K Number
K110569
Device Name
AUDICOR CPAM (CARDIOPULMONARY AMBULATORY MONITOR)
Date Cleared
2011-10-24

(238 days)

Product Code
Regulation Number
870.2800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Audicor® System, when used with AUDICOR Sensors on the chest wall and properly attached Holter unit, is intended for use on adults 18 years of age and older in acquiring, analyzing and reporting ECG and heart sound data and to provide interpretation of the data in an integrated report for consideration by physicians. The Audicor recording may be obtained at any location specified by a physician including home, hospital or clinic. The measurements provided and interpretations of ECG and heart sound data offered by the device are only significant when used in conjunction with physician over-read as well as consideration of other relevant patient data. The device is intended for use only under the direct supervision of a physician.
Device Description
The Audicor System is an ambulatory device that can be used to capture up to 48 hours of continuous data or 10-second snapshots of ECG and heart sounds data. The Audicor System includes software to display, analyze and provide a summary of patient data over time in a trended format. Notable events are detected and displayed for review by the clinician. The analysis package includes heart rate variability and performs ECG beat classification, editing and reporting of arrhythmias. The Audicor System analyzes and reports the following parameters: Heart rate distributions of heart sound parameters Heart rate and associated events Atrial fibrillation ECG beat classification and morphology grouping Ventricular and atrial ectopic beat arrhythmias Heart rate variability
More Information

Not Found

No
The summary describes standard signal processing and analysis techniques for ECG and heart sound data, such as beat classification, arrhythmia detection, and heart rate variability analysis. There is no mention of AI, ML, or related terms, nor is there any description of training or test sets typically associated with ML model development.

No
The device is described as an ambulatory system for acquiring, analyzing, and reporting ECG and heart sound data, and providing interpretation for consideration by physicians. It is not intended for treatment or therapy.

Yes

Explanation: The device is intended for acquiring, analyzing, and reporting ECG and heart sound data to provide interpretation for consideration by physicians, which is a diagnostic purpose. It explicitly mentions providing "interpretation of the data" and analyzing and reporting various parameters such as heart rate, atrial fibrillation, and arrhythmias.

No

The device description explicitly states that the system "includes software" but also requires "AUDICOR Sensors on the chest wall and properly attached Holter unit," which are hardware components. The performance studies also mention testing to standards for "Medical Electrical Equipment," further indicating the presence of hardware.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device function: The Audicor System acquires, analyzes, and reports ECG and heart sound data directly from the patient's chest wall using sensors. It does not analyze samples taken from the body.
  • Intended Use: The intended use describes the device's purpose as acquiring and analyzing physiological signals (ECG and heart sounds) from the patient, not analyzing biological specimens.

Therefore, the Audicor System falls under the category of a non-IVD medical device that measures physiological parameters directly from the patient.

N/A

Intended Use / Indications for Use

The Audicor(R) System, when used with AUDICOR Sensors on the chest wall and properly attached Holter unit, is intended for use on adults 18 years of age and older in acquiring, analyzing and reporting ECG and heart sound data and to provide interpretation of the data in an integrated report for consideration by physicians. The Audicor recording may be obtained at any location specified by a physician including home, hospital or clinic. The measurements provided and interpretations of ECG and heart sound data offered by the device are only significant when used in conjunction with physician over-read as well as consideration of other relevant patient data. The device is intended for use only under the direct supervision of a physician.

