K Number
K220631
Device Name
NomadAir PMU810
Manufacturer
Date Cleared
2022-07-15

(133 days)

Product Code
Regulation Number
882.1835
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The NomadAir PMU810 is intended to record physiological signals acquired from a patient for archival in a sleep study. Data may be analyzed on dedicated polysomnography software running on a personal computer by a qualified sleep clinician to aid in the diagnosis of sleep-disordered breathing (SDB). The NomadAir PMU810 is intended for use within a hospital, laboratory, clinic, nursing home, or patient's home. The NomadAir PMU810 is intended for use on adults only under the direction of a physician or qualified sleep technician. The NomadAir PMU810, or any accessory, does not include or trigger alarms, and is not intended to be used alone as, or a critical component of, * an alarm or alarm system: * an apnea monitor or apnea monitoring system; or * a life monitor or life monitoring system.
Device Description
The NomadAir PMU810 is a portable device that records physiological signals used for sleep studies. The device can be worn on the chest or the wrist and is attached to the patient using a RIP belt or a disposable strap comected directly to the patient also wears a pulse oximeter probe, a nasal cannula, and an optional sensor, such as a RIP belt, thermocouple, EMG electrode, or ECG electrode. During the typical workflow of using the clinical user configures the device for a patient. The clinician will give the patient instructions on how to attach the device and send the unit and accessories home with the patient. Before going to bed, the patient will connect everything, then go to sleep. The Nomad Air records the signals from the sensors and saves the data to internal memory. The patient may perform up to 3 sleep studies before returning the device. Once the device, they can connect it to a PC using a USB cable and download the study for analysis.
More Information

No
The summary describes a device that records physiological signals for later analysis by a clinician using separate software. There is no mention of the device itself performing any analysis or incorporating AI/ML. The performance studies are bench tests, not clinical studies evaluating algorithmic performance.

No
The device is intended to record physiological signals for diagnostic purposes (to aid in the diagnosis of sleep-disordered breathing), not for direct treatment or therapy.

No

The device is intended to record physiological signals for archival in a sleep study, which can then be analyzed by a qualified sleep clinician to aid in the diagnosis of sleep-disordered breathing (SDB). The device itself does not perform the diagnosis, but rather aids in the process by providing data.

No

The device description explicitly states it is a "portable device that records physiological signals" and is "worn on the chest or the wrist and is attached to the patient using a RIP belt or a disposable strap". It also mentions connecting to sensors like a pulse oximeter probe, nasal cannula, and optional sensors. This indicates a physical hardware component that acquires and stores data, not solely software.

Based on the provided information, the NomadAir PMU810 is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to provide information about a person's health. These tests are performed outside of the body (in vitro).
  • NomadAir PMU810 Function: The NomadAir PMU810 records physiological signals acquired from a patient. These are signals measured directly from the patient's body (e.g., breathing patterns, heart rate, body position) using sensors attached to the patient. This is an in vivo measurement, not an in vitro test on a sample.
  • Intended Use: The intended use is to record these signals for archival in a sleep study to aid in the diagnosis of sleep-disordered breathing. This process involves collecting data from the patient's body during sleep, not analyzing a biological sample.

Therefore, the NomadAir PMU810 falls under the category of a medical device used for physiological monitoring, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The NomadAir PMU810 is intended to record physiological signals acquired from a patient for archival in a sleep study. Data may be analyzed on dedicated polysomnography software running on a personal computer by a qualified sleep clinician to aid in the diagnosis of sleep-disordered breathing (SDB).

The NomadAir PMU810 is intended for use within a hospital, laboratory, clinic, nursing home, or patient's home.

The NomadAir PMU810 is intended for use on adults only under the direction of a physician or qualified sleep technician.

The NomadAir PMU810, or any accessory, does not include or trigger alarms, and is not intended to be used alone as, or a critical component of,

  • an alarm or alarm system;
  • an apnea monitor or apnea monitoring system; or
  • a life monitor or life monitoring system.

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

GWL, MNR

Device Description

The NomadAir PMU810 is a portable device that records physiological signals used for sleep studies. The device can be worn on the chest or the wrist and is attached to the patient using a RIP belt or a disposable strap comected directly to the patient also wears a pulse oximeter probe, a nasal cannula, and an optional sensor, such as a RIP belt, thermocouple, EMG electrode, or ECG electrode.

