K Number
K083309
Device Name
ZARGIS ACOUSTIC CARDIOSCAN, VERSION 9.33
Date Cleared
2009-02-13

(95 days)

Product Code
Regulation Number
870.1875
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Zargis Acoustic Cardioscan, (ZAC) is an electronic auscultatory device, intended to provide support to the physician in the evaluation of heart sounds in patients. The product will acquire and record the acoustic signals of the heart and analyze these signals. The analysis procedure will identify specific heart sounds. that may be present. Identified sounds include S1, S2, and suspected murmurs. The device is indicated for use in a clinical setting, by a physician or by trained personnel who are acting on the orders of a licensed physician. It is not intended as a sole means of diagnosis. The interpretations of heart sounds offered by the Zargis Acoustic Cardioscan are only significant when used in conjunction with physician over-read as well as consideration of all other relevant patient data.
Device Description
The ZAC is an electronic auscultatory device intended to acquire, record, and analyze heart sounds. The complete system is a CD comprising software and instructions for use with an included USB transceiver for connection with a PC and capable of wireless communication with a Bluetooth-enabled electronic stethoscope.
More Information

No
The summary describes an "analysis procedure" and "enhanced software algorithm" for identifying heart sounds, but there is no mention of AI, ML, or related terms like neural networks or deep learning. The description of performance studies focuses on software verification and validation, not the training or testing of an AI/ML model.

No.
The device is intended to provide support to the physician in the evaluation and analysis of heart sounds, not to directly treat or cure a medical condition.

Yes

The device "is not intended as a sole means of diagnosis" and the interpretations "are only significant when used in conjunction with physician over-read as well as consideration of all other relevant patient data." This indicates it supports the diagnostic process rather than providing a definitive diagnosis on its own.

No

The device description explicitly states that the complete system includes a USB transceiver for connection with a PC and is capable of wireless communication with a Bluetooth-enabled electronic stethoscope. These are hardware components, making it a system that includes both software and hardware.

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

Here's why:

  • Intended Use: The intended use clearly states the device is an "electronic auscultatory device, intended to provide support to the physician in the evaluation of heart sounds in patients." It analyzes acoustic signals from the heart.
  • Device Description: The description reinforces that it's an "electronic auscultatory device intended to acquire, record, and analyze heart sounds."
  • Nature of the Input: The input is acoustic signals (heart sounds) acquired through an electronic stethoscope. IVD devices typically analyze samples taken from the body (like blood, urine, tissue) to detect diseases or conditions.
  • Lack of Mention of Biological Samples: There is no mention of the device interacting with or analyzing any biological samples.

Therefore, the Zargis Acoustic Cardioscan, as described, falls under the category of a medical device that aids in physical examination and analysis of physiological signals, rather than an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Zargis Acoustic Cardioscan, (ZAC) is an electronic auscultatory device, intended to provide support to the physician in the evaluation of heart sounds in patients.

The product will acquire and record the acoustic signals of the heart and analyze these signals. The analysis procedure will identify specific heart sounds. that may be present. Identified sounds include S1, S2, and suspected murmurs.

The device is indicated for use in a clinical setting, by a physician or by trained personnel who are acting on the orders of a licensed physician. It is not intended as a sole means of diagnosis.

The interpretations of heart sounds offered by the Zargis Acoustic Cardioscan are only significant when used in conjunction with physician over-read as well as consideration of all other relevant patient data.

Product codes

DQD, DQC

Device Description

The ZAC is an electronic auscultatory device intended to acquire, record, and analyze heart sounds.

The complete system is a CD comprising software and instructions for use with an included USB transceiver for connection with a PC and capable of wireless communication with a Bluetooth-enabled electronic stethoscope.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Heart

Indicated Patient Age Range

Not Found

Intended User / Care Setting

clinical setting, by a physician or by trained personnel who are acting on the orders of a licensed 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

A comprehensive list of verification and validation testing was performed in accordance with Zargis' Design Control procedures.

Software verification of the modified components was performed at the module and system level. The integrated ZAC system was further evaluated to verify the graphic user interface software and the ZAC system as an integrated product.

Validation of the ZAC was performed to ensure that the ZAC device consistently fulfills its intended use and the needs of the user. A clinical software validation was performed to insure the performance of the enhanced software algorithm.

The Bluetooth transceiver complies with all relevant FCC requirements.

Key Metrics

Not Found

Predicate Device(s)

K031517, K042128, K060197

Reference Device(s)

K072137, K063044, K043359

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1875 Stethoscope.

(a)
Manual stethoscope —(1)Identification. A manual stethoscope is a mechanical device used to project the sounds associated with the heart, arteries, and veins and other internal organs.(2)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.(b)
Electronic stethoscope —(1)Identification. An electronic stethoscope is an electrically amplified device used to project the sounds associated with the heart, arteries, and veins and other internal organs.(2)
Classification. Class II (special controls). The device, when it is a lung sound monitor, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

0

K083309
R1/2

510(k) Summary of Safety and Effectiveness FEB 1 3 2009

Zargis Acoustic Cardioscan

Pursuant to §513(i)(3)(A) of the Food, Drug, and Cosmetic Act, Zargis Medical Corporation is required to submit with this Premarket Notification either an " ... adequate summary of any information respecting safety and effectiveness or state that such information will be made available upon request of any person." Zargis Medical chooses to submit a summary of information respecting safety and effectiveness.

