K Number
K210822
Device Name
DeepRhythmAI
Date Cleared
2022-07-27

(495 days)

Product Code
Regulation Number
870.1425
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
DeepRhythmAI is a cloud-based software for the assessment of cardiac arrhythmias using two lead ECG data in adult patients. It is intended for use by a healthcare solution integrator to build web, mobile or another types of applications to let qualified healthcare professionals review and confirm the analytic result. The product supports downloading and analyzing data recorded in the compatible formats from dedicated ambulatory ECG devices such as Holter, event recorder, Mobile Cardiac Telemetry or other similar devices when tof the rhythm is necessary. The product can be electronically interfaced and perform analysis with data transferred from other computer-based ECG systems, such as an ECG management system. DeepRhythmAI can be integrated into medical devices. In this case, the medical device manufacturer will identify the indication for use depending on the application of their device. DeepRhythmAI is not for use in life-supporting or sustaining systems or ECG Alarm devices. Interpretation results are not intended to be the sole means of diagnosis. It is offered to physicians on an advisory basis only in conjunction with the physician's knowledge of ECG patterns, patient background, clinical history, symptoms and other diagnostic information.
Device Description
The DeepRhythmAl is a cloud-based software for automated analysis of ECG data. It uses a scalable Application Programming Interface (API) to enable easy integration with other medical products. The main component of DeepRhythmAl is an automated proprietary deep-learning algorithm, which measures and analyzes ECG data to provide qualified healthcare professional with supportive information for review. DeepRhythmAl can be integrated into medical devices. The product supports downloading and analyzing data recorded in the compatible formats from dedicated ambulatory ECG devices such as Holter, event recorder, Mobile Cardiac Telemetry or other similar devices when the assessment of the rhythm is necessary. DeepRhythmAI can also be electronically interfaced and perform analysis with data transferred from other computer-based ECG systems, such as an ECG management system. DeepRhythmAl doesn't have a User Interface therefore it should be integrated with the external visualization software used by the ECG technicians for the ECG visualization and analysis reporting. It is intended for use by a healthcare solution integrator to build web, mobile or another types of applications to let qualified healthcare professionals review and confirm the analytic result. . DeepRhythmAI algorithm detects cardiac beats/arrythmias and intervals including: - . QRS - Heart rate determination - RR Interval measurements - Non-paced arrhythmias - Non-paced ventricular arrhythmia calls - Ventricular ectopic beats - Supraventricular ectopic beats DeepRhythmAl returns the interpretation result to be reviewed by a qualified healthcare professional. DeepRhythmAl when integrated with the other computer-based ECG systems, creates a semi-autonomous system for analysis of ECG recordings. All algorithm annotations must be analyzed and confirmed by a qualified healthcare professional. The subject device can only be integrated with the display product used by the monitoring center that allows for verification of the algorithm output, its correction and confirmation. DeepRhythmAl is not for use in life-supporting or sustaining systems or ECG Alarm devices. Interpretation results are not intended to be the sole means of diagnosis. It is offered to physicians and clinicians on an advisory basis only in conjunction with the physician's knowledge of ECG patterns, patient background, clinical history, symptoms and other diagnostic information.
More Information

Yes
The device description explicitly states that the main component is an "automated proprietary deep-learning algorithm," which is a type of machine learning.

No
The device is a diagnostic tool that provides analysis of cardiac arrhythmias to aid healthcare professionals, but it does not directly treat or provide therapy to patients.

Yes

The device, DeepRhythmAI, is intended for "assessment of cardiac arrhythmias" and provides "supportive information for review" to "qualified healthcare professionals." It analyzes ECG data to detect cardiac beats/arrhythmias and intervals, generating "interpretation results." While these results are not the sole means of diagnosis and are offered on an advisory basis, the device's function of analyzing medical data to provide information for the identification or monitoring of a disease (cardiac arrhythmias) falls under the definition of a diagnostic device.

Yes

The device is explicitly described as "cloud-based software" and its primary component is a "deep-learning algorithm." It functions as an API for integration with other systems and does not include or require specific hardware components for its core functionality.

