K Number
K122285
Device Name
TABLET COMMANDER
Manufacturer
Date Cleared
2012-08-14

(15 days)

Product Code
Regulation Number
870.2910
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Tablet Commander device is for use by patients to collect and transmit general health information, physiological measurements and other data between themselves and a caregiver. The Tablet Commander makes no diagnosis. Clinical judgment and experience are required to check and interpret the information transmitted. The Tablet Commander is not intended as a substitute for medical care.
Device Description
The Tablet Commander is a software application. Once installed on a commercially-available device, the Tablet Commander software uses standard communication protocols to exchange information with other medical devices (peripherals). Data collected from the medical devices is transmitted back to a database for review by a caregiver. The Tablet Commander software has a user interface which allows the patient and caregiver to communicate using methods which include questions and answers.
More Information

Not Found

No
The summary describes a software application for data collection and transmission, with no mention of AI, ML, or related concepts. The performance studies focus on software validation and risk assessment, not AI/ML model performance.

No.
The "Intended Use" explicitly states that "The Tablet Commander makes no diagnosis," "is not intended as a substitute for medical care," and clinical judgment is required. It solely functions as a data collection and transmission tool.

No

The "Intended Use / Indications for Use" section explicitly states, "The Tablet Commander makes no diagnosis." It is designed to collect and transmit data, not to interpret it for diagnostic purposes.

Yes

The device is explicitly described as a "software application" that is installed on a "commercially-available device" and uses "standard communication protocols" to exchange information. It does not include or require specific hardware components beyond the commercially available device it runs on.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for collecting and transmitting general health information and physiological measurements. It explicitly states it "makes no diagnosis" and is "not intended as a substitute for medical care." IVDs are specifically designed to perform tests on samples from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Description: The description focuses on software that collects data from other medical devices and transmits it. It doesn't mention any interaction with biological samples or performing analytical tests.
  • Lack of IVD-Specific Information: The document lacks any information typically associated with IVDs, such as:
    • Mentions of samples (blood, urine, etc.)
    • Analytical methods or reagents
    • Performance metrics related to analytical accuracy (sensitivity, specificity in the context of a diagnostic test)

The device functions as a data collection and transmission tool for remote patient monitoring, which falls under a different regulatory category than IVDs.

N/A

Intended Use / Indications for Use

The Tablet Commander device is for use by patients to collect and transmit general health information, physiological measurements and other data between themselves and a caregiver.
The Tablet Commander makes no diagnosis. Clinical judgment and experience are required to check and interpret the information transmitted. The Tablet Commander is not intended as a substitute for medical care.

Product codes

DRG

Device Description

The Tablet Commander is a software application. Once installed on a commercially-available device, the Tablet Commander software uses standard communication protocols to exchange information with other medical devices (peripherals). Data collected from the medical devices is transmitted back to a database for review by a caregiver. The Tablet Commander software has a user interface which allows the patient and caregiver to communicate using methods which include questions and answers.

The Tablet Commander is a software application capable of running on any hardware platform that uses the Android operating system. The Tablet Commander interfaces with other electronics including FDA-cleared medical devices using standard wired and wireless protocols. Many Tablet Commanders then communicate that data to a back-end database application using the public telecommunications network.

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

Not Found

Intended User / Care Setting

patients, caregiver, health care professional at a remote site

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)

Risk based verification and validation testing according to FDA guidances "Guidance for the Content of Premarket Submissions for software Contained in Medical Devices" and "General Principles of Software Validation" was completed to ensure the Tablet Commander functioned according to its requirements and specifications. Cardiocom used the voluntary standard IEC 62304 as a model for the software development environment to maintain quality throughout the software lifecycle. The Tablet Commander is identical to the tablet-based predicate devices in that the basic design principle is an application running on a commercial tablet. The data structuring and network communication design principles are identical to the predicate Commander III device. No new hazards to safety or effectiveness are presented by Tablet Commander, therefore, no clinical tests were conducted.

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

Not Found

Predicate Device(s)

K053304, K103276, K112858

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.2910 Radiofrequency physiological signal transmitter and receiver.

(a)
Identification. A radiofrequency physiological signal transmitter and receiver is a device used to condition a physiological signal so that it can be transmitted via radiofrequency from one location to another, e.g., a central monitoring station. The received signal is reconditioned by the device into its original format so that it can be displayed.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the logo for CardioCom. The logo consists of a square with a stylized "C" inside, followed by the text "CARDIOCCOM" in a bold, sans-serif font. A registered trademark symbol is present to the right of the word "CARDIOCCOM".

EXPERTS IN TELEHEALTHツ

K122285

7980 Century Blvd Chanhassen, MN 55317 Toll-Free: 1-888-243-8881

510(k) Summary

.

