K Number
K143487
Device Name
Lifelines iEEG
Manufacturer
Date Cleared
2015-08-21

(256 days)

Product Code
Regulation Number
882.1400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Lifelines iEEG is an EEG system that allows acquisition, display, archive, storage and analysis of physiological signals. The intended user of this product is a qualified medical practitioner trained in electroencephalography who will exercise professional judgment in using the information. The Lifelines iEEG system also includes the display of a quantitative EEG plots, power spectrum, which is intended to help the user to monitor and analyze the EEG. This device does not provide any diagnostic conclusion about the patient's condition to the user.
Device Description
Lifelines iEEG is medical device used to acquire, display, archive, store and analyze EEG examinations. The EEG is presented in a conventional way and conventional signal processing is applied such as re-montaging and band pass filtering. The system is also capable of acquiring and presenting digital video synchronized to the EEG if this is available. Some advanced analysis methods are provided as an aid: FFT analysis and Artifact Removal. The system software is designed using service oriented architecture enabling the possibility of reviewing data over WAN without the use of additional remote desktop software solutions. The components of Lifelines iEEG are: - Lifelines iEEG software: - . iEEG Centrum - . iEEG Review - iEEG Acquisition . - Lifelines Trackit, Lifelines Ltd, 510(k)#K010460 - Lifelines Photic Stimulator, Lifelines Ltd, 510(k)# K101691 ● - Off the shelf PC and medical grade power supply ● - Off the shelf IP Video Camera ●
More Information

No
The description mentions conventional signal processing and advanced analysis methods like FFT and Artifact Removal, but does not mention AI or ML.

No
The device is described as an EEG system for acquisition, display, archive, storage, and analysis of physiological signals (EEG), and it explicitly states, "This device does not provide any diagnostic conclusion about the patient's condition to the user." It is used for monitoring and analysis, not for treatment.

No
The 'Intended Use / Indications for Use' section explicitly states: "This device does not provide any diagnostic conclusion about the patient's condition to the user." It facilitates the acquisition and analysis of physiological signals, which a qualified practitioner then uses to make a judgment, but the device itself does not offer a diagnosis.

No

The device description explicitly lists hardware components such as "Lifelines Trackit", "Lifelines Photic Stimulator", "Off the shelf PC and medical grade power supply", and "Off the shelf IP Video Camera" as part of the system, indicating it is not solely software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Lifelines iEEG Function: The Lifelines iEEG system acquires, displays, archives, stores, and analyzes physiological signals (EEG) directly from the patient's brain. It does not analyze specimens taken from the body.
  • Intended Use: The intended use clearly states it's for acquiring and analyzing physiological signals (EEG) and aiding a qualified medical practitioner in monitoring and analyzing the EEG. It explicitly states it "does not provide any diagnostic conclusion about the patient's condition to the user."

Therefore, the Lifelines iEEG falls under the category of a medical device that directly interacts with the patient to acquire physiological data, rather than an IVD device that analyzes specimens.

N/A

Intended Use / Indications for Use

The Lifelines iEEG is an EEG system that allows acquisition, display, archive, storage and analysis of physiological signals. The intended user of this product is a qualified medical practitioner trained in electroencephalography who will exercise professional judgment in using the information. The Lifelines iEEG system also includes the display of a quantitative EEG plots, power spectrum, which is intended to help the user to monitor and analyze the EEG. This device does not provide any diagnostic conclusion about the patient's condition to the user.

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

OLT, GWQ

Device Description

Lifelines iEEG is medical device used to acquire, display, archive, store and analyze EEG examinations. The EEG is presented in a conventional way and conventional signal processing is applied such as re-montaging and band pass filtering. The system is also capable of acquiring and presenting digital video synchronized to the EEG if this is available. Some advanced analysis methods are provided as an aid: FFT analysis and Artifact Removal. The system software is designed using service oriented architecture enabling the possibility of reviewing data over WAN without the use of additional remote desktop software solutions.
The components of Lifelines iEEG are:

  • Lifelines iEEG software:
    • . iEEG Centrum
    • . iEEG Review
    • iEEG Acquisition .
  • Lifelines Trackit, Lifelines Ltd, 510(k)#K010460
  • Lifelines Photic Stimulator, Lifelines Ltd, 510(k)# K101691
  • Off the shelf PC and medical grade power supply ●
  • Off the shelf IP Video Camera ●

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Brain (electroencephalographic signals from the brain)

Indicated Patient Age Range

All age groups

Intended User / Care Setting

Qualified medical practitioner trained in Electroencephalography.
Hospital, clinics, patients home.

