K Number
K163694
Device Name
Rooti Rx ECG Event Recorder, Rooti Link APP Software
Manufacturer
Date Cleared
2017-11-07

(314 days)

Product Code
Regulation Number
870.2910
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
- The intended use of the Rooti Rx System is to allow a patient at home or in the workplace to record single-lead electrocardiography (ECG) data for post-analysis by medical professionals. The Rooti Rx device stores the ECG data, and the recorded data is transmitted to a medical professional's iOS device via Wi-Fi at a later time. - The device is not intended to be used on critical care patients. The Rooti Rx System is indicated for use on general care patients and on patients who are 21 years of age or older.
Device Description
Rooti Rx System is a wearable single lead ECG recording device, composed by Rooti Rx, patch, charging dock and Rooti Link. When operating Rooti Rx System, medical professionals should use disposable, off the shelf, standard ECG electrodes which are not claimed in the system.
More Information

Not Found

No
The summary explicitly states "Mentions AI, DNN, or ML: Not Found" and the description focuses on data recording and transmission, not analysis using AI/ML.

No
The device is solely for recording and transmitting ECG data for post-analysis, not for treating or diagnosing any condition.

Yes
The device records single-lead electrocardiography (ECG) data for post-analysis by medical professionals, which is a process used to diagnose heart conditions.

No

The device description explicitly states it is a "wearable single lead ECG recording device, composed by Rooti Rx, patch, charging dock and Rooti Link," indicating it includes hardware components.

Based on the provided information, the Rooti Rx System is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs analyze samples taken from the human body (like blood, urine, tissue). The Rooti Rx System records electrical signals from the human body (ECG data).
  • The intended use is to record ECG data for post-analysis by medical professionals. This is a physiological measurement, not an analysis of a biological sample.
  • The device description confirms it's a wearable ECG recording device.

Therefore, the Rooti Rx System falls under the category of a physiological monitoring device rather than an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

  • The intended use of the Rooti Rx System is to allow a patient at home or in the workplace to record single-lead electrocardiography (ECG) data for post-analysis by medical professionals. The Rooti Rx device stores the ECG data, and the recorded data is transmitted to a medical professional's iOS device via Wi-Fi at a later time.

  • The device is not intended to be used on critical care patients. The Rooti Rx System is indicated for use on general care patients and on patients who are 21 years of age or older.

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

DRG

Device Description

Rooti Rx System is a wearable single lead ECG recording device, composed by Rooti Rx, patch, charging dock and Rooti Link. When operating Rooti Rx System, medical professionals should use disposable, off the shelf, standard ECG electrodes which are not claimed in the system.

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

21 years of age or older.

Intended User / Care Setting

medical professional's iOS device via Wi-Fi at a later time.

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 performance testing results demonstrate that any differences in the technological characteristics between the devices are incidental and not significant which do not raise any new issues of safety or efficacy. Therefore, the Rooti Rx System is substantially equivalent to the predicate device

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.

K123658

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

§ 870.2910 Radiofrequency physiological signal transmitter and receiver.

(a)
Identification. A radiofrequency physiological signal transmitter and receiver is a device used to condition a physiological signal so that it can be transmitted via radiofrequency from one location to another, e.g., a central monitoring station. The received signal is reconditioned by the device into its original format so that it can be displayed.(b)
Classification. Class II (performance standards).

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November 7, 2017

Rooti Labs Ltd. Ms. Sue Chuang Chief Operating Officer 5f-1, No.17, Zhouzi St., Neihu Dist. Taipei. 11493 TW

Re: K163694

Trade/Device Name: Rooti Rx System ECG Event Recorder, Rooti Link APP Software Regulation Number: 21 CFR 870.2910 Regulation Name: Radiofrequency Physiological Signal Transmitter And Receiver Regulatory Class: Class II Product Code: DRG Dated: December 9, 2016 Received: December 28, 2016

Dear Ms. Sue Chuang:

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. Iisting 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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in 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.

