(218 days)
Not Found
No
The document describes standard physiological monitoring and analysis techniques (statistical and spectral analysis of HRV) and explicitly states it does not provide interpretation or diagnosis. There is no mention of AI or ML terms or concepts.
No.
The device is a physiological monitoring device that collects and transmits measurements and provides statistical data for clinical assessments, but it is explicitly stated that it is "not intended to produce any interpretation of the measurements obtained and does not provide any type of diagnosis." This indicates it is for monitoring and assessment, not for direct therapeutic intervention.
No
The 'Intended Use' section explicitly states, "QANS is not intended to produce any interpretation of the measurements obtained and does not provide any type of diagnosis."
No
The device description explicitly states that the system is comprised of "off-the-shelf Personal Computers (PCs) and special purpose hardware capable of acquiring, storing, analyzing and reporting ECG data from cardiac monitoring devices, respiration rate and muscle activity, using sensors designed to monitor these functions." It also mentions using the same hardware as previously cleared devices (ProComp Infiniti, FlexComp Infiniti, ProComp5 and ProComp2). This indicates the device includes hardware components beyond just software.
Based on the provided information, the HHSsystems QANS (Quantitative Autonomic Nervous System) Monitoring System is not an In Vitro Diagnostic (IVD) device.
Here's why:
- IVD Definition: In Vitro Diagnostics are devices intended for use in the collection, preparation, and examination of specimens taken from the human body (such as blood, urine, or tissue) to provide information for the diagnosis, treatment, or prevention of disease.
- QANS Functionality: The QANS system collects physiological measurements directly from the patient's body using sensors (heart rate from EKG, respiration rate, and muscle activity). It analyzes this data (specifically Heart Rate Variability) but does not involve the examination of specimens taken from the body.
- Intended Use: The intended use describes the device as a "physiological monitoring device" that provides data for clinicians to make "clinical assessments." It explicitly states that it is "not intended to produce any interpretation of the measurements obtained and does not provide any type of diagnosis." This aligns with a monitoring device, not an IVD used for diagnostic testing of specimens.
Therefore, the QANS system falls under the category of a physiological monitoring device, not an In Vitro Diagnostic device.
N/A
Intended Use / Indications for Use
The intended use of the HHSsystems QANS (Quantitative Autonomic Nervous System) Monitoring System:
OANS (Quantitative Autonomic Nervous System) Monitoring System is a physiological monitoring device that collects and transmits measurements (heart rate, respiration rate, and muscle activity) using sensors. The QANS monitoring system monitors the sympathetic and parasympathetic nervous system using accurate recordings of heart rate (HR) from EKG and provides statistical data as well as heart rate variability (HRV) data which the clinician can use it make clinical assessments of medical, dental or peak performance interventions.
The physiological information can be used as a general patient monitoring system as well as for research. QANS is not intended to produce any interpretation of the measurements obtained and does not provide any type of diagnosis.
Product codes (comma separated list FDA assigned to the subject device)
DPS, BZQ, KZM
Device Description
The HHSsystems QANS Monitoring System is the same as that of the Thought Technology devices as the HHSsystems QANS uses the same hardware as the previously cleared ProComp Infiniti, FlexComp Infiniti, ProComp5 and ProComp2 devices with the same BioGraph Infiniti and CardioPro software.
This information is contained in 510(k)'s K903497 for the ProComp Infiniti, FlexComp Infiniti, ProComp5 and ProComp2 and in K972723 for the BioGraph Infiniti and CardioPro software.
The technology and the method of monitoring heart rate, respiration rate, and muscle activity, are essentially the same as those of the other legally marketed predicate devices.
QANS (Quantitative Autonomic Nervous System) Monitoring System is a computer-based system for measurement of Heart Rate Variability (HRV) in response to paced respiration. It is comprised of off-the-shelf Personal Computers (PCs) and special purpose hardware capable of acquiring, storing, analyzing and reporting ECG data from cardiac monitoring devices, respiration rate and muscle activity, using sensors designed to monitor these functions. Data is acquired using the Thought ProComp Infiniti, FlexComp Infiniti, ProComp5 and ProComp2 and in K972723 for the BioGraph Infiniti and CardioPro software.
The analysis algorithms identify heart rate variability (HRV) patterns that reflect transient decelerations and/or reduced baseline variability. QANS evaluates the variation of the heart rate, both in the time domain (statistical methods) and in the frequency domain (spectral analysis). Each QRS complex (Q, R and S wave deflections on a ECG) detected and the so-called normal-to-normal (NN) or Rate-to-Rate (RR) intervals between adjacent QRS complexes are resulting from sinus node depolarization. The system performs a fully automated quantitative analysis of HRV based on data collected by an FDA-compliant R Wave Trigger device. The system presents the results to the healthcare provider through a computerbased user interface. The system has patient data management capability.
