K Number
K150804
Device Name
QBioScan
Manufacturer
Date Cleared
2015-10-19

(207 days)

Product Code
Regulation Number
882.1540
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

QBioScan is indicated for the measurement of galvanic skin response to aid in the assessment of the sudomotor function. The device is intended for use on the general adult population in medical clinics, healthcare practices and out-patient departments of hospitals.

Device Description

QBioScan™ is a galvanic skin response measurement device intended for the collection and display of galvanic skin response recorded by the device consists of the following components:

  • . an off-the-shelf computer with proprietary device software pre-installed
  • . a custom electronics box that houses the QBioScan circuitry
  • a USB cable to connect the electronics box to the computer .
  • reusable electrode lead cables .
  • reusable hand and foot electrodes and optional disposable forehead electrodes .
  • . an off-the-shelf printer (optional)
    The device allows for a evaluation of sweat gland function based on a measuring method where patients are in contact with surface electrodes (reusable stainless-steel plates and optional disposable electrodes) and are exposed to an incremental low voltage (under the 60601-1 standard safety limits). The device tests the electrochemical reaction between electrodes and the chloride ion released by the stimulated sweat glands. This active test method provides information and evidence of a sweat gland dysfunction that might otherwise not be detectable in a physiological examination. The Bioelectrical Conductance (BEC, in micro-Siemens, uS) representing galvanic skin response for the hands and feet are expressed as quantitative results along with an asymmetry value expressed as the percent difference between the BEC values of the right / left hands and the right / left feet. The device does not provide any direct diagnosis rather the device provides information to the physician for inclusion in their decision making process.
AI/ML Overview

The QBioScan device does not appear to have acceptance criteria for clinical performance explicitly stated in this 510(k) summary. The document focuses on demonstrating substantial equivalence to a predicate device (Sudoscan) primarily through technological characteristics and non-clinical testing.

Here's a breakdown of the available information:

1. Table of Acceptance Criteria and Reported Device Performance

As there are no specific performance acceptance criteria for clinical outcomes mentioned, a table cannot be fully provided. The non-clinical testing refers to compliance with safety and EMC standards and software V&V, which are typically pass/fail.

Acceptance Criteria CategorySpecific Acceptance CriteriaReported Device Performance
Electrical SafetyCompliance with IEC 60601-1, 3rd EditionFound to be in compliance with the requirements of IEC 60601-1, 3rd Edition.
Electromagnetic Compatibility (EMC)Compliance with EN 60601-1-2, 3rd EditionFound to be in compliance with the requirements of EN 60601-1-2, 3rd Edition.
Software Verification & ValidationFollow FDA guidance for software in medical devices; "moderate" level of concern.Software verification and validation testing were conducted following the FDA guidance document. (Implied: testing was successful and met requirements for a "moderate" level of concern software.)
Technological Equivalence (Non-Clinical)Similar operating characteristics, measurement range, resolution, electrical output, etc. to predicate device.The 510(k) submission argues for substantial equivalence based on a comparison of technological characteristics (see table in section a6). Differences noted (e.g., electrode surface area, some electrode materials, acquisition duration, user control) were deemed to have "no material impact on the equivalence between the devices."

2. Sample Size Used for the Test Set and Data Provenance

  • No clinical test set was used for a performance study. The document explicitly states: "No Clinical testing was necessary to determine substantial equivalence."
  • Data Provenance: Not applicable for clinical testing. For the non-clinical testing (electrical safety, EMC, software V&V), the data would have been generated internally by Medeia, Inc. or by a contract testing laboratory.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications

  • Not applicable as no clinical test set with human subjects requiring ground truth establishment was used.

4. Adjudication Method for the Test Set

  • Not applicable as no clinical test set was used.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

  • No. The document states, "No Clinical testing was necessary to determine substantial equivalence." This type of study would fall under clinical testing.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done

  • Not explicitly described as a standalone performance study. The device is a "galvanic skin response measurement device" which directly measures a physiological signal. While it processes data and displays it, it's not an "algorithm only" device in the context of, for example, an AI diagnostic tool. The focus is on the device's ability to accurately measure the physiological parameter, which is addressed through the technological comparison to the predicate and non-clinical safety/EMC testing.

7. The Type of Ground Truth Used

  • Not applicable for clinical validation, as no clinical studies were performed. For the technical aspects, the "ground truth" would be the established safety standards (IEC 60601-1, EN 60601-1-2) and the functional specifications of the device itself (for software V&V).

8. The Sample Size for the Training Set

  • Not applicable. This device is a measurement device, not an AI/machine learning device that requires a training set in the conventional sense. Its "training" would be its design and engineering to accurately measure galvanic skin response.

9. How the Ground Truth for the Training Set Was Established

  • Not applicable, as there is no training set in the context of AI/ML.

Summary of Approach:

The manufacturer, Medeia, Inc., pursued a 510(k) pathway for substantial equivalence. Their strategy was to demonstrate that the QBioScan device shares the same intended use and similar technological characteristics with a legally marketed predicate device (Sudoscan), and that any differences do not raise new questions of safety or effectiveness. This allowed them to forgo clinical testing and rely on non-clinical (electrical safety, EMC, software verification, and validation) testing, alongside a detailed technological comparison.