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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 (DICE) at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevicesforYou/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 (DICE) 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,

M.A. Hilleman

for Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K163694

Device Name

Rooti Rx System ECG Event Recorder, Rooti Link APP Software

Indications for Use (Describe)

  • The intended use of the Rooti Rx System is to allow a patient at home or in the workplace to record single-lead electrocardiography (ECG) data for post-analysis by medical professionals. The Rooti Rx device stores the ECG data, and the recorded data is transmitted to a medical professional's iOS device via Wi-Fi at a later time.

  • The device is not intended to be used on critical care patients. The Rooti Rx System is indicated for use on general care patients and on patients who are 21 years of age or older.

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

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirement of 21 CFR 807.92

    1. Company Identification Rooti Labs Ltd. 5F-1, No.71, Zhouzi St., Neihu Dist., Taipei, Taiwan Tel: +886-2-2656-0618
    1. Submitter's Name and Address Sue Chuang Email: sue.chuang@rootilabs.com Tel: +886-2-2656-0618
  1. Device Trade Name: Rooti Rx System ECG Event Recorder, Rooti Link APP Software Product name: Rooti Rx System Model/Type name: Rooti Rx System ECG Event Recorder Regulation Number: 21 CFR 870.2910 Product Code: DRG Device Class: II
    1. Predicate Device
      Zephyr Technology, BIOMODULE 3-M1, 510(k) number K123658.

5. Intended Use

  • The intended use of the Rooti Rx System is to allow a patient at home or in the workplace to record single-lead electrocardiography (ECG) data for post-analysis by medical professionals. The Rooti Rx device stores the ECG data, and the recorded

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data is transmitted to a medical professional's iOS device via Wi-Fi at a later time. - The device is not intended to be used on critical care patients. The Rooti Rx System is indicated for use on general care patients and on patients who are 21 years of age or older.

    1. Device Desciption
      Rooti Rx System is a wearable single lead ECG recording device, composed by Rooti Rx, patch, charging dock and Rooti Link. When operating Rooti Rx System, medical professionals should use disposable, off the shelf, standard ECG electrodes which are not claimed in the system.
    1. Compliance of Recognized Consensus Standard
USA Standard
NO.Recognition
NumberStandard
Developing
OrganizationStandard
Designation
Number And DateTitle of Standard
12-156AAMI ANSI ISO10993-1:2009/(R)2013Biological Evaluation Of Medical
Devices - Part 1: Evaluation And Testing
Within A Risk Management Process
219-6IEC60601-1-11 Edition 1.0
2010-04Medical Electrical Equipment - Part 1-11
General Requirements For Basic Safety
And Essential Performance - Collateral
Standard: Requirements For Medical
Electrical Equipment And Medical
Electrical Systems Used In The Home
Healthcare Environment [Including:
319-4AAMI ANSIES60601-1:2005/(R)2012
And A1:2012,Technical Corrigendum 1 (2011)]
C1:2009/(R)2012 And A2:2010/(R)2012
(Consolidated Text) Medical Electrical
Equipment - Part 1: General
Requirements For Basic Safety And
Essential Performance (IEC
60601-1:2005, MOD)
419-2AAMI ANSI IEC60601-1-2:2007/(R)2012Medical Electrical Equipment - Part 1-2:
General Requirements For Basic Safety
And Essential Performance - Collateral
Standard: Electromagnetic Compatibility
Requirements And Tests (Edition 3)
53-127AAMI ANSI IEC60601-2-47:2012Medical Electrical Equipment -- Part
2-47: Particular Requirements For The
Basic Safety And Essential Performance
Of Ambulatory Electrocardiographic
Systems

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8. Safety and Effectiveness Substantial Equivalence Comparison

