K Number
K131524
Device Name
PROTEUS PATCH INCLUDING INGESTIBLE SENSOR
Date Cleared
2013-06-23

(26 days)

Product Code
Regulation Number
880.6305
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Proteus® Patch is a miniaturized, wearable data-logger for ambulatory recording of physiological and behavioral metrics such as heart rate, activity, body angle relative to gravity, and time-stamped, patient-logged events, including events signaled by swallowing the Ingestible Sensor accessory. The Proteus Patch enables unattended data collection for clinical and research applications. The Proteus Patch may be used in any instance where quantifiable analysis of event-associated physiological and behavioral metrics is desirable.
Device Description
The Proteus Patch is a body-worn sensor that collects physiological and behavioral metrics such as heart rate, activity, body angle relative to gravity, and time-stamped user-logged events generated by swallowing the Proteus Ingestible Sensor. The Ingestible Sensor is embedded inside an inactive tablet (the Pill) for ease of handling and swallowing. Once the Ingestible Sensor reaches the stomach, it activates and communicates its presence and unique identifier to the Patch. The Patch stores and wirelessly sends the physiological, behavioral, event, and ingestion data to a general computing device for display.
More Information

Not Found

No
The summary describes a data logger and sensor system that collects and transmits physiological and behavioral data. It mentions a specific algorithm (modified Hamilton-Tompkins) for heart rate calculation, but there is no mention of AI or ML being used for data analysis, interpretation, or decision-making. The focus is on data collection and transmission.

No
The device is described as a data-logger that collects physiological and behavioral metrics for "unattended data collection for clinical and research applications," not for providing therapy.

No

The device is described as a "data-logger for ambulatory recording of physiological and behavioral metrics." While it collects data, the "Intended Use" section states it's for "unattended data collection for clinical and research applications" and "quantifiable analysis of event-associated physiological and behavioral metrics." There is no indication that the device itself performs diagnosis or provides diagnostic interpretations. It collects data that could be used for diagnostic purposes, but it is not a diagnostic device in itself.

No

The device description explicitly states the Proteus Patch is a "body-worn sensor" and the Ingestible Sensor is "embedded inside an inactive tablet," indicating physical hardware components are integral to the device's function.

Based on the provided information, the Proteus® Patch is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs analyze samples taken from the body (like blood, urine, tissue) to provide information about a person's health. The Proteus Patch, while it collects physiological data, does so from the body surface (heart rate, activity, body angle) and receives signals from an ingested sensor within the stomach. It's measuring physical and electrical signals, not analyzing biological samples.
  • The intended use and device description focus on data logging of physiological and behavioral metrics. There is no mention of analyzing biological specimens.
  • The performance studies described validate the sensors and algorithms for measuring physical parameters and signal reception. They do not involve the analysis of biological samples.

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

N/A

Intended Use / Indications for Use

The Proteus® Patch is a miniaturized, wearable data-logger for ambulatory recording of physiological and behavioral metrics such as heart rate, activity, body angle relative to gravity, and time-stamped, patient-logged events, including events signaled by swallowing the Ingestible Sensor accessory. The Proteus Patch enables unattended data collection for clinical and research applications. The Proteus Patch may be used in any instance where quantifiable analysis of event-associated physiological and behavioral metrics is desirable.

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

OZW, DXH

Device Description

The Proteus Patch is a body-worn sensor that collects physiological and behavioral metrics such as heart rate, activity, body angle relative to gravity, and time-stamped user-logged events generated by swallowing the Proteus Ingestible Sensor. The Ingestible Sensor is embedded inside an inactive tablet (the Pill) for ease of handling and swallowing. Once the Ingestible Sensor reaches the stomach, it activates and communicates its presence and unique identifier to the Patch. The Patch stores and wirelessly sends the physiological, behavioral, event, and ingestion data to a general computing device for display.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Body-worn (for the patch), Stomach (for the ingestible sensor)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Clinical and research applications.

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 three-axis accelerometer provided motion and angle relative to gravity data and was validated against a known acceleration applied against each of its three axes.

The biopotential low-frequency amplifier was used to quantify heart rate by measuring Rwave frequency based upon a modified Hamilton-Tompkins algorithm, tested using guidelines set forth in the ANSI/AAMI EC 13 standard.

The Ingestion Sensor was tested for activation time and lifetime after activation.

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.

K131009

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

§ 880.6305 Ingestible event marker.

(a)
Identification. An ingestible event marker is a prescription device used to record time-stamped, patient-logged events. The ingestible component links wirelessly through intrabody communication to an external recorder which records the date and time of ingestion as well as the unique serial number of the ingestible device.(b)
Classification. Class II (special controls). The special controls for this device are:(1) The device must be demonstrated to be biocompatible and non-toxic;
(2) Nonclinical, animal, and clinical testing must provide a reasonable assurance of safety and effectiveness, including device performance, durability, compatibility, usability (human factors testing), event recording, and proper excretion of the device;
(3) Appropriate analysis and nonclinical testing must validate electromagnetic compatibility performance, wireless performance, and electrical safety; and
(4) Labeling must include a detailed summary of the nonclinical and clinical testing pertinent to use of the device and the maximum number of daily device ingestions.

