K Number
K110015
Device Name
VITALSENS, AINGEAL, V-POD
Manufacturer
Date Cleared
2011-05-20

(137 days)

Product Code
Regulation Number
870.1025
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Intelesens Vital Signs Monitor Aingeal (VS200) is used to monitor and transmit physiological data to a web based host application for display or analysis by a clinician. The device can be worn by ambulatory or non-ambulatory adult patients in a healthcare environment to support clinical staff when they are carrying out their routine observations or when a patient would otherwise be in an unmonitored or unobserved situation. This re-usable device is intended to be used on the patient for short term periods only. The device is intended to be used on adult patients for monitoring of ECG, respiration, heart rate, skin temperature and activity levels in a healthcare setting. The device can be used where information on ECG, respiration, heart rate, skin temperature, and activity levels would be useful. The device uses on-board ECG arrhythmia detection algorithms to automatically record and send ECG data if the user is suspected to be experiencing an arrhythmia event. The device transmits the data to the host application at user defined intervals or upon the detection of an arrhythmia event.
Device Description
The Aingeal (VS200) is a small, lightweight wearable device that is connected to an accessory electrode that is applied to the patient's body. The device wirelessly transmits physiological data relating to ECG, heart rate, respiration, skin temperature and motion to a receiving station via a WiFi connection for display or for analysis by a clinician. The device alerts clinicians when a patient's heart rate changes outside of pre-defined that can be modified by clinical staff. There are also on-board algorithms that continuously monitor for, and record ECG on detection of seven cardiac arrhythmias.
More Information

Not Found

No
The document mentions "on-board ECG arrhythmia detection algorithms" but does not use terms like AI, ML, deep learning, or neural networks, nor does it describe characteristics typically associated with AI/ML development (training/test sets, performance metrics like AUC). The algorithms described appear to be rule-based or traditional signal processing methods.

No
The device is used for monitoring physiological data and alerting clinicians, not for treating a condition.

Yes
The device monitors and transmits physiological data, including ECG and arrhythmia detection, for display or analysis by a clinician, which serves to identify and assess a patient's health status.

No

The device description explicitly states it is a "small, lightweight wearable device that is connected to an accessory electrode that is applied to the patient's body," indicating it includes hardware components beyond just software.

Based on the provided information, the Intelesens Vital Signs Monitor Aingeal (VS200) is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device function: The Intelesens Aingeal (VS200) is a wearable device that directly monitors physiological data (ECG, respiration, heart rate, skin temperature, activity levels) from the patient's body. It does not analyze samples taken from the body.
  • Intended Use: The intended use clearly states it monitors and transmits physiological data from the patient, not from in vitro samples.

Therefore, the device falls under the category of a physiological monitoring device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The Intelesens Vital Signs Monitor Aingeal (VS200) is used to monitor and transmit physiological data to a web based host application for display or analysis by a clinician. The device can be worn by ambulatory or non-ambulatory adult patients in a healthcare environment to support clinical staff when they are carrying out their routine observations or when a patient would otherwise be in an unmonitored or unobserved situation.

This re-usable device is intended to be used on the patient for short term periods only.

The device is intended to be used on adult patients for monitoring of ECG, respiration, heart rate, skin temperature and activity levels in a healthcare setting.

The device can be used where information on ECG, respiration, heart rate, skin temperature, and activity levels would be useful.

The device uses on-board ECG arrhythmia detection algorithms to automatically record and send ECG data if the user is suspected to be experiencing an arrhythmia event. The device transmits the data to the host application at user defined intervals or upon the detection of an arrhythmia event.

Product codes

MHX

Device Description

The Aingeal (VS200) is a small, lightweight wearable device that is connected to an accessory electrode that is applied to the patient's body. The device wirelessly transmits physiological data relating to ECG, heart rate, respiration, skin temperature and motion to a receiving station via a WiFi connection for display or for analysis by a clinician. The device alerts clinicians when a patient's heart rate changes outside of pre-defined that can be modified by clinical staff. There are also on-board algorithms that continuously monitor for, and record ECG on detection of seven cardiac arrhythmias.

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

Intended User / Care Setting

Healthcare environment

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)

The Intelesens Aingeal (VS200) was tested in accordance with the relevant test plans/reports included with this 510(k) submission using the production equivalent units prior to release to market.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K071805, K093976, K083185, K033378

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1025 Arrhythmia detector and alarm (including ST-segment measurement and alarm).

(a)
Identification. The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to produce a visible or audible signal or alarm when atrial or ventricular arrhythmia, such as premature contraction or ventricular fibrillation, occurs.(b)
Classification. Class II (special controls). The guidance document entitled “Class II Special Controls Guidance Document: Arrhythmia Detector and Alarm” will serve as the special control. See § 870.1 for the availability of this guidance document.

0

K110015 pg 1 of 3

Premarket Notification 510(k) Section 5 - 510(k) Summary

Intelesens VS200

MAY 2 0 2011

| Official Contact: | Patricia Pepper
Regulatory Affairs Officer
Intelesens Ltd.
4 Heron Road
Belfast BT3 9LE
Tel - 44 (0) 845 5838 6243
Fax - 44 (0) 845 5838 6241
e-mail: Patricia.Pepper@Intelesens.com |
|----------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Proprietary or Trade Name: | Aingeal (VS200) |
| Common/Usual Name: | Physiological Patient Monitor |
| Classification Name: | Monitor, physiological, patient (with arrhythmia
Detection or alarms)
MHX
Arrhythmia detector and alarm (including ST-segment
measurement and alarm)
DSI |
| Predicate Device: | K071805
Datascope
NetGuard Automated Clinician Alert System
K093976
Proteus Biomedical
Raisin Personal Monitor
K083185
CADI Scientific
CADI SmartSense Wireless Temperature Monitor
K033378
Welch Allyn
Vital Signs Monitor Propaq Lt |

