K Number
K140102
Device Name
PHYSIOFLOW Q-LINK
Manufacturer
Date Cleared
2014-02-12

(28 days)

Product Code
Regulation Number
870.2770
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Indicated for use in adults only. The PhysioFlow Q-Link noninvasively measures cardiac output and other related cardiac parameters. These parameters include: CI Cardiac Index CO Cardiac Output CTI Contractility Index dZ / dt max Maximum value dZ / dt EDV End Diastolic Volume EF Ejection Fraction HR Heart Rate LCWI Left Cardiac Work Index PEP Pre-Ejection Period SV Stroke Volume SVR Systemic Vascular Resistance SVRI Systemic Vascular Resistance Index TFI Thoracic Fluid Index VET Ventricular Ejection Time ZO Base Impedance The PhysioFlow Q-Link is intended for use under the direct supervision of a licensed healthcare practitioner or personnel trained in its proper use within a hospital or facility providing healthcare.
Device Description
The PhysioFlow Q-Link is a noninvasive, hemodynamic monitor that utilizes thoracic electrical bioimpedance technology to measure cardiac output and related cardiac parameters. It consists of a small, portable, lightweight electronic unit that attaches to the patient via a six lead, patient cable using commercially available silver/silver chloride skin electrodes. Monitor data is transmitted to a host computer running the PhysioFlow PF107 software. Communication to the host computer is via USB wired technology. The PhysioFlow PF107 software performs multiple tasks including signal processing and analysis, measured parameter computation, user interface display and control, measurement process control, event marker management, and output display/report generation. Available accessories include the patient and USB cables.
More Information

Not Found

No
The document describes standard signal processing and parameter computation based on thoracic electrical bioimpedance, with no mention of AI or ML techniques.

No
The device measures various cardiac parameters but does not state that it is used for treatment or therapy. Its function is limited to monitoring and providing data for diagnostic purposes.

Yes

Explanation: The device measures various cardiac parameters such as Cardiac Index, Cardiac Output, and Ejection Fraction, which are used to assess the physiological state of a patient, thus aiding in diagnosis. The "Intended Use / Indications for Use" section explicitly states it "noninvasively measures cardiac output and other related cardiac parameters," which are diagnostic indicators.

No

The device description explicitly states it consists of a "small, portable, lightweight electronic unit" and "a six lead, patient cable using commercially available silver/silver chloride skin electrodes," in addition to the software. This indicates it includes hardware components.

Based on the provided information, the PhysioFlow Q-Link is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD devices are used to examine specimens derived from the human body. The PhysioFlow Q-Link measures physiological parameters directly from the patient's body using electrical bioimpedance. It does not analyze blood, urine, tissue, or other biological samples.
  • The intended use describes direct measurement of cardiac parameters from the patient. The device is applied to the patient's skin via electrodes to obtain measurements.
  • The device description details a noninvasive monitor that attaches to the patient. This further confirms that it is not analyzing samples taken from the body.

Therefore, the PhysioFlow Q-Link is a non-invasive medical device used for monitoring physiological parameters, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Indicated for use in adults only.

The PhysioFlow Q-Link noninvasively measures cardiac output and other related cardiac parameters. These parameters include:

CI Cardiac Index
CO Cardiac Output
CTI Contractility Index
dZ / dt max Maximum value dZ / dt
EDV End Diastolic Volume
EF Ejection Fraction
HR Heart Rate
LCWI Left Cardiac Work Index
PEP Pre-Ejection Period
SV Stroke Volume
SVR Systemic Vascular Resistance
SVRI Systemic Vascular Resistance Index
TFI Thoracic Fluid Index
VET Ventricular Ejection Time
ZO Base Impedance

The PhysioFlow O-Link is intended for use under the direct supervision of a licensed healthcare practitioner or personnel trained in its proper use within a hospital or facility providing healthcare.

Product codes

DBS

Device Description

The PhysioFlow Q-Link is a noninvasive, hemodynamic monitor that utilizes thoracic electrical bioimpedance technology to measure cardiac output and related cardiac parameters. It consists of a small, portable, lightweight electronic unit that attaches to the patient via a six lead, patient cable using commercially available silver/silver chloride skin electrodes. Monitor data is transmitted to a host computer running the PhysioFlow PF107 software. Communication to the host computer is via USB wired technology. The PhysioFlow PF107 software performs multiple tasks including signal processing and analysis, measured parameter computation, user interface display and control, measurement process control, event marker management, and output display/report generation. Available accessories include the patient and USB cables.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

thoracic

Indicated Patient Age Range

adults only

Intended User / Care Setting

licensed healthcare practitioner or personnel trained in its proper use within a hospital or facility providing healthcare.

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)

Design verification tests were performed on representative samples of the PhysioFlow O-Link as a result of a comprehensive product development and risk management plan. All tests were verified to meet the pre-specified acceptance criteria. As such, the PhysioFlow Q-Link is considered substantially equivalent to the PhysioFlow Enduro Model PF-07.

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

Not Found

Predicate Device(s)

K103283

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.2770 Impedance plethysmograph.

