K Number
K223629
Device Name
SpiroSphere, SpiroSphereECG, CardioSphere
Date Cleared
2024-05-28

(540 days)

Product Code
Regulation Number
868.1890
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SpiroSphere is a compact device inspiratory and expiratory lung function parameters in adults and children aged 4 years and older. It can be used by physicians in the office or hospital. With the option ECG, electrocardio measurements can be made under resting conditions. For this purpose a 12channel surface electrocardiogram can be measured and recorded. The acquired ECG can be displayed on the screen or printed on paper. The interpretation software is intended to support the physician in evaluation of the resting ECG in terms of morphology and rhythm. Automatic interpretation of the ECG is not possible for pediatric subjects with an age below 16 years and for pacemaker subjects. It is not intended for intra-cardial use. A qualified physician has to reassess all ECG measurements. An interpretation by SpiroSphere ECG is only significant if it is considered in connection with other clinical findings. ECG interpretation statements made by the SpiroSphere ECG represent partial qualitative and quantitative information on the patient's cardiovascular condition and no therapy or drugs can be administered based solely on the interpretation statements. The SpiroSphere ECG is not intended for use in an EMS environment (Emergency Medical Services Environment). The minimum age for ECG application is 4 years. It can be used by physicians in the office or hospital. With the CardioSphere, electrocardio measurements can be made under resting conditions. For this purpose a 12channel surface electrocardiogram can be measured and recorded. The acquired ECG can be displayed on the screen or printed on paper. The interpretation software is intended to support the physician in evaluation of the resting ECG in terms of morphology and rhythm. Automatic interpretation of the ECG is not possible for pediatric subjects with an age below 16 years and for pacemaker subjects. It is not intended for intra-cardial use. A qualified physician has to reasurements. An interpretation by CardioSphere is only significant if it is considered in connection with other clinical findings. ECG interpretation statements made by the CardioSphere represent partial qualitative and quantitative information on the patient's cardition and no therapy or drugs can be administered based solely on the interpretation statements. The CardioSphere is not intended for use in an EMS environment (Emergency Medical Services Environment). The minimum age for ECG application is 4 years. It can be used by physicians in the office or hospital.
Device Description
SpiroSphere is a compact spirometry device. Its Sensor Unit is batterypowered. The Main Unit can be powered by battery or power supply. The SpiroSphere / SpiroSphere ECG is used to measure inspiratory and expiratory lung function parameters in adults and children 4 years and older. The measured data is saved to the device and can be read out at any time. SpiroSphere ECG is a compact spirometry device. Its Sensor Unit is battery-powered. The Main Unit can be powered by battery or power supply. The SpiroSphere / SpiroSphere ECG is used to measure inspiratory and expiratory lung function parameters in adults and children 4 years and older. The measured data is saved to the device and can be read out at any time. With the ECG option (subject of this 510(k)), 12-channel surface electrocardiogram can be measured and recorded. The Main Unit can be powered by battery or power supply. The Main Unit is wirelessly connected to an ECG amplifier via Bluetooth. With the ECG option (subject of this 510(k)), 12-channel surface electrocardiogram can be measured and recorded. A printer can be connected and data (e.g. reports, screenshots) can be printed. Moreover, it is possible to transfer data by USB. Wifi. 3G. and Ethernet connections. Pulmonary function assessments - Slow Spirometry . - Forced Spirometry . - Flow-Volume loop and Volume-Time tracing, pre/post tests ● - Trending capabilities ● Cardiovascular assessments - 12 Lead Electrocardiogram ●
More Information

No
The document describes "interpretation software intended to support the physician in evaluation of the resting ECG in terms of morphology and rhythm," but explicitly states "Automatic interpretation of the ECG is not possible for pediatric subjects... and for pacemaker subjects." It also emphasizes that a qualified physician must reassess all measurements and that the interpretation is only significant when considered with other clinical findings. There is no mention of AI, ML, or any learning capabilities.

No
The device is described as measuring and recording lung function parameters and electrocardiogram data. It provides information to support a physician's evaluation but states that "no therapy or drugs can be administered based solely on the interpretation statements." This indicates it is a diagnostic or monitoring device, not a therapeutic one.

