K Number
K121266
Device Name
CARDIOSCOPE
Manufacturer
Date Cleared
2012-12-11

(229 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
CardioScope™ is a non-invasive, compact standalone measurement device that automatically measures systolic and diastolic pressure, and pulse rate in adult and pediatric patients. CardioScope also provides non-invasive central (aortic) systolic, mean and diastolic blood pressure, and pulse waveform intended for use in adult patients. CardioScope performs measurements using a conventional oscillometric method via a brachial cuff on the upper arm. The device is intended to be used under supervision by qualified healthcare personnel. Caution: Federal (USA) law restricts this device to sale by or on order of a physician.
Device Description
The CardioScope™ is a compact standalone measurement device that incorporates a SP10 compliant conventional oscillometric blood pressure module using a brachial cuff on the upper arm. The CardioScope first measures brachial systolic and diastolic blood pressures and pulse rate using the Oscillometric method. It then inflates the cuff to a pressure about 30 mmHg higher than systolic (Suprasystolic) pressure to acquire a further oscillometric pulse waveform. The suprasystolic pulse waveform is used in combination with the conventional upper-arm blood pressures to derive central systolic, diastolic and mean blood pressures.
More Information

No
The summary describes a device using a conventional oscillometric method and a suprasystolic pulse waveform to derive central blood pressure. There is no mention of AI, ML, or related terms, nor any description of training or test sets typically associated with AI/ML model development.

No
The device is described as a measurement device used for diagnosis, not for treating any condition.

Yes.
The device states its intended use is to "automatically measures systolic and diastolic pressure, and pulse rate in adult and pediatric patients," and "also provides non-invasive central (aortic) systolic, mean and diastolic blood pressure, and pulse waveform intended for use in adult patients." These measurements provide information about the patient's physiological state, which can be used to aid in disease diagnosis or health monitoring.

No

The device description explicitly states it is a "compact standalone measurement device that incorporates a SP10 compliant conventional oscillometric blood pressure module using a brachial cuff on the upper arm." This indicates the device includes significant hardware components beyond just software.

No, 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.
  • CardioScope's Function: The CardioScope measures blood pressure and pulse rate using a non-invasive method (oscillometry via a cuff on the upper arm). It does not analyze samples taken from the body.
  • Intended Use: The intended use describes the device as a "non-invasive, compact standalone measurement device" for measuring blood pressure and pulse rate. This aligns with a physiological measurement device, not an IVD.

The information provided clearly indicates that the CardioScope is a device that interacts with the patient externally to obtain physiological measurements, which is the opposite of how IVDs function.

N/A

Intended Use / Indications for Use

CardioScope™ is a non-invasive, compact standalone measurement device that automatically measures systolic and diastolic pressure, and pulse rate in adult and pediatric patients. CardioScope also provides non-invasive central (aortic) systolic, mean and diastolic blood pressure, and pulse waveform intended for use in adult patients.

CardioScope performs measurements using a conventional oscillometric method via a brachial cuff on the upper arm.

The device is intended to be used under supervision by qualified healthcare personnel.

Caution: Federal (USA) law restricts this device to sale by or on order of a physician.

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

DXN

Device Description

The CardioScope™ is a compact standalone measurement device that incorporates a SP10 compliant conventional oscillometric blood pressure module using a brachial cuff on the upper arm.

The CardioScope first measures brachial systolic and diastolic blood pressures and pulse rate using the Oscillometric method. It then inflates the cuff to a pressure about 30 mmHg higher than systolic (Suprasystolic) pressure to acquire a further oscillometric pulse waveform. The suprasystolic pulse waveform is used in combination with the conventional upper-arm blood pressures to derive central systolic, diastolic and mean blood pressures.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Upper arm (brachial)

Indicated Patient Age Range

Adult and pediatric patients.

Intended User / Care Setting

Qualified healthcare personnel.