(a)
Identification. An impedance plethysmograph is a device used to estimate peripheral blood flow by measuring electrical impedance changes in a region of the body such as the arms and legs.(b)
Classification. Class II (special controls). The device, when it is a body composition analyzer which is not intended to diagnose or treat any medical condition, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

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510(k) SUMMARY

FEB 1 2 2014

This 510(k) summary is submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.87

Establishment Registration Number:3005467960
Address of Manufacturer:2014 Ford Road, Unit G
Bristol, PA 19007
Contact Person:James Gunnerson
President
Date Prepared:December 20, 2013
Trade or Proprietary Name:PhysioFlow Q-Link
Common or Usual Name:Noninvasive hemodynamic monitor
Classification Name:Impedance plethysmograph (21 CFR 870.2770)
Product code: DBS (plethysmograph, impedance)
Class II
Predicate Device Identification:PhysioFlow Enduro Model PF07 (K103283)

Device Description:

The PhysioFlow Q-Link is a noninvasive, hemodynamic monitor that utilizes thoracic electrical bioimpedance technology to measure cardiac output and related cardiac parameters. It consists of a small, portable, lightweight electronic unit that attaches to the patient via a six lead, patient cable using commercially available silver/silver chloride skin electrodes. Monitor data is transmitted to a host computer running the PhysioFlow PF107 software. Communication to the

1

host computer is via USB wired technology. The PhysioFlow PF107 software performs multiple tasks including signal processing and analysis, measured parameter computation, user interface display and control, measurement process control, event marker management, and output display/report generation. Available accessories include the patient and USB cables.

Indications for Use:

Indicated for use in adults only.

The PhysioFlow Q-Link noninvasively measures cardiac output and other related cardiac parameters. These parameters include:

CICardiac Index
COCardiac Output
CTIContractility Index
dZ / dt maxMaximum value dZ / dt
EDVEnd Diastolic Volume
EFEjection Fraction
HRHeart Rate
LCWILeft Cardiac Work Index
PEPPre-Ejection Period
SVStroke Volume
SVRSystemic Vascular Resistance
SVRISystemic Vascular Resistance Index
TFIThoracic Fluid Index
VETVentricular Ejection Time
ZOBase Impedance

The PhysioFlow O-Link is intended for use under the direct supervision of a licensed healthcare practitioner or personnel trained in its proper use within a hospital or facility providing healthcare.

Intended use and comparison to predicate devices:

The PhysioFlow O-Link and PhysioFlow Enduro Model PF-07 have the same intended for use/indications for use. Both devices are intended for use in adults only to noninvasively measure cardiac output and other related cardiac parameters, including the following: cardiac output, cardiac index, contractility index, maximum value dZ/dt, end diastolic volume, ejection fraction, heart rate, left cardiac work index, pre-ejection period, stroke volume, systemic vascular resistance, systemic vascular resistance index, thoracic fluid index, ventricular ejection time, and base impedance. Both devices are intended for use under the direct supervision of a licensed

2

practitioner or personnel trained in its proper use within a hospital or facility providing healthcare.

Technological characteristics and comparison to predicate devices:

The PhysioFlow Q-Link is a modification of the PhysioFlow Enduro Model PF-07. It utilizes the same thoracic electrical bioimpedance technology to measure the same cardiac output and related cardiac parameters. It remains similar to the predicate device in size, but excludes the battery power source, on-board data storage, and wireless Bluetooth technology features of the predicate device. The PhysioFlow Q-Link will fill a position amongst the PhysioFlow family of devices for users who find the battery life or wireless communication features of the PhysioFlow Enduro Model PF-07 to be inconvenient or cumbersome, but still desire a small, portable unit. Like the PhysioFlow Enduro Model PF-07, the PhysioFlow Q-Link continues to interface with a MS Windows based host computer running the previously-cleared PhysioFlow PF107 software (K103283). No changes to the PhysioFlow PF107 software were required to enable its use with the PhysioFlow Q-Link.

The differences in technological characteristics between the subject and predicate devices do not raise new types of safety or effectiveness questions. Accepted scientific methods, such as performance (bench) testing, do exist for assessing the effect of the differences in characteristics.

Summary of performance data:

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Design verification tests were performed on representative samples of the PhysioFlow O-Link as a result of a comprehensive product development and risk management plan. All tests were verified to meet the pre-specified acceptance criteria. As such, the PhysioFlow Q-Link is considered substantially equivalent to the PhysioFlow Enduro Model PF-07.

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Image /page/3/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal features an eagle-like symbol with three curved lines representing wings or feathers. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the symbol.

Public Health Service

February 12, 2014

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

Vasocom, Inc. Mr. James Gunnerson President 2014 Ford Rd., Unit G Bristol, PA 19007 US

Re: K140102

Trade/Device Name: Physioflow Q-link Regulation Number: 21 CFR 870.2770 Regulation Name: Noninvasive Hemodynamic Monitor Regulatory Class: Class II (two) Product Code: DSB Dated: January 14, 2014 Received: January 15, 2014

Dear Mr. James Gunnerson:

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

4

Page 2 - Mr. James Gunnerson

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 (OS) 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,

Owen-PFaris -S

for

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

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Vasocom, Inc.

K140102 Page 1 of 1

Indications for Use

510(k) Number (if known):

PhysioFlow Q-Link Device Name:

Indications for Use:

Indicated for use in adults only.

The PhysioFlow Q-Link noninvasively measures cardiac output and other related cardiac parameters. These parameters include:

CICardiac Index
COCardiac Output
CTIContractility Index
dZ / dt maxMaximum value dZ / dt
EDVEnd Diastolic Volume
EFEjection Fraction
HRHeart Rate
LCWILeft Cardiac Work Index
PEPPre-Ejection Period
SVStroke Volume
SVRSystemic Vascular Resistance
SVRISystemic Vascular Resistance Index
TFIThoracic Fluid Index
VETVentricular Ejection Time
ZOBase Impedance

The PhysioFlow Q-Link is intended for use under the direct supervision of a licensed healthcare practitioner or personnel trained in its proper use within a hospital or facility providing healthcare.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use: ____________________________________________________________________________________________________________________________________________________________ (21 CFR 801 Subpart D)

AND/OR

Over-the-Counter Use: _ (21 CFR 807 Subpart C)

Digitally signed by
Owen P. Faris -S
Date: 2014.02.11
16:04:51-05'00'

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Special 510(k) - PhysioFlow Q-Link December 31, 2013