(122 days)
The Active Signal A SCOPE (or noise-immune stethoscope) is intended for medical diagnostic purposes only. It may be used for the detection and amplification of acoustic signals generated by physiologic activity in the body. In the presence of relatively mild ambient noise it is used in Acoustic Mode and functions as a passive electronic stethoscope to receive sounds produced by the heart, lungs, bowel and other internal organs. To retain audibility at higher sound levels it is switched to Doppler Mode where an audible tone is produced by the ultrasound frequency-shift caused by motion of the heart and lungs.
It can be used on any person undergoing a physical assessment. It is not intended to be used for diagnosis and treatment by unlicensed, untrained, or unqualified medical persons.
Active Signal's stethoscope combats noise intrusion through use of two modes of operation depending on the intensity of background noise:
-
In the presence of relatively benign ambient noise (loud accident scenes, ambulances, emergency rooms, civilian Medevac helicopters, etc.) the device is configured as an amplified electronic stethoscope employing a passive piezoelectric sensor. Noise rejection is imparted by design of the piezoelectric element and mass of the housing.
-
When the ambient sound levels exceed the passive sensing limit, an active Doppler mode is engaged. This transposes the detection of vital physiological sounds from the audio frequency range (used by conventional or electronic stethoscopes) where physiological sounds typically overlap the background noise and hence are swamped out, to ultrasound which puts the measurement into an entirely different frequency band.
DEVICE CONFIGURATION: The top section of the device is the battery compartment, which contains two 1.5V AA-cells.
The device is held between the index and middle fingers, with the thumb free to operate a 4-button control panel shown at here. The bottom section contains the stethoscope sensors and signal-processing electronics. For operation as a passive amplified electronic stethoscope (Mode 1, above), a tall column of piezoelectric ceramic material is used as the sensing element contacting the center of the front face. At the top, this column is pressed against the stethoscope's casing. For the active ultrasound-Doppler mode of operation (Mode 2, above), two semicircle-shaped disks, made of piezoelectric material, are embedded in the sensor head, where one functions as a transmitting and the other as a receiving transducer. Details of the mounting geometry, the gap size between the discs and the gap orientation, and also the carrier frequency, determine the width of the sound beam and its penetration depth.
A thumb-operated 4-button control panel allows the device to be turned on (press any mode button), the signal volume to be set (+ and - buttons in the horizontal plane), and the operating mode to be selected.
Here's an analysis of the provided text regarding the A SCOPE™ electronic stethoscope, focusing on acceptance criteria and the study details:
1. Table of Acceptance Criteria and Reported Device Performance:
The document primarily focuses on establishing "substantial equivalence" to predicate devices rather than defining specific quantitative acceptance criteria or performance metrics for the A SCOPE™ itself. The acceptance criteria described are largely related to meeting regulatory standards and demonstrating
that the device performs "as intended" and is comparable to existing devices for its stated use.
| Acceptance Criteria Category | Stated Criteria / Performance (A SCOPE™) |
|---|---|
| Intended Use | "Intended for medical diagnostic purposes only. It may be used for the detection and amplification of acoustic signals generated by physiologic activity of the heart, lungs, bowel, and other internal organs." "In the presence of relatively mild ambient noise it is used in Acoustic Mode and functions as a passive electronic stethoscope to receive sounds produced by the heart, lungs, bowel and other internal organs. To retain audibility at higher sound levels it is switched to Doppler Mode where an audible tone is produced by the ultrasound frequency-shift caused by motion of the heart and lungs." |
| Safety Testing | "Testing of the A SCOPE™ included ISO 60601-X Standards as they apply, bench testing, testing to applicable FDA Guidance Documents, and U.S. Army qualification testing. The A SCOPE™ has successfully completed all required testing with positive end points." |
| Substantial Equivalence (to Predicate Devices) | "The A SCOPE™ is substantially equivalent to other electronic and Ultrasound devices in the market such as the IMEX Stethodop (K973336), Pocket DOP 3 (K910462 and E-Scope (K961301)." "Based on testing and comparison to predicate devices, the A SCOPE™ has the same intended use, and is substantially equivalent to the predicated devices. The device performs as intended." |
| Performance (General) | "The device performs as intended." |
| Noise Immunity | Claimed ability to detect heart and lung returns in very high noise level environments with Doppler technology. (This is a claim of capability for comparison, not a quantified metric). |
Summary of Device Performance (as reported and implied):
The document broadly states that the A SCOPE™ successfully completed all required testing with "positive end points" and "performs as intended." It explicitly claims the ability to detect heart and lung sounds in high-noise environments using Doppler technology. However, it does not provide specific quantifiable performance metrics such as sensitivity, specificity, accuracy, signal-to-noise ratio measurements, or comparative audibility studies. The performance is primarily asserted through its adherence to standards and substantial equivalence to predicate devices, focusing on its operational modes and intended use.