Trade Name:Zargis Acoustic Cardioscan (ZAC)
Common Name:Heart Sound Analyzer
Regulation Number:21 CFR 870.1875, 870.2390
Classification Name:Stethoscope, Electronic; Phonocardiograph
Product Code:DQD, DQC
Regulatory Class:Class II
Submitter Information:Zargis Medical Corporation
2 Research Way, 1st Floor
Princeton, NJ 08540
Tel: 609.734.4747
Fax: 609.228.5000
Summary Prepared By:John Kallassy
CEO
Date Prepared:November 3, 2008
Predicate Devices:Zargis Acoustic Cardioscan, K031517, K042128, K060197
AViTA Bluetooth Blood Pressure Monitor, K072137
CardioBelffM Electrode Belt, K063044
Nonin Medical, Inc. Model 4100 Patient Oximeter Module
K043359

Device Description: The ZAC is an electronic auscultatory device intended to acquire, record, and analyze heart sounds.

The complete system is a CD comprising software and instructions for use with an included USB transceiver for connection with a PC and capable of wireless

1

communication with a Bluetooth-enabled electronic stethoscope.

Intended Use: The Zargis Acoustic Cardioscan; (ZAC), is an electronic auscultatory device, intended to provide support to the physician in the evaluation of patients' heart sounds.

The product acquires and records the acoustic signals of the heart and analyzes these signals. The analysis procedure will identify specific heart sounds that may be present. Identified sounds include S1, S2, and suspected murmurs. The device is indicated for use in a clinical setting, by a physician or by trained personnel who are acting on the orders of a licensed physician. It is not intended as a sole means of diagnosis.

The interpretations of heart sounds offered by the Zargis Acoustic Cardioscan are only significant when used in conjunction with physician over-read as well as consideration of all other relevant patient data.

Substantial Equivalence: The modified ZAC is similar in design/technological characteristics, indications for use, and performance characteristics to the currently cleared ZAC product and other medical devices capable of wireless transmission of physiological data through use of Bluetooth technology. In addition, non-clinical performance testing has been conducted to demonstrate the performance of the modified ZAC device and that it meets its intended use.

Safety and Performance: A comprehensive list of verification and validation testing was performed in accordance with Zargis' Design Control procedures.

Software verification of the modified components was performed at the module and system level. The integrated ZAC system was further evaluated to verify the graphic user interface software and the ZAC system as an integrated product.

Validation of the ZAC was performed to ensure that the ZAC device consistently fulfills its intended use and the needs of the user. A clinical software validation was performed to insure the performance of the enhanced software algorithm.

The Bluetooth transceiver complies with all relevant FCC requirements.

Conclusion: Based upon the indications for use, technological characteristics and safety and performance testing, the Zargis Acoustic Cardioscan (ZAC) has been shown to be substantially equivalent to the currently cleared predicate devices under the Federal Food, Drug, and Cosmetic Act.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus, a symbol often associated with medicine and healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 3 2009

Zargis Medical Corp. c/o Mr. John Kallassy, CEO 2 Research Way, 1st floor Princeton, NJ 08540

Re: K083309

Trade/Device Name: Zargis Acoustic Cardioscan Regulation Number: 21 CFR 8.70.1875 Regulation Name: Electronic Stethoscope Regulatory Class: Class II Product Code: DQD, DQC Dated: January 13, 2009 Received: January 14, 2009

Dear Mr. Kallassy:

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 preinarket 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. John Kallassy

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 Biometrics' (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. Director, Division of Cardiovascular Devices Office of Device Evaluation >> Center for Devices and Radiological Health

Enclosure

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INDICATION FOR USE

510(k) Number (if known): Not Assigned

Device Name:

Zargis Acoustic Cardioscan

Indications for Use:

The Zargis Acoustic Cardioscan, (ZAC) is an electronic auscultatory device, intended to provide support to the physician in the evaluation of heart sounds in patients.

The product will acquire and record the acoustic signals of the heart and analyze these signals. The analysis procedure will identify specific heart sounds. that may be present. Identified sounds include S1, S2, and suspected murmurs.

The device is indicated for use in a clinical setting, by a physician or by trained personnel who are acting on the orders of a licensed physician. It is not intended as a sole means of diagnosis.

The interpretations of heart sounds offered by the Zargis Acoustic Cardioscan are only significant when used in conjunction with physician over-read as well as consideration of all other relevant patient data.

Prescription Use:XAND/OROver-The Counter Use:
(Per 21 CFR 801 Subpart D)(Per 21 CFR 801
SubpartC)

(PLEASE DO NOT WRITE BELOW THIS LINE -CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Signature

(Division Sign-Off)for B Zuckerman
Division of Cardiovascular Devices2/13/09
510(k) NumberK083309
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