AUG 1 4 2012

| Submitter: | Cardiocom, LLC
7980 Century Boulevard, Chanhassen, MN 55317 |
|----------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Daniel L. Cosentino, CEO, President, Cardiocom, LLC
Phone: 888-243-8881
Fax: 888-320-8881 |
| Date Prepared: | Tuesday, May 01, 2012 |
| Trade Name: | Tablet Commander |
| Common Name | Remote Patient Monitoring System |
| Classification: | Name: Radiofrequency physiological signal transmitter and
receiver
Regulation: 21 CFR §870.2910
Panel: Cardiovascular
Class: II |
| Product Code: | DRG |
| Predicate Device(s): | The subject device is equivalent to the following devices:
Cardiocom Commander III, K053304; Intel Health Guide Express,
K103276; Hommed Genesis Touch, K112858 |
| Device Description: | The Tablet Commander is a software application. Once installed on
a commercially-available device, the Tablet Commander software
uses standard communication protocols to exchange information
with other medical devices (peripherals). Data collected from the
medical devices is transmitted back to a database for review by a
caregiver. The Tablet Commander software has a user interface
which allows the patient and caregiver to communicate using
methods which include questions and answers. |
| Intended Use: | The Tablet Commander device is for use by patients to collect and
transmit general health information, physiological measurements
and other data between themselves and a caregiver.
The Tablet Commander makes no diagnosis. Clinical judgment and
experience are required to check and interpret the information
transmitted. The Tablet Commander is not intended as a substitute
for medical care. |

Page 1 of 4

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E X P E R T S

Table 1 – Intended Use Comparison with Predicate Devices

| | Submission Device | Predicate #1-K103276
Intel Health Guide
Express | Predicate #2-K112858-Honeywell
Hommed Genesis
Touch | Predicate #3-K053304-
Commander III |
|------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications
for Use | The Tablet
Commander device is
for use by patients to
collect and transmit
general health
information,
physiological
measurements and
other data between
themselves and a
caregiver.

The Tablet
Commander makes no
diagnosis. Clinical
judgment and
experience are
required to check and
interpret the
information
transmitted. The
Tablet Commander is
not intended as a
substitute for medical
care. | The Intel Health Guide
Express is intended to
collect vital sign
measurements from the
physiological
measurement devices
intended for use in the
home. Patients can
review the stored vital
sign measurement
information and receive
educational and
motivational content
from caregivers. Patients
can also engage in video
conferences with
caregivers and answer
the caregivers' questions
by participating in
surveys.

The Intel Health Care
Management Suite
allows the caregiver to
review patient data and
initiate video
conferencing with
patients, or select and
send educational and
motivational content to
patients.

The Intel Health Guide
Express is not
interpretive, nor is it
intended for diagnosis or
as a substitute for
medical care, and it is
not intended to provide
real time data. It is made
available to patients
when time-critical care is
not required. | The Honeywell
HomMed Genesis
Touch Retrospective
Physiological
Monitoring System is
designed to
retrospectively
monitor vital signs.
Vital signs include
noninvasive blood
pressure,
pulse oximetry, pulse
rate, weight and
manually entered
temperature. The
Genesis Touch
Retrospective
Physiological
Monitoring System
collects, displays and
transmits vital signs
measurements
captured from
commercially
available FDA cleared
wireless medical
devices designed for
home use. Collected
measurement data
from the Genesis
Touch System can be
transmitted via a
communication
module to a central
viewing station where
the data can be
viewed and analyzed
by a healthcare
professional.
The Genesis Touch
Retrospective
Physiological
Monitoring System is
intended for home use
by adult and pediatric
patients over twelve | The Commander III
device is for use by
patients to collect
and transmit general
health questions and
patient vital sign data
(such as weight,
blood pressure,
glucose, pulse
oximetry, peak flow)
between the patient,
typically at home,
and a health care
professional at a
remote site.

The Commander III
makes no
interpretation,
evaluation, medical
judgments, or
recommendations for
treatment. Clinical
judgment and
experience are
required to check
and interpret the
information
transmitted. The
Tablet Commander
is not intended as a
substitute for
medical care. |

Page 2 of 4

K122285

  • 11

2

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K122285

EXPERTS | N TELEHEALTH™


contraindicated foryears of age or in a
patients requiring directhealthcare related
medical supervision orenvironment by
emergency intervention.healthcare providers.
It is intended for patientsThe Genesis Touch
who are willing andRetrospective
capable of managing itsPhysiological
use. Clinical judgmentMonitoring System is
and experience by anot
caregiver are required tointended for
check and interpret theemergency use or
information delivered.real-time monitoring
and does not have
auditory or visual
alarms for out-of-limit
parameters.

