K Number
K083382
Date Cleared
2009-08-13

(272 days)

Product Code
Regulation Number
870.2800
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The intended use of the Chroma Holter Recorder RZ153C is to perform ambulatory ECG on the order of a physician, on those patients who may benefit from such a recording, including, but not limited to, those with complaints of palpitations, syncope, chest pain, shortness of breath, or those that need to be monitored to judge their current cardiac functionality such as patients who have recently received pacemakers. The data obtained at recording is not analyzed at the time of the recording.

Device Description

The basic operation of the Chroma Holter Recorder RZ153C is to collect and store multiple channels of ECG data. The Holter scanner software reads this data and it can be printed out in tabular form or graphical form. This recorder is not capable of any diagnosis nor can it provide any interpretation of the data. It can only display and store the data. The Holter for Windows software reads this data and provides ability to the user to review, edit and print the data collected.

AI/ML Overview

The provided text describes a 510(k) premarket notification for the ScottCare Chroma Holter Recorder RZ153C, comparing it to a predicate device, the DXP1000 Holter Recorder. However, the document does not contain specific acceptance criteria, quantitative performance metrics, or detailed study methodology in the way that would typically be presented for an AI/CADe device. Instead, it focuses on demonstrating substantial equivalence to a legally marketed predicate device through feature comparison and qualitative outcome of testing.

Here's an analysis based on the information provided, addressing your specific questions to the best of my ability with the given text:

1. A table of acceptance criteria and the reported device performance

The document does not explicitly state quantitative acceptance criteria or performance metrics for the Chroma Holter Recorder RZ153C's functionality. The evaluation is based on demonstrating "substantial equivalence" to the DXP1000 Holter Recorder via comparison of features and functional outcomes.

Feature / Performance MetricAcceptance Criteria (Implied by Predicate Equivalence)Reported Device Performance (Chroma RZ153C)
Number of ECG Channels2 or 3 (Predicate DXP1000)3
Sample Rate & Resolution128-1024Hz / 8 or 10 bit (Predicate DXP1000)128-1024Hz / 8, 10 or 12 bit
Input Voltage Range+/- 5mV (Predicate DXP1000)+/- 5mV
Analog Bandwidth0.05 to 60 Hz (Predicate DXP1000)0.05 to 40 Hz
Pacemaker Detection & ReportingYes (Predicate DXP1000)Yes
Open-Lead Detection & ReportingYes (Predicate DXP1000)Yes
Recording TimeUp to 72 hours (Predicate DXP1000)Unlimited, based on memory capacity (implies at least 72 hours if memory allows)
Memory TypeRemovable flash memory (CF card) (Predicate DXP1000)Removable flash memory (SD card)
Memory CapacityUp to 2.0GB (Predicate DXP1000)Up to 2.0GB
Data Transfer MethodRemovable memory card (Predicate DXP1000)Removable memory card or USB
Memory Card Data FormatStandard FAT format (Predicate DXP1000)Standard FAT format
DisplayMonochrome LCD (Predicate DXP1000)262k color OLED
KeypadProtected membrane switch keys (Predicate DXP1000)Protected membrane switch keys
Number of keys5 (Predicate DXP1000)5
Battery (Type)1 – 1.5V AA (Predicate DXP1000)1 - 1.5V AAA
Battery Check Prior to RecordingYes (Predicate DXP1000)Yes
Internal Clock with BatteryYes (Predicate DXP1000)Yes
Clock Setting FunctionalityYes (Predicate DXP1000)Yes
External Patient CableYes (Predicate DXP1000)Yes
Record identification procedureYes (Predicate DXP1000)Yes
ECG channel previewYes (Predicate DXP1000)Yes
Signal quality check prior recordingYes (Predicate DXP1000)Yes
Multi-language supportYes (Predicate DXP1000)Yes
Autostart when readyYes (Predicate DXP1000)Yes
Overall Performance (Qualitative)Produce results substantially similar to DXP1000"produced results very similar to the DXP1000 Holter recorder"

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document states: "The Chroma Holter recorder RZ153C was tested alongside the DXP1000 Holter recorder in a number of situations, including simulated normal ECG signals, simulated paced ECG signals, and on-person ECG signals in laboratory tests."

