K Number
K073545
Device Name
AUDICOR, HEMO AMBULATORY MONITOR
Date Cleared
2008-09-09

(266 days)

Product Code
Regulation Number
870.2800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Audicor® System, when used with AUDICOR Sensors on the chest wall, is intended for use in acquiring, analyzing and reporting ECG and heart sound data and to provide interpretation of the data in an integrated ACG (acoustic cardiograph) report for consideration by physicians. Audicor systems allow detection, reporting and interpretation of standard ECG data as well as advanced parameters such as EMAT, LVST, S3 strength, S4 strength, and SDI. Data may be reported in a single snapshot report and in a trended report format where multiple data points are trended over time. The Audicor system also accepts and analyzes downloads of up to 48 hours of patient data from an optional ambulatory ECG/heart sounds collection device. ECG and heart sound data offered by the device are only significant when used in conjunction with physician over read as well as consideration of other relevant patient data. The device is intended for use only under the direct supervision of a physician and is for use on adults (≥ 18 years).
Device Description
The Audicor 200 is a stand-alone device that can be used to capture 10-second snapshots of ECG and heart sounds in patients suspected of heart failure or acute coronary syndrome. The Audicor TS system, a combination of the Audicor 200 with an Audicor-enabled laptop computer, is used to display and analyze patient data over time in a trended format. The trending system can be used in monitoring patient changes during therapeutic treatment or during CRT studies. The Audicor system, when used with either a 10 wire or 4 wire patient cable analyzes and reports the following advanced parameters and a systolic dysfunction index (SDI) calculated from advanced parameters: LVST ( Left Ventricular Systolic Time ) LVDT (Left Ventricular Diastolic Time) PADT (Pre-atrial Diastolic Filling Time) AAFT (Accelerated Atrial Filling Time ) EMAT (QS1, Electromechanical Activation Time) QS2 R-R Interval S3 Strength S4 Strenth SDI (Systolic Dysfunction Index) The Audicor-enabled laptop computer also accepts, analyzes and displays trended data from an optional ambulatory data collection harness for trend and event analysis.
More Information

Not Found

No
The summary describes analysis and interpretation of ECG and heart sound data, but does not mention AI or ML algorithms being used for this analysis or interpretation. The performance studies listed are related to electrical safety and ECG standards, not AI/ML performance metrics.

No
The device is described as acquiring, analyzing, and reporting ECG and heart sound data for diagnostic purposes, and for monitoring during therapeutic treatment, but it does not directly treat or alleviate a medical condition itself.

Yes

Explanation: The "Intended Use / Indications for Use" section explicitly states that the device is "intended for use in acquiring, analyzing and reporting ECG and heart sound data and to provide interpretation of the data in an integrated ACG (acoustic cardiograph) report for consideration by physicians." This process of acquiring, analyzing, and interpreting data to aid physicians in understanding a patient's condition falls under the definition of a diagnostic device. Furthermore, the "Device Description" mentions its use in patients "suspected of heart failure or acute coronary syndrome," indicating its role in identifying or characterizing these conditions. The listed parameters like LVST, EMAT, and SDI are all diagnostic in nature.

No

The device description explicitly mentions "AUDICOR Sensors on the chest wall" and "Audicor 200 is a stand-alone device that can be used to capture 10-second snapshots of ECG and heart sounds". It also refers to "a combination of the Audicor 200 with an Audicor-enabled laptop computer" and "a 10 wire or 4 wire patient cable". These are all hardware components, indicating it is not a software-only device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Audicor System Function: The Audicor System acquires, analyzes, and reports ECG and heart sound data directly from the patient's chest wall using sensors. This is a non-invasive method of collecting physiological data from the body itself, not from a specimen taken from the body.
  • Intended Use: The intended use describes the device as acquiring and analyzing ECG and heart sound data from the chest wall for consideration by physicians. This aligns with in vivo (within the living body) diagnostic methods, not in vitro.

Therefore, the Audicor System falls under the category of a medical device used for physiological monitoring and analysis, but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Audicor® System, when used with AUDICOR Sensors on the chest wall, is intended for use in acquiring, analyzing and reporting ECG and heart sound data and to provide interpretation of the data in an integrated ACG (acoustic cardiograph) report for consideration by physicians. Audicor systems allow detection, reporting and interpretation of standard ECG data as well as advanced parameters such as EMAT, LVST, S3 strength, S4 strength, and SDI.

Data may be reported in a single snapshot report and in a trended report format where multiple data points are trended over time. The Audicor system also accepts and analyzes downloads of up to 48 hours of patient data from an optional ambulatory ECG/heart sounds collection device.

ECG and heart sound data offered by the device are only significant when used in conjunction with physician over read as well as consideration of other relevant patient data.