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)

Clinical Validation (Comparison) Study Summary 5.3: Bland-Altman analysis of agreement between tonometric and oscillometric estimation of central systolic, diastolic, and mean pressures showed mean differences of less than 5 mmHg, and standard deviations of the difference of less than 8 mmHg. Similarly, agreement between oscillometric measures and invasive (catheter) measures of central systolic, diastolic, and mean pressures showed mean differences of less than 5 mmHg, and standard deviations of the difference of less than 8 mmHg.

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.

K101002, K012487, K110603

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.

K070060

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

§ 870.1130 Noninvasive blood pressure measurement system.

(a)
Identification. A noninvasive blood pressure measurement system is a device that provides a signal from which systolic, diastolic, mean, or any combination of the three pressures can be derived through the use of tranducers placed on the surface of the body.(b)
Classification. Class II (performance standards).

0

510 (k) Summary

K121266 ps 1094

Date Prepared:November 28, 2012
Sponsor Information:Pulsecor LimitedDEC 11 2012
Level 2, 135 Morrin Road
Auckland 1072, New Zealand
Sponsor Contact:Andrew Lowe
Telephone: 64 (9) 280 3504
Fax: 64 (9) 280 3505
Device Name:CardioScope™
Common/Usual Name:NIBP
Classification Name:Noninvasive Blood Pressure Measurement System
Regulation Number:21 CFR 870.1130
Product Code:DXN
Device Classification:Class II
Review Panel:Division of Cardiovascular Devices

Predicate Devices

Predicate Devices
ManufacturerBrand Name510(k) Number
HealthSTATS International Pte Ltd.A-PULSE CASPro and A-PULSE CASPal MonitorsK101002
AtCor Medical Pty Ltd.SphygmoCor PxK012487
I.E.M. GmbHMobil-O-Graph 24h PWA and Hypertension Management Software Client ServerK110603

1

510 (k) Sum

2.

Product Description

The CardioScope™ is a compact standalone measurement device that incorporates a SP10 compliant conventional oscillometric blood pressure module using a brachial cuff on the upper arm.

The CardioScope first measures brachial systolic and diastolic blood pressures and pulse rate using the Oscillometric method. It then inflates the cuff to a pressure about 30 mmHg higher than systolic (Suprasystolic) pressure to acquire a further oscillometric pulse waveform. The suprasystolic pulse waveform is used in combination with the conventional upper-arm blood pressures to derive central systolic, diastolic and mean blood pressures.

Indications for Use

CardioScope™ is a non-invasive, compact standalone measurement device that automatically measures systolic and diastolic pressure, and pulse rate in adult and pediatric patients. CardioScope also provides non-invasive central (aortic) systolic, mean and diastolic blood pressure, and pulse waveform intended for use in adult patients.

CardioScope performs measurements using a conventional oscillometric method via a brachial cuff on the upper arm.

The device is intended to be used under supervision by qualified healthcare personnel.

Caution: Federal (USA) law restricts this device to sale by or on order of a physician.

Predicate Product Comparisons

Table 12.1 compares the predicate devices with the Pulsecor CardioScope™ as it relates to indications for use, Blood pressure measurements, pulse waveforms, central systolic pressure, blood pressure cuff and operating temperature and humidity, storage requirements, power source and product dimensions.

All of the parameters used to compare the various areas of interest were substantially equivalent with one exception:

2

510 (k) Summary

| Parameters | Pulsecor
CardioScope™ | HealthSTATS
A-Pulse CASPro | AtCor
SphygmoCor Px | I.E.M GmbH
Mobil-O-Graph
24h |
|-------------------|--------------------------------------------------|-------------------------------------------------------------|---------------------------------------------------------------------------|--------------------------------------------------|
| Pulse
Waveform | Brachial pulse
waveform using
oscillometry | Radial pulse wave
form using
applanation
tonometry | Carotid or radial
pulse wave form
using
applanation
tonometry | Brachial pulse
waveform using
oscillometry |

A discussion of the applanation tonometry method versus the oscillometry method was presented with the conclusion that no new issues of safety and effectiveness were found between the two methods.

