K Number
K170441
Device Name
ElectroTek
Manufacturer
Date Cleared
2017-06-05

(111 days)

Product Code
Regulation Number
882.1400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The electroencephalographic system ElectroTek is intended to acquire, display, and store the electrical activity of a patient's brain obtained by placing electrodes on the patient scalp. The ElectroTek is intended to be used for such studies as electroencephelogram (EEG) and video EEG recording to aid in diagnosis. The ElectroTek does not draw any diagnostic conclusions.
Device Description
The ElectroTek is a portable EEG system designed to improve the overall EEG test experience for the patient, the electroneurodiagnostic technician running the EEG test, and the physician that reads the EEG results. The ElectroTek is optimized for fast setup with easy and intuitive use, resulting in improvements in overall usability at a lower total cost of ownership for an EEG system. The ElectroTek is designed to push data to the MobileMedTek Portal for secure archived data storage and remote viewing over the web by the reading physician. The ElectroTek's is used for routine EEG studies in outpatient clinic and small/medium hospital settings. The ElectroTek is also designed to be used in long term monitoring (LTM) conditions exceeding 24 hours per study. The ElectroTek EEG System is comprised of the case, device, custom hardware, the computing device, control software, firmware, peripheral devices, cables, and disposables. The peripheral devices include a Photic Stimulator for inducing seizure activity and a manually activated pushbutton Event Marker. Three primary Cables supplied by MobileMedTek as part of the ElectroTek include a Peripheral Cable that connects the Photic Stimulator to the ElectroTek Custom Hardware, the Event Marker cable that includes the handheld pushbutton and connects to the ElectroTek Custom Hardware, and a Patient Cable that includes a plug-in "yoke" box and connects to the ElectroTek Custom Hardware. Consumable Cables that will be supplied by MobileMedTek include four different electrode cables (the Sagittal (aka, "Midline") cable, the Parasagittal cable, the Transverse cable, and Individual cables. These cables are intended for re-use. The only single-use Disposables planned for the ElectroTek are the electrode cups that snap into the four consumable Cables and connect to the patient's head.
More Information

No
The summary describes a standard EEG system for acquiring, displaying, and storing brain activity. There is no mention of AI or ML being used for analysis, interpretation, or any other function. The device explicitly states it "does not draw any diagnostic conclusions."

No
The device is intended for diagnosis and monitoring (acquiring, displaying, and storing electrical activity of a patient's brain), not for treatment.

Yes

The device, ElectroTek, is intended to acquire, display, and store the electrical activity of a patient's brain (EEG) to aid in diagnosis, which is a diagnostic purpose.

No

The device description explicitly states that the ElectroTek EEG System is comprised of custom hardware, firmware, peripheral devices, cables, and disposables, in addition to software. This indicates it is a hardware-based system with accompanying software, not a software-only device.

Based on the provided information, the ElectroTek electroencephalographic system is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices intended for use in the examination of specimens derived from the human body (such as blood, urine, or tissue) to provide information for the diagnosis, monitoring, or treatment of a disease or condition.
  • ElectroTek's Function: The ElectroTek system acquires, displays, and stores the electrical activity of the patient's brain by placing electrodes on the scalp. This is a measurement of physiological activity in vivo (within the living body), not an examination of a specimen in vitro (outside the living body).
  • Intended Use: The intended use clearly states it's for acquiring, displaying, and storing electrical activity of the brain to aid in diagnosis. It explicitly states it "does not draw any diagnostic conclusions." This further reinforces its role as a data acquisition and display tool, not a device that analyzes biological specimens.

Therefore, the ElectroTek falls under the category of a medical device used for physiological monitoring and recording, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The electroencephalographic system ElectroTek is intended to acquire, display, and store the electrical activity of a patient's brain obtained by placing electrodes on the patient scalp.

The ElectroTek is intended to be used for such studies as electroencephelogram (EEG) and video EEG recording to aid in diagnosis. The ElectroTek does not draw any diagnostic conclusions.

