K Number
K102767
Device Name
CARDIO XP
Manufacturer
Date Cleared
2011-06-03

(252 days)

Product Code
Regulation Number
870.2340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CardioXP electrocardiograph is one of the tools that clinicians can use to evaluate and diagnose patient cardiac function. The 12-lead ECG interpretive algorithm provides a computer-generated analysis of potential patient cardiac abnormalities, which must be confirmed by a physician with other relevant clinical information.
Device Description
CardioXP is an EKG monitoring system that provides standard EKG diagnostic functions. It offers enhanced usability, data analysis and data management. It consists of the several components depicted in Figure 1 that perform EKG monitoring, data analysis and data management functions.
More Information

Not Found

No
The summary mentions a "computer-generated analysis" and an "interpretive algorithm," which are common terms for traditional rule-based or statistical algorithms in medical devices and do not necessarily indicate AI/ML. There is no mention of AI, ML, DNN, training sets, test sets, or performance metrics typically associated with AI/ML models.

No.
The device is used to evaluate and diagnose patient cardiac function, and its output (computer-generated analysis of potential patient cardiac abnormalities) must be confirmed by a physician. It does not actively treat or alleviate a medical condition.

Yes
The Intended Use | Indications for Use section explicitly states that the device is "one of the tools that clinicians can use to evaluate and diagnose patient cardiac function." It also mentions a "12-lead ECG interpretive algorithm provides a computer-generated analysis of potential patient cardiac abnormalities". Additionally, the Device Description refers to "standard EKG diagnostic functions."

No

The device description explicitly states that CardioXP "consists of the several components depicted in Figure 1 that perform EKG monitoring, data analysis and data management functions." This implies the presence of hardware components beyond just software for EKG monitoring. The predicate device is also a hardware electrocardiograph.

Based on the provided information, the CardioXP electrocardiograph 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.
  • CardioXP Function: The description clearly states that the CardioXP is an electrocardiograph that evaluates and diagnoses patient cardiac function by recording electrical activity from the patient's body (anatomical site). This is a direct measurement from the patient, not a test performed on a sample taken from the patient.
  • Lack of Sample Analysis: There is no mention of analyzing biological samples in the intended use or device description.

Therefore, the CardioXP falls under the category of a medical device that performs a direct physiological measurement, not an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

CardioXP is intended for use as a diagnostic tool by trained operators in health facilities. It provides the following functions:

  • Acquire ECG waveform data from up to twelve (12) leads through surface electrodes . adhered to the patient's body. .
  • . Input patient data.
  • View, store and print captured data. .
  • Analyze captured data; display and print analysis results. .
  • Retain captured data and analysis results for up to 120 patients. ●
  • . Transfer retained data to a PC (via server IP) or directly to insertable SD RAM.

The CardioXP electrocardiograph is one of the tools that clinicians can use to evaluate and diagnose patient cardiac function. The 12-lead ECG interpretive algorithm provides a computer-generated analysis of potential patient cardiac abnormalities, which must be confirmed by a physician with other relevant clinical information.

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

74 DPS

Device Description

CardioXP is an EKG monitoring system that provides standard EKG diagnostic functions. It offers enhanced usability, data analysis and data management. It consists of the several components depicted in Figure 1 that perform EKG monitoring, data analysis and data management functions.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Adult and pediatric patients

Intended User / Care Setting

trained operators in health facilities

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)

Because CardioXP complies with the EC11 standard, assessment of performance data is not necessary to determine of Substantial Equivalence for this type of device.

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.

K072449

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

§ 870.2340 Electrocardiograph.

(a)
Identification. An electrocardiograph is a device used to process the electrical signal transmitted through two or more electrocardiograph electrodes and to produce a visual display of the electrical signal produced by the heart.(b)
Classification. Class II (performance standards).