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)

Software Verification and Validation.
Immunity Verification.
Third party testing for conformance with IEC 60601-1:2005 - Medical electrical equipment - Part 1: General requirements for basic safety and essential performance.
Third party testing for conformance with 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
Checklist testing for IEC 62304:2006 - Medical Device Software - Software - Software Life Cycle Processes
Checklist testing for IEC 62366:2007 - Medical Devices - Application Of Usability Engineering To Medical Devices
Third party testing for conformance with IEC 60601-2-26:2002 - Medical electrical equipment - Part 2-26: Particular requirements for the safety of electroencephalographs

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.

K964280

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

§ 882.1400 Electroencephalograph.

(a)
Identification. An electroencephalograph is a device used to measure and record the electrical activity of the patient's brain obtained by placing two or more electrodes on the head.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features the department's name in a circular arrangement around a symbol. The symbol consists of a stylized human figure with three faces in profile, representing the department's focus on health and human well-being. The logo is simple, using only black and white.

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

Auqust 21, 2015

Kvikna ehf c/o Yolanda Smith Smith Associates 1468 Harwell Ave Crofton, MD 21114

Re: K143487

Trade/Device Name: Lifelines iEEG 2.0 Regulation Number: 21 CFR 882.1400 Regulation Name: Electroencephalograph Regulatory Class: Class II Product Code: OLT, GWQ Dated: July 22, 2015 Received: July 23, 2014

Dear Ms. Smith:

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

1

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 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/Resourcesfor You/Industry/default.htm. 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 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,

Carlos L. Pena -S

Carlos Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K143487

Device Name Lifelines iEEG 2.0

Indications for Use (Describe)

The Lifelines iEEG is an EEG system that allows acquisition, display, archive, storage and analysis of physiological signals. The intended user of this product is a qualified medical practitioner trained in electroencephalography who will exercise professional judgment in using the information. The Lifelines iEEG system also includes the display of a quantitative EEG plots, power spectrum, which is intended to help the user to monitor and analyze the EEG. This device does not provide any diagnostic conclusion about the patient's condition to the user.

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

☑ Prescription Use (Part 21 CFR 801 Subpart D)
☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

SPONSOR
Company Name:Kvikna Medical ehf
Company AddressStórhöfði 21
110 Reykjavik
Iceland
Telephone:+354 578 8400
Contact Person:Gardar Thorvardsson
Summary Preparation Date:November 14, 2014
DEVICE NAME
Trade Name:Lifelines iEEG 2.0
Common/Usual Name:EEG System
Classification Name:Electroencephalograph
Regulation Number:21 CFR 882.1400 GWQ,
Product Code:GWQ, OLT
Device Class:Class II
PREDICATE DEVICE
CompanyProduct
Natus Medical, IncDG Nervus

DEVICE DESCRIPTION

Lifelines iEEG is medical device used to acquire, display, archive, store and analyze EEG examinations. The EEG is presented in a conventional way and conventional signal processing is applied such as re-montaging and band pass filtering. The system is also capable of acquiring and presenting digital video synchronized to the EEG if this is available. Some advanced analysis methods are provided as an aid: FFT analysis and Artifact Removal. The system software is designed using service oriented architecture enabling the possibility of reviewing data over WAN without the use of additional remote desktop software solutions.

