K Number
K141524
Device Name
NEURO-AUDIO
Manufacturer
Date Cleared
2015-03-12

(276 days)

Product Code
Regulation Number
874.1050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Neuro-Audio system is indicated for use in the recording and analysis of human physiological data used for the diagnosis of auditory and hearing-related functions. It is intended as an aid to healthcare professionals trained and skilled in audiology. The system assists in the evaluation and diagnosis of ear disorders in humans using evoked potentials (EP), electrocochleography (ECochG), auditory brainstem response (ABR), auditory steady-state response (ASSR), otoacoustic emission (OAE) and pure tone audiometry (PTA). The device is intended for use in the patient care institutions, diagnostics centers, neurosurgical hospitals and experimental laboratories. The patient group includes all ages and genders.
Device Description
The Neuro-Audio system provides for audiology biopotentials recording and input to personal computer (PC) by 1-2 channels, and measurement, calculation and analysis of its parameters. It can be used in patient care institutions, diagnostics centers, neurosurgical hospitals and experimental laboratories of the research institutions for auditory tract study and brain functional state study. General functionalities provided by the system are: - biopotentials acquisition by 1-2 channels in any unshielded room - auditory stimulation - electrocochleography (ECochG) acquisition - auditory brainstem response (ABR) acquisition (air and bone conduction) - middle- and long-latency auditory evoked potentials (AEP: MLR, LLR) acquisition - cognitive evoked potentials (MMN, P300) acquisition - auditory steady-state response (ASSR) acquisition - otoacoustic emission study using transient evoked otoacoustic emission (TEOAE) and distortion product otoacoustic emission (DPOAE) - spontaneous otoacoustic emission study (SOAE) - pure tone audiometry (PTA; air and bone conduction) - exam report generation - review, store, and print of the recorded traces, results of their analysis and exam reports. In addition, the Neuro-Audio system provides the healthcare professional with: - A means of adjusting or activating all of the unit's settings and controls. - Multiple ways in which a user can carry a task, such as from a menu, using the mouse or the keyboard or by double-clicking on an icon. - Configurable function keys and fields that enable the user to customize the interface to meet their requirements. - Single-stroke keyboard function keys for key tasks carried out during a patient examination.
More Information

Not Found

No
The summary describes standard audiology equipment for recording and analyzing physiological data using established methods like evoked potentials and audiometry. There is no mention of AI, ML, or advanced analytical techniques beyond standard signal processing.

No
The device is indicated for the recording and analysis of physiological data for diagnosis, not for treatment.

Yes

The "Intended Use / Indications for Use" section explicitly states that the Neuro-Audio system is "indicated for use in the recording and analysis of human physiological data used for the diagnosis of auditory and hearing-related functions" and "It is intended as an aid to healthcare professionals trained and skilled in audiology. The system assists in the evaluation and diagnosis of ear disorders in humans". These statements confirm its role in diagnosing medical conditions.

No

The device description explicitly mentions "biopotentials recording and input to personal computer (PC) by 1-2 channels" and lists functionalities like "biopotentials acquisition" and "auditory stimulation," which require hardware components to interact with the patient and acquire data. The performance studies also mention "hardware and software tests and validations" and list hardware standards (IEC 60601 series, IEC 60645 series).

Based on the provided information, the Neuro-Audio system is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs are used to examine specimens derived from the human body. The Neuro-Audio system records and analyzes physiological data directly from the patient (biopotentials, responses to auditory stimuli). It does not involve the analysis of blood, urine, tissue, or other bodily fluids or substances.
  • The intended use and device description clearly focus on recording and analyzing electrical signals and responses related to the auditory system. This is a direct measurement of physiological function, not an analysis of a biological specimen.
  • The performance studies mentioned refer to hardware and software tests and validations against standards related to audiometric equipment and medical electrical equipment. There is no mention of studies involving the analysis of biological samples.