Detailed Study Information:
The provided text describes a submission for a 510(k) premarket notification, which typically focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than conducting a full-scale clinical efficacy trial with specific, granular performance metrics. As such, the information you're requesting for a "study" in the traditional sense (e.g., test set, training set, ground truth) is largely not present in the provided document.
Here's what can be extracted, and what is missing:
2. Sample size used for the test set and the data provenance:
- Sample Size for Test Set: Not specified. The document mentions "bench testing" and "U.S. Army qualification testing" but does not detail the number of subjects, cases, or recordings used for evaluation.
- Data Provenance (country of origin, retrospective/prospective): Not specified. While "U.S. Army qualification testing" is mentioned, details about the origin, nature, or type of data collected during this testing are absent.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
- Number of Experts: Not specified.
- Qualifications of Experts: Not specified.
The document does not detail any expert-driven ground truth establishment for a specific test set.
4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:
- Adjudication Method: Not specified.
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:
- MRMC Study: Not indicated. The product is an electronic stethoscope that assists in detecting sounds, not an AI-driven image analysis tool for human readers. No MRMC study or AI assistance effect size is mentioned.
6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:
- Standalone Performance: Not explicitly detailed. The device is an electronic stethoscope intended for human use ("human-in-the-loop"). The "testing" mentioned is for the device's functional performance, but not in the context of a standalone AI algorithm's performance.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):
- Type of Ground Truth: Not specified for performance validation. The document implies that the device's ability to detect physiological sounds (heart, lungs, bowel) is the ground truth for its function, but it doesn't detail how this was independently verified or quantified during testing. The primary ground truth for its regulatory acceptance is its substantial equivalence to predicate devices.
8. The sample size for the training set:
- Sample Size for Training Set: Not applicable/specified. This device predates widespread AI/ML applications in medical devices requiring distinct training sets as described. The device is a hardware/firmware product, not a trainable AI model.
9. How the ground truth for the training set was established:
- Ground Truth for Training Set: Not applicable/specified. See point 8.
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K103499 P1/6.
ACTIVESIGNALTECH.COM
Image /page/0/Picture/2 description: The image shows the words "ACTIVE SIGNAL" in large, bold letters, stacked on top of each other. Below that, the word "TECHNOLOGIES" is spelled out with spaces between each letter. To the right of "ACTIVE SIGNAL" is a jagged line, followed by the text "MAR 3 1 2011".