Safety and Effectiveness Studies 5.

Summary Electrical Testing 5.1

StandardResults
IEC 60601-1 Medical Electrical Equipment -Pass
Part 1: General Requirements for Safety, 1988;
Amendment 1, 1991-11, Amendment 2, 1995.
IEC 60601-1-2: 2007 Medical ElectricalComplies
Equipment – Part 2: General Requirements for
Safety - Collateral Standard: Electromagnetic
Compatibility

Summary Biocompatibility Tests - WelchAllyn FlexiPort Cuff 5.2 (K070060)

StandardResults
ISO 10993-5 Biological evaluation of medical
devices -- Part 5: Tests for In Vitro cytotoxicityThe test article is considered non-cytotoxic
and meets the requirements of the Elution
Test, ISO 10993.
ISO 10993-10 Biological evaluation of medicalThe Primary Irritation Index is 0.0, and the test
devices - Part 10: Tests for irritation and skinarticle is considered a non-irritant according to
sensitizationthe procedures outlined in the FHSA
guidelines, 16 CFR, Section 1500.41.
ISO 10993-10 Biological evaluation of medicalThe skin treated with the test article extract
devices - Part 10: Tests for irritation and skinexhibited no reaction to the challenge (0%
sensitizationsensitization). Therefore, as defined by the
scoring system of Kligman, this is a Grade l
reaction and the test article extract is

3

510 (k) Summary

K121266
pg. 4 of 4

| classified as having weak allergenic potential.

A Grade I sensitization rate is not considered
significant.

Summary SP10 Tests

StandardResults
ANSI/AMMI SP10:2002The Noninvasive software algorithm meets the
ANSI/AAMI SP10:2002 requirements for
adults/pediatrics

Clinical Validation (Comparison) Study Summary 5.3

Bland-Altman analysis of agreement between tonometric and oscillometric estimation of central systolic, diastolic, and mean pressures showed mean differences of less than 5 mmHg, and standard deviations of the difference of less than 8 mmHg. Similarly, agreement between oscillometric measures and invasive (catheter) measures of central systolic, diastolic, and mean pressures showed mean differences of less than 5 mmHg, and standard deviations of the difference of less than 8 mmHg.

6.

Conclusion

The Pulsecor CardioScope™ has demonstrated it is substantially equivalent to the predicate devices listed above.

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

Pulsecor, Ltd. c/o Mr. E.J. Smith President Smith Associates 1468 Harwell Avenue Crofton, MD 21114

Re: K121266

Trade/Device Name: Cardioscope Regulatory Number: 21 CFR 870.1130 Regulation Name: Non-invasive Blood Pressure Measurement System Regulatory Class: II (two) Product Code: DXN Dated: November 28, 2012 Received: November 28, 2012

Dear Mr. Smith:

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 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.

5

Page 2 - Mr. E.J. Smith

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 or any I 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 Of It Far 60 7), as emage (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 vours

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Indications for Use Form

510(k) Number (if known): K121266

Device Name: CardioScope

Indications for Use:

CardioScope™ is a non-invasive, compact standalone measurement device that automatically measures systolic and diastolic pressure, and pulse rate in adult and pediatric patients. CardioScope also provides non-invasive central (aortic) systolic, mean and diastolic blood pressure, and pulse waveform intended for use in adult patients.

CardioScope performs measurements using a conventional oscillometric method via a brachial cuff on the upper arm.

The device is intended to be used under supervision by qualified healthcare personnel.

Caution: Federal (USA) law restricts this device to sale by or on order of a physician.

Prescription Use (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)

Page 1 of 1

ision Sign-Off) sion Sign-Only
sion of Cardiovascular Devices

510(k) Numb