K Number
K201015
Device Name
AcQMap High Resolution Imaging and Mapping System
Date Cleared
2020-12-01

(228 days)

Product Code
Regulation Number
870.1425
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The AcQMap System is intended for use in patients for whom electrophysiology procedures have been prescribed. When used with the AcQMap Catheters, the AcQMap System is intended to be used to reconstruct the selected chamber from ultrasound data for purposes of visualizing the chamber anatomy and displaying electrical impulses as either charge density-based or voltage-based maps of complex arrhythmias that may be difficult to identify using conventional mapping systems alone. AND When used with the specified Patient Electrodes, the AcQMap System is intended to display the position of AcQMap Catheters and conventional electrophysiology (EP) catheters in the heart. OR When used with conventional electrophysiology catheters, the AcQMap System provides information about the electrical activity of the heart and about catheter location during the procedure.
Device Description
The AcQMap High Resolution Imaging and Mapping System, Model 900100 operates outside of the sterile field and consists of the AcQMap Console, the AcQMap Workstation and the AcQMap Auxiliary Interface Box. The AcQMap High Resolution Imaging and Mapping System, Model 900100 ("AcQMap System Model, 900100") is a diagnostic recording system. This computer-based system is intended for use in the Electrophysiology (EP) Lab, and it is capable of imaging, navigation and mapping of the atrial chambers of the heart. The AcQMap System hardware consists of three functional subsystems: - . Ultrasound imaging, - . ECG and EGM recording; and - . Impedance based electrode Localization. The AcQMap System, Model 900100 is used in conjunction with the associated AcQMap 3D Imaging and Mapping Catheter (cleared under K170819). The AcQMap System provides: - 3-D cardiac chamber reconstruction - Contact and non-contact (ultrasound), - . Three-dimensional position of the AcQMap Catheter and conventional electrophysiology catheters, - Cardiac electrical activity as waveform traces, - . Contact LAT and voltage amplitude maps - . Remapping of the chamber at any time during the procedure; and - . Dynamic, three-dimensional, charge density maps overlaid on the cardiac chamber reconstruction to show chamber-wide electrical activation. The AcQMap System, Model 900100 is intended to create a surface reconstruction of the cardiac chamber as well as an electrical map of the substrate. The surface reconstruction and electrical map are then used by physicians to identify the source(s) of the arrhythmia. Additionally, the AcQMap System allows physicians to perform traditional contact mapping activities, including establishing a coordinate system, localizing conventional electrophysiology catheters relative to one another within the coordinate system, recording contact electrograms, and initiating a procedure without the AcQMap Catheter present. Based on the information captured in the contact electrograms, the physician may decide to treat an arrythmia without deploying the AcQMap Catheter. The AcQMap System is used with the AcQMap Patient Electrode Kit.
More Information

No
The summary describes a system for imaging, navigation, and mapping using ultrasound, ECG, EGM, and impedance-based localization. It focuses on reconstructing chambers and displaying electrical activity. There is no mention of AI or ML in the device description, intended use, or performance studies.

No
The device is described as a "diagnostic recording system" intended for imaging, navigation, and mapping of the heart to identify sources of arrhythmia, rather than directly treating a condition.

Yes

The "Device Description" explicitly states, "The AcQMap High Resolution Imaging and Mapping System, Model 900100 ('AcQMap System Model, 900100') is a diagnostic recording system." It also describes its function in "displaying electrical impulses as either charge density-based or voltage-based maps of complex arrhythmias" and helping "physicians to identify the source(s) of the arrhythmia," which are diagnostic activities.

No

The device description explicitly states that the system consists of hardware components (AcQMap Console, AcQMap Workstation, AcQMap Auxiliary Interface Box) and is used in conjunction with a catheter and patient electrodes. It also describes hardware subsystems (Ultrasound imaging, ECG and EGM recording, Impedance based electrode Localization).