0

K102767
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1. 510(k) Summary - Basic Information

1.1 Submitter
Submitter:
Address:Bionet Co., LTD
#1101, 11F E&C Dream Tower III, 197-33
Guro-dong, Guro-gu, Seoul, South Korea (ZIP 152-050)JUN - 3 2011
Contact:Marc Goodman
Company:Noblitt & Rueland
5405 Alton Parkway, Suite A530
Irvine, CA 92604
Voice:(714) 258-4646
FAX:(714) 258-3990
Cell:(949) 872-1011
Email:marcgood@ca.rr.com
Date Prepared:April 13, 2011

1.2 Device Name

Device Name:CardioXP
Common Name:Electrocardiograph
Classification Name:Electrocardiograph (870.2340, Class II)

1.3 Identification of Legally Marketed Device

Substantial equivalence is claimed to the Welch Allyn CP 200™ Electrocardiograph with Optional Spirometry (K072449).

1.4 Device Description

CardioXP is an EKG monitoring system that provides standard EKG diagnostic functions. It offers enhanced usability, data analysis and data management. It consists of the several components depicted in Figure 1 that perform EKG monitoring, data analysis and data management functions.

Figure 1: CardioXP Block Diagram Depiction

1

1.5 Intended Use

CardioXP is intended for use as a diagnostic tool by trained operators in health facilities. It provides the following functions:

  • Acquire ECG waveform data from up to twelve (12) leads through surface electrodes . adhered to the patient's body. .
  • . Input patient data.
  • View, store and print captured data. .
  • Analyze captured data; display and print analysis results. .
  • Retain captured data and analysis results for up to 120 patients. ●
  • . Transfer retained data to a PC (via server IP) or directly to insertable SD RAM.

1.6 Comparison to Cleared Device

Table 1 compares the relevant features of CardioXP to the Welch Allyn CP 200™ Electrocardiograph with Optional Spirometry.

Table 1: Comparison of CardioXP to Welch Allyn CP 200

Welch Allyn CP200Bionet CardioXP
Operating
Principleelectrocardiographssame
Target
PopulationAdult and pediatric patientssame
ECG
AcquisitionSimultaneous 12 leads resting ECG data
cables plug into front end harness which
then connects directly to CP200 unit.Simultaneous 12 leads resting ECG
connects to Patient Signal Module.
CardioXP System Unit receives data from
Patient Signal Module using either
(1) direct cable connection or (2) Bluetooth
communication.
Sampling
Rate1000 samples/sec/channel500 samples/sec/channel
Filters0.5 Hz high-performance baseline filter 35Hz muscle-tremor filter AC interference filterAC (50/60 Hz, -20dB or better) Muscle (25~35Hz, -3dB or better) Base line drift (0.1Hz, -3dB or better) Low pass filter(off, 40Hz, 100Hz, 150Hz)
Display
FunctionsView and adjust ECG waveforms. Spirometry option provides for view
patients' information.View and adjust ECG waveforms. Does not have spirometry option.
Display Typebuilt in color LCDsame
User InputIntegrated alphanumeric keyboard dedicated function keystouch screen and rotary push-knob
data StorageStorage for up to 50 ECG and 50
Spirometry records Additional storage available using built
in SD RAM slotStorage for up to 120 ECG Does not have spirometry option. Additional storage available using built
in SD RAM slot
Weight11.6 lbApprox. 4 kg (8.8 lb)
Dimensions16.2 x 15.6 x 6.2 in300 x 299 x 123mm
(11.8 x 11.8 x 4.8 in)
Power SourceAC power supply (100 ~ 240 VAC, 50/60Hz, 65 VA max) or battery power.AC power supply (95 ~ 240 VAC, 50/60Hz, 60 VA max) or battery power.
Battery4 hours of normal use or print 100
ECG pages. Battery recharge to full capacity in 12
hours.3 hours of normal use or print 300
ECG pages. Battery recharge to full capacity in 8
hours.
PrinterThermal printer (internal)same