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

Here's why:

  • IVD Definition: IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • DeepRhythmAI's Function: DeepRhythmAI analyzes ECG data, which is an electrical signal recorded from the body's surface. It does not analyze biological specimens.
  • Intended Use: The intended use clearly states it's for the assessment of cardiac arrhythmias using two lead ECG data. This is a physiological measurement, not an in vitro test.

Therefore, DeepRhythmAI falls under the category of a medical device that analyzes physiological signals, not an IVD.

No
The letter does not explicitly state that the FDA has reviewed and approved or cleared a Predetermined Change Control Plan (PCCP) for this specific device. The "Control Plan Authorized (PCCP) and relevant text" section explicitly states "Not Found".

Intended Use / Indications for Use

DeepRhythmAI is a cloud-based software for the assessment of cardiac arrhythmias using two lead ECG data in adult patients.

It is intended for use by a healthcare solution integrator to build web, mobile or another types of applications to let qualified healthcare professionals review and confirm the analytic result. The product supports downloading and analyzing data recorded in the compatible formats from dedicated ambulatory ECG devices such as Holter, event recorder, Mobile Cardiac Telemetry or other similar devices when tof the rhythm is necessary. The product can be electronically interfaced and perform analysis with data transferred from other computer-based ECG systems, such as an ECG management system. DeepRhythmAI can be integrated into medical devices. In this case, the medical device manufacturer will identify the indication for use depending on the application of their device.

DeepRhythmAI is not for use in life-supporting or sustaining systems or ECG Alarm devices. Interpretation results are not intended to be the sole means of diagnosis. It is offered to physicians on an advisory basis only in conjunction with the physician's knowledge of ECG patterns, patient background, clinical history, symptoms and other diagnostic information.

Product codes

DOK, DPS

Device Description

The DeepRhythmAI is a cloud-based software for automated analysis of ECG data. It uses a scalable Application Programming Interface (API) to enable easy integration with other medical products. The main component of DeepRhythmAI is an automated proprietary deep-learning algorithm, which measures and analyzes ECG data to provide qualified healthcare professional with supportive information for review.

DeepRhythmAI can be integrated into medical devices. The product supports downloading and analyzing data recorded in the compatible formats from dedicated ambulatory ECG devices such as Holter, event recorder, Mobile Cardiac Telemetry or other similar devices when the assessment of the rhythm is necessary. DeepRhythmAI can also be electronically interfaced and perform analysis with data transferred from other computer-based ECG systems, such as an ECG management system. DeepRhythmAI doesn't have a User Interface therefore it should be integrated with the external visualization software used by the ECG technicians for the ECG visualization and analysis reporting.

It is intended for use by a healthcare solution integrator to build web, mobile or another types of applications to let qualified healthcare professionals review and confirm the analytic result. .

DeepRhythmAI algorithm detects cardiac beats/arrythmias and intervals including:

  • QRS
  • Heart rate determination
  • RR Interval measurements
  • Non-paced arrhythmias
  • Non-paced ventricular arrhythmia calls
  • Ventricular ectopic beats
  • Supraventricular ectopic beats

DeepRhythmAI returns the interpretation result to be reviewed by a qualified healthcare professional. DeepRhythmAI when integrated with the other computer-based ECG systems, creates a semi-autonomous system for analysis of ECG recordings. All algorithm annotations must be analyzed and confirmed by a qualified healthcare professional. The subject device can only be integrated with the display product used by the monitoring center that allows for verification of the algorithm output, its correction and confirmation.

DeepRhythmAI is not for use in life-supporting or sustaining systems or ECG Alarm devices. Interpretation results are not intended to be the sole means of diagnosis. It is offered to physicians and clinicians on an advisory basis only in conjunction with the physician's knowledge of ECG patterns, patient background, clinical history, symptoms and other diagnostic information.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

The main component of DeepRhythmAI is an automated proprietary deep-learning algorithm

Input Imaging Modality

ECG data

Anatomical Site

Cardiac

Indicated Patient Age Range

adult patients.

Intended User / Care Setting

healthcare solution integrator, qualified healthcare professionals, physicians, clinicians

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

The DeepRhythmAI software for arrhythmia detection and automated analysis of ECG data has been subjected to performance testing according to the recognized consensus standards, ANSI/AAMI/IEC 60601-2-47:2012/(R)2016 and AAMI/ANSI/EC57:2012.