Device NameBIOMODULE 3-M1Rooti Rx SystemComparison
ApplicantZephyr TechnologyRooti Labs Limited-
510(K) NumberK123658
Regulation
Number870.2360870.2910
ClassificationClass IIClass II-
Product CodeDRXDRG-
Intended UseThe intended use of the BioModule
3-M1 is to provide a General Ward
Monitoring facility for detecting,
storing and transmitting physiological
data to a qualified receiving station.
The scientific concept on which this
device is based on the principle that
low level electrical pulses from the
heart are measurable of the surface of
the skin. This device functions by
capturing these electrical pulses via
electrodes and delivering these
signals to sophisticated electronics for
processing. The calibration is
established by the factory and yields
accurate and calibrated signals that
can maintain calibration over its
useful life.The intended use of the Rooti
Rx System is to allow a patient at
home or in the workplace to record
single-lead electrocardiography
(ECG) data for post-analysis by
medical professionals. The Rooti Rx
device stores the ECG data, and the
recorded data is transmitted to a
medical professional's iOS device
via
Wi-Fi at a later time.
  • The device is not intended to be
    used on critical care patients.
    The Rooti Rx System is indicated for
    use on general care patients and on
    patients who are 21 years of age or
    older. | Similar |
    | Indication For
    Use | The BioModule 3-M1 is a
    physiological monitoring telemetry
    device intended for monitoring
    ambulatory patients in alternate care
    settings. The device consists of
    adhesive electrodes and an electronics
    module. The device stores and
    transmits vital sign data including
    ECG, heart rate, respiration rate, body
    orientation and activity. The
    BioModule 3-M2 provides a facility
    to detect and transmit single lead
    ECG signals to be received by
    qualified instruments.
    The BioModule 3-M1 collects and
    transmits measurements captured in
    alternate care settings as prescribed
    by the health care professional.
    Breathing rate values are accurately
    transmitted only during sedentary
    periods.
    The BioModule 3-M1 is indicated for | The intended use of the Rooti Rx
    System is to allow a patient at home or
    in the workplace to record single-lead
    electrocardiography (ECG) data for
    post-analysis by medical professionals.
    The Rooti Rx device stores the ECG
    data,
    and the recorded data is
    transmitted to a medical
    professional's iOS device via
    Wi-Fi at a later time.
  • The device is not intended to be
    used on critical care patients.
    The Rooti Rx System is indicated for
    use on general care patients and on
    patients who are 21 years of age or
    older. | Similar |
    | | use as a general patient monitor to provide physiological information as part of general ward monitoring system. | | |
    | Data Storage Capacity | 140 hrs | 7 days | Rooti Rx Systemhas more capacity |
    | Method Of Application | Off the shelf adhesive electrode | Off the shelf adhesive electrode | Same |
    | Number of ECG | 1 | 1 | Same |
    | ECG resolution | 12 | 24 | Rooti Rx |
    | ECG sampling rate (Hz) | 1000 | 500 | Both are more than double the highest useful frequency component (40Hz). |
    | Water resistant | Yes | Yes | Same |
    | Data transmission | wireless | wireless | Same |
    | Power source | Rechargeable battery | Rechargeable battery | Same |
    | Weight (g) | 33 | 14 | Rooti Rx System is lighter |
    | Dimensions (mm) | 88 x 48 x 8 | 62x22.5x8.45 | Rooti Rx System is smaller |

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9. Conclusion

Rooti Rx System is a wearable single lead ECG recording device, composed by Rooti Rx, Patch, Charging dock and Rooti Link. The intended use of the Rooti Rx System is

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to allow a patient at home or in the workplace to record single-lead electrocardiography (ECG) data for post-analysis by medical professionals. The Rooti Rx device stores the ECG data, and the recorded data is transmitted to a medical professional's iOS device via Wi-Fi at a later time.

According to the substantial equivalence discussion, the Rooti Rx System is substantially equivalent to the predicate devices in all respects. The intended use and the indication for use for the Rooti Rx System are substantially equivalent to the intended use and the indication for use for the predicate device. The performance testing results demonstrate that any differences in the technological characteristics between the devices are incidental and not significant which do not raise any new issues of safety or efficacy. Therefore, the Rooti Rx System is substantially equivalent to the predicate device