During the typical workflow of using the clinical user configures the device for a patient. The clinician will give the patient instructions on how to attach the device and send the unit and accessories home with the patient. Before going to bed, the patient will connect everything, then go to sleep. The Nomad Air records the signals from the sensors and saves the data to internal memory. The patient may perform up to 3 sleep studies before returning the device. Once the device, they can connect it to a PC using a USB cable and download the study for analysis.

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

Adults only

Intended User / Care Setting

Qualified sleep clinician, physician or qualified sleep technician / hospital, laboratory, clinic, nursing home, or patient's home.

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)

Performance bench tests of NomadAir PMU810 have been performed, see Table from the performance bench testing demonstrate that NomadAir PMU810 has met the functional requirements and is substantially equivalent to the predicate device. Performance bench testing is provided in detail in this submission.

Study: AC Signal Accuracy
Acceptance Criteria: Accuracy of recorded signal is +/- the greater of 5 uV or 5%.
Results: Pass

Study: CMRR Test
Acceptance Criteria: Poly channel shows CMRR >= 90 dB.
Results: Pass

Study: Input Impedance
Acceptance Criteria: Input impedance >= 20 MOhm
Results: Pass

Study: Pressure Sensor Test
Acceptance Criteria: Accuracy of pressure sensor is +/- 1 cmH2O.
Results: Pass

Study: Body Position Test
Acceptance Criteria: Confirm all transition and hysteresis angles are within specifications
Results: Pass

Study: Sampling Rate Test
Acceptance Criteria: Base sampling rate is 250 Hz +/- 0.05%
Results: Pass

Study: Oximetry Test
Acceptance Criteria: Channel shows valid reading when sensor is correctly applied to subject. Channel shows zero when probe is disconnected or removed from subject.
Results: Pass

Study: Wireless Communication Test
Acceptance Criteria: Device transmits event driven status message and timed snapshot status messages successfully.
Results: Pass

Study: Data Transfer Speed Test
Acceptance Criteria: Files transfer in

§ 882.1835 Physiological signal amplifier.

(a)
Identification. A physiological signal amplifier is a general purpose device used to electrically amplify signals derived from various physiological sources (e.g., the electroencephalogram).(b)
Classification. Class II (performance standards).

0

July 15, 2022

Image /page/0/Picture/1 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, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Neurotronics, Inc. James "Cody" Smith Quality Manager 4500 NW 27th Ave, Ste. C2 Gainesville, Florida 32606

Re: K220631

Trade/Device Name: NomadAir PMU810 Regulation Number: 21 CFR 882.1835 Regulation Name: Physiological Signal Amplifier Regulatory Class: Class II Product Code: GWL, MNR Dated: June 3, 2022 Received: June 15, 2022

Dear James "Cody" Smith:

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 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 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-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-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,

for Jay Gupta Assistant Director DHT5A: Division of Neurosurgical, Neurointerventional and Neurodiagnostic Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K220631

Device Name NomadAir PMU810

Indications for Use (Describe)

The NomadAir PMU810 is intended to record physiological signals acquired from a patient for archival in a sleep study. Data may be analyzed on dedicated polysomnography software running on a personal computer by a qualified sleep clinician to aid in the diagnosis of sleep-disordered breathing (SDB).

The NomadAir PMU810 is intended for use within a hospital, laboratory, clinic, nursing home, or patient's home.

The NomadAir PMU810 is intended for use on adults only under the direction of a physician or qualified sleep technician.

The NomadAir PMU810, or any accessory, does not include or trigger alarms, and is not intended to be used alone as, or a critical component of,

  • an alarm or alarm system:

  • an apnea monitor or apnea monitoring system; or

  • a life monitor or life monitoring system.

Type of Use (Select one or both, as applicable)
-------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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3

General Information 1

Preparation Date: 2-18-22

Submitter/Holder

Neurotronics®, Inc. 4500 NW 27th Ave STE C2 Gainesville, FL 32606

Tel: (352) 372-9955

Website: https://www.neurotronics.com/

Primary Contact Person: Name: James "Cody" Smith Title: Quality Manager

Phone: (352) 372-9955 Ext. 515

Email: quality@neurotronics.com

4

NomadAir PMU810

Regulatory Information 2

Subject Device NameNomadAir PMU810
Classification NamesAmplifier, Physiological Signal
Device ClassificationII
Common NamePortable Sleep Recorder
FDA Product CodeGWL, MNR
CFR References21 CFR 882.1835
Review PanelNeurology

3 Identification of Predicate Device

From a regulatory perspective, Neurotronics®, Inc. regards the NomadAir PMU810 to be substantially equivalent to other legally marketed devices including the predicate the NOMAD, Polysmith Sleep System K092699 and the Reference Device ApneaTrak K192624.