Medicalgorithmics followed ANSI/AAMI/IEC 62304 and the FDA Guidance Document, "General Principles of Software Validation; Final Guidance for Industry and FDA Staff" (January, 2002) with respect to software development and validation.

All necessary testing was conducted on the DeepRhythmAI to support a determination of substantial equivalence to the predicate and reference devices. Test results confirm that DeepRhythmAI meets its intended use.

Key Metrics

Not Found

Predicate Device(s)

K182344

Reference Device(s)

K181502

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).

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July 27, 2022

Medicalgorithmics S.A. % Agnieszka Romowicz Operations & Product Compliance Director Medicalgorithmics US Holding Corporation 2711 Centerville Road, Suite 400 Wilmington, DE 19808

Re: K210822

Trade/Device Name: DeepRhythmAI Regulation Number: 21 CFR 870.1425 Regulation Name: Programmable Diagnostic Computer Regulatory Class: Class II Product Code: DOK, DPS Dated: June 24, 2022 Received: June 27, 2022

Dear Agnieszka Romowicz:

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 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

1

542 of the Act); 21 CFR 1000-1050.

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) 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-

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-device-safety/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 Advice (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,

Jennifer Shih Kozen Assistant Director Division of Cardiac Electrophysiology, Diagnostics and Monitoring Devices Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K210822

Device Name DeepRhythmAI

Indications for Use (Describe)

DeepRhythmAI is a cloud-based software for the assessment of cardiac arrhythmias using two lead ECG data in adult patients.

It is intended for use by a healthcare solution integrator to build web, mobile or another types of applications to let qualified healthcare professionals review and confirm the analytic result. The product supports downloading and analyzing data recorded in the compatible formats from dedicated ambulatory ECG devices such as Holter, event recorder, Mobile Cardiac Telemetry or other similar devices when tof the rhythm is necessary. The product can be electronically interfaced and perform analysis with data transferred from other computer-based ECG systems, such as an ECG management system. DeepRhythmAI can be integrated into medical devices. In this case, the medical device manufacturer will identify the indication for use depending on the application of their device.

DeepRhythmAI is not for use in life-supporting or sustaining systems or ECG Alarm devices. Interpretation results are not intended to be the sole means of diagnosis. It is offered to physicians on an advisory basis only in conjunction with the physician's knowledge of ECG patterns, patient background, clinical history, symptoms and other diagnostic information.

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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June 24, 2022

510(k) Summary

2022-06-24

l. Submitter's name and address:

Medicalgorithmics S.A. Aleje Jerozolimskie 81, 02-001 Warsaw, Poland

Contact Person: Agnieszka Romowicz Phone: (+48) 733 888 448 Email: a.romowicz@medicalgorithmics.com

Date Prepared:

  • ll. Device
Trade name:DeepRhythmAl
Common name:ECG Analysis System
Classification name:Programmable Diagnostic Computer
Electrocardiograph
Regulation number:870.1425
870.2340
Regulatory Class:Class II
Classification Product code:DQK, DPS

lll. Substantial Equivalence

The selected predicate and reference devices are:

    1. RhythmAnalytics, K182344 (Predicate Device),
    1. Zio AT ECG Monitoring System, K181502 (Reference Device).

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Device description IV.

The DeepRhythmAl is a cloud-based software for automated analysis of ECG data. It uses a scalable Application Programming Interface (API) to enable easy integration with other medical products. The main component of DeepRhythmAl is an automated proprietary deep-learning algorithm, which measures and analyzes ECG data to provide qualified healthcare professional with supportive information for review.

DeepRhythmAl can be integrated into medical devices. The product supports downloading and analyzing data recorded in the compatible formats from dedicated ambulatory ECG devices such as Holter, event recorder, Mobile Cardiac Telemetry or other similar devices when the assessment of the rhythm is necessary. DeepRhythmAI can also be electronically interfaced and perform analysis with data transferred from other computer-based ECG systems, such as an ECG management system. DeepRhythmAl doesn't have a User Interface therefore it should be integrated with the external visualization software used by the ECG technicians for the ECG visualization and analysis reporting.