G I E
Hammonds South, Unit Q 611 North Hammonds Ferry Road Linthicum Heights, MD 21090-1322 410 636 9350 • Fax 410 636 9352 arthur@activesignallech.com
Summary
This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR Part 807.92 for the Active Signal Noise-Immune A SCOPE™ electronic stethoscope.
| Name(owner): | Active Signal Technologies, Inc. |
|---|---|
| Address: | Hammonds South, Unit Q611 N. Hammonds Ferry RoadLinthicum Heights, MD 21090 |
| Telephone: | 410-636-9350410-636-9352 Fax |
| Contact: | Arthur Cooke, President |
| E-mail: | Arthur@activesignaltech.com |
| Correspondent: | James Harvey Knauss |
| Address: | Delphi Consulting Group11874 South Evelyn CircleHouston, Texas 77071-3404 |
| E-mail: | harvey.knauss@gmail.com |
| Telephone: | 832-675-9281713-723-0786 fax |
1. Company making the submission:
Device Classifications:
| Common/ UsualName | Stethoscope electronic / monitor,Ultrasonic - nonfetal |
|---|---|
| Trade Name | A SCOPE™ |
| ProprietaryName | A SCOPE™ |
| RegulationNumber | 870.1875 (b) |
| Product Code | JAF & DQD |
| ClassificationPanel | Cardiovascular / Radiology |
Summary sec 5 rav 8 1 11.doc Delphi Consulting Group Houston, TX 77071
Section 5 510(k) Submission Page #
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| ExpeditedReview OfPremarketSubmissions forDevices | Yes, from US Army Medical Research& Material Command ... |
|---|---|
| Consideredconfidential(21 CFR807.950) | Yes |
| Reviewed ByThird Party | NO |
| SubstantialEquivalence(PredicateDevices) | K973336, IMEX Stethodop,K961301, E-Scope and K910462Pocket DOP-3 |
3. Predicate Devices:
The A SCOPE™ stethoscope is substantially equivalent to other electronic and Ultrasound devices in the market such as the IMEX Stethodop (K973336), Pocket DOP 3 (K910462 and E-Scope (K961301).
4. Intended Use Statement:
The Active Signal Noise-Immune Stethoscope Ascope™ is intended for medical diagnostic purposes only. It may be used for the detection and amplification of acoustic signals generated by physiologic activity of the heart, lungs, bowel, and other internal organs. It can be used on any person undergoing a physical assessment.
-
In the presence of relatively benign ambient noise (e.g., loud accident scenes, ambulances, emergency rooms, civilian Medevac helicopters, etc.) the device is configured as an amplified electronic stethoscope emploving a passive piezoelectric sensor. Ingress of ambient sounds is minimized using a passive technique that combines housing mass and specific design of the piezoelectric mechanism to reject external noise.
-
When the ambient sound levels exceed the passive sensing limit (e.g., aboard military helicopters, transport aircraft and ships), an active Doppler mode is engaged. This transposes the detection of vital physiologic activity from the
Page 2 of 6
{2}------------------------------------------------
audio frequency range (used by conventional and electronic stethoscopes) to the ultrasound band. Thus the technical challenge of discerning low amplitude physiological signals intermixed with high amplitude noise signals in the same frequency band is circumvented by translating the desired signals to frequencies far removed from the competing ambient noise.
It is NOT intended to be used for diagnosis and treatment by unlicensed, untrained, or unqualified medical persons.
-
- Description of Device:
BACKGROUND: A stethoscope is one of the few diagnostic tools available to emergency medical personnel far-forward in the battlefield or in the civilian pre-hospital environment. However, the ability to hear subtle physiological sounds (auscultation) and detect life threatening conditions is frequently compromised by competing noises and commotion at the scene of injury or aboard medical transports.
- Description of Device:
Image /page/2/Figure/5 description: The image shows a technical drawing of a Radel 5500 device. The device has a cylindrical shape with a battery compartment on top and a user thumb control panel on the side. The bottom of the device has a Radel 5500 contact face to body, and there is a headset connector on the side.
PRINCIPLES OF OPERATION: Active Signal's stethoscope combats noise intrusion through use of two modes of operation depending on the intensity of background noise:
- In the presence of relatively benign ambient noise (loud accident scenes, ambulances, emergency rooms, civilian Medevac helicopters, etc.) the device is configured as an
{3}------------------------------------------------
amplified electronic stethoscope employing a passive piezoelectric sensor. Noise rejection is imparted by design of the piezoelectric element and mass of the housing.