Product codes

GWO, GWL

Device Description

The ElectroTek is a portable EEG system designed to improve the overall EEG test experience for the patient, the electroneurodiagnostic technician running the EEG test, and the physician that reads the EEG results. The ElectroTek is optimized for fast setup with easy and intuitive use, resulting in improvements in overall usability at a lower total cost of ownership for an EEG system. The ElectroTek is designed to push data to the MobileMedTek Portal for secure archived data storage and remote viewing over the web by the reading physician. The ElectroTek's is used for routine EEG studies in outpatient clinic and small/medium hospital settings. The ElectroTek is also designed to be used in long term monitoring (LTM) conditions exceeding 24 hours per study.
The ElectroTek EEG System is comprised of the case, device, custom hardware, the computing device, control software, firmware, peripheral devices, cables, and disposables. The peripheral devices include a Photic Stimulator for inducing seizure activity and a manually activated pushbutton Event Marker. Three primary Cables supplied by MobileMedTek as part of the ElectroTek include a Peripheral Cable that connects the Photic Stimulator to the ElectroTek Custom Hardware, the Event Marker cable that includes the handheld pushbutton and connects to the ElectroTek Custom Hardware, and a Patient Cable that includes a plug-in "yoke" box and connects to the ElectroTek Custom Hardware. Consumable Cables that will be supplied by MobileMedTek include four different electrode cables (the Sagittal (aka, "Midline") cable, the Parasagittal cable, the Transverse cable, and Individual cables. These cables are intended for re-use. The only single-use Disposables planned for the ElectroTek are the electrode cups that snap into the four consumable Cables and connect to the patient's head.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

patient scalp

Indicated Patient Age Range

Not Found

Intended User / Care Setting

outpatient clinic and small/medium hospital settings.

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)

Not Found

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

Not Found

Predicate Device(s)

K143233, K103140, K011204

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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 & 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 symbol that resembles three human profiles facing to the right, stacked on top of each other.

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

June 5, 2017

MobileMedTek Bryan Ehret Director of Quality 1205 E. Washington St., Suite 115 Louisville, KY 40206

Re: K170441

Trade/Device Name: ElectroTek Regulation Number: 21 CFR 882.1400 Regulation Name: Electroencephalograph Regulatory Class: Class II Product Code: GWO. GWL Dated: May 4, 2017 Received: May 5, 2017

Dear Mr. Ehret:

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-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.

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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 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.

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) K170441

Device Name ElectroTek

Indications for Use (Describe)

The electroencephalographic system ElectroTek is intended to acquire, display, and store the electrical activity of a patient's brain obtained by placing electrodes on the patient scalp.

The ElectroTek is intended to be used for such studies as electroencephelogram (EEG) and video EEG recording to aid in diagnosis. The ElectroTek does not draw any diagnostic conclusions.