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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 a stylized image of three human profiles facing right, with flowing lines representing hair or clothing.

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

October 19, 2015

Medeia, Inc. % Daniel Lehtonen Regulatory Consultant Compliance and Regulatory Services LLC 3771 Southbrook Drive Dayton, Ohio 45430

Re: K150804

Trade/Device Name: QBioScan Regulation Number: 21 CFR 882.1540 Regulation Name: Galvanic skin response measurement device Regulatory Class: Class II Product Code: GZO Dated: September 14, 2015 Received: September 16, 2015

Dear Mr. Lehtonen:

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

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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 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) K150804

Device Name

QBioScan

Indications for Use (Describe)

QBioScan is indicated for the measurement of galvanic skin response to aid in the assessment of the sudomotor function.

The device is intended for use on the general adult population in medical clinics, healthcare practices and out-patient departments of hospitals.

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

This summary of 510(k) safety and effectiveness information is submitted in accordance with the Requirements of Safe Medical Device systems Act 1990 and 21 CFR Sec. 807.92

510(k) Number:

a1 APPLICANT INFORMATION:

Date Prepared: March 16, 2015 Name: Medeia, Inc. Address: 80 S.W. 8th St. Suite 2000 Miami, FL 33130

Contact Person:Slav Danev
Phone Number:+1 800 433 4609
Fax Number:+1 800 433 4609
Email:danev@medeia-inc.com

NAME OF DEVICE: a2

Trade Name:QBioScanTM, model HW4
Common Name:Galvanic Skin Measurement Device
Classification Name:Galvanic Skin Measurement Device (21 CFR 882.1540 / GZC)

a3 PREDICATE DEVICE:

Device Name:Sudoscan
K Numbers:K100233 and K141872
Manufacturer:Impeto Medical17, rue Campagne Première75014 Paris - France

The FDA database for recalls was searched during the writing of this 510(k) submission and no recalls for the predicate device or manufacturer were found.

DESCRIPTION OF THE DEVICE: a4

QBioScan™ is a galvanic skin response measurement device intended for the collection and display of galvanic skin response recorded by the device consists of the following components:

  • . an off-the-shelf computer with proprietary device software pre-installed
  • . a custom electronics box that houses the QBioScan circuitry
  • a USB cable to connect the electronics box to the computer .
  • reusable electrode lead cables .
  • reusable hand and foot electrodes and optional disposable forehead electrodes .
  • . an off-the-shelf printer (optional)

The device allows for a evaluation of sweat gland function based on a measuring method where patients are in contact with surface electrodes (reusable stainless-steel plates and optional disposable electrodes) and are exposed to an incremental low voltage (under the 60601-1 standard safety limits). The device tests the electrochemical reaction between electrodes and the chloride ion released by the stimulated sweat glands. This active test method provides information and evidence of a sweat gland dysfunction that might otherwise not be detectable in a physiological examination. The Bioelectrical Conductance (BEC, in micro-Siemens, uS) representing galvanic skin response for the hands and feet are expressed as quantitative results

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along with an asymmetry value expressed as the percent difference between the BEC values of the right / left hands and the right / left feet.

The device does not provide any direct diagnosis rather the device provides information to the physician for inclusion in their decision making process.

STATEMENT OF INTENDED USE: a5

QBioScan is indicated for the measurement of galvanic skin response to aid in the assessment of the sudomotor function.

The device is intended for use on the general adult population in medical clinics, healthcare practices and out-patient departments of hospitals.

TECHNOLOGICAL CHARACTERISTIC COMPARISON: a6

Determination of the bioelectrical conductance value of the hands and feet via application of a variable amplitude low voltage, low current excitation is the technological principle of both the subject and predicate devices. The following table shows the similarities and differences between the devices. The differences have no material impact on the equivalence between the devices.