  • Sample Size: Not specified. The phrase "a number of situations" implies multiple tests but no specific count of patients, simulated signals, or recording durations.
  • Data Provenance: Not specified. It mentions "laboratory tests" and "on-person ECG signals," implying some form of prospective data collection during testing, but details on location or patient demographics are absent.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This device is a Holter recorder, which collects and stores ECG data; it does not perform diagnosis or interpretation itself (as stated: "This recorder is not capable of any diagnosis nor can it provide any interpretation of the data."). The "Holter for Windows software" is mentioned as reading and providing the ability to review, edit, and print the collected data. Therefore, the concept of "ground truth established by experts" for the device's output (raw ECG data) is not applicable here in the same way it would be for an AI/CADe diagnostic device. The ground truth for its performance would be the accurate capture and storage of ECG signals, which was compared against a predicate device. No details on expert involvement for ground truth establishment for the test set are provided.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable, as this is a device that records physiological signals, not an interpretive AI system requiring adjudication of diagnostic outputs. The evaluation focused on the similarity of recorded data between the new device and the predicate.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

No such study was conducted or reported. This device is a data acquisition tool, not an AI/CADe system designed to improve human reading performance.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

The device is a standalone Holter recorder. Its performance was assessed in "laboratory tests" by comparing its recorded output with that of a predicate device against "simulated normal ECG signals, simulated paced ECG signals, and on-person ECG signals." The assessment was qualitative ("produced results very similar").

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

The "ground truth" implicitly used for the recorder's function would be the known characteristics of the "simulated normal ECG signals" and "simulated paced ECG signals," and the actual cardiac activity of the individuals providing "on-person ECG signals." The assessment compared the device's recorded output against the known inputs or the output of a trusted predicate device, rather than against an expert-adjudicated diagnostic label.

8. The sample size for the training set

This device does not use an "AI algorithm" or machine learning in the sense that would require a dedicated training set. It is a hardware device for recording physiological signals. Therefore, the concept of a "training set" is not applicable.

9. How the ground truth for the training set was established

Not applicable, as there is no training set for an AI algorithm.

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Image /page/0/Picture/0 description: The image shows the logo for ScottCare. The logo consists of a stylized letter "S" with a heart shape incorporated into it, followed by the word "ScottCare" in a bold, sans-serif font. The logo is black and white.

510(K) SUMMARY

K083382

ScottCare Corporation 4791 West 150th Street Cleveland, Ohio 44135

P 800.243.9412 F 216.267.6129 www.scottcare.com

AUG 1 8 2009

This summary of 510(k) safety and effectiveness information is being supplied in accordance with the requirements of the SMDA of 1990 and 21 CFR 807.92

The assigned 510(k) number is _

Date:November 12, 2008
Submitted by:ScottCare CorporationRegistration No: 15277154791 West 150th StreetCleveland, OH 44135
Contact Person:Mr. Timothy J. Leyva216-362-0550 # 113216-264-6129 Faxtleyva@scottcare.com
Manufacturing Site:ScottCare CorporationRegistration No: 10632684897 W. Waters Ave, Suite JTampa, Florida 33634
Trade Name:Chroma
Common Name:Digital Holter Recorder
Classification:870.2800Medical Magnetic Tape Recorder
Product Code:DSH
Legally MarketedPredicate Device(s):DXP1000 Holter RecorderK993618, November 24, 1999

જુ

001

A Scott Fetzer, Berkshire Hathaway Company

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Image /page/1/Picture/0 description: The image shows the logo for ScottCare. The logo consists of a stylized letter 'S' with a heart incorporated into its design, followed by the word 'ScottCare' in a bold, sans-serif font. The overall design is clean and professional, suggesting a healthcare-related organization.

ScottCare Corporation 4791 West 150th Street Cleveland, Ohio 44135

P 800.243.9412 F 216.267.6129 www.scottcare.com

Device Description:

The basic operation of the Chroma Holter Recorder RZ153C is to collect and store multiple channels of ECG data. The Holter scanner software reads this data and it can be printed out in tabular form or graphical form.

This recorder is not capable of any diagnosis nor can it provide any interpretation of the data. It can only display and store the data. The Holter for Windows software reads this data and provides ability to the user to review, edit and print the data collected.

Indications for Use:

The intended use of the Chroma Holter Recorder RZ153C is to perform ambulatory ECG on the order of a physician, on those patients who may benefit from such a recording, including, but not limited to, those with complaints of palpitations, syncope, chest pain, shortness of breath, or those that need to be monitored to judge their current cardiac functionality such as patients who have recently received pacemakers. The data obtained at recording is not analyzed at the time of the recording.