The device is intended for use only under the direct supervision of a physician and is for use on adults (≥ 18 years).

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

MWJ

Device Description

The Audicor 200 is a stand-alone device that can be used to capture 10-second snapshots of ECG and heart sounds in patients suspected of heart failure or acute coronary syndrome.

The Audicor TS system, a combination of the Audicor 200 with an Audicor-enabled laptop computer, is used to display and analyze patient data over time in a trended format. The trending system can be used in monitoring patient changes during therapeutic treatment or during CRT studies.

The Audicor system, when used with either a 10 wire or 4 wire patient cable analyzes and reports the following advanced parameters and a systolic dysfunction index (SDI) calculated from advanced parameters:

LVST ( Left Ventricular Systolic Time )
LVDT (Left Ventricular Diastolic Time)
PADT (Pre-atrial Diastolic Filling Time)
AAFT (Accelerated Atrial Filling Time )
EMAT (QS1, Electromechanical Activation Time)
QS2
R-R Interval
S3 Strength
S4 Strenth
SDI (Systolic Dysfunction Index)

The Audicor-enabled laptop computer also accepts, analyzes and displays trended data from an optional ambulatory data collection harness for trend and event analysis.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

chest wall

Indicated Patient Age Range

adults (≥ 18 years)

Intended User / Care Setting

only under the direct supervision of a physician

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)

Test Summary & Conclusion: The Audicor System has been tested to the applicable requirements of the following standards, and shown to comply.

  • . ANSI/AAMI EC-11 Standard for Diagnostic Electrocardiographic Devices
  • EN 60601-1 (UL 60601-1) Standard for Medical Electrical Equipment: General . Requirements for Safety
  • . EN 60601-1-2 Standard for Medical Electrical Equipment Part 1-2: General Requirements for Safety - Collateral Standard: Electromagnetic Compatibility -Requirements and Tests
  • IEC 60601-2-25 Medical Electrical Equipment Part 2-25: Particular . Requirements for the Safety of Electrocardiographs
  • IEC 606601-2-51 Medical Electrical Equipment Part 2. Particular . Requirements for Safety, Including Essential Performance, of Recording and Analyzing Single Channel and Multi-channel Electrocardiographs

The optional ambulatory ECG/heart sounds data collection harness (Hemo) is designed to comply with

ANSI/AAMI EC38:1998 Ambulatory Electrocardiographs .

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.

K021470

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

§ 870.2800 Medical magnetic tape recorder.

(a)
Identification. A medical magnetic tape recorder is a device used to record and play back signals from, for example, physiological amplifiers, signal conditioners, or computers.(b)
Classification. Class II (performance standards).

0

:

·

:

SEP 0 9 2008

Summary of Safety and EffectivenessSEP 09 2008
As required by 21 CFR, part 807.92
Submitted By:Inovise Medical, Inc.
10565 SW Nimbus Ave, Suite 100
Portland, OR 97233-4311
Phone 503-431-3849
Fax 503-431-3801
Contact:Kendra Rathkey
Manager, Quality and Regulatory
Date Prepared:July 2, 2008
Proprietary
Name:Modification to AUDICOR 200
Common/ Usual
Name:Electrocardiograph/Acoustic Cardiograph
Classification:870.2340, DPS class II, Electrocardiograph
870.1875, DQD, class II, Electronic Stethoscope
870.2800, MLO, class II, Electrocardiograph, Ambulatory (with analysis program)
Performance
Standards:AAMI EC 11
Intended Use:The Audicor® System, when used with AUDICOR Sensors on the chest wall, is
intended for use in acquiring, analyzing and reporting ECG and heart sound data
and to provide interpretation of the data in an integrated ACG (acoustic
cardiograph) report for consideration by physicians. Audicor systems allow
detection, reporting and interpretation of standard ECG data as well as advanced
parameters such as EMAT, LVST, S3 strength, S4 strength, and SDI.
Data may be reported in a single snapshot report and in a trended report format
where multiple data points are trended over time. The Audicor system also accepts
and analyzes downloads of up to 48 hours of patient data from an optional
ambulatory ECG/heart sounds collection device.
ECG and heart sound data offered by the device are only significant when used in
conjunction with physician over read as well as consideration of other relevant
patient data.
The device is intended for use only under the direct supervision of a physician and
is for use on adults (≥ 18 years).
Device
Description:The Audicor 200 is a stand-alone device that can be used to capture 10-second
snapshots of ECG and heart sounds in patients suspected of heart failure or acute
coronary syndrome.
The Audicor TS system, a combination of the Audicor 200 with an Audicor-enabled
laptop computer, is used to display and analyze patient data over time in a trended
format. The trending system can be used in monitoring patient changes during
therapeutic treatment or during CRT studies.
The Audicor system, when used with either a 10 wire or 4 wire patient cable
analyzes and reports the following advanced parameters and a systolic
dysfunction index (SDI) calculated from advanced parameters:
LVST ( Left Ventricular Systolic Time )
LVDT (Left Ventricular Diastolic Time)