Yes

The device measures and records lung function parameters (spirometry) and performs electrocardiogram (ECG) measurements to provide insights into a patient's cardiovascular and pulmonary conditions. The text explicitly states that the interpretation software is "intended to support the physician in evaluation of the resting ECG in terms of morphology and rhythm," and that it provides "partial qualitative and quantitative information on the patient's cardiovascular condition." These functions are characteristic of a diagnostic device, which gathers information to help physicians assess medical conditions.

No

The device description explicitly mentions hardware components such as a Sensor Unit, Main Unit, battery power, power supply, ECG amplifier, and the ability to connect a printer. It also describes physical measurements being taken (inspiratory and expiratory lung function, 12-channel surface electrocardiogram).

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The SpiroSphere measures lung function parameters (inspiratory and expiratory) and performs electrocardiogram (ECG) measurements. These are direct measurements of physiological function within the body, not analyses of samples taken from the body.
  • Intended Use: The intended use describes measuring lung function and recording ECGs to support physicians in evaluation. This aligns with in vivo diagnostic procedures, not in vitro testing.

Therefore, the SpiroSphere, including its ECG functionality, falls under the category of medical devices used for in vivo diagnostic measurements, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The SpiroSphere is a compact device inspiratory and expiratory lung function parameters in adults and children aged 4 years and older.

It can be used by physicians in the office or hospital.

The SpiroSphere is a compact device inspiratory and expiratory lung function parameters in adults and children aged 4 years and older.

With the option ECG, electrocardio measurements can be made under resting conditions. For this purpose a 12channel surface electrocardiogram can be measured and recorded. The acquired ECG can be displayed on the screen or printed on paper. The interpretation software is intended to support the physician in evaluation of the resting ECG in terms of morphology and rhythm. Automatic interpretation of the ECG is not possible for pediatric subjects with an age below 16 years and for pacemaker subjects. It is not intended for intra-cardial use.

A qualified physician has to reassess all ECG measurements. An interpretation by SpiroSphere ECG is only significant if it is considered in connection with other clinical findings. ECG interpretation statements made by the SpiroSphere ECG represent partial qualitative and quantitative information on the patient's cardiovascular condition and no therapy or drugs can be administered based solely on the interpretation statements. The SpiroSphere ECG is not intended for use in an EMS environment (Emergency Medical Services Environment).

The minimum age for ECG application is 4 years.

It can be used by physicians in the office or hospital.

With the CardioSphere, electrocardio measurements can be made under resting conditions. For this purpose a 12channel surface electrocardiogram can be measured and recorded. The acquired ECG can be displayed on the screen or printed on paper. The interpretation software is intended to support the physician in evaluation of the resting ECG in terms of morphology and rhythm. Automatic interpretation of the ECG is not possible for pediatric subjects with an age below 16 years and for pacemaker subjects. It is not intended for intra-cardial use.

A qualified physician has to reasurements. An interpretation by CardioSphere is only significant if it is considered in connection with other clinical findings. ECG interpretation statements made by the CardioSphere represent partial qualitative and quantitative information on the patient's cardition and no therapy or drugs can be administered based solely on the interpretation statements. The CardioSphere is not intended for use in an EMS environment (Emergency Medical Services Environment).

The minimum age for ECG application is 4 years.

It can be used by physicians in the office or hospital.

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

BTY, DPS

Device Description

SpiroSphere
SpiroSphere is a compact spirometry device. Its Sensor Unit is batterypowered. The Main Unit can be powered by battery or power supply. The SpiroSphere / SpiroSphere ECG is used to measure inspiratory and expiratory lung function parameters in adults and children 4 years and older. The measured data is saved to the device and can be read out at any time.

SpiroSphere ECG
SpiroSphere ECG is a compact spirometry device. Its Sensor Unit is battery-powered. The Main Unit can be powered by battery or power supply. The SpiroSphere / SpiroSphere ECG is used to measure inspiratory and expiratory lung function parameters in adults and children 4 years and older. The measured data is saved to the device and can be read out at any time.

With the ECG option (subject of this 510(k)), 12-channel surface electrocardiogram can be measured and recorded.

CardioSphere
The Main Unit can be powered by battery or power supply. The Main Unit is wirelessly connected to an ECG amplifier via Bluetooth.

With the ECG option (subject of this 510(k)), 12-channel surface electrocardiogram can be measured and recorded.

A printer can be connected and data (e.g. reports, screenshots) can be printed. Moreover, it is possible to transfer data by USB. Wifi. 3G. and Ethernet connections.

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 and children aged 4 years and older.

Intended User / Care Setting

physicians in the office or hospital.