It is intended for use by a healthcare solution integrator to build web, mobile or another types of applications to let qualified healthcare professionals review and confirm the analytic result. .

DeepRhythmAI algorithm detects cardiac beats/arrythmias and intervals including:

  • . QRS
  • Heart rate determination
  • RR Interval measurements
  • Non-paced arrhythmias
  • Non-paced ventricular arrhythmia calls
  • Ventricular ectopic beats
  • Supraventricular ectopic beats

DeepRhythmAl returns the interpretation result to be reviewed by a qualified healthcare professional. DeepRhythmAl when integrated with the other computer-based ECG systems, creates a semi-autonomous system for analysis of ECG recordings. All algorithm annotations must be analyzed and confirmed by a qualified healthcare professional. The subject device can only be integrated with the display product used by the monitoring center that allows for verification of the algorithm output, its correction and confirmation.

DeepRhythmAl is not for use in life-supporting or sustaining systems or ECG Alarm devices. Interpretation results are not intended to be the sole means of diagnosis. It is offered to physicians and clinicians on an advisory basis only in conjunction with the physician's knowledge of ECG patterns, patient background, clinical history, symptoms and other diagnostic information.

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Indications for use V.

DeepRhythmAl is a cloud-based software for the assessment of cardiac arrhythmias using two lead ECG data in adult patients.

It is intended for use by a healthcare solution integrator to build web, mobile or another types of applications to let qualified healthcare professionals review and confirm the analytic result. The product supports downloading and analyzing data recorded in the compatible formats from dedicated ambulatory ECG devices such as Holter, event recorder, Mobile Cardiac Telemetry or other similar devices when the assessment of the rhythm is necessary.

The product can be electronically interfaced and perform analysis with data transferred from other computer-based ECG systems, such as an ECG management system. DeepRhythmAl can be integrated into medical devices. In this case, the medical device manufacturer will identify the indication for use depending on the application of their device.

DeepRhythmAl is not for use in life-supporting or sustaining systems or ECG Alarm devices. Interpretation results are not intended to be the sole means of diagnosis. It is offered to physicians and clinicians on an advisory basis only in conjunction with the physician's knowledge of ECG patterns, patient background, clinical history, symptoms and other diagnostic information.

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Comparison to predicate device VI.

The following tables provide a comparison of the detection features and device comparison of DeepRhythmAI and the predicate devices.

Detection Features comparison:

| Device functionality | DeepRhythmAl | RhythmAnalytics | Zio AT ECG
Monitoring System |
|----------------------------------------------------------------------------------------------|--------------|---------------------------------------|---------------------------------|
| QRS detection | YES | YES | No information |
| Heart rate determination for
non-paced adult | YES | YES | YES |
| R-R interval detection | YES | YES | No information |
| Non-paced arrhythmias
interpretation | YES | YES | YES |
| Non-paced ventricular
arrhythmias calls | YES | YES | YES |
| Atrial fibrillation detection | YES | No information | YES |
| Cardiac beats detection
(Ventricular ectopic beats,
Supraventricular ectopic
beats) | YES | YES
(Ventricular ectopic
beats) | YES |
| Patient populations | Adult | Min 18 years old | Min 18 years old |

Device comparison:

| Device

functionalitySubject devicePredicate deviceReference device
DeepRhythmAlRhythmAnalyticsZio AT ECG Monitoring
System
ManufacturerMedicalgorithmics S.A.Biofourmis Singapore
Pte. Ltd.iRhythm Technologies, Inc.
510(k) NumberK210822K182344K181502
ClassificationClass IIClass IIClass II
Regulation
Number(s)21 CFR §870.1425
21 CFR §870.234021 CFR §870.1425
21 CFR §870.234021 CFR §870.1425
21 CFR §870.2800
21 CFR §870.2920
21 CFR §870.1025
Device
functionalitySubject devicePredicate deviceReference device
DeepRhythmAlRhythmAnalyticsZio AT ECG Monitoring
System
Classification
nameProgrammable
Diagnostic Computer,
ElectrocardiographProgrammable
Diagnostic Computer,
ElectrocardiographProgrammable
Diagnostic Computer;
Medical Magnetic Tape
Recorder;
Telephone
electrocardiograph
transmitter and receiver;
Arrhythmia detector and
alarm
Product CodeDQK, DPSDQK, DPSDQK, DSH, DXH, DSI
Indications for
UseDeepRhythmAl is a
cloud-based software for
the assessment of
cardiac arrhythmias
using two lead ECG data
in adult patients.
It is intended for use by
a healthcare solution
integrator to build web,
mobile or another types
of applications to let
qualified healthcare
professionals review and
confirm the analytic
result. The product
supports downloading
and analyzing data
recorded in the
compatible formats from
dedicated ambulatory
ECG devices such as
Holter, event recorder,
Mobile Cardiac
Telemetry or other
similar devices when the
assessment of the
rhythm is necessary.
The product can be
electronically interfaced
and perform analysis
with data transferred
from other computer-
based ECG systems,
such as an ECG
management system.
DeepRhythmAl can be
integrated into medicalRhythmAnalytics is a
software application for
the assessment of
cardiac arrhythmias
using single-lead ECG
data in subjects over 18
years of age. It is
intended for use by a
healthcare solution
integrator to build web or
mobile applications to let
qualified healthcare
professionals review and
confirm the analytic
result. The product
supports downloading
and analyzing data
recorded in compatible
formats from any FDA
cleared device used for
the arrhythmia
diagnostics such as
Holter, event recorder,
or other similar devices
when assessment of the
rhythm is necessary.
RhythmAnalytics can
also be electronically
interfaced, and perform
analysis with data
transferred from other
computer based ECG
systems, such as an
ECG management
system.
RhythmAnalytics
provides ECG signalThe device is intended
to capture, analyze and
report symptomatic and
asymptomatic cardiac
events and continuous
electrocardiogram
information for long-term
monitoring. While
continuously recording
patient ECG, both
patient triggered and
automatically-detected
arrhythmia events are
transmitted to a
monitoring center for
reporting. After wear, a
final report is generated
based on the beat-to-
beat information from
the entire ECG
recording. It is indicated
for use on patients 18
years or older who may
be asymptomatic or who
may suffer from transient
symptoms such as
palpitations, shortness of
breath, dizziness, light-
headedness, pre-
syncope, syncope,
fatigue, or anxiety and
patients who are
asymptomatic. The
reports are provided for
review by the intended
user to render a
diagnosis based on
Device
functionalitySubject devicePredicate deviceReference device
DeepRhythmAlRhythmAnalyticsZio AT ECG Monitoring
System
devices. In this case, the
medical device
manufacturer will identify
the indication for use
depending on the
application of their
device.
DeepRhythmAl is not for
use in life-supporting or
sustaining systems or
ECG Alarm devices.
Interpretation results are
not intended to be the
sole means of diagnosis.
It is offered to physicians
and clinicians on an
advisory basis only in
conjunction with the
physician's knowledge of
ECG patterns, patient
background, clinical
history, symptoms and
other diagnostic
information.processing and analysis,
QRS and Ventricular
Ectopic Beat detection,
QRS feature extraction,
interval measurement,
heart rate measurement,
and rhythm analysis.
RhythmAnalytics is not
for use in life supporting
or sustaining systems or
ECG monitor and Alarm
devices. The product
can be integrated into
medical devices. In this
case, the medical device
manufacturer will identify
the indication for use
depending on the
application of their
device. RhythmAnalytics
interpretation results are
not intended to be the
sole means of diagnosis.
Itis offered to physicians
and clinicians on an
advisory basis only in
conjunction with the
physician's knowledge of
ECG patterns, patient
background, clinical
history, symptoms, and
other diagnostic
information.clinical judgment and
experience. It is not
intended for use on
critical care patients.
Level of ConcernModerateMajorNo information
ComponentsSoftware only:
  1. A web API
  2. An automated
    proprietary algorithm. | Software only:
  3. A web API
  4. An automated
    proprietary algorithm. | 1) Zio AT Patch
    Recorder Device
  5. Zio AT Wireless
    Gateway Device with
    Bluetooth and Cellular
    Technology
  6. ZEUS System for
    analysis and reporting. |
    | Interface | Web application
    programming interface
    (API) | Web application
    programming interface
    (API) | PC / Server Mix to
    Clinician & Patient
    Websites |
    | Part responsible
    for ECG signal
    analysis | The automated
    proprietary deep-
    learning algorithm, which | The automated
    proprietary algorithm,
    i.e., cardiac
    beats/arrhythmias | The ZEUS System
    (component of the Zio
    AT ECG Monitoring
    System) |
    | Device
    functionality | Subject device | Predicate device | Reference device |
    | | DeepRhythmAl | RhythmAnalytics | Zio AT ECG Monitoring
    System |
    | ECG data to provide
    qualified healthcare
    professional with
    supportive information
    for review. | detection which
    measures and analyzes
    ECG data to provide
    qualified healthcare
    professional supportive
    information for review. | electrocardiogram
    (ECG) analysis and
    reporting software,
    designed to process
    continuously recorded
    single-lead ECG data.
    The ZEUS Software
    downloads, stores,
    analyzes and sorts the
    ECG data to allow
    iRhythm's Certified
    Cardiographic
    Technicians (CCTs) to
    generate and distribute a
    report of the findings
    contained within the
    data, thereby enabling
    the provision of a
    complete ECG
    processing and analysis
    service. The ZEUS
    Software contains a
    rhythm classification
    algorithm utilizing deep-
    learning technology. | |
    | Number of leads
    for a received
    ECG signal | two lead ECG data | single-lead ECG data | single-lead ECG data |
    | Display or
    Graphical User
    Interface (GUI) | No primary display or
    GUI | No primary display, it
    has a GUI | Has display and GUI |