510(k) Summary (per 21 CFR Bionet CardioXP 807.92)

02767

244

2

Welch Allyn CP200Bionet CardioXP
SterilityWipe exterior of patient cable and
electrocardiograph with damp cloth using
mild detergent diluted in water.
Disinfect patient cable using damp cloth of
chemical disinfectants containing one of
the following:
ethanol (70% - 80%) propanol (70% - 80%) aldehydes (2% - 4%)same
SafetyRecognized and applicable standards:
EC11 (AAMI/ANSI) UL60601-1 IEC 60601-1-1 IEC 60601-1-2 IEC 60601-1-4 IEC 60601-2-25 IEC 60601-2-51Recognized and applicable standards:
EC11 (AAMI/ANSI) IEC 60601-1-1 IEC 60601-1-2 IEC 60601-1-4 IEC 60601-1-6 IEC 60601-1-8 IEC 60601-2-25 ISO 10993-1:2003 ISO 14971:2007 ETSI EN 301 489 ETSI EN 300 328 EN 60950-1
Network
ConnectionWirelessHardwired Ethernet
Indication for
UseThe electrocardiograph is one of the tools
that clinicians use to evaluate, diagnose,
and monitor patient cardiac function. The
12-lead ECG interpretive algorithm
provides a computer-generated analysis of
potential patient cardiac abnormalities,
which must be confirmed by a physician
with other relevant clinical information. The
optional spirometry module is indicated for
use in clinical situations to assess a
patient's pulmonary health status and
evaluated symptoms, signs, or abnormal
laboratory test results.The CardioXP electrocardiograph is one of
the tools that clinicians can use to evaluate
and diagnose patient cardiac function. The
12-lead ECG interpretive algorithm
provides a computer-generated analysis of
potential patient cardiac abnormalities,
which must be confirmed by a physician
with other relevant clinical information.

1.6.1 Differences between CardioXP and CP200

The meaningful difference between CardioXP and CP200 is the method of ECG data acquisition.

  • . In the case of CP200, patient leads plug into a front end harness, which then connects to a COM port on the CP200 system unit.
  • In the case of CardioXP, patient leads plug into a front end harness, which plugs . into a special adapter on the Patient Signal Module. The Patient Signal Module passes the raw ECG data to the CardioXP system unit as if the data had come directly from the patient leads. The data transfer to the system unit can be accomplished by direct cable connection or wireless (Bluetooth) data transfer.
  • . While CP200 includes an optional spirometry option, the current CardioXP offering does not provide a spirometry option

.

The Patient Signal Module also provides basic single signal display functions.

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2. Performance Information

Because CardioXP complies with the EC11 standard, assessment of performance data is not necessary to determine of Substantial Equivalence for this type of device.

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Image /page/4/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 wing-like shapes, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" arranged in a circular fashion around the eagle. The logo is black and white.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

JUN - 3 2011

Bionet Co., Ltd. c/o Mr. Marc Goodman Senior Associate Noblitt & Reuland 5405 Alton Parkway, Suite #A530 Irvine, CA 92604

K102767 Re:

Trade/Device Name: CardioXP Regulatory Number: 21 CFR 870.2340 Regulation Name: Electrocardiograph Regulatory Class: II (two) Product Code: 74 DPS Dated: May 12, 2011 Received: May 16, 2011

Dear Mr. Goodman:

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 10 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 additional controls. Existing major regulations affecting your device can be

5

Page 2 - Mr. Marc Goodman

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

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 Statement

510 (k) Number (if known) K102767

Device Name CardioXP

Indications The CardioXP electrocardiograph is one of the tools that clinicians can use for Use to evaluate and diagnose patient cardiac function. The 12-lead ECG interpretive algorithm provides a computer-generated analysis of potential patient cardiac abnormalities, which must be confirmed by a physician with other relevant clinical information.

Prescription Use X (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)

cular Devices

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510(k) Number K102767