Therefore, the Neuro-Audio system falls under the category of a medical device used for physiological measurement and diagnosis, but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Neuro-Audio system is indicated for use in the recording and analysis of human physiological data used for the diagnosis of auditory and hearing-related functions. It is intended as an aid to healthcare professionals trained and skilled in audiology. The system assists in the evaluation and diagnosis of ear disorders in humans using evoked potentials (EP), electrocochleography (ECochG), auditory brainstem response (ABR), auditory steady-state response (ASSR), otoacoustic emission (OAE) and pure tone audiometry (PTA).

The device is intended for use in the patient care institutions, diagnostics centers, neurosurgical hospitals and experimental laboratories.

The patient group includes all ages and genders.

Product codes

EWO, GWJ

Device Description

The Neuro-Audio system provides for audiology biopotentials recording and input to personal computer (PC) by 1-2 channels, and measurement, calculation and analysis of its parameters. It can be used in patient care institutions, diagnostics centers, neurosurgical hospitals and experimental laboratories of the research institutions for auditory tract study and brain functional state study.

General functionalities provided by the system are:

  • biopotentials acquisition by 1-2 channels in any unshielded room
  • auditory stimulation
  • electrocochleography (ECochG) acquisition
  • auditory brainstem response (ABR) acquisition (air and bone conduction)
  • middle- and long-latency auditory evoked potentials (AEP: MLR, LLR) acquisition
  • cognitive evoked potentials (MMN, P300) acquisition
  • auditory steady-state response (ASSR) acquisition
  • otoacoustic emission study using transient evoked otoacoustic emission (TEOAE) and distortion product otoacoustic emission (DPOAE)
  • spontaneous otoacoustic emission study (SOAE)
  • pure tone audiometry (PTA; air and bone conduction)
  • exam report generation
  • review, store, and print of the recorded traces, results of their analysis and exam reports.

In addition, the Neuro-Audio system provides the healthcare professional with:

  • A means of adjusting or activating all of the unit's settings and controls.
  • Multiple ways in which a user can carry a task, such as from a menu, using the mouse or the keyboard or by double-clicking on an icon.
  • Configurable function keys and fields that enable the user to customize the interface to meet their requirements.
  • Single-stroke keyboard function keys for key tasks carried out during a patient examination.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Ear

Indicated Patient Age Range

all ages

Intended User / Care Setting

Healthcare professionals trained and skilled in audiology; patient care institutions, diagnostics centers, neurosurgical hospitals and experimental laboratories.

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)

No clinical testing was conducted to support this submission. Performance evaluation of the features described in the Neuro-Audio user manual has been successfully completed utilizing hardware and software tests and validations. Hardware qualification is performed using industry standards IEC 60601-1, IEC 60601-1-2, IEC 60601-1-6, IEC 60645-1, IEC 60645-6, and IEC 60645-7.

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

Not Found

Predicate Device(s)

K052562, K030016, K060539, K070696, K043219, K011135

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 874.1050 Audiometer.

(a)
Identification. An audiometer or automated audiometer is an electroacoustic device that produces controlled levels of test tones and signals intended for use in conducting diagnostic hearing evaluations and assisting in the diagnosis of possible otologic disorders.(b)
Classification. Class II. Except for the otoacoustic emission device, the device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, if it is in compliance with American National Standard Institute S3.6-1996, “Specification for Audiometers,” and subject to the limitations in § 874.9.

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Image /page/0/Picture/10 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized graphic of three human profiles facing right, arranged in a stacked, wave-like formation. The profiles are black against a white background. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the graphic.

Public Health Service

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

March 12, 2015

TELEEMG, LLC USA % Mr. Barry Ashar President Enter consultant name here, or erase this if there is none 88 Stiles Road Salem, NH 03079

Re: K141524 Trade/Device Name: NEURO-AUDIO Regulation Number: 21 CFR 874.1050 Regulation Name: Audiometer Regulatory Class: Class II Product Code: EWO, GWJ Dated: February 6, 2015 Received: February 10, 2015

Dear Mr. Ashar,

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.