Based on the provided text, the AcQMap System is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening.
  • AcQMap System Function: The AcQMap System operates in vivo (within the living body). It uses ultrasound and electrical signals to image and map the electrical activity of the heart's atrial chambers. It interacts directly with the patient's heart and uses catheters inserted into the body.
  • Intended Use: The intended use clearly states it's for use in patients for whom electrophysiology procedures have been prescribed, and it's used to reconstruct and map the heart's electrical activity within the patient.

Therefore, the AcQMap System is a diagnostic device used in vivo for electrophysiology procedures, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The AcQMap System is intended for use in patients for whom electrophysiology procedures have been prescribed.

When used with the AcQMap Catheters, the AcQMap System is intended to be used to reconstruct the selected chamber from ultrasound data for purposes of visualizing the chamber anatomy and displaying electrical impulses as either charge density-based or voltage-based maps of complex arrhythmias that may be difficult to identify using conventional mapping systems alone.

AND

When used with the specified Patient Electrodes, the AcQMap System is intended to display the position of AcQMap Catheters and conventional electrophysiology (EP) catheters in the heart.

OR

When used with conventional electrophysiology catheters, the AcQMap System provides information about the electrical activity of the heart and about catheter location during the procedure.

Product codes

DOK, IYO, ITX

Device Description

The AcQMap High Resolution Imaging and Mapping System, Model 900100 operates outside of the sterile field and consists of the AcQMap Console, the AcQMap Workstation and the AcQMap Auxiliary Interface Box.

The AcQMap High Resolution Imaging and Mapping System, Model 900100 ("AcQMap System Model, 900100") is a diagnostic recording system. This computer-based system is intended for use in the Electrophysiology (EP) Lab, and it is capable of imaging, navigation and mapping of the atrial chambers of the heart.

The AcQMap System hardware consists of three functional subsystems:

  • . Ultrasound imaging,
  • . ECG and EGM recording; and
  • . Impedance based electrode Localization.

The AcQMap System, Model 900100 is used in conjunction with the associated AcQMap 3D Imaging and Mapping Catheter (cleared under K170819). The AcQMap System provides:

  • 3-D cardiac chamber reconstruction - Contact and non-contact (ultrasound),
  • . Three-dimensional position of the AcQMap Catheter and conventional electrophysiology catheters,
  • Cardiac electrical activity as waveform traces,
  • . Contact LAT and voltage amplitude maps
  • . Remapping of the chamber at any time during the procedure; and
  • . Dynamic, three-dimensional, charge density maps overlaid on the cardiac chamber reconstruction to show chamber-wide electrical activation.

The AcQMap System, Model 900100 is intended to create a surface reconstruction of the cardiac chamber as well as an electrical map of the substrate. The surface reconstruction and electrical map are then used by physicians to identify the source(s) of the arrhythmia.

Additionally, the AcQMap System allows physicians to perform traditional contact mapping activities, including establishing a coordinate system, localizing conventional electrophysiology catheters relative to one another within the coordinate system, recording contact electrograms, and initiating a procedure without the AcQMap Catheter present. Based on the information captured in the contact electrograms, the physician may decide to treat an arrythmia without deploying the AcQMap Catheter.

The AcQMap System is used with the AcQMap Patient Electrode Kit.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Cardiac chamber, Atrial chambers of the heart, Intracardiac Structures

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Electrophysiology (EP) Lab

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

Nonclinical Testing Summary:
Design verification activities for functional testing were performed, including:

  • Performance Test: Gel adhesion, Electrode impedance, Wire insulation wall thickness, Lead wire pull strength, Lead wire flex life.
  • Biocompatibility Test
  • Shelf-Life Test
  • Usability Test
  • Non-GLP Animal Test
    All testing performed met the established performance specifications. The collective results demonstrate that the modified AcQMap High Resolution Imaging and Mapping System, Model 900100 meets its established performance specifications necessary for performance during its intended use and does not raise different questions of safety or effectiveness compared to the predicate device.