- When the ambient sound levels exceed the passive sensing limit, an active Doppler mode is engaged. This transposes the detection of vital physiological sounds from the audio frequency range (used by conventional or electronic stethoscopes) where physiological sounds typically overlap the background noise and hence are swamped out, to ultrasound which puts the measurement into an entirely different frequency band.
DEVICE CONFIGURATION: The top section of the device is the battery compartment, which contains two 1.5V AA-cells.
The device is held between the index and middle fingers, with the thumb free to operate a 4-button control panel shown at here. The bottom section contains the stethoscope sensors and signal-
Image /page/3/Picture/5 description: The image shows a control panel with four buttons. The buttons are labeled "Std", "Dop", and two arrow buttons, one pointing up and one pointing down. The panel appears to be made of brushed metal and has a rectangular shape.
processing electronics. For operation as a passive amplified electronic stethoscope (Mode 1, above), a tall column of piezoelectric ceramic material is used as the sensing element contacting the center of the front face. At the top, this column is pressed against the stethoscope's casing. For the active ultrasound-Doppler mode of operation (Mode 2, above), two semicircle-shaped disks, made of piezoelectric material, are embedded in the sensor head, where one functions as a transmitting and the other as a receiving transducer. Details of the mounting geometry, the gap size between the discs and the gap orientation, and also the carrier frequency, determine the width of the sound beam and its penetration depth.
A thumb-operated 4-button control panel allows the device to be turned on (press any mode button), the signal volume to be set (+ and - buttons in the horizontal plane), and the operating mode to be selected.
6. Summary of the technological characteristics of the device compared to predicate devise:
The differences between the Active Signal Noise-Immune Page 4 of 6
{4}------------------------------------------------
Stethoscope the A SCOPE™ and the predicate devices are:
a. The A SCOPE™ combines the continuous wave (CW) Doppler ultrasound technology of IMEX Stethodop (K973336) and the acoustic sensing technology of E-Scope (K961301). into one device.
b. A SCOPE™ does not have conventional stethoscope ear tips. The A SCOPE™ utilizes ear buds and light weight electrical cables.
c. The A SCOPE™ does not claim Doppler blood flow and/or blood pressure capability as does the IMEX Stethodop (K973336). The A SCOPE™ does claim the ability to detect heart and lung returns in very high noise level environments with Doppler technology.
d. The A SCOPE™ does not claim capability to monitor fetal position and viability as does the IMEX (Nicolet) Pocket DOP 3 (K910462). The A SCOPE™ does claim the ability to detect movement (activity) in the heart and lungs.
e. The A SCOPE™ does not have a selectable filter setting as does the Cardionics E-Scope.
f. Unlike all of the predicate devices, the A SCOPE™ does not have built-in ear pieces or headphones or a speaker. Instead it requires connection to an external output device such as earphones, headphones or a speaker,
Testing:
Testing of the A SCOPE™ included ISO 60601-X Standards as they apply, bench testing, testing to applicable FDA Guidance Documents, and U.S. Army qualification testing. The A SCOPE™ has successfully completed all required testing . with positive end points.
7. Rx or OTC
The A SCOPE™ is a Prescription Use device per 21 CFR 807 Subpart D.
-
- Conclusions:
Based on testing and comparison to predicate devices, the A
- Conclusions:
Page 5 of 6
{5}------------------------------------------------
SCOPE™ has the same intended use, and is substantially equivalent to the predicated devices. The device performs as intended.
Active Signal Technologies, Inc.
.
Arthur Cooke
President
్క
Date: 2.4.2011
Page 6 of 6
. "
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/6/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 body. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the bird symbol.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
Active Signal Technologies, Inc. c/o Mr. J. Harvey Knauss Delphi Consulting Group 11874 South Evelyn Circle Houston, TX 77071
MAR 3 1 25 1
Re: K103499
Trade/Device Name: A SCOPE™M Regulation Number: 21 CFR 870.1875 Regulation Name: Electronic Stethoscope Regulatory Class: Class II (two) Product Codes: DOD, JAF Dated: February 16, 2011 Received: February 18, 2011
Dear Mr. Knauss:
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 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.