Product codes

MLO, 74 MLO

Device Description

The Audicor System is an ambulatory device that can be used to capture up to 48 hours of continuous data or 10-second snapshots of ECG and heart sounds data. The Audicor System includes software to display, analyze and provide a summary of patient data over time in a trended format. Notable events are detected and displayed for review by the clinician. The analysis package includes heart rate variability and performs ECG beat classification, editing and reporting of arrhythmias. The Audicor System analyzes and reports the following parameters: Heart rate distributions of heart sound parameters Heart rate and associated events Atrial fibrillation ECG beat classification and morphology grouping Ventricular and atrial ectopic beat arrhythmias Heart rate variability

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

chest wall

Indicated Patient Age Range

adults 18 years of age and older

Intended User / Care Setting

physician / home, hospital or clinic

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 Audicor System has been tested to the applicable requirements of the following standards, and shown to comply. EN 60601-1 Standard for Medical Electrical Equipment: General Requirements for Safety EN 60601-1-2 Standard for Medical Electrical Equipment Part 1-2: General Requirements for Safety - Collateral Standard: Electromagnetic Compatibility - Requirements and Tests ANSI/AAMI EC38:Ambulatory Electrocardiographs ANSI/AAMI EC57: Test and Reporting Performance Results of Cardiac Rhythm and ST-segment Measurement Algorithms Compliance to internal Inovise Medical software and algorithm performance assessment protocols

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

Not Found

Predicate Device(s)

K073545, K110001

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

Inovise Medical, Inc. 510(k) Notification: Modification to AUDICOR System – 2nd Response to Reviewer Questions
15 of 54

OCT 2 4 2011

Summary of Safety and Effectiveness

As required by 21 CFR, part 807.92
Submitted By:Inovise Medical, Inc.
8770 SW Nimbus Ave, Suite D
Beaverton, OR 97008-7196
Phone 503-313-0149
Fax 503-431-3801
Contact:Earl Anderson
Director, Quality and Regulatory
Date Prepared:September 30, 2011
Proprietary Name:AUDICOR CPAM (Cardiopulmonary Ambulatory Monitor)
Common/ Usual Name:Ambulatory Monitor / Acoustic Cardiograph
Classification:870.2800, MLO, class II, Electrocardiograph, Ambulatory (with analysis program)
Performance Standards:ANSI/AAMI EC38 and ANSI/AAMI EC57
Intended Use:The Audicor® System, when used with AUDICOR Sensors on the chest
wall and properly attached Holter unit, is intended for use on adults 18
years of age and older in acquiring, analyzing and reporting ECG and heart
sound data and to provide interpretation of the data in an integrated report
for consideration by physicians. The Audicor recording may be obtained at
any location specified by a physician including home, hospital or clinic.
The measurements provided and interpretations of ECG and heart sound
data offered by the device are only significant when used in conjunction
with physician over-read as well as consideration of other relevant patient
data.
The device is intended for use only under the direct supervision of a
physician.
Device Description:The Audicor System is an ambulatory device that can be used to capture
up to 48 hours of continuous data or 10-second snapshots of ECG and
heart sounds data. The Audicor System includes software to display,
analyze and provide a summary of patient data over time in a trended
format. Notable events are detected and displayed for review by the
clinician. The analysis package includes heart rate variability and performs
ECG beat classification, editing and reporting of arrhythmias.
The Audicor System analyzes and reports the following parameters:

71/3

110569

1

Heart rate distributions of heart sound parameters Heart rate and associated events Atrial fibrillation ECG beat classification and morphology grouping Ventricular and atrial ectopic beat arrhythmias Heart rate variability
Test Summary
& Conclusion:The Audicor System has been tested to the applicable requirements of the
following standards, and shown to comply. EN 60601-1 Standard for Medical Electrical Equipment: General
Requirements for Safety EN 60601-1-2 Standard for Medical Electrical Equipment Part 1-2:
General Requirements for Safety - Collateral Standard: Electromagnetic
Compatibility - Requirements and Tests ANSI/AAMI EC38:Ambulatory Electrocardiographs ANSI/AAMI EC57: Test and Reporting Performance Results of Cardiac
Rhythm and ST-segment Measurement Algorithms Compliance to intermal Inovise Medical software and algorithm
performance assessment protocols
Substantial
Equivalence:Product Functionality
ECG and Heart
Sound Recording and
AnalysisThe functionality for reporting of ECG and heart sound analysis including
heart rate variability and Holter ECG features (beat classification, editing
and reporting of arrhythmias) are substantially equivalent to:
Predicate
Audicor Hemo Ambulatory Monitor (510(k)
K073545);
Spacelabs Pathfinder SL (510(k) K110001)
Technological
Characteristics
:The Audicor System and the predicate devices (Spacelabs Pathfinder SL
and Audicor [Hemo] AM) are technologically equivalent in that the
devices: Are small, wearable, battery-powered devices Acquire ECG data from patients using limited ECG leads, as well
as perform beat classification, editing, reporting of arrhythmias and
heart rate
variability Use non-volatile memory to store patient data for further analysis
Substantial equivalence has been measured by review of the respective
technologies and their effectiveness to provide equivalent performance.
The technological characteristics of the AUDICOR system compares to the
predicates as follows:
Product
FunctionalityPredicateComparison
ECG and Heart
Sound Recording;
Heart Sound
AnalysisAudicor Hemo
Ambulatory
Monitor (510(k)
K073545)Same platform and
specification for ECG and
heart sound acquisition and
analysis as predicate.
Heart Rate
Variability and ECG
Holter analysis and
report generation
(beat classification,
edting and
reporting of
arrhythmias)Pathfinder SL,
Spacelabs
(510(k)
K110001)Both are Windows-based
ECG analysis systems,
editing and report generation
systems that include heart
rate variability.

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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle or bird-like symbol with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the symbol.

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

OCT 2 4 2011

Inovise Medical, Inc. c/o Mr. Earl Anderson Director Quality and Regulatory 8770 SW Nimbus Ave., Suite D Beaverton, OR 97008-7196

K110569 Re:

Trade/Device Name: Audicor System Regulatory Number: 21 CFR 870.2800 Regulatory Number. 21 CF N 07012000
Regulation Name: Ambulatory Electrocardiograph with Analysis Algorithm Regulatory Class: II (two) Product Code: 74 MLO Dated: September 30, 2011 Received: October 11, 2011

Dear Mr. Anderson:

We have reviewed your Section 510(k) premarket notification of intent to market the devices We have reviewed your Section 510(x) premainer nethstantially equivalent (for the indications
referenced above and have determined the device is substantially equivaled in in for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the enclosure for legally manation profitace device Ameralments, or los commerce prior to May 28, 1976, the chacinom auto of the Federal Food, Drug, devices that have been reclassified in accordance will of a premarket approval application (PMA).
and Cosmetic Act (Act) that do not require approval of a la previoions of th and Cosment Act (Act) that to not require approvince of controls provisions of the Act. The Act. The Act. The Act. The You may, include, market the device, subject to the gents for annual registration, listing of the pod general Controls provisions of the Fiel Includes and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), If your device is classified (Sec above) into endor regulations affecting your device can be If may be subject to additional controls. Extraing major regoriogations In addition, FDA may found in the Code of reactive regional registerning your device in the Federal Register.

4

Page 2 - Mr. Earl Anderson

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

K110569

Inovise Medical, Inc. 510(k) Notification: Modification to AUDICOR System - 200 Response to Reviewer Questions 13 of 54

Indications for Use

510(k) Number K110569

Device Name:__________________________________________________________________________________________________________________________________________________________________

Indications For Use:

The Audicor® System, when used with AUDICOR Sensors on the chest wall and properly attached Holter unit, is intended for use on adults 18 years of age and older in acquiring, analyzing and reporting ECG and heart sound data and to provide interpretation of the data in an integrated report for consideration by physicians. The Audicor recording may be obtained at any location specified by a physician including home, hospital or clinic.

The measurements provided and interpretations of ECG and heart sound data offered by the device are only significant when used in conjunction with physician over read as well as consideration of other relevant patient data.

The device is intended for use only under the direct supervision of a physician.

Prescription Use __ XXX_

AND/OR

Over-The-Counter Use

(Part 21 CFR 801 Subpart D)

(21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)

Page 1 of 1

Division of Cardiovascular Devices

510(k) Number K110569