Clinical Testing Summary:
No further clinical testing was required for the modified device. The necessary clinical testing was completed for the original AcQMap System (K170948). The study, entitled, "Dipole Density Right (and left) Atrial Mapping and Assessment of Therapy In Complex Supraventricular Tachycardia, (DDRAMATIC-SVT)" was a prospective, non-randomized, open-label study conducted at eight clinical sites outside the U.S. The results for 84 patients demonstrated that the AcQMap System is safe and effective for its intended use.

Key Metrics

Not Found

Predicate Device(s)

AcQMap High Resolution Imaging and Mapping System, Model 900100 (K193013)

Reference Device(s)

K170948

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1425 Programmable diagnostic computer.

(a)
Identification. A programmable diagnostic computer is a device that can be programmed to compute various physiologic or blood flow parameters based on the output from one or more electrodes, transducers, or measuring devices; this device includes any associated commercially supplied programs.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, with the letters "FDA" in a blue square. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 1, 2020

Acutus Medical, Inc. Serena Sanginthirath Senior Regulatory Affairs Specialist 2210 Faraday Ave, Suite 100 Carlsbad. California 92008

Re: K201015

Trade/Device Name: AcQMap High Resolution Imaging and Mapping System Regulation Number: 21 CFR 870.1425 Regulation Name: Programmable Diagnostic Computer Regulatory Class: Class II Product Code: DOK, IYO, ITX Dated: October 26, 2020 Received: October 27, 2020

Dear Serena Sanginthirath:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and probibitions 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

1

801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-devices/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance)and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Mark Fellman Assistant Director Division of Cardiac Electrophysiology, Diagnostics and Monitoring Devices Office of Cardiovascular Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

2

ACQMAP® HIGH RESOLUTION IMAGING AND MAPPING SYSTEM, MODEL 900100

510(K) Premarket Notification

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below.

510(k) Number (if known) K201015

Device Name

AcQMap® High Resolution Imaging and Mapping System. Model 900100

Indications for Use (Describe)

The AcQMap System is intended for use in patients for whom electrophysiology procedures have been prescribed.

When used with the AcQMap Catheters, the AcQMap System is intended to be used to reconstruct the selected chamber from ultrasound data for purposes of visualizing the chamber anatomy and displaying electrical impulses as either charge density-based or voltage-based maps of complex arrhythmias that may be difficult to identify using conventional mapping systems alone.

AND

When used with the specified Patient Electrodes, the AcQMap System is intended to display the position of AcQMap Catheters and conventional electrophysiology (EP) catheters in the heart.

OR

When used with conventional electrophysiology catheters, the AcQMap System provides information about the electrical activity of the heart and about catheter location during the procedure.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW .

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to.

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

510(k) SUMMARY

Date Prepared: April 20, 2020

General Information

Applicant:

Acutus Medical, Inc. 2210 Faraday Ave., Suite 100 Carlsbad, CA 92008, U.S.A Phone: 1-442-232-6080 Fax: 1-442-232-6081

Contact Person:

Serena Sanginthirath Senior Regulatory Affairs Specialist Acutus Medical, Inc. 2210 Faraday Ave., Suite 100 Carlsbad, CA 92008, U.S.A Phone: 1-442-232-6178 FAX: 1-442-232-6081 Email: Serena.Sanginthirath@acutus.com

Device Information

Trade Name: AcQMap" High Resolution Imaging and Mapping System, Model 900100

Generic/Common Name:

Programable diagnostic computer and Ultrasonic pulsed echo imaging system

Classification:

Class II / 21 CFR § 870.1425 and Class II / 21 CFR § 892.1560

Product Code(s):

DQK, IYO, ITX

4

PREDICATE DEVICE

AcQMap High Resolution Imaging and Mapping System, Model 900100 (K193013)

DEVICE DESCRIPTION

The AcQMap High Resolution Imaging and Mapping System, Model 900100 operates outside of the sterile field and consists of the AcQMap Console, the AcQMap Workstation and the AcQMap Auxiliary Interface Box.