510(k) # K964280

The components of Lifelines iEEG are:

  • Lifelines iEEG software:
    • . iEEG Centrum
    • . iEEG Review
    • iEEG Acquisition .
  • Lifelines Trackit, Lifelines Ltd, 510(k)#K010460
  • Lifelines Photic Stimulator, Lifelines Ltd, 510(k)# K101691
  • Off the shelf PC and medical grade power supply ●
  • Off the shelf IP Video Camera ●

4

INDICATIONS FOR USE

The Lifelines iEEG is an EEG system that allows acquisition, display, archive, storage and analysis of physiological signals. The intended user of this product is a qualified medical practitioner trained in electroencephalography who will exercise professional judgment in using the information. The Lifelines iEEG system also includes the display of a quantitative EEG plots, power spectrum, which is intended to help the user to monitor and analyze the EEG. This device does not provide any diagnostic conclusion about the patient's condition to the user.

Caution: Federal law restricts this device to sale by or on the order of a physician licensed by the law of the State in which he practices to use or order the use of the device.""

Subject DevicePredicate DeviceSimilarities and Differences
Trade NameLifelines iEEGDG Nervus
(now NicoletOne)
CompanyKvikna Medical ehfNatus Medical, Inc.
K NumberK964280
Intended UseThe Lifelines iEEG is an EEG
system that allows acquisition,
display, archive, storage and
analysis of physiological signals.
The intended user of this product
is a qualified medical practitioner
trained in
electroencephalography who will
exercise professional judgment in
using the information. The
Lifelines iEEG system also
includes the display of a
quantitative EEG plots, power
spectrum, which is intended to
help the user to monitor and
analyze the EEG. This device does
not provide any diagnostic
conclusion about the patient's
condition to the user.The Nervus DG is intended to
be used as an
Electroencephalograph: to
acquire, display, store and
archive
electroencephalographic
signals from the brain using a
full montage array (i.e. 16 or
more electrodes) and user
specified locations.The Lifelines iEEG system
(Subject Device) and the DG
Nervus have equivalent
intended use.
Intended UserQualified medical practitioner
trained in
ElectroencephalographyQualified medical
practitioner trained in
ElectroencephalographyNo difference.
Population ageAll age groupsAll age groupsNo difference.
Use environmentHospital, clinics, patients homeHospital, clinic, patients
homeNo difference.
Regulation Number21 CFR 882.140021 CFR 882.1400No difference.
Product CodeGWQ, OLTGWQLifelines iEEG includes OLT
product code as it offers
quantitative EEG in the form
of power spectrum and
related parameters.
Device allows acquisition
of physiological signalsYesYesNo difference.
Subject DevicePredicate DeviceSimilarities and Differences
Trade NameLifelines iEEGDG Nervus
(now NicoletOne)
Device allows display,
archive, review and
analysis of physiological
signalsYesYesNo difference.
Identifies spikesNoYesLifelines iEEG does not offer
automated spike detection
Identifies seizuresNoYesLifelines iEEG does not offer
automated seizure detection
Displays calculated EEG
measuresYesYesNo difference.
Calculated EEG measures
displayedSpectrum, Power Spectrum
Density, band power, spectral
edge, peak frequencySpectrum, Spectrogram,
band power, peak frequency,
spectral edgeNo difference. The algorithm
used to calculate Spectrogram
in DG Nervus and Power
spectrum density in iEEG is
the same.
Users can add/delete
eventsYesYesNo difference.
Number of EEG channelsSoftware: up to 128
Hardware: up to 32Up to 512Lifelines system and Lifelines
iEEG software system support
up to 128 channels, the DG
Nervus supports up to 512
channels.
Type of EEG recording
supportedEDF, NicoletOne, Lifelines iEEGEDF, NicoletOneThe Lifelines iEEG system and
the Lifelines iEEG software
system support the Lifelines
iEEG (.ieeg) recording type
which DG Nervus does not
Type of EEG analysisClinical, ambulatory, long term
monitoringClinical, ambulatory, long
term monitoringNo difference.
Photic activation of the
EEGYesYesNo difference.
Differential input
impedance>20 Mohms> 20MΩNo difference.
Common mode input
impedance>100 Mohms> 100MΩNo difference.
Channel equivalent input
noise