K Number
K221963
Date Cleared
2023-04-27

(296 days)

Product Code
Regulation Number
882.1400
Panel
NE
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Cumulus Functional Neurophysiology Platform is intended for the acquisition, display and storage of electroencephalograph (EEG) obtained by placing electrodes on the head of adults and adolescent patients. The EEG signals are time-stamped.

The system can be used in the patient's home or a health care facility.

Device Description

The Cumulus Functional Neurophysiology Platform is comprised of the Cumulus Headset which records EEG signals that are time-stamped.

The Cumulus software application runs on a mobile device running android software. The software has graphical user interface that provides guidance to the user to place the headset correctly. The EEG data is received from the headset via Bluetooth. The data received is synchronised and timestamped between the headset and app.

The Cumulus Medical Device Hub provides the user interface for health care professionals to view, download and review data from the recordings.

The Platform components are:
• Cumulus EEG Headset with embedded software, which includes:
• An adjustable shell into which 16 Ag/AgCl EEG conductive sensors are attached.
• A zippered pocket for holding the detachable electronics.
• Interface buttons, LEDs, micro USB socket.
• Plastic-encased 'Puck' electronics.
• Cumulus Mobile device with installed Cumulus Mobile App.
• Disposable mastoid sticky sensors
• Earphones
• Device stand
• Headset and mobile device chargers

Patient contacting materials are biocompatible, commercially sourced and are used in the headset without modifications.

The device and accessories are not sterile, nor intended to be sterilized.

AI/ML Overview

The Cumulus Functional Neurophysiology Platform is intended for the acquisition, display, and storage of electroencephalograph (EEG) signals obtained by placing electrodes on the head of adults and adolescent patients. The EEG signals are time-stamped. The system can be used in the patient's home or a healthcare facility.

Here's a breakdown of the acceptance criteria and the study information:

1. Acceptance Criteria and Reported Device Performance

The provided document does not explicitly list acceptance criteria in a quantitative format for the functional performance of the EEG acquisition. Instead, it demonstrates substantial equivalence to a predicate device (NeuralScan System, K192753) based on a comparison of technological characteristics. The "reported device performance" is derived from these comparisons.

CharacteristicCumulus Functional Neurophysiology Platform PerformancePredicate Device (NeuralScan System) PerformanceComparison Outcome
Intended UseAcquisition, display, storage of EEG from adults/adolescents to aid diagnosis. Time-stamped. Use in home or healthcare.Acquisition, display, analysis, storage of EEG and ERP from patients to aid diagnosis.Same intended use
Rx Only or OTCRx OnlyRx OnlySame
Patient PopulationAdolescents and adultsAll age groupsSE (Substantially Equivalent)
Use EnvironmentHealthcare/medical facilities, athletic/sports clinics, or outside facilities with qualified medical personnel. Also in home.Healthcare/medical facilities, athletic/sports clinics, or outside facilities with qualified medical personnel.SE
BiocompatibilityPer ISO 10993-1, confirmed by testingPer ISO 10993-1Same
SterileNoNoSame
Single UseNoNoSame
Shelf LifeDurable goodsDurable goodsSame
PowerLi-Ion Battery, USB chargingLi-Ion Battery, USB chargingSame
System ComponentsPatient EEG Headset, mobile device with app, earphones, web dashboard, charging cordsPatient EEG cap, NeuralScan amplifier, laptop, subject response button, ear buds, charging cordVaries, but deemed SE
InterfaceBluetooth (EEG to mobile), WiFi (mobile to cloud)USB or WiFi to laptopSE
Biopotential signals recordedElectroencephalography (EEG)Electroencephalography (EEG), EP/ERPSame
Skin CouplingDry electrodesCustom Electrode Band and GelSE
Signal recording channels16Up to 23SE
EEG input terminals16Up to 21SE
Analog to Digital Conversion24 bits24 bitsSame
Sampling Rate250 and 500 Hz200, 500, 1000 HzSE
Common Mode Rejection>110 dB>110 dBSame
Analysis SoftwareEmbedded and user definedEmbedded, commercially available, and user definedSE
Resolution24 bits24 bitsSame
Band Pass0.5 – 50 Hz0.1 – 50 HzSE
Noise1.6 µVp-p2.3 µVp-pSE
Input Voltage range+/- 200 mV+/- 400 mVSE

Note: "SE" in the "Comparison Outcome" column refers to "Substantially Equivalent," meaning the differences do not raise new questions of safety or effectiveness when compared to the predicate device.

2. Sample size used for the test set and the data provenance

The document states that clinical testing was not required for this product category. Therefore, no "test set" in the context of a clinical performance study for diagnosing conditions using the EEG recordings is described or referenced. The assessment is based on non-clinical bench testing and comparison to an existing device.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

As no clinical efficacy study or diagnostic accuracy study with a "test set" was conducted or required, there were no experts used to establish ground truth in this context.

4. Adjudication method for the test set

Not applicable, as no clinical test set for diagnostic performance was used.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

No MRMC comparative effectiveness study was performed or mentioned. This device is an EEG acquisition and display platform, not an AI-assisted diagnostic tool for interpretation.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

No standalone algorithm performance study was reported. The device's primary function is data acquisition and display, which serves as input for human interpretation.

7. The type of ground truth used

Not applicable for clinical efficacy, as the submission focuses on hardware and software performance for signal acquisition and display (substantial equivalence). For the non-clinical bench testing (electrical safety, EMC, hardware/software verification, biocompatibility, human factors, etc.), the "ground truth" would be established by the specifications of the relevant international standards (e.g., IEC 60601 series, ISO 10993 series).

8. The sample size for the training set

Not applicable. This device is an EEG acquisition and display system; it does not involve AI/ML algorithms that require a "training set" for diagnostic performance.

9. How the ground truth for the training set was established

Not applicable.

§ 882.1400 Electroencephalograph.

(a)
Identification. An electroencephalograph is a device used to measure and record the electrical activity of the patient's brain obtained by placing two or more electrodes on the head.(b)
Classification. Class II (performance standards).