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)

The electrical safety testing was performed according to IEC 60601-1:2012 and IEC 60601-2-25:2011 to demonstrate conformance with the requirements for basic safety and essential performance.
The Electro Magnetic Compatibility testing was performed according to IEC 60601-1-2:2014.
Software verification and validation was conducted in accordance with IEC 62304 Ed.1.1:2015.
Tests were performed to confirm that the Subject Device spirometry function meets the recommendations for accuracy and precision for Spirometry of the American Thoracic Society (ATS) according to ATS/ERS standards 2005.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K202754

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K173937, K183369

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 868.1890 Predictive pulmonary-function value calculator.

(a)
Identification. A predictive pulmonary-function value calculator is a device used to calculate normal pulmonary-function values based on empirical equations.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image contains 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.

May 28, 2024

eResearchTechnology GmbH % Prithul Bom Regulatory Technology Services, LLC 1000 Westgate Drive, Suite 510k Saint Paul, Minnesota 55114

Re: K223629

Trade/Device Name: SpiroSphere, SpiroSphereECG, CardioSphere Regulation Number: 21 CFR 868.1890 Regulation Name: Predictive Pulmonary-Function Value Calculator Regulatory Class: Class II Product Code: BTY, DPS Dated: June 5, 2023 Received: June 5, 2023

Dear Prithul Bom:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

1

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 W. Shih -S

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

2

Indications for Use

510(k) Number (if known) K223629

Device Name SpiroSphere

Indications for Use (Describe)

The SpiroSphere is a compact device inspiratory and expiratory lung function parameters in adults and children aged 4 years and older.

It can be used by physicians in the office or hospital.

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

Beneficial Use (Part 31, GER 331, Subpart D)
On-Site Corrective Action (31 GER 331, Subpart G)

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

Indications for Use

510(k) Number (if known) K223629

Device Name SpiroSphere ECG

Indications for Use (Describe)

The SpiroSphere is a compact device inspiratory and expiratory lung function parameters in adults and children aged 4 years and older.

With the option ECG, electrocardio measurements can be made under resting conditions. For this purpose a 12channel surface electrocardiogram can be measured and recorded. The acquired ECG can be displayed on the screen or printed on paper. The interpretation software is intended to support the physician in evaluation of the resting ECG in terms of morphology and rhythm. Automatic interpretation of the ECG is not possible for pediatric subjects with an age below 16 years and for pacemaker subjects. It is not intended for intra-cardial use.

A qualified physician has to reassess all ECG measurements. An interpretation by SpiroSphere ECG is only significant if it is considered in connection with other clinical findings. ECG interpretation statements made by the SpiroSphere ECG represent partial qualitative and quantitative information on the patient's cardiovascular condition and no therapy or drugs can be administered based solely on the interpretation statements. The SpiroSphere ECG is not intended for use in an EMS environment (Emergency Medical Services Environment).

The minimum age for ECG application is 4 years.

It can be used by physicians in the office or hospital.

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."

4

Indications for Use

510(k) Number (if known) K223629

Device Name CardioSphere

Indications for Use (Describe)

With the CardioSphere, electrocardio measurements can be made under resting conditions. For this purpose a 12channel surface electrocardiogram can be measured and recorded. The acquired ECG can be displayed on the screen or printed on paper. The interpretation software is intended to support the physician in evaluation of the resting ECG in terms of morphology and rhythm. Automatic interpretation of the ECG is not possible for pediatric subjects with an age below 16 years and for pacemaker subjects. It is not intended for intra-cardial use.

A qualified physician has to reasurements. An interpretation by CardioSphere is only significant if it is considered in connection with other clinical findings. ECG interpretation statements made by the CardioSphere represent partial qualitative and quantitative information on the patient's cardition and no therapy or drugs can be administered based solely on the interpretation statements. The CardioSphere is not intended for use in an EMS environment (Emergency Medical Services Environment).

The minimum age for ECG application is 4 years.

It can be used by physicians in the office or hospital.

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."

5

Image /page/5/Picture/1 description: The image shows the logo for ERT. The logo consists of a circular graphic made up of three overlapping shapes in the colors green, light blue, and dark blue. To the right of the graphic is the text "ERT" in a dark blue sans-serif font, with the registered trademark symbol above the "T". Below the text "ERT" is the tagline "Confidence at every turn" in a smaller, lighter font.