0

Image /page/0/Picture/0 description: The image shows the logo for Proteus Digital Health. The logo is in black and white and features the word "proteus" in a stylized font. Below the word "proteus" is the phrase "DIGITAL HEALTH" in a smaller font. The logo is simple and clean, and it conveys a sense of innovation and technology.

JUN 2 3 2013

K131524 P1/4

510(k) Summary

Submitted by: Address:

Telephone: Facsimile: Contact Name:

Proteus Digital Health Inc. 2600 Bridge Parkway, Suite 101 Redwood City, CA, 94065 650 - 637 - 6158 650 - 362- 1860 Zahedeh Hatamkhany zhatamkhany(@proteusdh.com

Date Submitted:

May 24, 2013

Name of Device

Trade name: Common name: Classification name: Proteus® Patch Including Ingestible Sensor Ingestible Event Marker Ingestible Event Marker (21 CFR 880.6305, Product Code OZW, DXH)

Unmodified Device

Proteus® Patch Including Ingestible Sensor (K131009) .

General Device Description

The Proteus Patch is a body-worn sensor that collects physiological and behavioral metrics such as heart rate, activity, body angle relative to gravity, and time-stamped user-logged events generated by swallowing the Proteus Ingestible Sensor. The Ingestible Sensor is embedded inside an inactive tablet (the Pill) for ease of handling and swallowing. Once the Ingestible Sensor reaches the stomach, it activates and communicates its presence and unique identifier to the Patch. The Patch stores and wirelessly sends the physiological, behavioral, event, and ingestion data to a general computing device for display.

Proteus Digital Health, Inc.

6-1

1

K131524 P2/4

Intended Use

The Proteus® Patch is a miniaturized, wearable data-logger for ambulatory recording of physiological and behavioral metrics such as heart rate, activity, body angle relative to gravity, and time-stamped, patient-logged events, including events signaled by swallowing the Ingestible Sensor accessory. The Proteus Patch enables unattended data collection for clinical and research applications. The Proteus Patch may be used in any instance where quantifiable analysis of event-associated physiological and behavioral metrics is desirable.

Physical Characteristics

ParameterValue
The Patch
ShapeOne-piece: ovoid
Size102mm x 56mm x 10mm
Weight11g
Battery typeLithium Manganese (LiMn) Coin
Cell
Moisture susceptibilityWater-resistant
Memory4 MB
Storage temperatureRoom Temperature
Relative humidityAmbient
The Pill
ShapeRound
Size6.5mm x 2.0mm
Weight80mg

2

K131524

P3/4

Technological Characteristics

ParameterSensor TechnologyMethod
Heart rateBiopotential low-frequency amplifierDigitized R wave
ActivityAccelerometerDigitized accelerometer output
Body angleAccelerometerDouble integration of accelerometer output
Manual event loggingPatient activated buttonDigital pulse
Inter-electrode impedanceBiopotential high-frequency amplifierDigitized impedance from small auxiliary current
Ingestible Event MarkerBio-galvanically powered ingestible circuitVolume conduction communication

Summary of Non-Clinical Performance Data

The three-axis accelerometer provided motion and angle relative to gravity data and was validated against a known acceleration applied against each of its three axes.

The biopotential low-frequency amplifier was used to quantify heart rate by measuring Rwave frequency based upon a modified Hamilton-Tompkins algorithm, tested using guidelines set forth in the ANSI/AAMI EC 13 standard.

The Ingestion Sensor was tested for activation time and lifetime after activation.

Summary of Clinical Performance Data

No additional clinical data were required to confirm substantial equivalence to predicate device.

Conclusion

Proteus Digital Health, Inc.

3

K131524

P4/4

Based on technological characteristics, risk evaluation, and design verification of the Proteus Patch Including Ingestible Sensor, Proteus Digital Health believes that the product is safe and effective, and is substantially equivalent to predicate device.

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird-like figure with three stylized, flowing lines representing the body and wings.

June 23, 2013

Public Health Service

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

Proteus Digital Health. Inc. Mr. Zahedeh Hatamkhany Cmc Regulatory-Combination Products 2600 Bridge Parkway, Suite 101 Redwood City, CA 94065 US

Re: K131224

Trade/Device Name: Proteus Patch including Ingestible Sensor Regulation Number: 21 CFR 880.6305 Regulation Name: Ingestible Event Marker Regulatory Class: Class II Product Code: OZW, DXH Dated: May 24, 2013 Received: May 28, 2013

Dear Mr. Zahedeli Hatamkhany:

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.

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

5

Page 2 - Mr. Zahedeh Hatamkhany

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.htmfor 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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Bram D.Zuckerman -S

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

6

K131524

Indications for Use Statement

  • 510(k) Number (if known)
    Proteus® Patch including Ingestible Sensor Device Name

Indications for Use

The Proteus* Patch is a miniaturized, wearable data-logger for ambulatory recording of physiological and behavioral metrics such as heart rate, activity, body angle relative to gravity, and time-stamped, patient-logged events, including events signaled by swallowing the Ingestible Sensor accessory. The Proteus Patch enables unattended data collection for clinical and research applications. The Proteus Patch may be used in any instance where quantifiable analysis of event-associated physiological and behavioral metrics is desirable.

Prescription Use _ X (Per 21 CFR 801.109)

OR

Over-the-Counter Use

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

201