Proposed DevicePredicate DevicePredicate Device
510(k) NumberN/AK100233K141872
Device NameQBioScan™SUDOSCANSUDOSCAN
ManufacturerMedeia, Inc.IMPETO MedicalIMPETO Medical
Classification Regulation882.1540, Class II882.1540, Class II882.1540, Class II
Product CodeGZOGZOGZO
IndicationQBioScan is indicated forthe measurement ofgalvanic skin response toaid in the assessment ofthe sudomotor function.The device is intended foruse on the general adultpopulation in medicalclinics, healthcarepractices and out-patientdepartments of hospitals.The SUDOSCAN systemis a medical device for themeasurement of galvanicskin responses.The SUDOSCAN systemis a medical device for themeasurement of galvanicskin response to aid in theassessment of sudomotorfunction.SUDOSCAN is indicatedfor use in the general adultpopulation.
Operating Characteristics• Measures difference inskin conductance.• Used to providefeedback to physicians,not to diagnose.• Skin Contact Padsmeasure skinconductance.• Measures difference inskin conductance.• Used to providefeedback to physicians,not to diagnose.• Skin Contact Padsmeasure skinconductance.• Measures difference inskin conductance.• Used to providefeedback to physicians,not to diagnose.• Skin Contact Padsmeasure skinconductance.
Electrode Surface AreaHand: 384 cm²Foot: 384 cm²Head: 7 cm²Hand: 212 cm²Foot: 269 cm²Head: 7 cm²Hand: 212 cm²Foot: 269 cm²Head: N/A
Electrode Placement(Anatomic Sites)Hands, Feet, ForeheadHands, Feet, ForeheadHands, Feet
Electrode MaterialsHead Electrode:• Stainless Steel withAg/AgCl layer (clearedelectrode)Hand and Foot Electrode:• AISI 304 Stainless SteelHead Electrode:• Nickel Silver AlloyHand and Foot Electrode:• AISI 304 Stainless SteelHand and Foot Electrode:• AISI 304 Stainless Steel
Skin ConductanceMeasurement Range10 - 100 µS/cm²10 - 100 µS/cm²10 - 100 µS/cm²
Proposed DevicePredicate DevicePredicate Device
510(k) NumberN/AK100233K141872
Skin Conductance Resolution1 nS/cm²1 nS/cm²1 nS/cm²
Acquisition Duration (total)120, 300 or 600 seconds120 seconds120 seconds
Electrical Output to the skin4 V max4 V max4 V max
Electrical Output FrequencyContinuousContinuousContinuous
Electrical Output UnitDuration1 second1 second1 second
Power Density (at electrode)0.01 μΑ/mm²0.01 μΑ/mm²0.01 μΑ/mm²
User DisplayComputer DisplayVGA Color LCDVGA Color LCD
User ControlComputer provided withsystemTouch screenTouch screen
Audible IndicatorsInternal Computer Speakerand Optional HeadphoneInternal Speaker andOptional HeadphoneInternal Speaker andOptional Headphone
Output Report• Subject details (patientdata)• Indication for referral[entered by examiningphysician]• Method• Results• Impressions [entered byexamining physician]• Measured STC† valuesof the test• 4 average values of 12STC measurements:• Two STC for eachHand:Average value of aminimum of 6 STCmeasurements• Two STC for eachFoot:Average value of aminimum of 6 STCmeasurements• Head:Average value of aminimum of 6 STCmeasurements• Subject details (patientdata)• Indication for referral[entered by examiningphysician]• Method• Results• Impressions [entered byexamining physician]• Measured STC† valuesof the test• Two average values of12 STC measurements:• Hand:Average value of 6STC measurements• Foot:Average value of 6STC measurements• Subject details (patientdata)• Indication for referral[entered by examiningphysician]• Method• Results• Impressions [entered byexamining physician]• Measured STC† valuesof the test• Two average values of12 STC measurements:• Hand:Average value of 6STC measurements• Foot:Average value of 6STC measurements• Head:Average value of 6STC measurements
InterfaceUSB from laptop(USB) Internal(USB) Internal
Power Source5 V provided by USB5 V provided by USB5 V provided by USB
Electrical Safety StandardsIEC 60601-1EN 60601-1-2IEC 60601-1EN 60601-1-2IEC 60601-1EN 60601-1-2ANSI/AAMI PC69
Electrical Safety ClassificationClass IIType BF Applied PartClass IType BF Applied PartClass IType BF Applied Part

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Medeia, Inc.

「 STC- Standard Conductance; the terminology used to describe the ionic current measured by the predicate device electrodes

Based on comparisons of device technological characteristics, features, materials, intended use and performance the QBioScan™ has been shown to be substantially equivalent to the commercially available and legally marketed Sudoscan device.

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b1 NON-CLINICAL TESTING:

The QBioScan™ device was subjected to the following non-clinical performance testing:

Electrical Safety and Electromagnetic Compatibility (EMC) Testing The device was submitted for testing and was found to be in compliance with the requirements of IEC 60601-1, 30 Edition and EN 60601-1-2, 30 Edition.

Software Verification and Validation Testing

Software verification and validation testing were conducted following the FDA guidance document for software contained in medical devices. The software was considered to be a "moderate" level of concern since a failure or latent flaw could indirectly result in a minor injury to the patient through incorrect or delayed information or through action of the operator.

b2 CLINICAL TESTING:

No Clinical testing was necessary to determine substantial equivalence.

b3 CONCLUSIONS DRAWN FROM TESTING:

Based on information obtained on the predicate device with reference to the design specification, electrical safety / EMC testing and intended use, the QBioScan™ device was subjected to the same type of testing. The results support the conclusion that the QBioScan™ device is substantially equivalent to the Sudoscan device from Impeto Medical.

§ 882.1540 Galvanic skin response measurement device.

(a)
Identification. A galvanic skin response measurement device is a device used to determine autonomic responses as psychological indicators by measuring the electrical resistance of the skin and the tissue path between two electrodes applied to the skin.(b)
Classification. Class II (special controls). 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.