K Number
K103499
Device Name
A SCOPE
Date Cleared
2011-03-31

(122 days)

Product Code
Regulation Number
870.1875
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended 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.
Device Description
Active Signal's stethoscope combats noise intrusion through use of two modes of operation depending on the intensity of background noise: 1. 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. 2. 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.
More Information

Not Found

No
The description focuses on signal processing techniques (amplification, frequency shifting) and hardware design (piezoelectric sensors, transducers) to address noise, with no mention of AI or ML algorithms for signal analysis, interpretation, or classification.

No.
The device is strictly for diagnostic purposes by detecting and amplifying acoustic signals from the body, and its intended use explicitly states it is not for "diagnosis and treatment".

Yes
The "Intended Use / Indications for Use" section explicitly states, "The Active Signal A SCOPE (or noise-immune stethoscope) is intended for medical diagnostic purposes only."

No

The device description explicitly details hardware components such as a battery compartment, piezoelectric sensors, signal-processing electronics, and a control panel. It is a physical device that utilizes software for signal processing and mode selection, but it is not solely software.

Based on the provided information, this device 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.
  • Device Function: The Active Signal A SCOPE is a stethoscope that detects and amplifies acoustic signals generated within the body (heart, lungs, bowel, etc.). It does not analyze samples taken from the body.
  • Intended Use: The intended use is for medical diagnostic purposes by detecting physiological sounds, not by analyzing biological samples.

Therefore, the Active Signal A SCOPE falls under the category of a medical device, but not specifically an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

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.

  1. 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.

  2. 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 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.

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

JAF, DQD

Device Description

The Active Signal's stethoscope combats noise intrusion through use of two modes of operation depending on the intensity of background noise:

  1. 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.

  2. 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.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound (Acoustic and Doppler modes are mentioned, with Doppler being ultrasound-based).

Anatomical Site

heart, lungs, bowel, and other internal organs

Indicated Patient Age Range

Not Found

Intended User / Care Setting

medical diagnostic purposes only...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.

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)

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.

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.

K973336, K961301, K910462

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

§ 870.1875 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

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 Q
611 N. Hammonds Ferry Road
Linthicum Heights, MD 21090
Telephone:410-636-9350
410-636-9352 Fax
Contact:Arthur Cooke, President
E-mail:Arthur@activesignaltech.com
Correspondent:James Harvey Knauss
Address:Delphi Consulting Group
11874 South Evelyn Circle
Houston, Texas 77071-3404
E-mail:harvey.knauss@gmail.com
Telephone:832-675-9281
713-723-0786 fax

1. Company making the submission:

Device Classifications:

| Common/ Usual
Name | Stethoscope electronic / monitor,
Ultrasonic - nonfetal |
|-------------------------|------------------------------------------------------------|
| Trade Name | A SCOPE™ |
| Proprietary
Name | A SCOPE™ |
| Regulation
Number | 870.1875 (b) |
| Product Code | JAF & DQD |
| Classification
Panel | Cardiovascular / Radiology |

Summary sec 5 rav 8 1 11.doc Delphi Consulting Group Houston, TX 77071

Section 5 510(k) Submission Page #

1

| Expedited
Review Of
Premarket
Submissions for
Devices | Yes, from US Army Medical Research
& Material Command ... |
|-------------------------------------------------------------------|--------------------------------------------------------------------------|
| Considered
confidential
(21 CFR
807.950) | Yes |
| Reviewed By
Third Party | NO |
| Substantial
Equivalence
(Predicate
Devices) | K973336, IMEX Stethodop,
K961301, E-Scope and K910462
Pocket 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.

  1. 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.

  2. 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.

    1. 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.

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:

  1. 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.

  1. 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.

    1. Conclusions:
      Based on testing and comparison to predicate devices, the A

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

. "

6

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

8

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 #

9

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 ApplicationMode of Operation
GeneralSpecificBMPWDCWDColorCombinedOther*
(Track 1 Only)(Tracks 1 & 3)Doppler(Specify)(Specify)
OphthalmicOphthalmic
Fetal
Imaging
& OtherFetal
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)XX (ii)
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral
VesselPeripheral 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