K Number
K150154
Device Name
ANAM Test System: Military Battery
Date Cleared
2015-08-28

(217 days)

Product Code
Regulation Number
882.1470
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ANAM Test System: Military Battery provides clinicians with objective measurements of cognitive performance in military populations ages 18 to 65 years, to aid in the assessment of an individual's level of cognitive functioning. The ANAM Test System should only be used as an adjunctive tool for evaluating cognitive function.
Device Description
ANAM Test System: Military Battery is a software only device that provides clinicians with objective measurements of cognitive performance in military populations, to aid in the assessment of an individual's level of cognitive function. The software is downloaded from the Vista LifeSciences website and is for use on a Dell Latitude E6440 Laptop. The laptop is not provided as part of the device, but is purchased separately by the user. Each ANAM battery consists of a collection of pre-selected modules that are administered in a sequential manner.
More Information

Not Found

No
The summary does not mention AI, ML, or any related technologies, and the description focuses on administering pre-selected modules and providing objective measurements.

No
The device aids in the assessment of cognitive function and is an adjunctive tool; it does not treat or cure any condition.

Yes

The device aids in the assessment of an individual's level of cognitive functioning, which is a diagnostic purpose.

Yes

The device description explicitly states "ANAM Test System: Military Battery is a software only device". While it requires a specific laptop for operation, the laptop itself is not part of the device being cleared.

Based on the provided information, the ANAM Test System: Military Battery is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • ANAM Test System Function: The ANAM Test System measures cognitive performance through software-based tasks. It does not analyze biological samples from the body.
  • Intended Use: The intended use is to provide objective measurements of cognitive performance to aid in the assessment of cognitive function, not to diagnose a disease or condition based on biological samples.

Therefore, the ANAM Test System falls under the category of a software-based medical device used for cognitive assessment, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The ANAM Test System: Military Battery provides clinicians with objective measurements of cognitive performance in military populations ages 18 to 65 years, to aid in the assessment of an individual's level of cognitive functioning. The ANAM Test System should only be used as an adjunctive tool for evaluating cognitive function.

Product codes

PKQ

Device Description

ANAM Test System: Military Battery is a software only device that provides clinicians with objective measurements of cognitive performance in military populations, to aid in the assessment of an individual's level of cognitive function.

The software is downloaded from the Vista LifeSciences website and is for use on a Dell Latitude E6440 Laptop. The laptop is not provided as part of the device, but is purchased separately by the user. Each ANAM battery consists of a collection of pre-selected modules that are administered in a sequential manner.

Specific modules included in the ANAM Test System: Military Battery:

    1. Demographics
    1. Sleepiness Scale
    1. Symptoms Checklist
    1. Mood Scale
    1. TBI Questionnaire
    1. Simple Reaction Time
    1. Code Substitution Learning
  • Procedural Reaction Time 8.
    1. Mathematical Processing
    1. Matching to Sample
    1. Code Substitution Delayed
    1. Simple Reaction Time (R)

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

18 to 65 years

Intended User / Care Setting

Clinicians, military populations

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 510(k) included the results of numerous studies that examined the concurrent validity of ANAM as a clinical tool by documenting correlations with traditional neuropsychological tests. The results of these studies demonstrate that ANAM provides a reliable measure of cognitive function, and is therefore substantially equivalent to the predicate device.

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

Not Found

Predicate Device(s)

DEN130033

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.1470 Computerized cognitive assessment aid.