{7}------------------------------------------------
Page 2 – Active Signal Technologies, Inc., c/o Mr. J. Harvey Knauss
Please be advised that I'DA'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 100-1050.
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/ucm115800.html for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to oremantee. "Also, pear 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 the (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours,
Bram D. Zuckerman, M-D
-6-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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510(k) (Traditional) Submission
Section 4, Indications for Use Statement
Indications for Use Statement
510(k) Number: K103499
Device Name: Active Signal Noise Immune Stethoscope
Indications for Use:
The Active Signal A SCOPE (or noise-immune stethoscope) is intended for medical diagnostic purposes only. It may be used for the detection and amplification of acoustic signals generated by physiologic activity in the body. In the presence of relatively mild ambient noise it is used in Acoustic Mode and functions as a passive electronic stethoscope to receive sounds produced by the heart, lungs, bowel and other internal organs. To retain audibility at higher sound levels it is switched to Doppler Mode where an audible tone is produced by the ultrasound frequency-shift caused by motion of the heart and lungs.
It can be used on any person undergoing a physical assessment. It is not intended to be used for diagnosis and treatment by unlicensed, untrained, or unqualified medical persons.
Prescription Use YES (Part 21 CFR 801 Subpart D)
AND/OR
NO Over-The Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
fo- (Division Sign-Off)
Division of Cardiovascular Devices 510(k) Number K10349
Delphi Consulting Group
Houston, TX 77071
Section 4 510(k) Submission Page #
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Appendix A
Diagnostic Ultrasound Indications
| System: | A SCOPE |
|---|---|
| Transducer: | 2 MHz CW |
Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows:
| Clinical Application | Mode of Operation | |||||||
|---|---|---|---|---|---|---|---|---|
| General | Specific | B | M | PWD | CWD | Color | Combined | Other* |
| (Track 1 Only) | (Tracks 1 & 3) | Doppler | (Specify) | (Specify) | ||||
| Ophthalmic | Ophthalmic | |||||||
| FetalImaging& Other | Fetal | |||||||
| Abdominal | ||||||||
| Intra-operative (Specify) | ||||||||
| Intra-operative (Neuro) | ||||||||
| Laparoscopic | ||||||||
| Pediatric | ||||||||
| Small Organ (Specify) | ||||||||
| Neonatal Cephalic | ||||||||
| Adult Cephalic | ||||||||
| Trans-rectal | ||||||||
| Trans-vaginal | ||||||||
| Trans-urethral | ||||||||
| Trans-esoph. (non-Card.) | ||||||||
| Musculo-skeletal(Conventional) | ||||||||
| Musculo-skeletal(Superficial) | ||||||||
| Intravascular | ||||||||
| Other (Specify)(i) | X | X (ii) | ||||||
| Cardiac | Cardiac Adult | |||||||
| Cardiac Pediatric | ||||||||
| Intravascular (Cardiac) | ||||||||
| Trans-esoph. (Cardiac) | ||||||||
| Intra-cardiac | ||||||||
| Other (Specify) | ||||||||
| PeripheralVessel | Peripheral vessel | |||||||
| Other (Specify) |
N = new indication; P = previously cleared by FDA; E = added under this appendix * Examples of other modes of operation may include: A-mode, Amplitude Doppler, 3-D Imaging, Harmonic Imaging, Tissue Motion Doppler, and Color Velocity Imaging
inging), Harmonic Imaging, Tissue Harmonic Imaging and Other Contrast-Enhancing
Non-imaging, detection of heart and lung tissue motion (i)
(ii) Tissue Motion Doppler
§ 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.