary is provided:
| 1. (a) Submitter Address: | George J. HattubMedicSense, USA291 Hillside AvenueSomerset, MA 02726www.medicsense.com | APR - 6 2007 |
|---|---|---|
| 1. (b) Manufacturer Address: | Biological Signal Processing Ltd.2a Habarzel StreetTel-Aviv 69710, Israel | |
| Mfg. Phone: | Tel.: 972-3-647 4840 | |
| Contact Person: | Eran Toledo | |
| Date: | February 28, 2007 | |
| 2. Device & Classification Name: | Monitor, Physiological, Patient (Without Arrhythmia Detection Or Alarms) device as a class II device (product code MWI). HyperQ | |
| 3. Predicate Device: | HyperQ™ System K042981 | |
| 4. Description: | The HyperQ™ System is a compact monitor for measuring, processing, storing, and displaying information derived from an electrocardiogram (ECG). The device analyzes and records the high frequency components of the QRS complex of standard ECG. | |
| 5. Intended Use: | ECG | |
| ECG is intended to disclose either normal condition or patterns of arrhythmia, myocardial ischemia, rate abnormalities, or features of prognostic value in the following cases:Patients with suspected cardiac abnormalitiesPopulations of patients at an age or period in which a routine baseline evaluation of ECG characteristics is desired. | ||
| Stress Testing | ||
| Angina pectoris (chest pain) is a clinical syndrome resulting from myocardial ischemia, indicative of reduced blood supply to the cardiac muscle. The electrocardiogram may establish the diagnosis of ischemic heart disease if characteristic changes are present.Stress testing is the most widely used method to decide whether this chest |
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K070624
p2/2
pain is related to myocardial ischemia, and thus to coronary artery disease. In stress testing, the contractile capability of the heart muscle is monitored via ECG during patient exercise. Patients exercise by bicycle, treadmill, or other means, while the ECG is monitored continuously. Exercise loads are determined by predefined protocols. The ECG signals as well as the HF-QRS signals are recorded for the resting, exercise, and recovery phase portions of the exercise protocol. The changes in both ECG waveforms are compared to the resting ECG records. In the HyperQ™ stress test, changes in the high frequency of the mid QRS complex, calculated as root-meansquare (RMS) values, are compared to the resting values. Most of the commercial stress test systems control the bicycle or treadmill automatically according to the requirements of the chosen protocol, although this is not essential.
ST segment monitoring is intended as an aid in the evaluation of myocardial ischemia in patients with known or suspected coronary artery disease. The ST segment algorithm has been tested for accuracy of the ST segment data, and a database is used as a tool for performance testing. The significance of the ST segment changes must be determined by a physician.
HyperQ™
The HyperQ™ Software is intended to be used as an aid to stress ECG test by means of analysis of high frequency components present within the central portion of the QRS complex.
The significance of the HF-QRS changes must be determined by a physician.
-
- Comparison of Technological Characteristics:
With respect to technology and intended use, the Modified HyperQ™ System is substantially equivalent to its predicate device which is the Original HyperQ™ System. The primary difference is that the modified device provides a reformatted graphic interface unit (GIU) with additional enhancements, features, and user selectable options. Based upon the validation results, BSP believes these differences do not raise additional safety of efficacy concerns.
- Comparison of Technological Characteristics:
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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
APR - 6 2007
MedicSense c/o George Hattub Senior Staff Consultant 291 Hillside Avenue Somerset, MA 02726
Re: K070624
Trade/Device Name: HyperQ System Regulation Number: 21 CFR 870.2300 Regulation Name: Cardiac monitor (including cardiotachometer and rate alarm) Regulatory Class: Class II Product Code: MWI Dated: March 1, 2007 Received: March 6, 2007
Dear Mr. Hattub:
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.
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Page 2 - Mr. George Hattub
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 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,
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):
Device Name: HyperQ™System
Indications For Use: ECG is intended to disclose either normal condition or patterns of arrhythmia, myocardial ischemia, rate abnormalities, or features of prognostic value in the following cases:
· Patients with suspected cardiac abnormalities
· Populations of patients at an age or period in which a routine baseline evaluation of ECG characteristics is desired.
Stress Testing
Angina pectoris (chest pain) is a clinical syndrome resulting from myocardial ischemia, indicative of reduced blood supply to the cardiac muscle. The electrocardiogram may establish the diagnosis of ischemic heart disease if characteristic changes are present.
Stress testing is the most widely used method to decide whether this chest pain is related to myocardial ischemia, and thus to coronary artery disease. In stress testing, the contractile capability of the heart muscle is monitored via ECG during patient exercise by bicycle, treadmill, or other means, while the ECG is monitored continuously. Exercise loads are determined by predefined protocols. The ECG signals as well as the HF-QRS signals are recorded for the resting, exercise, and recovery phase portions of the exercise protocol. The changes in both ECG waveforms are compared to the resting ECG records. In the HyperQ™ stress test, changes in the high frequency of the mid QRS complex, calculated as root-mean-square (RMS) values, are compared to the resting values.
Most of the commercial stress test systems control the bicycle or treadmill automatically according to the requirements of the chosen protocol, although this is not essential.
ST segment monitoring is intended as an aid in the evaluation of myocardial ischemia in patients with known or suspected coronary artery disease. The ST segment algorithm has been tested for acuracy of the ST segment data, and a database is used as a tool for performance testing.
The significance of the ST segment changes must be determined by a physician.
HyperQ™
The HyperQ™ Software is intended to be used as an aid to the ECG stress test by means of analysis of high frequency components present within the central portion of the QRS complex.
The significance of the HF-QRS changes must be determined by a physician.
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 CDRH, Office of Device Evaluation (ODE)
| 1. 16.000 4 |
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(Division Sign-Off)
Division of Cardiovascular Devices
Page 1 of 1
51000 Number
§ 870.2300 Cardiac monitor (including cardiotachometer and rate alarm).
(a)
Identification. A cardiac monitor (including cardiotachometer and rate alarm) is a device used to measure the heart rate from an analog signal produced by an electrocardiograph, vectorcardiograph, or blood pressure monitor. This device may sound an alarm when the heart rate falls outside preset upper and lower limits.(b)
Classification. Class II (performance standards).