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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Submitter Information
NameMobileMedTek
Address1205 E. Washington St., Ste 115
Louisville, KY 40206
Phone number(866) 344-7839 x102
Mobile number(502) 644-3827
Fax number(502) 631-9843
Name of contact personBryan Ehret, Director of Quality
Date preparedJune 5, 2017
Name of device
Trade or proprietary nameElectroTek
Common or usual nameElectroencephalograph
Classification nameFull-Montage Standard Electroencephalograph, 21 CFR 880.1400, Class II
Amplifier, Physiological Signal, 21 CFR 882.1835, Class II
Product Code(s)GWQ
GWL
Legally marketed device(s) to
which equivalence is claimedK143233 - Mistar EEG
K103140- Nicolet Wireless EEG
K011204 – Neruofox, Models EEG-1100A, EEG-9100A
Reason for 510(k) submissionNew medical device intended for US commercial market.
Device descriptionThe ElectroTek is a portable EEG system designed to improve the overall EEG test
experience for the patient, the electroneurodiagnostic technician running the EEG test,
and the physician that reads the EEG results. The ElectroTek is optimized for fast
setup with easy and intuitive use, resulting in improvements in overall usability at a
lower total cost of ownership for an EEG system. The ElectroTek is designed to push
data to the MobileMedTek Portal for secure archived data storage and remote viewing
over the web by the reading physician. The ElectroTek's is used for routine EEG
studies in outpatient clinic and small/medium hospital settings. The ElectroTek is also
designed to be used in long term monitoring (LTM) conditions exceeding 24 hours per
study.
The ElectroTek EEG System is comprised of the case, device, custom hardware, the
computing device, control software, firmware, peripheral devices, cables, and
disposables. The peripheral devices include a Photic Stimulator for inducing seizure
activity and a manually activated pushbutton Event Marker. Three primary Cables
supplied by MobileMedTek as part of the ElectroTek include a Peripheral Cable that
connects the Photic Stimulator to the ElectroTek Custom Hardware, the Event Marker
cable that includes the handheld pushbutton and connects to the ElectroTek Custom
Hardware, and a Patient Cable that includes a plug-in "yoke" box and connects to the
ElectroTek Custom Hardware. Consumable Cables that will be supplied by
MobileMedTek include four different electrode cables (the Sagittal (aka, "Midline")
cable, the Parasagittal cable, the Transverse cable, and Individual cables. These cables
are intended for re-use. The only single-use Disposables planned for the ElectroTek
are the electrode cups that snap into the four consumable Cables and connect to the
patient's head.
Intended Use of DeviceThe electroencephalographic system ElectroTek is intended to acquire, display, and
store the electrical activity of a patient's brain obtained by placing electrodes on the
patient scalp.
The ElectroTek is intended to be used for such studies as electroencephalogram (EEG)
and video EEG recording to aid in diagnosis. The ElectroTek does not draw any
diagnostic conclusions.

K170441 510(k) Summary

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Image /page/4/Picture/0 description: The image contains the logo for MobileMedTek. The logo is in blue and black. The word "MobileMedTek" is written in a stylized font, with a heart rate line running through the bottom of the word.

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Image /page/5/Picture/0 description: The image shows the logo for MobileMedTek. The word "Mobile" is in a light blue color, and the word "MedTek" is in black. There is a line that starts under the word "Mobile" and extends to the right, ending in a sharp upward point under the "K" in "MedTek". The letters are large and bold.