Subject Device Description ব

The NomadAir PMU810 is a portable device that records physiological signals used for sleep studies. The device can be worn on the chest or the wrist and is attached to the patient using a RIP belt or a disposable strap comected directly to the patient also wears a pulse oximeter probe, a nasal cannula, and an optional sensor, such as a RIP belt, thermocouple, EMG electrode, or ECG electrode.

During the typical workflow of using the clinical user configures the device for a patient. The clinician will give the patient instructions on how to attach the device and send the unit and accessories home with the patient. Before going to bed, the patient will connect everything, then go to sleep. The Nomad Air records the signals from the sensors and saves the data to internal memory. The patient may perform up to 3 sleep studies before returning the device. Once the device, they can connect it to a PC using a USB cable and download the study for analysis.

5

റ Indications for Use

Per the current proposed product labeling, the indications for use for the NomadAir PMU810 are quoted as follows:

The NomadAir PMU810 is intended to record physiological signals acquired from a patient for archival in a sleep study. Data may be analyzed on dedicated polysomnography software ruming on a personal computer by a qualified sleep clinician to aid in the diagnosis of sleep-disordered breathing (SDB).

The NomadAir PMU810 is intended for use within a hospital, laboratory, clinic, nursing home, or patient's home.

The NomadAir PMU810 is intended for use on adults only under the direction of a physician or qualified sleep technician.

The NomadAir PMU810, or any accessory, does not include or trigger alarms, and is not intended to be used alone as, or a critical component of,

  • an alarm or alarm system;
  • . an apnea monitor or apnea monitoring system; or
  • a life monitor or life monitoring system. ●

Please note that the above indication is slightly reworded to the already cleared indications for the predicate NOMAD SLEEP SYSTEM RECORDER, MODEL PMU800, K092699 and updated accordingly per current FDA Guidance. The indications for use statement also provides further clarification that is complementary to the cleared predicate indications for use.

Substantial Equivalence Discussion 6

Any modifications between the predicate device are provided in detail in this submission, while the table below is a summary. The review of the indications for use and comparison characteristics provided in Table 1 demonstrate that NomadAir PMU810 is substantially equivalent to the predicate device, NOMAD SLEEP SYSTEM RECORDER, MODEL PMU800, K092699 and the reference device ApneaTrak K192624.

6

510(k) Summary Traditional 510K

NomadAir PMU810

Table 1. Summary Comparison of Characteristics

| Device
Characteristic | Proposed Device
NomadAir PMU810 | Primary Predicate Device | Reference Device
ApneaTrak, K192624 | Comparison Analysis:
Same/ Substantially
Equivalent / Modified /
Not Applicable |
|----------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|
| Product Name | NomadAir PMU810 | NOMAD SLEEP SYSTEM
RECORDER, MODEL
PMU800 | ApneaTrak | N/A-Differences do not
impact safety or efficacy. |
| Manufacturer | Neurotronics®, Inc. | Neurotronics®, Inc. | Cadwell Industries, Inc | N/A-Differences do not
impact safety or efficacy. |
| FDA Product
Code | GWL, MNR, DQA | GWL, MNR, DQA | OLV, MNR | Substantially Equivalent
across the predicate and
reference devices. |
| CFR Reference | 21 CFR 882.1835 | 21 CFR 882.1835 | 21 CFR 882.1400 | Same as predicate |
| Device Class | II | II | II | Same |
| 510(k) reference | TBD | K092699 | K192624 | N/A-Differences do not
impact safety or efficacy. |
| Prescription or
OTC | Prescription Only | Prescription Only | Prescription Only | Same |
| Implanted Device | No | No | No | Same |
| Indications for
use statement | The NomadAir PMU810 is | The Nomad device is | The Cadwell ApneaTrak | Substantially Equivalent -
Minor wording differences
do not impact safety or
efficacy. |
| | The NomadAir PMU810 is
intended to record
physiological signals
acquired from a patient
for archival in a sleep
study. Data may be
analyzed on dedicated
polysomnography
software running on a
personal computer by a
qualified sleep clinician to
aid in the diagnosis of
sleep-disordered
breathing (SDB). | The Nomad device is
intended to amplify and
record physiologic potentials
used for Polysomnography
(PSG) or Sleep Studies. The
bio-potentials are
transferred to Polysmith
polysomnography software
running on a personal
computer. Qualified
practitioners use the
information to score
Polysomnograms and
diagnose Sleep Disorders. | The Cadwell ApneaTrak
device is intended for
home sleep testing,
including the acquisition
of physiological and
environmental data. The
recorded signals are then
transmitted to a PC so
that they can be viewed.
ApneaTrak is intended for
use on patients older than
2 years of age. | |
| | The NomadAir PMU810 is
intended for use within a
hospital, laboratory, clinic,
nursing home, or patient's
home. | The device is intended for
use on both adults and
children under the direction
of a physician or qualified
sleep technician. The device
is intended to measure,
amplify, and record
physiological signals
acquired from a patient for
archival in a Sleep Study,
such as Limb Movement,
Body Position, Respiration
Effort, and SpO2. The data
may be analyzed in real-time
or offline on dedicated
polysomnography software
running on a personal | ApneaTrak is intended for
use in hospitals, sleep
centers and other sleep
testing environments,
including the patient's
home. ApneaTrak is
intended to be used when
prescribed by a qualified
healthcare provider for
use on patients suspected
of sleep disorders,
specifically Sleep
Disordered Breathing
(SDB) and requires review
by qualified medical
personnel.
ApneaTrak is NOT
intended to perform
automatic diagnosis. | |
| | The NomadAir PMU810 is
intended for use on adults
only under the direction
of a physician or qualified
sleep technician. | | | |
| | The NomadAir PMU810,
or any accessory, does not
include or trigger alarms,
and is not intended to be | | | |