The AcQMap High Resolution Imaging and Mapping System, Model 900100 ("AcQMap System Model, 900100") is a diagnostic recording system. This computer-based system is intended for use in the Electrophysiology (EP) Lab, and it is capable of imaging, navigation and mapping of the atrial chambers of the heart.

The AcQMap System hardware consists of three functional subsystems:

  • . Ultrasound imaging,
  • . ECG and EGM recording; and
  • . Impedance based electrode Localization.

The AcQMap System, Model 900100 is used in conjunction with the associated AcQMap 3D Imaging and Mapping Catheter (cleared under K170819). The AcQMap System provides:

  • 3-D cardiac chamber reconstruction - Contact and non-contact (ultrasound),
  • . Three-dimensional position of the AcQMap Catheter and conventional electrophysiology catheters,
  • Cardiac electrical activity as waveform traces,
  • . Contact LAT and voltage amplitude maps
  • . Remapping of the chamber at any time during the procedure; and
  • . Dynamic, three-dimensional, charge density maps overlaid on the cardiac chamber reconstruction to show chamber-wide electrical activation.

The AcQMap System, Model 900100 is intended to create a surface reconstruction of the cardiac chamber as well as an electrical map of the substrate. The surface reconstruction and electrical map are then used by physicians to identify the source(s) of the arrhythmia.

Additionally, the AcQMap System allows physicians to perform traditional contact mapping activities, including establishing a coordinate system, localizing conventional electrophysiology catheters relative to one another within the coordinate system, recording contact electrograms, and initiating a procedure without the AcQMap Catheter present. Based on the information captured in the contact electrograms, the physician may decide to treat an arrythmia without deploying the AcQMap Catheter.

The AcQMap System is used with the AcQMap Patient Electrode Kit.

5

INDICATIONS FOR USE

The AcQMap System is intended for use in patients for whom electrophysiology procedures have been prescribed.

When used with the AcQMap Catheters, the AcQMap System is intended to be used to reconstruct the selected chamber from ultrasound data for purposes of visualizing the chamber anatomy and displaying electrical impulses as either charge density-based or voltage-based maps of complex arrhythmias that may be difficult to identify using conventional mapping systems alone.

AND

When used with the specified Patient Electrodes, the AcQMap System is intended to display the position of AcQMap Catheters and conventional electrophysiology (EP) catheters in the heart.

OR

When used with conventional electrophysiology catheters, the AcQMap System provides information about the electrical activity of the heart and about catheter location during the procedure.

COMPARISON TO PREDICATE DEVICES

The subject device has the same intended use and fundamental scientific technology as the predicate device. Therefore, the purpose of the submission is replacing the cleared Patient Electrode Kit with the AcQMap Patient Electrode Kit. Table 1 provides a comparison of the predicate AcQMap System classification against the subject device. Table 2 provides a comparison of the indications for use with the predicate device. Table 3 provides a comparison of the technological characteristics against the predicate device relating to the device accessory.

Table 1. Comparison of Classification with the Predicate Device
CharacteristicsPredicate DeviceSubject Device
AcQMap® High Resolution Imaging and
Mapping System, Model 900100
(K193013)AcQMap® High Resolution Imaging and
Mapping System, Model 900100
510(k) NumberK193013TBD
Classification/Class IIIdentical
Regulation
Number/21 CFR § 870.1425
21 CFR § 892.1560
Regulation Name/Programable diagnostic computer
Ultrasonic pulsed echo imaging system
Product CodeDQK, IYO, ITX

6

Table 2. Comparison of Indications for Use with the Predicate Device
CharacteristicsPredicate DeviceSubject Device
AcQMap® High Resolution Imaging and Mapping System, Model 900100 (K193013)AcQMap® High Resolution Imaging and Mapping System, Model 900100
510(k) NumberK193013TBD
Indications for
UseThe AcQMap System is intended for use in patients for whom
electrophysiology procedures have been prescribed.