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
Patients should be 5 years old or older.
Intended User / Care Setting
The QANS System is indicated for use by physicians and dentists in hospital, clinic or professional offices and other health care professionals.
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)
All HHSsystems QANS functionality has been verified and validated both as part of the BioGraph and the QANS application suite.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
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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.
K903497, K972723, K021230, K062068
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
§ 870.2340 Electrocardiograph.
(a)
Identification. An electrocardiograph is a device used to process the electrical signal transmitted through two or more electrocardiograph electrodes and to produce a visual display of the electrical signal produced by the heart.(b)
Classification. Class II (performance standards).
0
Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of a human figure, with three stylized profiles facing to the right.
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
April 16, 2015
HHSsystems, LLC c/o Jane B. Campbell 164 Hammock Avenue Pawleys Island, SC 29585
Re: K142551
Trade/Device Name: OANS (quantitative Autonomic Nervous System) Monitoring System Regulation Number: 21 CFR 870.2340 Regulation Name: Electrocardiograph Regulatory Class: Class II Product Code: DPS, BZO, KZM Dated: March 6, 2015 Received: March 9, 2015
Dear Ms. Campbell:
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 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
1
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 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 vours.
Mude Jellman
for
Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Revised Indications for Use Statement
510(k) Number: K142551
Device Name: QANS (Quantitative Autonomic Nervous System) Monitoring System
Indications for Use:
The intended use of the HHSsystems QANS (Quantitative Autonomic Nervous System) Monitoring System:
OANS (Quantitative Autonomic Nervous System) Monitoring System is a physiological monitoring device that collects and transmits measurements (heart rate, respiration rate, and muscle activity) using sensors. The QANS monitoring system monitors the sympathetic and parasympathetic nervous system using accurate recordings of heart rate (HR) from EKG and provides statistical data as well as heart rate variability (HRV) data which the clinician can use it make clinical assessments of medical, dental or peak performance interventions.
The physiological information can be used as a general patient monitoring system as well as for research. QANS is not intended to produce any interpretation of the measurements obtained and does not provide any type of diagnosis.
Patients should be 5 years old or older.
Prescription Use X Over-The Counter Use (Per 21 CFR 801 Subpart D) AND/OR
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
3
510(k) Summary
This 510(k) summary of safety and effectiveness information is submitted in accordance with the requirements of Section 513(i)(3) of the Federal Food, Drug, and Cosmetic Act and 21 C.F.R. 807.92.
| Date: | April 13, 2015 |
|---|---|
| Sponsor: | HHSsystems, LLC |
| 2 Executive Blvd, Suites 206 | |
| Suffern, NY 10901 | |
| Howard G. Hindin, DDS | |
| Telephone: | 845-357-1595 |
| Fax : | 845-357-2428 |
| E-mail : | hindincenter@verizon.net |
| Contact: | Jane B. Campbell |
| 164 Hammock Avenue | |
| Pawleys Island, SC 29585 | |
| Tel: (843) 314-3670 | |
| Email: jane.campbell@campbellassociates.net | |
| Trade Name: | QANS (Quantitative Autonomic Nervous System) Monitoring System |
| Common Name: | HRV Monitoring System |
| Respiration Rate Monitoring System | |
| Muscle Activity Monitoring System | |
| Classification Name: | Electrocardiograph |
| Breathing Frequency Monitor (Respiration Rate) | |
| Electromyograph | |
| Classification Number: | Electrocardiograph 21 C.F.R. 870.2340 DPS, Class II. |
| Breathing Frequency Monitor (Respiration Rate) 21 C.F.R. 868.2375, BZQ, Class II. | |
| Electromyograph 21 C.F.R. 890.1375, KZM, Class II. | |
| Product Codes: | DPS, BZQ, KZM |
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| Predicate Devices: | QANS (Quantitative Autonomic Nervous System) Monitoring
System is substantially equivalent to the following predicate
devices: |
|---------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | For safety and accuracy
- Thought Technology ProComp Infiniti, FlexComp Infiniti,
ProComp5 and ProComp 2 Encoder systems --K903497. - using BioGraph Infiniti and CardioPro software -- K972723. |
| | Note: All of the parameters that are recorded by the QANS
system are recorded by the Thought Technology devices. |
| | For monitoring functions: |
| | 1. HeRO ™ HRV analysis system (510(k) K021230). - Intelwave Heart Rate Variability System (510(k) K062068) |
| Device Description: | The HHSsystems QANS Monitoring System is the same as that of