7

Traditional 510K

8

Traditional 510K

used alone as, or a criticalcomputer by a qualified
component of,sleep clinician to aid in the
• an alarm or alarm
system;diagnosis of Sleep Disorders.
• an apnea monitor or
apnea monitoring
system; orThis device, or any
accessory, is not to be used
alone as an apnea monitor
or as a component in an
apnea monitoring system.
• a life monitor or life
monitoring system.This device, or any
accessory, is not to be used
alone as a life support
device or as a critical
component of a life support
system.
The device is not sterile

9

Traditional 510K

| Device
Characteristic | Proposed Device
NomadAir PMU810 | Primary Predicate Device
NOMAD SLEEP SYSTEM
RECORDER, MODEL
PMU800, K092699 | Reference Device
ApneaTrak, K192624 | Comparison Analysis:
Same/ Substantially
Equivalent / Modified /
Not Applicable |
|----------------------------------------|--------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Target
Population | Adults | Adults and Children | Patients 2 years and older | Modified -
Removing children from the
target population does not
impact safety or efficacy for
adults. |
| Environment for
Use | * hospital

  • laboratory
  • clinic
  • nursing home
  • patient's home | * medical facility
  • physician's office
  • laboratory
  • clinic
  • nursing home
  • Outside a medical facility
    under direct supervision of a
    medical professional | Home or clinical
    environment | Substantially Equivalent -
    Home use is specified in the
    subject device rather than
    generic statement of outside
    of a medical facility. This is
    substantially equivalent. |
    | Reusable or
    Single Use | Reusable | Reusable | Reusable | Same |
    | Sold Sterile or
    Non-Sterile | Non-sterile | Non-sterile | Non-sterile | Same |
    | Physical
    Characteristics | * Weight: 135g
  • Size: 103mm x 74mm x
    28mm
  • Enclosure Material:
    Medical Grade ABS Plastic | * Weight: 176g
  • Size: 125mm x 71mm x
    25mm
  • Enclosure Material: ABS
    Plastic | * Weight: 143.5g
  • Size: 115 mm X 73 mm X
    25 mm
  • Enclosure Material: ABS
    Plastic | Substantially Equivalent -
    Slight variations in size and
    weight do not impact safety
    or efficacy. |
    | Power Source | Battery powered using 1
    AA battery | Battery powered using 2 AA
    batteries | Internally powered using
    li-ion rechargeable
    battery | Substantially Equivalent -
    All devices powered with
    different types of battery. |
    | Device
    Characteristic | Proposed Device
    NomadAir PMU810 | Primary Predicate Device
    NOMAD SLEEP SYSTEM
    RECORDER, MODEL
    PMU800, K092699 | Reference Device
    ApneaTrak, K192624 | Comparison Analysis:
    Same/ Substantially
    Equivalent / Modified /
    Not Applicable |
    | Patient Isolation | Device is battery-powered
    with no connection to
    mains during patient use. | Device is battery-powered
    with no connection to mains
    during patient use. | Device is battery-powered
    with no connection to
    mains during patient use. | Same |
    | Primary
    Communications
    Interface | USB | USB | USB | Same |
    | Wireless
    Interface | * LTE
  • Bluetooth - transmitter
    equipped, but disabled | * Bluetooth | * Bluetooth - transmitter
    equipped, but disabled | Modified -
    The difference between
    Bluetooth and LTE does not
    impact safety or efficacy
    because both interfaces are
    FCC approved modules.
    Additionally, the wireless
    interface does not impact the
    intended use of the device. |