GENERAL INFORMATION

1 Type of Submission

Traditional 510(k) Submission Date 510(k) summary prepared: 21APR2023

2 Submitter

eResearchTechnology GmbH Name: Address: Sieboldstrasse3 D-97230 Estenfeld Germany

Contact person in Germany: (Official Correspondent) Address:

Kristin Feld

eResearchTechnology GmbH Sieboldstrasse 3, 97230 Estenfeld Germany

+49 9305 720 6377 +49 9305 720 70 kristin.feld@clario.com

Contact person in the U.S .: Todd Kisner

Address

Phone:

FAX:

E-mail

eResearchTechnology 1818 Market St Suite 2600 Philadelphia, PA 19103

Phone/Fax: E-mail

+1 609 779 5935 todd.kisner@clario.com

3 Establishment Registration Number

3008505660

4 Common Name or Classification Name

Predictive pulmonary-function value calculator (CFR 868.1890, Product Code BTY) Electrocardiograph (CFR 870.2340, Product Code DPS)

6

Image /page/6/Picture/1 description: The image shows the logo for ERT. The logo consists of a circular graphic on the left and the text "ERT" on the right. The circle is divided into three sections, colored light green, light blue, and dark blue. Below the text "ERT" is the tagline "Confidence at every turn."

  • 5 Trade Names SpiroSphere SpiroSphere ECG CardioSphere
  • 6 Device Classification Class II

7 Classification Panel

73 Anaesthesiology Part 868 Code BTY (primary) 74 Cardiovascular Part 870 Code DPS (secondary)

8 Reason for Premarket Notification

New option (ECG) to a cleared device (SpiroSphere K173937)

9 Legally Marketed Predicate and Reference Devices

Predicate Device: K202754 Code BTY, DPS Masterscope, Masterscope ECG, Masterscope CT, Masterscope WSSU

Reference Devices:

K173937 Code BTY SpiroSphere

K183369 Code DPS COR12

10 Predicate Device Company

eResearchTechnology GmbH

Reference Device Companies

eResearchTechnology GmbH (SpiroSphere) Corscience GmbH & Co. KG (COR12)

7

Image /page/7/Picture/1 description: The image shows the ERT logo. The logo consists of a circular graphic on the left and the text "ERT" on the right. The circular graphic is divided into three sections, colored light green, dark blue, and light blue. Below the text "ERT" is the tagline "Confidence at every turn" in a smaller font.

Device Description 11

SpiroSphere

SpiroSphere is a compact spirometry device. Its Sensor Unit is batterypowered. The Main Unit can be powered by battery or power supply. The SpiroSphere / SpiroSphere ECG is used to measure inspiratory and expiratory lung function parameters in adults and children 4 years and older. The measured data is saved to the device and can be read out at any time.

SpiroSphere ECG

SpiroSphere ECG is a compact spirometry device. Its Sensor Unit is battery-powered. The Main Unit can be powered by battery or power supply. The SpiroSphere / SpiroSphere ECG is used to measure inspiratory and expiratory lung function parameters in adults and children 4 years and older. The measured data is saved to the device and can be read out at any time.

With the ECG option (subject of this 510(k)), 12-channel surface electrocardiogram can be measured and recorded.

CardioSphere

The Main Unit can be powered by battery or power supply. The Main Unit is wirelessly connected to an ECG amplifier via Bluetooth.

With the ECG option (subject of this 510(k)), 12-channel surface electrocardiogram can be measured and recorded.

A printer can be connected and data (e.g. reports, screenshots) can be printed. Moreover, it is possible to transfer data by USB. Wifi. 3G. and Ethernet connections.

8

Image /page/8/Picture/1 description: The image shows the logo for ERT. The logo consists of a circular graphic on the left and the text "ERT" on the right. The circular graphic is divided into three sections, with the top section being light green and the bottom two sections being dark blue. Below the text "ERT" is the tagline "Confidence at every turn".

Pulmonary function assessments

  • Slow Spirometry .
  • Forced Spirometry .
  • Flow-Volume loop and Volume-Time tracing, pre/post tests ●
  • Trending capabilities ●

Cardiovascular assessments

  • 12 Lead Electrocardiogram ●

12 Intended Use/Indications for Use - SpiroSphere

The SpiroSphere is a compact device to measure inspiratory and expiratory lung function parameters in adults and children aged 4 years and older.

It can be used by physicians in the office or hospital.