510(k) Summary

Page 1 of 3 April 20, 2011

Device Description:

The Aingeal (VS200) is a small, lightweight wearable device that is connected to an accessory electrode that is applied to the patient's body. The device wirelessly transmits physiological data relating to ECG, heart rate, respiration, skin temperature and motion to a receiving station via a WiFi connection for display or for analysis by a clinician. The device alerts clinicians when a patient's heart rate changes outside of pre-defined that can be modified by clinical

Page I of 3 Page 19 of 236

1

K110015 pg 2 of 3

Intelesens VS200

Premarket Notification 510(k) Section 5 - 510(k) Summary

510(k) Summary Page 2 of 3 April 20, 2011

staff. There are also on-board algorithms that continuously monitor for, and record ECG on detection of seven cardiac arrhythmias.

Feature / DeviceAingeal (VS200)
ECG1 lead
Arrhythmia Detection7 arrhythmia detection algorithms
AccelerometerYes
TemperatureYes
RespirationYes
Data TransmissionWiFi

Indications for Use:

The Intelesens Vital Signs Monitor Aingeal (VS200) is used to monitor and transmit physiological data to a web based host application for display or analysis by a clinician. The device can be worn by ambulatory or non-ambulatory adult patients in a healthcare environment to support clinical staff when they are carrying out their routine observations or when a patient would otherwise be in an unmonitored or unobserved situation.

This re-usable device is intended to be used on the patient for short term periods only.

The device is intended to be used on adult patients for monitoring of ECG, respiration, heart rate, skin temperature and activity levels in a healthcare setting.

The device can be used where information on ECG, respiration, heart rate, skin temperature, and activity levels would be useful.

The device uses on-board ECG arrhythmia detection algorithms to automatically record and send ECG data if the user is suspected to be experiencing an arrhythmia event. The device transmits the data to the host application at user defined intervals or upon the detection of an arrhythmia event.

Patient Population: Adult

Environment of Use: Healthcare environment

Contraindications: None

Page 2 of 3 Page 20 of 236

2

K110015 pg 3 of 3

Intelesens VS200

510(k) Summary Page 3 of 3 April 20, 2011

Technology:

The Aingeal (VS200) conforms to the following standards:

  • IEC 60601-1:2005: Medical Electrical Equipment Part 1: General requirements . for basic safety and essential performance
  • IEC 60601-1-2, Medical Electrical Equipment Part 1-2: General Requirements . for Safety - Collateral standard: Electromagnetic Compatibility - Requirements and Tests (Edition 2:2001 with Amendment 1:2004; Edition 2.1 (Edition 2:2001 consolidated with Amendment 1:2004)).
  • AAMI / ANSI EC12:2000/(R) 2005, Disposable ECG electrodes. .
  • AAMI / ANSI EC57:1998/(R) 2008, Testing and reporting performance results of . cardiac rhythm and ST-segment measurement algorithms

Materials:

See Section 15 of this submission.

Summary of Performance Data

The Intelesens Aingeal (VS200) was tested in accordance with the relevant test plans/reports included with this 510(k) submission using the production equivalent units prior to release to market.

A risk analysis identifying potential hazards and documenting mitigation of the hazards has been developed and applied as part of Intelesens' product development procedure. Intelesens' Quality System conforms to 21CFR820 and is certified by SGS UK Itd., to ISO9001:2008 and ISO13485:2003.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of an eagle or bird-like figure with three curved lines representing its wings or body. The bird is positioned above a series of wavy lines, possibly representing water or movement. Encircling the bird and wavy lines are the words "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" in a circular arrangement.

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

MAY 2-0 2011

Intelesens Ltd. c/o Mr. Paul Dryden President, Regulatory Consultant Promedic, Inc. 24301 Woodsage Drive Bonita Springs, FL 34134

Re: K110015

Trade/Device Name: Aingeal VS200 Regulation Number: 21 CFR 870.1025 Regulation Name: Arrhythmia detector and alarm (including ST-segment measurement and alarm) Regulatory Class: Class II (two) Product Code: MHX Dated: May 16, 2011 Received: May 17, 2011

Dear Mr. Dryden:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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

4

Page 2 - Mr. Paul Dryden

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/Resourcesfor You/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

5

Indications for Use Statement

Page I of 1

510(k) Number:

(10015 (To be assigned)

Device Name:

Intelesens Vital Signs Monitor Aingeal (VS200)

Indications for Use:

The Intelesens Vital Signs Monitor Aingeal (VS200) is used to monitor and transmit physiological data to a web based host application for display or analysis by a clinician. The device can be worn by ambulatory or non-ambulatory adult patients in a healthcare environment to support clinical staff when they are carrying out their routine observations or when a patient would otherwise be in an unmonitored or unobserved situation.

This re-usable device is intended to be used on the patient for short term periods only.

The device is intended to be used on adult patients for monitoring of ECG, respiration, heart rate, skin temperature and activity levels in a healthcare setting.

The device can be used where information on ECG, respiration, heart rate, skin temperature, and activity levels would be useful.

The device uses on-board ECG arrhythmia detection algorithms to automatically record and send ECG data if the user is suspected to be experiencing an arrhythmia event. The device transmits the data to the host application at user defined intervals or upon the detection of an arrhythmia event.

| Prescription Use

(Part 21 CFR 801 Subpart D)X
-----------------------------------------------------------

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)

Wision Sign-Off

or

Division of Cardiovascular Devices

510(k) Number K11 0015