Summary of the technological characteristics of the device compared to the predicate device
CHARACTERISTICSSubject DevicePredicate DevicePredicate DevicePredicate Device
MobileMedTek Holdings, Inc
ElectroTek
(K170441)CareFusion 209, Inc.
Nicolet Wireless EEG Amplifier
(K103140)Mitsar Co., LTD
Mitsar-EEG
(K143233)Nihon Kohden America, Inc
EEG-1100A & EEG-9100A
(K011204)
1. GENERAL - EEG
1.1 INDICATIONS FOR USEThe ElectroTek is intended to
acquire, display, and store the
electrical activity of a patient's
brain obtained by placing
electrodes on the patient's scalp.
The ElectroTek is intended to be
used for such studies as
electroencephalogram (EEG) and
video EEG recording to aid in
diagnosis.The Nicolet Wireless EEG Amplifier
is intended to be used as a front end
amplifier to acquire, store and
transmit electrophysiological signals
in a wired or wireless mode for the
Nicolet Neurodiagnostic system.The Mitsar-EEG is intended to acquire,
display and store the electrical activity
of a patient's brain obtained by placing
two or more electrodes on the head to
aid in diagnosis.The EEG-1100a and EEG-9100a are
intended to record, measure and display
the physiological data required for EEG
and sleep studies (Polysomnography or
PSG). This data may be used by the
clinician in sleep disorders, epilepsies and
other disorders as an aid in diagnosis.
This device is intended for use by medical
personnel and will be available for use
within a medical facility or outside a
medical facility under direct supervision
of a medical professional.
1.2 WARNINGSItems related to off-label use or
misuseItems related to off-label use or
misuseItems related to off-label use or misuseItems related to off-label use or misuse
1.3 CONTRAINDICATIONSItems related to design and
indicated use limitations, such as,
not for use in the presence of
flammable anesthetics or in
conjunction with defibrillation
equipment.Items related to design and indicated
use limitations, such as, not for use in
the presence of flammable anesthetics
or in conjunction with defibrillation
equipment.Items related to design and indicated
use limitations, such as, not for use in
the presence of flammable anesthetics
or in conjunction with defibrillation
equipment.Items related to design and indicated use
limitations, such as, not for use in the
presence of flammable anesthetics or in
conjunction with defibrillation equipment.
2. GENERAL - EEG
2.1 GENERAL SYSTEMS
APPROACHComputer based equipment with
dedicated hardware peripherals /
componentsComputer based equipment with
dedicated hardware peripherals /
componentsComputer based equipment with
dedicated hardware peripherals /
componentsComputer based equipment with dedicated
hardware peripherals / components
2.2 USER INPUT DEVICEWindow mouse / keyboard / touch
panel driven graphic interface with
dedicated control panelWindow mouse / keyboard driven
graphic interface with dedicated
control panelWindow mouse / keyboard driven
graphic interface with dedicated control
panelWindow mouse / keyboard driven graphic
interface with dedicated control panel
2.3 USER OUTPUT DEVICEDigital color display and optional
network printer connectivityDigital color display and commercial
printersDigital color display and commercial
printersDigital color display and commercial
printers
2.4 PATIENT INPUTSUp to 32 channelsUp to 32 channelsUp to 21 channelsUp to 32 channels
2.5 SIGNAL ACQUISITIONAnalog to digital conversion at
variable sample rateAnalog to digital conversion at
variable sample rateAnalog to digital conversion at variable
sample rateAnalog to digital conversion at variable
sample rate
Summary of the technological characteristics of the device compared to the predicate device
Subject DevicePredicate DevicePredicate DevicePredicate Device
CHARACTERISTICSMobileMedTek Holdings, Inc
ElectroTek
(K170441)CareFusion 209, Inc.
Nicolet Wireless EEG Amplifier
(K103140)Mitsar Co., LTD
Mitsar-EEG
(K143233)Nihon Kohden America, Inc
BEG-1100A & EEG-9100A
(K011204)
2.6 TRIGGER INPUT
(synchronization to external
events)YesYesYesYes
2.7 TRIGGER OUTPUT
(synchronization to external
events)YesYesYesYes
2.8 USE OF STANDARD
SOFTWARE PLATFORM
(Operating System)Yes, Microsoft WindowsYes, Microsoft WindowsYes, Microsoft WindowsYes, Microsoft Windows