Page 2 of 4

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Image /page/2/Picture/0 description: The image shows the logo for ScottCare. The logo consists of a stylized letter "S" on the left, followed by the word "ScottCare" in a bold, sans-serif font. The letter "S" is enclosed in a rectangular shape with a textured background.

.

: 1

ScottCare Corporation 4791 West 150th Street Cleveland, Ohio 44135

:

P 800.243.9412 F 216.267.6129 www.scottcare.com

Substantial Equivalence:

FeaturesScottCare ChromaPredicate DeviceDXP1000 Holter Recorder
510(k) NumberTBDK993618
Date ClearedTBDNovember 24, 1999
Number of ECG Channels32 or 3
Sample Rate & Resolution128-1024Hz / 8,10 or 12 bit128-1024Hz / 8 or 10 bit
Input Voltage Range+/- 5mV+/- 5mV
Analog Bandwidth0.05 to 40 Hz0.05 to 60 Hz
Pacemaker Detection &ReportingYesYes
Open-Lead Detection &ReportingYesYes
Recording TimeUnlimited, based on memory capacityUp to 72 hours
Memory TypeRemovable flash memory (SD card)Removable flash memory (CF card)
Memory CapacityUp to 2.0GBUp to 2.0GB
Data Transfer MethodRemovable memory card or USBRemovable memory card
Memory Card Data FormatStandard FAT formatStandard FAT format
Display262k color OLEDMonochrome LCD
KeypadProtected membrane switch keysProtected membrane switch keys
Number of keys55
Battery1 - 1.5V AAA1 – 1.5V AA
FeaturesScottCare ChromaPredicate DeviceDXP1000 Holter Recorder
Battery Check Prior toRecordingYesYes
Internal Clock with BatteryYesYes
Clock Setting FunctionalityYesYes
External Patient CableYesYes
Record identification procedureYesYes
ECG channel previewYesYes
Signal quality check priorrecordingYesYes
Multi-language supportYesYes
Autostart when readyYesYes

:

Page 3 of 4

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Image /page/3/Picture/0 description: The image shows the logo for ScottCare. The logo consists of a stylized letter "S" with a heart shape incorporated into it, followed by the word "ScottCare" in a bold, sans-serif font. The "S" is intricate and appears to be made of interwoven lines, while the text is clean and modern.

ScottCare Corporation 4791 West 150th Street Cleveland, Ohio 44135

P 800.243.9412 F 216.267.6129 www.scottcare.com

Testing Results Summary:

Appropriate testing was conducted in accordance with established design control procedures. The Chroma Holter recorder RZ153C was tested alongside the DXP1000 Holter recorder in a number of situations, including simulated normal ECG signals, simulated paced ECG signals, and on-person ECG signals in laboratory tests. Data recorded by both devices were loaded analyzed in the Holter for Windows scanner software. In all tests, the Chroma Holter recorder produced results very similar to the DXP1000 Holter recorder.

Conclusion:

The Chroma Holter recorder RZ153C and the DXP1000 Holter recorder are both used in clinical applications to collect ambulatory electrocardiographic recordings that can be downloaded to the Holter for Windows® scanner software.

The RZ153C conforms to Good Manufacturing Procedures outlined by the FDA cGMP. This recorder is safe and effective for the application for which it is intended and has been tested to confirm the safety and efficacy of the recorder. The RZ153C is found to be substantially equivalent to the DXP1000.

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Image /page/4/Picture/0 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 an abstract image of an eagle with its wings spread.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 2 4 1999

Mr. David Norberg Regulatory Affairs Representative Braemar, Inc. 11481 Rupp Drive 55337 Burnsville, Minnesota

K993618 Re: DXF1000 Holter Recorder Regulatory Class: II (two) Product Code: MWJ Dated: October 25, 1999 October 26, 1999 Received:

Dear Mr. Norberg:

We have reviewed your Section 510{k) 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 chousers, as legger 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 (Premarket Approval), 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 A substantially equivalent determination assumes compliance to 895. with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in In addition, FDA may publish further announcements regulatory action. concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Page 2 - Mr. David Norberg

This letter will allow you to begin marketing your device as described in your 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 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4648. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D., M.D. Acting Director Division of Cardiovascular, Respiratory, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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DXP1000 Holter Recorder

510(k) Number: K99 3618

Indications for Use:

(No change from predicate device)

The electrocardiogram (ECG) is a graphic description of the electrical activity of the heart. This activity is recorded from the body surface by a group of electrodes positioned at predefined places to reflect the activity from different perspectives. Depending on how these electrodes are placed, the ECG waveforms are considered as separate linearly dependent signals. Presently, the ECG is the most prominent and widely used non-invasive cardiac diagnostic technique. There exists a significant accumulation of correlated clinical data which provides a powerful basis for evaluation of these biophysical signals. Twenty-four or forty-eight hour ECG recordings can be of great value in patient assessment.