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Device comparison summary:

  • Similarities: -
      1. The subject device, predicate and reference devices have the same fundamental scientific technology and intended use.
      1. The subject device, predicate and reference devices analyze ECG signals, detect and classify arrhythmias for compatible formats from FDA -cleared devices.
      1. The subject device and predicate device are software only with callable Application Programming Interface (API) used for interaction with clients.
      1. The subject device and the predicate device are not for use in patients requiring life-supporting or life-sustaining systems or ECG Alarm devices.
      1. The subject device and the predicate device provide arrhythmia analysis that are not intended to be the sole means of diagnosis. In both devices, the ECG analytics results are returned to be reviewed and interpreted by a physician or other qualified healthcare professional to make a diagnosis.
      1. The subject device, predicate and reference devices have the same patient population.
  • Differences: -
      1. The predicate and reference devices have Graphical User Interface (GUI), while DeepRhythmAl doesn't have GUI. This is minor difference, and it does not impact either safety or effectiveness of the product. Analysis results are made available for the user through GUI of the third-party software integrated with DeepRhythmAl, but it does not cause neither safety nor effectiveness impact. GUI just makes it easier for users.
      1. The predicate device and reference device have different Levels of Concern . The Level of Concern of the subject device has been determined according to the FDA "Guidance for the Content of Premarket Submissions for Software Contained in Medica Devices, May 11, 2005

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Summary of performance data VII.

The DeepRhythmAl software for arrhythmia detection and automated analysis of ECG data has been subjected to performance testing according to the recognized consensus standards, ANSI/AAMI/IEC 60601-2-47:2012/(R)2016 and AAMI/ANSI/EC57:2012.

Medicalgorithmics followed ANSI/AAMI/IEC 62304 and the FDA Guidance Document, "General Principles of Software Validation; Final Guidance for Industry and FDA Staff" (January, 2002) with respect to software development and validation.

All necessary testing was conducted on the DeepRhythmAl to support a determination of substantial equivalence to the predicate and reference devices. Test results confirm that DeepRhythmAl meets its intended use.

VIII. Conclusion

The Medicalgorithmics' DeepRhythmAl is substantially equivalent to the predicate and reference devices as supported by the descriptive information and the performance testing. The subject device complies with all applicable FDA requirements, recognized standards and guidance documents. Any differences consensus in technological characteristics have been analyzed and addressed through performance testing that demonstrated that the DeepRhythmAl meets its intended use and that any differences between the subject device and the predicate and reference devices do not raise any new issues of safety or effectiveness.