When used with the AcQMap Catheters, the AcQMap System is
intended to be used to reconstruct the selected chamber from
ultrasound data for purposes of visualizing the chamber
anatomy and displaying electrical impulses as either charge
density-based or voltage-based maps of complex arrhythmias
that may be difficult to identify using conventional mapping
systems alone.

AND

When used with the specified Patient Electrodes, the AcQMap
System is intended to display the position of AcQMap Catheters
and conventional electrophysiology (EP) catheters in the heart.

OR

When used with conventional electrophysiology catheters, the
AcQMap System provides information about the electrical
activity of the heart and about catheter location during the
procedure. | Identical |
| Table 3: Comparison of Technological Characteristics Against the Predicate Device | | |
| Characteristics | Predicate Device | Subject Device |
| | AcQMap High Resolution Imaging and Mapping System, Model 900100 (K193013) | AcQMap High Resolution Imaging and Mapping System, Model 900100 |
| Patient Anatomy | Intracardiac Structures | Identical |
| Testing to Support
Substantial
Equivalence | Software V/V Electromagnetic and Electrical Safety Verification Testing, Accuracy Testing, and Animal Testing | Identical |
| System Safety
Standards | IEC 60601-1:2005 /A1:2012 IEC 60601-1-2:2014 IEC 60601-1-6:2010/A1:2013 IEC 60601-2-25:2015 IEC 60601-2-37:2015 | Identical |
| Physical Characteristics | | |
| System
Components | Console Workstation Workstation Cable Auxiliary Interface Box ECG Input Cable Ampere Ablation Catheter Adapter Cable Ampere RF Generator Adapter Cable ECG Output Cable Ablation Reference Cable Ablation Electrogram Cable ECG w/Snaps Cable ECG POST Cable 2mm Pin Jumper Set Patient Electrode Kit (800365-003) | All system components are identical, apart from the new Patient Electrode Kit (800605). Biocompatibility testing and performance testing on the new Patient Electrode Kit demonstrates that the AcQMap System and patient electrodes perform as intended. There are no different questions of safety or effectiveness. |
| Table 3: Comparison of Technological Characteristics Against the Predicate Device (Continued) | | |
| Characteristics | Predicate Device | Subject Device |
| | AcQMap® High Resolution Imaging and Mapping System, Model 900100 (K193013) | AcQMap® High Resolution Imaging and Mapping System, Model 900100 |
| Visual/Mapping
Characteristics | 3-D cardiac chamber reconstructions - Contact and non-contact (ultrasound); Three-dimensional position of the AcQMap Catheter and conventional electrophysiology catheters; Cardiac electrical activity as waveform traces; Contact LAT and voltage amplitude maps; Remapping of the chamber at any time during the procedure; Dynamic, three-dimensional, Charge Density maps overlaid on the cardiac chamber reconstruction to show chamber-wide electrical activation. | Identical |
| Visualization
Device/Catheter | AcQMap Catheter (electrodes & transducers) or Conventional electrophysiology catheters | Identical |
| Physical Characteristics - Console/Amplifier Comparison | | |
| Dimensions | 99 cm L x 58 cm W x 76 cm D | |
| Weight Maximum | 80 kg | |
| Power
Requirement | 100-127 VAC, 50/60 Hz, 220-230 VAC, 50 Hz | Identical |
| Input Current | 4.6 A | |
| Fuse protection | 250 V, 6.3A, two high breaking capacity fuses | |
| Table 3: Comparison of Technological Characteristics Against the Predicate Device (Continued) | | |
| Characteristics | Predicate Device | Subject Device |
| | AcQMap® High Resolution Imaging and Mapping System, Model 900100 ( K193013) | AcQMap® High Resolution Imaging and Mapping System, Model 900100 |
| System Specifications | | |
| Safety
Information | IEC 60601-1, Class I, Type Defibrillator Protected CF, continuous
operation, no sterilization, equipment not suitable for use in the
presence of a flammable anesthetic mixture with air, oxygen or
nitrous oxide | Identical |
| Ingress
Protection | The Console is rated IP20 | Identical |
| Functional and Performance Characteristics | | |
| Ultrasound
Output | Frequency: 10 MHz+/-400 kHz
Maximum Voltage: 50V p-p
Maximum Power: 1 W peak | |
| Ultrasound
Performance | Single operating mode
Thermal Index less than 1.0
Mechanical Index less than 1.0 | Identical |
| Localization
Output | Frequency: Variable 15 kHz to 50 kHz
Maximum current: 1.2mA RMS | |
| ECG & EGM
Input | Bandwidth: 0.05 Hz to 500 Hz
Resolution: +/-1uV
Timing Accuracy: +/-1.6 microsecond | |