10

Traditional 510K

11

Traditional 510K

| Device
Characteristic | Proposed Device
NomadAir PMU810 | Primary Predicate Device
NOMAD SLEEP SYSTEM
RECORDER, MODEL
PMU800, K092699 | Reference Device
ApneaTrak, K192624 | Comparison Analysis:
Same/ Substantially
Equivalent / Modified /
Not Applicable |
|-----------------------------|-----------------------------------------------------------------------------|--------------------------------------------------------------------------------------|-----------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Number of
Channel Inputs | 4 | 8 | 8 | Modified -
The subject device has less channels than the predicate.
The subject device has 1 respiratory channel compared to 3 respiratory channels on the predicate, 1 poly channel to 2 EMG channels, and does not have a DC channel. These channels on the predicate are extra and are not required for home sleep studies. Their absence does not impact safety or efficacy. |
| Mode of
Operation | Device is attached to a strap that secures the device while on the patient. | Device goes into a pouch which is secured with a strap. | Device is attached to a strap that secures the device while on the patient. | Substantially Equivalent |

12

Traditional 510K

DeviceProposed DevicePrimary Predicate DeviceReference DeviceComparison Analysis:
CharacteristicNomadAir PMU810NOMAD SLEEP SYSTEMApneaTrak, K192624Same/ Substantially
RECORDER, MODELEquivalent / Modified /
PMU800, K092699Not Applicable
Connections to
Patient* RIP belt for respiratory
effort
  • Probes for pulse
    oximetry
  • Plastic cannula for
    pressure sensing
  • Poly channel supports
    standard sleep
    sensors/electrodes | * Probes for pulse oximetry
  • Plastic cannula for
    pressure sensing
  • Device inputs support
    standard sleep sensors | * RIP or PVDF belts for
    respiratory effort
  • Probes for pulse
    oximetry
  • Plastic cannula for
    pressure sensing
  • Plastic snore
    microphone | Modified -
    Predicate does not support
    direct RIP belt connection,
    but reference device does.
    RIP belt can still be used with
    predicate, but it requires it to
    be connected to a RIP driver
    that is connected to the
    device. Differences do not
    impact safety or efficacy. |
    | Display Type | LEDs on device for sensor
    connection and device
    status | LED on device for device
    status | LEDs on device for signal
    check and device status | Substantially Equivalent -
    Predicate does not have LEDs
    for signal check, however
    reference device does. |
    | Internal
    Memory/ Data
    Storage | Internal FLASH memory | Fixed microSD card | On-board storage | Substantially Equivalent -
    Memory is not removable in
    all devices. Difference in
    storage type does not impact
    safety or efficacy. |
    | Recording Time | Up to 24 hours | Up to 24 hours | Up to 24 Hours | Same |
    | Device
    Characteristic | Proposed Device
    NomadAir PMU810 | Primary Predicate Device
    NOMAD SLEEP SYSTEM
    RECORDER, MODEL
    PMU800, K092699 | Reference Device
    ApneaTrak, K192624 | Comparison Analysis:
    Same/ Substantially
    Equivalent / Modified /
    Not Applicable |
    | Channels /
    Signals Recorded | Channels
  • SpO2
  • Pulse
  • Airflow or Nasal/Mask Pressure
  • Snore (Derived)
  • Respiratory Effort
  • Body Position
  • Activity
  • Poly (Can be used for Leg Movement, Respiratory, EMG, ECG, etc.) | Channels
  • SpO2
  • Pulse
  • Airflow
  • Snore (Derived)
  • Respiratory Effort
  • Body Position
  • Leg Movement
  • DC | Channels
  • SpO2
  • Pulse
  • Airflow
  • Nasal/Mask Pressure
  • Snore
  • Respiratory Effort
  • Body Position
  • Activity
  • EEG, EOG, EMG, ECG | Modified -
    Subject device does not have a DC channel, but neither does the reference device. Subject device has an Activity channel, as does the reference device. Subject device does not have an EEG channel, but neither does the predicate. None of these channels are required channels for home sleep studies. |
    | Sensor
    Technology | * Silicon pressure sensor
  • MEMS accelerometer position/activity sensor
  • Pulse oximetry