the Thought Technology devices as the HHSsystems QANS uses
the same hardware as the previously cleared ProComp Infiniti,
FlexComp Infiniti, ProComp5 and ProComp2 devices with the
same BioGraph Infiniti and CardioPro software. |
| | This information is contained in 510(k)'s K903497 for the
ProComp Infiniti, FlexComp Infiniti, ProComp5 and ProComp2
and in K972723 for the BioGraph Infiniti and CardioPro software. |
| | The technology and the method of monitoring heart rate,
respiration rate, and muscle activity, are essentially the same
as those of the other legally marketed predicate devices. |
| | QANS (Quantitative Autonomic Nervous System) Monitoring
System is a computer-based system for measurement of Heart
Rate Variability (HRV) in response to paced respiration. It is
comprised of off-the-shelf Personal Computers (PCs) and
special purpose hardware capable of acquiring, storing,
analyzing and reporting ECG data from cardiac monitoring
devices, respiration rate and muscle activity, using sensors
designed to monitor these functions. Data is acquired using
the Thought ProComp Infiniti, FlexComp Infiniti, ProComp5
and ProComp2 and in K972723 for the BioGraph Infiniti and
CardioPro software. |
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The analysis algorithms identify heart rate variability (HRV) patterns that reflect transient decelerations and/or reduced baseline variability. QANS evaluates the variation of the heart rate, both in the time domain (statistical methods) and in the frequency domain (spectral analysis). Each QRS complex (Q, R and S wave deflections on a ECG) detected and the so-called normal-to-normal (NN) or Rate-to-Rate (RR) intervals between adjacent QRS complexes are resulting from sinus node depolarization. The system performs a fully automated quantitative analysis of HRV based on data collected by an FDA-compliant R Wave Trigger device. The system presents the results to the healthcare provider through a computerbased user interface. The system has patient data management capability.
Intended use: QANS (Quantitative Autonomic Nervous System) Monitoring System is a physiological monitoring device that collects and transmits measurements (heart rate, respiration rate, muscle activity) using sensors. The QANS monitoring system monitors the sympathetic and parasympathetic nervous system using accurate recordings of heart rate (HR) data from EKG and provides statistical data as well as heart rate variability (HRV) data which the clinician can use it make clinical assessments of medical, dental or peak performance interventions.
The physiological information can be used as a general patient monitor as well as for research. QANS is not intended to produce any interpretation of the measurements obtained and does not provide any type of diagnosis. Patients should be 5 years old or older.
The QANS System is indicated for use by physicians and dentists in hospital, clinic or professional offices and other health care professionals.
Technological The technological characteristics of the HHSsystems QANS Monitoring System are the same as those of the Thought Technology devices as the HHSsystems QANS uses the same hardware as the previously cleared FlexComp Infiniti, ProComp Infiniti, ProComp5 and ProComp2 with the BioGraph Infiniti and CardioPro software.
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K142551
| | This information is contained in 510(k)'s K903497 for the
ProComp Infiniti, FlexComp Infiniti, ProComp5 and ProComp2
and in K972723 for the BioGraph Infiniti. |
|----------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | The technology and the method of monitoring heart rate,
respiration rate, and muscle activity are essentially the same as
those of the other legally marketed predicate devices |
| Technology: | Microprocessor based system |
| Comparison of
Technological
the Predicate Devices: | QANS system is identical to the Thought Technology ProComp
Infiniti, FlexComp Infiniti, ProComp5 and ProComp 2 encoders to
with BioGraph Infiniti and CardioPro General purpose software as
they use the same hardware and software. |
| | The sensors and leads are the same and the way the information
is gathered, and stored is identical. The QANS application
software allows the user to report the information in a manner
most suited to the user's needs. |
| | There are no new tests and no new results reported. There is
a quick start feature and the user can customize the screens
and reports. The form of the results report is the only change. |
| Summary: | The HHSsystems QANS Monitoring System was developed and is
based on ProComp Infiniti, FlexComp Infiniti, ProComp5 and
ProComp2 with the BioGraph Infiniti and CardioPro software. |
| | This system was developed in accordance with 21CFR820
Quality System Regulation and has been tested in accordance
with UL 60601-1 and IEC 60601-1-2. |
| Performance data: | All HHSsystems QANS functionality has been verified and
validated both as part of the BioGraph and the QANS
application suite. |