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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 devicerelated 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 contact the Division of Industry and Consumer Education 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education 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.

Eric A. Mann -S

for Malvina B. Eydelman, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K141524

Device Name Neuro-Audio

Indications for Use (Describe)

The Neuro-Audio system is indicated for use in the recording and analysis of human physiological data used for the diagnosis of auditory and hearing-related functions. It is intended as an aid to healthcare professionals trained and skilled in audiology. The system assists in the evaluation and diagnosis of ear disorders in humans using evoked potentials (EP), electrocochleography (ECochG), auditory brainstem response (ABR), auditory steady-state response (ASSR), otoacoustic emission (OAE) and pure tone audiometry (PTA).

The device is intended for use in the patient care institutions, diagnostics centers, neurosurgical hospitals and experimental laboratories.

The patient group includes all ages and genders.

Type of Use (Select one or both, as applicable)

X Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) SUMMARY Neuro-Audio

1. SUBMITTER/510(K) HOLDER

TeleEMG, LLC 65 Arlington Road Woburn. MA 01801. USA Contact Person: Barry V. Ashar, Makromed, Inc. Telephone: (603) 890-3311 Date Prepared: August 19, 2014

2. DEVICE NAME

Proprietary Name: Neuro-Audio Common/Usual Name: Audiometer Classification Name: Audiometer; Stimulator, Auditory, Evoked Response Regulation Number: 21 CFR §874.1050; 21 CFR §882.1900 Device Class: Class II Product Code: EWO; GWJ

3. PREDICATE DEVICES

  • Interacoustics EP25, Eclipse System, K052562
  • Interacoustics TEOAE25, Eclipse System, K030016
  • Interacoustics DPOAE2O, Eclipse System, K060539
  • Interacoustics ASSR. Eclipse System, K070696
  • Interacoustics Affinity (AC440), K043219
  • . GSI Audera, K011135

4. DEVICE DESCRIPTION

The Neuro-Audio system provides for audiology biopotentials recording and input to personal computer (PC) by 1-2 channels, and measurement, calculation and analysis of its parameters. It can be used in patient care institutions, diagnostics centers, neurosurgical hospitals and experimental laboratories of the research institutions for auditory tract study and brain functional state study.

General functionalities provided by the system are:

  • biopotentials acquisition by 1-2 channels in any unshielded room ●
  • auditory stimulation
  • electrocochleography (ECochG) acquisition ●
  • auditory brainstem response (ABR) acquisition (air and bone conduction) ●
  • . middle- and long-latency auditory evoked potentials (AEP: MLR, LLR) acquisition
  • cognitive evoked potentials (MMN, P300) acquisition .
  • auditory steady-state response (ASSR) acquisition ●
  • otoacoustic emission study using transient evoked otoacoustic emission (TEOAE) and ● distortion product otoacoustic emission (DPOAE)
  • . spontaneous otoacoustic emission study (SOAE)

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  • pure tone audiometry (PTA; air and bone conduction)
  • exam report generation ●
  • . review, store, and print of the recorded traces, results of their analysis and exam reports.

In addition, the Neuro-Audio system provides the healthcare professional with:

  • A means of adjusting or activating all of the unit's settings and controls. ●
  • . Multiple ways in which a user can carry a task, such as from a menu, using the mouse or the keyboard or by double-clicking on an icon.
  • Configurable function keys and fields that enable the user to customize the interface to ● meet their requirements.
  • Single-stroke keyboard function keys for key tasks carried out during a patient examination.