Table 2 – Technology Comparison with Predicate Devices

Submission DevicePredicate #1-K103276Predicate #2-K112858Predicate #3-K053304
Basic
Technology
DescriptionThe Tablet
Commander is a
software application
capable of running
on any hardware
platform that uses
the Android
operating system.
The Tablet
Commander
interfaces with other
electronics including
FDA-cleared
medical devices
using standard wired
and wireless
protocols. Many
Tablet Commanders
then communicate
that data to a back-
end database
application using the
public
telecommunications
network.Intel Health Guide
Express
The Intel Health Guide
Express is a software
application capable of
running on any hardware
platform that uses the
Windows 7 operating
system. The Intel Health
Guide Express interfaces
with other electronics
including FDA-cleared
medical devices using
standard wired and
wireless protocols.
Many "Guides" then
communicate that data to
a back-end database
application (Guide
Virtual Care Suite) using
the public
telecommunications
network.Honeywell HomMed
Genesis Touch
The Honeywell HomMed
Genesis Touch
Retrospective
Physiological Monitoring
System is a software
application running on a
dedicated Commercially-
Available Off-the-Shelf
(COTS) tablet computer.
The "Touch" interfaces
with other electronics
including FDA-cleared
medical devices using
standard wired and
wireless protocols. Many
"Guides" then
communicate that data to
a back-end database
application (LifeStream
Management Suite) using
the public
telecommunications
network.Commander III
The Commander III
is an electronic
device consisting of
a blood pressure
system and built-in
proprietary
software which
allows it to
interface with other
FDA-cleared
medical devices.
Many Commander
III's then
communicate that
data to a back-end
database
application using
the public
telecommunications
network.
Operating
SystemAndroidWindows 7AndroidProprietary
firmware
Hardware
Characteris
ticsStandard minimum
requirements for
mobile devicesStandard minimum
requirements for mobile
devicesStandard minimum
requirements for mobile
devicesLCD Display: 240
x 320 pixels
CPU: Low speed
Microcontroler
Network

Page 3 of 4

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EXPERTS IN TELEHEALTH™

િ1266

| Peripheral
Interface
Characteris
tics | The Tablet
Commander | The Guide | The Touch communicates | POTS or Cellular |
|------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | interfaces with the
peripheral medical
devices using
standard wired and
wireless connections
according to the
protocols
established by the
manufacturer of the
peripheral. The
protocols include
checksums with re-
transmit and purge
loops for data
validation. | communicates with a
variety of peripherals
using standard wired and
wireless technologies. | with a variety of
peripherals using standard
wired and wireless
technologies. | The Commander III
is integrated with a
blood pressure
system and
connected to other
peripherals using
RS232 serial
connections
according to
protocols
established by the
manufacturer of the
peripheral. The
protocols include
checksums with re-
transmit and purge
loops for data
validation. |

Functional and Safety Analysis:

Risk based verification and validation testing according to FDA guidances "Guidance for the Content of Premarket Submissions for software Contained in Medical Devices" and "General Principles of Software Validation" was completed to ensure the Tablet Commander functioned according to its requirements and specifications. Cardiocom used the voluntary standard IEC 62304 as a model for the software development environment to maintain quality throughout the software lifecycle. The Tablet Commander is identical to the tablet-based predicate devices in that the basic design principle is an application running on a commercial tablet. The data structuring and network communication design principles are identical to the predicate Commander III device. No new hazards to safety or effectiveness are presented by Tablet Commander, therefore, no clinical tests were conducted.

Cardiocom considers the Tablet Commander to be equivalent to the Conclusion: predicate devices listed above. This conclusion is based upon the devices' similarities in principles of operation, technology, materials and indications for use.

Page 4 of 4

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

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Public Health Service

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

AUG 14 2012

Cardiocom LLC c/o Mr. Mark Job (Regulatory Technology Services, LLC) 1394 25" Street NW Buffalo, MN 55313

Re: K122285

Trade/Device Name: Tablet Commander Regulation Number: 21 CFR 870.2910 Regulation Name: Radiofrequency physiological signal transmitter and receiver. Regulatory Class: Class II (two) Product Code: DRG Dated: July 27, 2012 Received: July 30, 2012

Dear Mr. Job:

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. Mark Job

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.

Sineerely purs,

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

Enclosure

6

K122285

ﺮ ﺍ

Indications for Use

510(k) Number (if known):

Device Name: Tablet Commander

Indications For Use:

The Tablet Commander device is for use by patients to collect and transmit general health information, physiological measurements and other data between themselves and a caregiver.

Contraindications, Precautions, and Warnings:

The Tablet Commander makes no diagnosis. Clinical judgment and experience are required to check and interpret the information transmitted. The Tablet Commander is not intended as a substitute for medical care.

Prescription Use X (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 IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of Cardiovascular Devices
510(k) NumberK122285
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