(a)
Identification. The computerized cognitive assessment aid is a prescription device that uses an individual's score(s) on a battery of cognitive tasks to provide an interpretation of the current level of cognitive function. The computerized cognitive assessment aid is used only as an assessment aid to determine level of cognitive functioning for which there exists other valid methods of cognitive assessment and does not identify the presence or absence of clinical diagnoses. The computerized cognitive assessment aid is not intended as a stand-alone or adjunctive diagnostic device.(b)
Classification. Class II (special controls). Except when the computerized cognitive assessment aid is intended for diagnostic assessment of specific diseases or conditions and relies on inputs from visual cues, auditory cues, and/or functional use of the hand, the device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 882.9. The special control(s) for this device are:(1) The technical parameters of the device's hardware and software must be fully characterized and be accompanied by appropriate non-clinical testing:
(i) Hardware specifications must be provided. Appropriate verification, validation, and hazard analysis must be performed.
(ii) Software, including any proprietary algorithm(s) used by the device to arrive at its interpretation of the patient's cognitive function, must be described in detail in the software requirements specification (SRS) and software design specification (SDS). Appropriate software verification, validation, and hazard analysis must be performed.
(2) The device must be designed and tested for electrical safety.
(3) The labeling must include:
(i) A summary of any testing conducted to demonstrate how the device functions as an interpretation of the current level of cognitive function. The summary of testing must include the following, if available: Any expected or observed adverse events and complications; any performance measurements including sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) per the devices intended use; a description of the repeatability of measurements; a description of how the cut-off values for categorization of measurements were determined; and a description of the construct validity of the device.
(ii) A warning that the device does not identify the presence or absence of clinical diagnoses.
(iii) A warning that the device is not a stand-alone diagnostic.
(iv) The intended use population and the intended use environment.
(v) Any instructions technicians must convey to patients regarding the administration of the test and collection of cognitive test data.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol that resembles a stylized caduceus or a representation of the human form.

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

August 28, 2015

Vista Lifesciences, Inc. c/o Calley Herzog Senior Consultant Biologics Consulting Group, Inc. 400 N. Washington St. Suite 100 Alexandria, Virginia 22314

Re: K150154

Trade/Device Name: ANAM Test System: Military Battery Regulation Number: 21 CFR 882.1470 Regulation Name: Computerized Cognitive Assessment Aid Regulatory Class: Class II Product Code: PKQ Dated: July 30, 2015 Received: July 31, 2015

Dear Ms. Herzog:

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

1

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 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,

Michael J. Hoffmann -S

for Carlos L. 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) K150154

Device Name ANAM Test System: Military Battery

Indications for Use (Describe)

The ANAM Test System: Military Battery provides clinicians with objective measurements of cognitive performance in military populations ages 18 to 65 years, to aid in the assessment of an individual's level of cognitive functioning. The ANAM Test System should only be used as an adjunctive tool for evaluating cognitive function.

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

In accordance with 21 CFR 807.87(h) and (21 CFR 807.92) the 510(k) Summary for ANAM Test System: Military Battery is provided below.

Device Common Name:Computerized Cognitive Assessment Aid
Device Proprietary Name:ANAM Test System: Military Battery
Applicant:Vista LifeSciences, Inc.
PO Box 4670
Parker CO 80134
Phone: 888.733.8804 Ext. 1
www.vistalifesciences.com
Contact:Lori White
Quality Systems Program Manager
Vista LifeSciences, Inc.
PO Box 4670
Parker CO 80134
Phone: 888.733.8804 Ext. 1
Email: lori.white@vistalifesciences.com
Prepared by:Calley Herzog
Senior Consultant
Biologics Consulting Group, Inc.
400 N. Washington St. Suite 100
Alexandria, VA 22314
Email: cherzog@bcg-usa.com
Phone: 720-883-3633
Fax: 703-548-7457
Date Prepared:July 30, 2015
Classification Regulation:882.1470
Panel:Neurology
Product Code:PKQ
Predicate Device:DEN130033, Cerebral Assessment Systems Cognivue

Indication for Use:

The ANAM Test System: Military Battery provides clinicians with objective measurements of cognitive performance in military populations ages 18 to 65 years, to aid in the assessment of an individual's level of cognitive functioning. The ANAM Test System should only be used as an adjunctive tool for evaluating cognitive function.

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Device Description:

ANAM Test System: Military Battery is a software only device that provides clinicians with objective measurements of cognitive performance in military populations, to aid in the assessment of an individual's level of cognitive function.