7

8

AcQMap" High Resolution Imaging and Mapping System, Model 900100

9

AcQMap" High Resolution Imaging and Mapping System, Model 900100

10

SUBSTANTIAL EQUIVALENCE

The indications for use of the subject device are identical to those of the predicate device. Any differences in the technological characteristics between the devices do not raise any different questions of safety or effectiveness. Thus, the modified AcQMap High Resolution Imaging System, Model 900100, is substantially equivalent to the predicate device.

PERFORMANCE DATA

All necessary bench testing was conducted on the modified AcQMap System to support a determination of substantial equivalence to the predicate device.

NONCLINICAL TESTING SUMMARY

Design verification activities for functional testing were performed with their respective acceptance criteria to ensure that electrode patch modifications do not affect the safety or effectiveness of the device. All testing performed met the established performance specifications. Bench and animal testing were performed to verify the device met the pre-determined acceptance criteria. The following tests were performed.

  • Performance Test
    • Gel adhesion ।
    • । Electrode impedance
    • Wire insulation wall thickness .
    • । Lead wire pull strength
    • । Lead wire flex life
  • Biocompatibility Test
  • Shelf-Life Test
  • Usability Test
  • Non-GLP Animal Test

The changes to the Patient Electrode Kit were evaluated through design verification to show that the proposed AcQMap Patient Electrode Kit is acceptable for use and meets requirements.

The necessary bench testing was performed on the modified AcQMap High Resolution Imaging and Mapping System, Model 900100 to ensure that it conforms to the design specifications and to support a determination of substantial equivalence to the predicate device.

The collective results of the testing demonstrate that the design of the modified AcQMap High Resolution lmaging and Mapping System, Model 900100 meets its established performance specifications necessary for performance during its intended use.

The collective results of the nonclinical testing, either repeated for the modified device or incorporated by reference to the original AcQMap System 510(k) K193013, demonstrate that the materials chosen, the manufacturing processes, and design of the modified AcQMap High Resolution Imaging and Mapping System, Model 900100 meet the established specifications necessary for consistent performance during

11

Acutus Medical, Inc.

its intended use. In addition, the collective bench testing demonstrates that the proposed device does not raise different questions of safety or effectiveness when compared to the predicate device.

CLINICAL TESTING SUMMARY

No further clinical testing is required to support the modified AcQMap High Resolution Imaging and Mapping System, Model 900100. The necessary clinical testing was completed for the original AcQMap System (K170948) and is incorporated by reference. That study, entitled, "Dipole Density Right (and left) Atrial Mapping and Assessment of Therapy In Complex Supraventricular Tachycardia, (DDRAMATIC-SVT)" was a prospective, non-randomized, open-label study conducted at eight clinical sites outside the U.S. The results for 84 patients demonstrated that the AcQMap System is safe and effective for its intended use.

CONCLUSIONS

Nonclinical performance testing was conducted to the Patient Electrode Kit for the modified AcQMap System, to evaluate the overall performance of the device accessory. The clinical validation of the original AcQMap System (K170948) is applicable to the modified device. The collective results demonstrate that the modified AcQMap System, Model 900100 is safe and effective for its intended use. The subject AcQMap High Resolution Imaging and Mapping System, Model 900100 is safe and effective for its intended use and is substantially equivalent to the predicate device.