Ambufatory (Holter) ECG intended use:

The DigiTrakPlus Holter recorder is intended for patients requiring ambulatory (Holter) monitoring from 1 to 48 hours. Such monitoring is most frequently used for the indications below.

  1. Evaluation of symptoms suggesting arrhythmia or myocardial ischemia.

  2. Evaluation of ECG documenting therapeutic interventions in individual patients or groups of patients.

  3. Evaluation of patients for ST segment changes.

  4. Evaluation of a patient's response after resuming occupational activities (e.g., after M.J. or cardiac surgery.)

  5. Clinical and epidemiological research studies.

  6. Evaluation of patients with pacemakers

    1. Reporting of time and frequency domain heart rate variability
  1. Reporting of QT Interval

V. Dealla Miller

(Division Sign-Off) Division of Cardiovascular, Respirato and Neurological Devices

Prescription Use
(Per 21 CFR 801.109)

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Nov 2 4 1999

Section 2: 510(k) SUMMARY

Substantially Equivalent (SE) To: �

Biosensor Model #1005 510(k) # K950944

K993618

Modification Background

The essence of this modification is a change of the digital Holter recorder hardware to a smaller configuration with reduced power consumption and the removal of ECG analysis capabilities from the device. In connection with this modification, the methodology of the pacemaker detection logic has been modified slightly, and its performance validated as reported herein. As a result of this modification, ECG analysis is not a part of this device, but rather is performed by software installed in the Holter Analyzer which is subject to independent 510(k) review, as in the Company's earlier filing (K990956).

The above changes do not affect the intended use of the device or alter the fundamental scientific technology of the device, as is demonstrated on the following pages.

AttributeDXP1000Model #1005
Storage capacityUp to 48 hours24 hours
Memory typeFlash (non-volatile)Flash (non-volatile)
Memory portabilityNon-removableNon-removable
On-board ECG analysisNoYes
Liquid Crystal Display (LCD)YesNo
Data transfer methodUSB portBi-directional parallel I/O
Pacemaker detection & reportingYesYes
Belt clipYesNo
BatteryOne AAFour AA
Size11 x 7 x 2cm15 x 6 x 2 cm
Weight135g140 g

Comparison To The SE Device:

NOTE: Together with this Special 510(k), another Special 510(k) has been filed on a similar device (DigiTrakPlus) utilizing alternative hardware which is slightly smaller in size. Both devices incorporate the same fundamental scientific technology, and indeed a substantially identical electro-mechanical design. For clarity, the submitter wishes to note to the reviewer that these two devices are essentially the same other than the size and weight characteristics noted.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/8/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three lines representing its body and wings. The eagle is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter of the circle.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-0609 Silver Spring, MD 20993-0002

AUG 13 2009

ScottCare Corporation c/o Mr. Timothy J. Leyva Regulatory/Quality Manager 4791 West 150th Street Cleveland, OH 44135

Re: K083382

Trade/Device Name: Chroma Holter Recorder RZ153C Regulation Number: 21 CFR 870.2800 Regulation Name: Medical Magnetic Tape Recorder Regulatory Class: Class II (Two). Product Code: MWJ Dated: August 3, 2009 Received: August 5, 2009

Dear Mr. Levva:

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. Timothy J. Leyva

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 (OS) 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: ScottCare Chroma (RZ153C)

Indications for Use:

The intended use of the Chroma Holter Recorder RZ153C is to perform ambulatory ECG on the order of a physician, on those patients who may benefit from such a recording, including, but not limited to, those with complaints of palpitations, syncope, chest pain, shortness of breath, or those that need to be monitored to judge their current cardiac functionality such as patients who have recently received pacemakers. The data obtained at recording is not analyzed at the time of the recording.

Prescription Use V (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)
----------------------------------------------------------

A. Philip B. Zuckerman

(Division Sign-Off) Division of Cardiovascular Devices 510(k) Number

Page 1 of 1

1-0.05

§ 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).