The software is downloaded from the Vista LifeSciences website and is for use on a Dell Latitude E6440 Laptop. The laptop is not provided as part of the device, but is purchased separately by the user. Each ANAM battery consists of a collection of pre-selected modules that are administered in a sequential manner.

Specific modules included in the ANAM Test System: Military Battery:

    1. Demographics
    1. Sleepiness Scale
    1. Symptoms Checklist
    1. Mood Scale
    1. TBI Questionnaire
    1. Simple Reaction Time
    1. Code Substitution Learning
  • Procedural Reaction Time 8.
    1. Mathematical Processing
    1. Matching to Sample
    1. Code Substitution Delayed
    1. Simple Reaction Time (R)

Performance Data:

The 510(k) included the results of numerous studies that examined the concurrent validity of ANAM as a clinical tool by documenting correlations with traditional neuropsychological tests. The results of these studies demonstrate that ANAM provides a reliable measure of cognitive function, and is therefore substantially equivalent to the predicate device.

Substantial Equivalence:

Both devices are computerized assessment aids that use an individual's score(s) on a battery of cognitive tasks to provide an interpretation of the current level of cognitive function. In addition to perceptual and memory function, ANAM may be used as an adjunctive tool for evaluating additional functions including: visuomotor reaction time and processing speed, simple decision making, visual scanning, associative learning, visual-spatial processing, and attention.

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Proposed DevicePredicate Device
510(k) NumberK150154DEN130033
Device NameANAM Test System: Military
BatteryCognivue
SubmitterVista LifeSciences, Inc.Cerebral Assessment Systems
Classification RegulationComputerized Cognitive
Assessment AidComputerized Cognitive
Assessment Aid
Product CodePKQPKQ
IndicationThe ANAM Test System:
Military Battery provides
clinicians with objective
measurements of cognitive
performance in military
populations ages 18 to 65 years,
to aid in the assessment of an
individual's level of cognitive
functioning. The ANAM Test
System should only be used as an
adjunctive tool for evaluating
cognitive function.Cognivue is an adjunctive tool
for evaluating perceptual and
memory function in individuals
aged 55-95 years old.
PlatformPC: Dell Latitude E6440 Laptop
Computer, two button USB
connected mouse, and Windows
7 operating system.Computer, monitor, rotatory
manipulandum, printer, and
mouse/keyboard are provided on
a device cart.
Use CasesReports individual test results
and compares changes in
individual tests over time and/or
against military normative data.Reports individual test results
and compares overall
performance to a cut-off.
Proposed DevicePredicate Device
Patient PopulationMilitary populationAdults
Age of Users18-65 years55-95 years
How ProvidedSoftware only, downloadedSoftware is pre-installed on
computer hardware provided by
the manufacturer.
Reporting featuresANAM Performance Report
(APR) provides raw scores and
standard scores (calculated with
the military normative database)
for each test within the battery.
APR also yields the ANAM
Composite Score (ACS)
summarizing performance across
the test battery.Cognivue Performance Profile
report yields a single output
measure that is an average score
of the four perception scores and
four memory scores.
Psychometric PropertiesANAM demonstrates construct
validity with traditional
neuropsychological tests.Cognivue demonstrates construct
validity with traditional
neuropsychological tests.
Results InterpretationANAM does not provide a
recommendation that the patient
is impaired vs. unimpaired.
Clinical interpretation of the
results includes comparison with
the normative database. ANAM
provides raw scores, standard
scores, and reliable change
indices for each test.Cognivue provides an average
score that is categorized as
unimpaired, impaired, or
intermediate/indeterminate based
on comparison with a normative
database. Sub-tests may not be
evaluated individually.

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Summary / Conclusion of Substantial Equivalence Rationale

Although there are some differences in the modules between ANAM and the predicate device, and ANAM provides a comparison to a normative database, the performance testing demonstrates that ANAM provides a reliable measure of cognitive function, and is therefore substantially equivalent to the predicate device.