13 Intended Use/Indications for Use - SpiroSphere ECG

The SpiroSphere ECG is a compact device to measure inspiratory and expiratory lung function parameters in adults and children aged 4 years and older.

With the option ECG, electrocardiographic measurements can be made under resting conditions. For this purpose a 12-channel surface electrocardiogram can be measured and recorded. The acquired ECG can be displayed on the screen or printed on paper. The interpretation software is intended to support the physician in evaluation of the resting ECG in terms of morphology and rhythm. Automatic interpretation of the ECG is not possible for pediatric subjects with an age below 16 years and for pacemaker subjects. It is not intended for intra-cardial use.

A qualified physician has to reassess all ECG measurements. An interpretation by SpiroSphere ECG is only significant if it is considered in connection with other clinical findings. ECG interpretation statements made by the SpiroSphere ECG represent partial qualitative and quantitative information on the patient's cardiovascular condition and no therapy or drugs can be administered based solely on the interpretation

9

Image /page/9/Picture/1 description: The image shows the logo for ERT. The logo consists of a green and blue abstract shape on the left, followed by the letters "ERT" in blue. Below the letters, the text "Confidence at every turn" is written in a smaller font.

statements. The SpiroSphere ECG is not intended for use in an EMS environment (Emergency Medical Services Environment).

The minimum age for ECG application is 4 years.

lt can be used by physicians in the office or hospital.

14 Intended Use/Indications for Use - CardioSphere

With the CardioSphere, electrocardiographic measurements can be made under resting conditions. For this purpose a 12-channel surface electrocardiogram can be measured and recorded. The acquired ECG can be displayed on the screen or printed on paper. The interpretation software is intended to support the physician in evaluation of the resting ECG in terms of morphology and rhythm. Automatic interpretation of the ECG is not possible for pediatric subjects with an age below 16 years and for pacemaker subjects. It is not intended for intra-cardial use.

A qualified physician has to reassess all ECG measurements. An interpretation by CardioSphere is only significant if it is considered in connection with other clinical findings. ECG interpretation statements made by the CardioSphere represent partial qualitative and quantitative information on the patient's cardiovascular condition and no therapy or drugs can be administered based solely on the interpretation statements. The CardioSphere is not intended for use in an EMS environment (Emergency Medical Services Environment).

The minimum age for ECG application is 4 years.

It can be used by physicians in the office or hospital.

15 Required Components

Power Supply (medical grade) Instructions for Use

SpiroSphere and SpiroSphere ECG: Pneumotach with Mouthpiece (ERT PT) Nose Clips

SpiroSphere ECG and CardioSphere: ECG Unit/amplifier ECG electrodes

10

Image /page/10/Picture/1 description: The image shows the ERT logo. The logo consists of a circular graphic on the left and the text "ERT" on the right. The circular graphic is divided into three sections, colored light green, light blue, and dark blue. Below the text "ERT" is the tagline "Confidence at every turn" in a smaller font.

16 Summary Table of Comparison

Comparison tables with Predicate and Reference devices: MasterScope (K202754), COR12 (K183369), and SpiroSphere (K173937)