1

  • PADT (Pre-atrial Diastolic Filling Time) �
  • AAFT (Accelerated Atrial Filling Time ) .
  • EMAT (QS1, Electromechanical Activation Time) .
  • QS2 .
  • R-R Interval .
  • S3 Strength .
  • S4 Strenth �
  • SDI (Systolic Dysfunction Index)

The Audicor-enabled laptop computer also accepts, analyzes and displays trended data from an optional ambulatory data collection harness for trend and event analysis.

Test Summary & The Audicor System has been tested to the applicable requirements of the Conclusion: following standards, and shown to comply.

  • . ANSI/AAMI EC-11 Standard for Diagnostic Electrocardiographic Devices
  • EN 60601-1 (UL 60601-1) Standard for Medical Electrical Equipment: General . Requirements for Safety
  • . EN 60601-1-2 Standard for Medical Electrical Equipment Part 1-2: General Requirements for Safety - Collateral Standard: Electromagnetic Compatibility -Requirements and Tests
  • IEC 60601-2-25 Medical Electrical Equipment Part 2-25: Particular . Requirements for the Safety of Electrocardiographs
  • IEC 606601-2-51 Medical Electrical Equipment Part 2. Particular . Requirements for Safety, Including Essential Performance, of Recording and Analyzing Single Channel and Multi-channel Electrocardiographs

The optional ambulatory ECG/heart sounds data collection harness (Hemo) is designed to comply with

ANSI/AAMI EC38:1998 Ambulatory Electrocardiographs .

Substantial Equivalence:

.

The added Hemo accessory wireless ambulatory ECG/heart sounds data collection harness is found to be substantially equivalent to the following cleared devices:

  • GE Medical Systems SEER Light Holter Recorder (K021470)
    The Audicor System Hemo wireless ECG/heart sounds data collection harness Technological and the predicate GE SEER Light Holter Recorder are technologically equivalent in Characteristics: that both devices:

  • Are small, wearable, battery-powered devices .

  • Acquire ECG data from patients using limited ECG leads .

  • Use non-volatile memory to store patient data for download to the analysis . module of the system

The Audicor Ambulatory system is different from the predicate in the following ways:

  • It requires use of proprietary Audicor sensors to capture ECG and heart . sounds data
  • The GE SEER Light does not perform the analysis on recorded data while the . Audicor system does.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle or bird symbol with three curved lines representing its wings or feathers. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" is arranged in a circular pattern around the bird symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 0 9 2008

Inovise Medical, Inc. c/o Ms. Kendra Rathkey Manager, Quality and Regulatory 10565 SW Nimbus Avenue Suite 100 Portland, OR 97223-4311

Re: K073545

Trade Name: AUDICOR Hemo Ambulatory Monitor Regulation Number: 21 CFR 870.2800 Regulation Name: Medical Magnetic Tape Recorder Regulatory Class: Class II (two) Product Code: MWJ Dated: August 6, 2008 Received: August 11, 2008

Dear Ms. Rathkey:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and we 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). 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.

3

Page 2 - Ms. Kendra Rathkey

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 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 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

If you have any questions regarding the content of this letter, please contact Frank Lacy at (240) 276-4095.

Sincerely yours,

er R. V. Annes

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

Enclosure

4

Indications for Use

510(k) Number (if known): K073545

Device Name: Audicor Hemo Amonalastory,

Indications For Use:

The Audicor® System, when used with AUDICOR Sensors on the chest wall, is intended for use in acquiring, analyzing and reporting ECG and heart sound data and to provide interpretation of the data in an integrated ACG (acoustic cardiograph) report for consideration by physicians. Audicor systems allow detection, reporting and interpretation of standard ECG data as well as advanced parameters such as EMAT, LVST, S3 strength, S4 strength, and SDI.

Data may be reported in a single snapshot report and in a trended report format where multiple data points are trended over time. The Audicor system also accepts and analyzes downloads of up to 48 hours of patient data from an optional ambulatory ECG/heart sounds collection device,

ECG and heart sound data offered by the device are only significant when used in conjunction with physician over read as well as consideration of other relevant patient data.

The device is intended for use only under the direct supervision of a physician and is for use on adults (≥ 18 years).

Prescription Use XXX (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)

Page 1 of 1

Duna D. Schunes

(Division Sian-Off Division of Cardiovascular Devices

510(k) Number_K0+5545