2.9 CUSTOMIZATION OF
PROTOCOLSVia storage / retrieval of user
defined settingsVia storage / retrieval of user defined
settingsVia storage / retrieval of user defined
settingsVia storage / retrieval of user defined
settings
2.10 APPLICATION
FLEXIBILITY /
EXPANDABILITYVia software updateVia software updateVia software updateVia software update
2.11 SAFETY STANDARDSIEC 60601-1 ed3.1,
IEC 60601-1-2 ed3.0,
IEC 60601-2-26 ed3.0.
IEC 60601-2-40:1998,
ISO 10993-1:2009UL 60601-1
CAN/CSA-C22.2 No. 601.1-M90,
EN/IEC 60601-2-26,
EN/IEC 60601-1-2IEC 60601-1 ed3.1,
IEC 60601-2
IEC 60601-2-26 ed3.0.
IEC 60601-2-40:1998,
ISO 10993-1:2009IEC 60601-1:1988 + A1:1991+A2:1995,
IEC 60601-2-40: 1998.
IEC 60601-1-1: ED.2: 2000,
IEC 60601-1-2: ED.2:2001,
EN 60601-1:1990 + A1:1993+A2:1995
EN 60601-1-1:2001
EN 60601-1-2:2001
CAN/CSA-C22.2 No. 601.1-M90
CAN/CSA-C22.2 No. 601.1S1-94
CAN/CSA-C22.2 No. 60601-1-1-02:2006
CAN/CSA-C22.2 No. 60601-2-40-
01:1998
CAN/CSA-C22.2 No. 601-1B-90:2002
2.12 PATIENT CIRCUITRY
ISOLATIONTransformerOptic / transformerOptic / transformerOptic / transformer
2.13 SYSTEM
COMPONENTSBase console including trigger
input/output, LED interface/photic
stimulator; Control panel; internal
amplifier; laptop computer with
integrated display, USB video
camera, keyboard and trackpad.Base console including trigger
input/output, LED goggle
interface/photic stimulator; Control
panel; amplifier; computer, monitor,
keyboard, mouse and printer.Base console including trigger
input/output, LED goggle
interface/photic stimulator; Control
panel; amplifier; computer, monitor,
keyboard, mouse and printer.Base console including trigger
input/output, LED goggle interface/photic
stimulator; Control panel; amplifier;
computer, monitor, keyboard, mouse and
printer.
2.14 SYSTEM - COMPUTER
INTERFACEUSBUSBUSBUSB
Summary of the technological characteristics of the device compared to the predicate device
Subject DevicePredicate DevicePredicate DevicePredicate Device
CHARACTERISTICSMobileMedTek Holdings, Inc
ElectroTek
(K170441)CareFusion 209, Inc.
Nicolet Wireless EEG Amplifier
(K103140)Mitsar Co., LTD
Mitsar-EEG
(K143233)Nihon Kohden America, Inc
EEG-1100A & EEG-9100A
(K011204)
2.15 SYSTEM POWER
SUPPLYMains (100-240 VAC) thru an
internal isolated power supplyMains (100-240 VAC) thru an
isolation transformerMains (100-240 VAC) thru an isolation
transformerMains (100-240 VAC) thru an isolation
transformer
2.16 AMPLIFIER POWER
SUPPLY+/- 3 VDC from base console12 VDC from base console15 VDC from base console15 VDC from base console
2.17 SIZE (L/W/D) cm53.10 x 26.95 x 4.45 cm (base
console + laptop lid closed)11.94 x 12.07 x 3.99 cm (ambulatory
recorder)
8.13 x 17.53 x 2.03 cm (patient
connection unit)210 x 140 x 45 mm (amplifier)18.5 x 16.7 x 7.2 cm (Electrode Junction
Box)
2.18 WEIGHT kg3.987 kg (base console + laptop)0.43 kg (base console)600 g (amplifier)1.0 kg (base console)
3. DESIGN - ACQUISITION - EEG
3.1 NUMBER OF
CHANNELSUp to 32 channelsUp to 32 channelsUp to 21 channelsUp to 32 channels
3.2 CMRR Common Mode
Rejection Ratio> 110 dB> 100 dB (with active patient ground
connected> 100 dB @ 10 Hz> 105 dB
3.3 NOISE100 MΩ> 100 MΩ> 200 MΩ> 100 MΩ
3.5 LOW FILTER0.05 Hz to 39.8 HzUnknown0.016 to 70 Hz0.08 Hz (time constant: 2s) to 159 Hz
3.6 HIGH FILTER1 Hz to 200 HzUnknownUnknown300 Hz (-18 dB/oct.)
3.7 NOTCH FILTER50 / 60 selectable50 / 60 selectable50 / 60 selectable50 / 60 selectable
3.8 A/D CONVERSION24 bit24 bit16 bit16 bit
3.9 SAMPLING RATE500 Hz (EEG), 8KHz (impedance)Up to 500 Hz500 HzUp to 1000 Hz
3.10 TRIGGER MODEManual event markerManual event markerManual event markerManual event marker

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Image /page/8/Picture/0 description: The image shows the logo for MobileMedTek. The logo is in blue and black, with the word "Mobile" in blue and the word "MedTek" in black. There is a blue line that runs under the words, and a black line that runs under the "Tek" in "MedTek". There is also a trademark symbol in the lower right corner of the logo.

Conclusion

The MobileMedTek ElectroTek meets the functional claims and intended use as described in the product labeling. The ElectroTek EEG device is substantially equivalent to the predicate devices.