Pulmonary / Spirometry Function Comparison
Predicate Device
MasterScope (K202754)Reference Device
SpiroSphere (K173937)Subject Device
SpiroSphere ECGSpiroSphere
Intended Use /
Indications for UseMasterScope is a medical
device to measure inspiratory
and expiratory lung function
parameters.
With the option ECG a 12-
channel surface
electrocardiogram (ECG) can
be measured and recorded. It is
not intended for intracardial use.
Automatic interpretation of the
ECG is not possible for pediatric
patients with an age below 16
years and for pacemaker
patients.
A qualified physician has to
reassess all
MasterScope/MasterScope
ECG measurements. An
interpretation by
MasterScope/MasterScope
ECG is only significant if it is
considered in connection with
other clinical findings.
ECG interpretation statements
made by theThe SpiroSphere is a
compact device to measure
inspiratory and expiratory
lung function parameters in
adults and children aged 4
years and older.
It can be used by physicians
in the office or hospital.The SpiroSphere ECG is a
compact device to
measure inspiratory and
expiratory lung function
parameters in adults and
children aged 4 years and
older.
With the option ECG,
electrocardiographic
measurements can be
made under resting
conditions. For this
purpose a 12-channel
surface electrocardiogram
can be measured and
recorded. The acquired
ECG can be displayed on
the screen or printed on
paper. The interpretation
software is intended to
support the physician in
evaluation of the resting
ECG in terms of
morphology and rhythm.
Automatic interpretation of
the ECG is not possible forThe SpiroSphere is a
compact device to
measure inspiratory and
expiratory lung function
parameters in adults
and children aged 4
years and older.
It can be used by
physicians in the office
or hospital.
MasterScope/MasterScope
ECG represent partial
quantitative information on the
patient's cardiovascular
conditions and no therapy or
drugs can be administered
based solely on the
interpretation statements.
It can be used by physicians in
the office or hospital.
The MasterScope spirometry
and ECG application is intended
to measure adults and children
aged 4 years and older. The
patients must be able to
understand and perform
instructions of the physician.pediatric subjects with an
age below 16 years and
for pacemaker subjects. It
is not intended for intra-
cardial use.
A qualified physician has
to reassess all ECG
measurements. An
interpretation by
SpiroSphere ECG is only
significant if it is
considered in connection
with other clinical findings.
ECG interpretation
statements made by the
SpiroSphere ECG
represent partial
qualitative and quantitative
information on the
patient's cardiovascular
condition and no therapy
or drugs can be
administered based solely
on the interpretation
statements. The
SpiroSphere ECG is not
intended for use in an
EMS environment
(Emergency Medical
Services Environment).
The minimum age for ECG
application is 4 years.
It can be used by
physicians in the office or
hospital.IdenticalIdentical
Patient population4 years and older4 years and older4 years and older
Operation principleMeasurement of inspiratory and
expiratory flows and volumes
with pneumotach transducer
Calculation of lung function
parameters
Results are displayed and
stored, they can be printed and
exportedMeasurement of inspiratory
and expiratory flows and
volumes with pneumotach
transducer
Calculation of lung function
parameters
Results are displayed and
stored, they can be printed
and exportedIdenticalIdentical
MeasurementsFEV1, FVC, PEF, FEF25-75,
VC, IC, ERV and others acc. to
ATS*FEV1, FVC, PEF, FEF25-
75, VC, IC, ERV and others
acc. to ATS*IdenticalIdentical
*ATS conformity
(criteria)2005 ATS/ERS Spirometry
Standards2005 ATS/ERS Spirometry
StandardsIdenticalIdentical
Fundamental
scientific technologyPneumotachograph, pressure to
flow conversion technique
(Lilly Type Pneumotachograph)Pneumotachograph,
pressure to flow conversion
technique
(Lilly Type
Pneumotachograph)IdenticalIdentical
UserPhysicians in the office or
hospitalPhysicians in the office or
hospitalIdenticalIdentical
LaptopMain UnitIdentical to SpiroSphere
(K173937)Identical to SpiroSphere
(K173937)
ComponentsSensor UnitSensor UnitIdenticalIdentical
ERT PTERT PTIdenticalIdentical
Screen DisplayDepends on used Laptop162 x 122 mmIdentical to SpiroSphere
(K173937)Identical to SpiroSphere
(K173937)
InterfaceBluetooth
USB
Wifi/EthernetBluetooth
USB
Wifi/Ethernet
3GIdentical to SpiroSphere
(K173937)Identical to SpiroSphere
(K173937)
Energy typeLi-Ion Battery and Power SupplyLi-Ion Battery and Power
SupplyIdenticalIdentical

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Image /page/11/Picture/1 description: The image shows the ERT logo. The logo consists of a circular graphic on the left and the text "ERT" on the right. The circular graphic is divided into three sections, colored blue, green, and dark blue. Below the text "ERT" is the tagline "Confidence at every turn".

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Image /page/12/Picture/1 description: The image shows the ERT logo. The logo consists of a circular graphic made up of three curved shapes in blue and green, followed by the letters "ERT" in bold blue font. Below the letters, the text "Confidence at every turn" is written in a smaller blue font.

13

Image /page/13/Picture/1 description: The image shows the ERT logo. The logo consists of a circular graphic with three overlapping leaves in different shades of green and blue. To the right of the graphic is the text "ERT" in a bold, blue font. Below the text is the tagline "Confidence at every turn" in a smaller, lighter font.