  • Integrated RIP driver for respiratory effort
  • Poly input supports common sleep sensors | * Silicon pressure sensor
  • Mechanical position sensor
  • Pulse oximetry
  • Inputs support common sleep sensors | * Solid state pressure sensor
  • Solid state position/activity sensor
  • Pulse oximetry
  • Respiratory effort sensors (RIP or PVDF technology)
  • Snore Microphone
  • Gold cup electrodes
  • Ag/AgCL electrodes | Modified -
    Subject device uses a MEMS accelerometer, which is a type of solid-state sensor, like the reference device. Subject device also has an internal respiratory effort sensor, as does the reference device. Subject device does not have snore or EEG technologies, but neither does the predicate. None of these differences impact safety or efficacy. |
    | Device
    Characteristic | Proposed Device
    NomadAir PMU810 | Primary Predicate Device
    NOMAD SLEEP SYSTEM
    RECORDER, MODEL
    PMU800, K092699 | Reference Device
    ApneaTrak, K192624 | Comparison Analysis:
    Same/ Substantially
    Equivalent / Modified /
    Not Applicable |
    | Access to
    recorded
    data | Recorded data stored in
    the device. When the
    device is connected to a
    PC via USB cable, the
    device provides access to
    the data through a file
    transfer protocol. | Recorded data stored in the
    device. When the device is
    connected to a PC via USB
    cable, the device provides
    access to the data through a
    file transfer protocol. | Recorded data is stored in
    the device. When the
    device is connected to a
    PC via USB cable, the
    device provides access to
    its internal memory. | Substantially Equivalent -
    Data is accessed through
    connection to a PC via USB
    cable. Subject and predicate
    devices do not have direct
    access to internal memory,
    just the ability to transfer the
    data. Difference does not
    impact safety or efficacy. |
    | Recorded data
    format | All channels of recorded
    data are stored in device-
    specific format. | All channels of recorded
    data are stored in device-
    specific format. | All channels of recorded
    data are stored in EDF
    data format. | Substantially Equivalent -
    Differences in data format do
    not impact safety or efficacy. |

13

Traditional 510K

14

Traditional 510K

NomadAir PMU810

7 Software

The development of the NomadAir complies with IEC 62304 Standard- medical device software life cycle processes.

Sterilization and Shelf Life 8

The NomadAir PMU810 does not have a claimed shelf life, therefore this section is not applicable.

The NomadAir PMU810 is sold non-sterile. Therefore, this section is not applicable.

15

Biocompatibility 9

The NomadAir PMU810 is intended to be worn for less than 24 hours, and no material is made with natural rubber latex. Additionally, the device enclosure is made from a medical-grade resin (Lustran 348) that meets of ISO 10993 for short-term skin contact. Biocompatibility testing was not performed specifically for this submission.

10 Performance Testing - Bench

Performance bench tests of NomadAir PMU810 have been performed, see Table from the performance bench testing demonstrate that NomadAir PMU810 has met the functional requirements and is substantially equivalent to the predicate device. Performance bench testing is provided in detail in this submission.

StudyAcceptance CriteriaResults
AC Signal AccuracyAccuracy of recorded signal is +/- the greater of 5 uV or 5%.Pass
CMRR TestPoly channel shows CMRR >= 90 dB.Pass
Input ImpedancePass specification: Input impedance >=20 MOhmPass
Pressure Sensor TestAccuracy of pressure sensor is +/- 1 cmH2O.Pass
Body Position TestConfirm all transition and hysteresis angles are within specificationsPass
Sampling Rate TestBase sampling rate is 250 Hz +/- 0.05%Pass
Oximetry TestChannel shows valid reading when sensor is correctly applied to
subject. Channel shows zero when probe is disconnected or
removed from subject.Pass
Wireless Communication TestDevice transmits event driven status message and timed snapshot status messages successfully.Pass
Data Transfer Speed TestFiles transfer in