5. INTENDED USE

The Neuro-Audio system is indicated for use in the recording and analysis of human physiological data used for the diagnosis of auditory and hearing-related functions. It is intended as an aid to healthcare professionals trained and skilled in audiology. The system assists in the evaluation, documentation and diagnosis of ear disorders in humans using evoked potentials (EP), electrocochleography (ECochG), auditory brainstem response (ABR), auditory steadystate response (ASSR), otoacoustic emission (OAE) and pure tone audiometry (PTA).

The device is intended for use in the patient care institutions, diagnostics centers, neurosurgical hospitals and experimental laboratories.

The patient group includes all ages and genders.

6. SUMMARY OF TECHNOLOGICAL CHARACTERISTICS COMPARED TO THE PREDICATE DEVICE

All the necessary electromagnetic compatibility and electrical safety tests were performed. The results demonstrate that the Neuro-Audio is in compliance with both the standards IEC 60601-1-2 and IEC 60601-1; therefore it is as safe as the predicate devices.

Each system consists of an electronic unit connected to a personal computer to monitor, record, and display the signals. Some accessories are not included in the Neuro-Audio (for example, in the case of "Footswitch for hands-free operation"). However, this is entirely optional (most predicate devices don't have it either) and will not harm the intended use. Each clinically relevant feature and supported medical diagnostic test of the Neuro-Audio is also implemented in at least one (or more) predicate device(s) The differences between the Neuro-Audio and the predicate devices are limited to the design, materials and the individual sets of medical hearing diagnostic tests they support (e.g. one predicate device may support one of the Neuro-Audio's diagnostic tests, some other predicate devices may support another test). There is no single predicate device possess all the functions the Neuro-Audio supports, that's the reason several predicate devices are included to demonstrate the substantial equivalency. The software may differ in visual appearance, layout of control elements, the way of displaying test results. But the underlying principles and all the provided test results are substantially the same among the Neuro-Audio and the predicate devices (e.g., if the software should show the averaged response trace for ABR test, the Neuro-Audio may show it in different color than its predicate devices, but it still shows the averaged response trace; if there is a PASS/REFER result for TEOAE

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screening test, different software may show different additional information, but the Neuro-Audio still covers the most important part -PASS/REFER result; etc.). Therefore, TeleEMG concludes that design differences (both hardware and software) are minor and do not affect the safety and effectiveness of the proposed device.

Based on the comparison and the discussion above, TeleEMG claims that the Neuro-Audio and all predicate systems are substantially equivalent.

7. SUMMARY OF NON-CLINICAL PERFORMANCE TESTING AS BASIS FOR SUBSTANTIAL EQUIVALENCE

Performance Testing

Performance evaluation of the features described in the Neuro-Audio user manual has been successfully completed utilizing hardware and software tests and validations. Hardware qualification is performed using the following industry standards:

  • . IEC 60601-1:2005 Medical electrical equipment - Part 1: General requirements for basic safety and essential performance
  • IEC 60601-1-2:2007 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility requirements and tests
  • IEC 60601-1-6:2010 Medical electrical equipment Part 1-6: General requirements for ● safety and essential performance - Collateral standard: Usability
  • IEC 60645-1:2012 Electroacoustics Audiometric equipment Part 1: Equipment for ● pure-tone audiometry
  • IEC 60645-6:2009 Electroacoustics Audiometric equipment Part 6: Instruments for ● the measurement of otoacoustic emissions
  • IEC 60645-7:2009 Electroacoustics Audiometric equipment Part 7: Instruments for ● the measurement of auditory brainstem responses

8. SUMMARY OF CLINICAL TESTING AS BASIS FOR SUBSTANTIAL EQUIVALENCE

No clinical testing was conducted to support this submission.

9. SUMMARY OF OTHER INFORMATION

No other information is available.

10. CONCLUSIONS DRAWN FROM NON-CLINICAL AND CLINICAL TESTS

Based on the information and supporting documentation provided in the premarket notification, the Neuro-Audio is substantially equivalent to the cited predicate devices. Testing demonstrates that the Neuro-Audio fulfills prospectively defined design and performance specifications.