ECG Function Comparison
Predicate Device MasterScope
(K202754)Subject Device
SpiroSphere ECGCardioSphere
Intended Use /
Indications for UseMasterScope is a medical device to
measure inspiratory and expiratory lung
function parameters.
With the option ECG a 12-channel surface
electrocardiogram (ECG) can be
measured and recorded. It is not intended
for intracardial use. Automatic
interpretation of the ECG is not possible
for pediatric patients with an age below 16
years and for pacemaker patients.
A qualified physician has to reassess all
MasterScope/MasterScope ECG
measurements. An interpretation by
MasterScope/MasterScope ECG is only
significant if it is considered in connection
with other clinical findings. ECG
interpretation statements made by the
MasterScope/MasterScope ECG represent
partial quantitative information on the
patient's cardiovascular conditions and no
therapy or drugs can be administered
based solely on the interpretation
statements.
It can be used by physicians in the office
or hospital.
The MasterScope spirometry and ECG
application is intended to measure adults
and children aged 4 years and older. The
patients must be able to understand and
perform instructions of the physician.The SpiroSphere is a compact device
to measure inspiratory and expiratory
lung function parameters in adults
and children aged 4 years and older.
With the option ECG,
electrocardiographic measurements
can be made under resting
conditions. For this purpose a 12-
channel surface electrocardiogram
can be measured and recorded. The
acquired ECG can be displayed on
the screen or printed on paper. The
interpretation software is intended to
support the physician in evaluation of
the resting ECG in terms of
morphology and rhythm. Automatic
interpretation of the ECG is not
possible for pediatric subjects with an
age below 16 years and for
pacemaker subjects. It is not intended
for intra-cardial use.
A qualified physician has to reassess
all ECG measurements. An
interpretation by SpiroSphere ECG is
only significant if it is considered in
connection with other clinical findings.
ECG interpretation statements made
by the SpiroSphere ECG represent
partial qualitative and quantitative
information on the patient's
cardiovascular condition and no
therapy or drugs can be administered
based solely on the interpretationWith the CardioSphere,
electrocardiographic
measurements can be made
under resting conditions. For this
purpose a 12-channel surface
electrocardiogram can be
measured and recorded. The
acquired ECG can be displayed
on the screen or printed on paper.
The interpretation software is
intended to support the physician
in evaluation of the resting ECG in
terms of morphology and rhythm.
Automatic interpretation of the
ECG is not possible for pediatric
subjects with an age below 16
years and for pacemaker subjects
It is not intended for intra-cardial
use.
A qualified physician has to
reassess all ECG measurements.
An interpretation by CardioSphere
is only significant if it is considered
in connection with other clinical
findings. ECG interpretation
statements made by the
CardioSphere represent partial
qualitative and quantitative
information on the patient's
cardiovascular condition and no
therapy or drugs can be
administered based solely on the
interpretation statements. The
CardioSphere is not intended for
statements. The SpiroSphere ECG is
not intended for use in an EMS
environment (Emergency Medical
Services Environment).
The minimum age for ECG
application is 4 years.
It can be used by physicians in the
office or hospital.use in an EMS environment
(Emergency Medical Services
Environment).
The minimum age for ECG
application is 4 years.
It can be used by physicians in the
office or hospital.
Patient populationpatients age 4 years and olderpatients age 4 years and olderpatients age 4 years and older
Sampling Rate1000 Hz500 Hz500 Hz
Evaluation algorithmHannover ECG System (HES)IdenticalIdentical
Interpretation
algorithm (ECG)Hannover ECG System (HES)IdenticalIdentical
Data outputRecorded and displayed on screen or
printedIdenticalIdentical
ECG parameterHeart rate [bpm]
RR interval [ms]
P wave duration [ms]
PR interval [ms]
QRS duration [ms]
QT interval [ms]
Corrected QT (Friderica) [ms]
Corrected QT (Bazett) [ms]
P wave onset [ms]
P wave end [ms]
QRS interval onset [ms]
QRS interval end [ms]
T wave end [ms]
QRS axis [degree]
P wave axis [degree]
T wave axis [degree]IdenticalIdentical
RecordsUnder resting conditionsIdenticalIdentical
ElectrodesStandards ECG electrodesIdenticalIdentical
Lead set-up /
locationStandard 12 lead ECG lead set-upIdenticalIdentical
Connection of the
electrodes4 mm snap, gildedIdenticalIdentical
Electrode typeStandard single use ECG electrodesIdenticalIdentical
Technology of ECG
signalImpedance measurementIdenticalIdentical
Power supply5V DC via USB interface1x AA Alkaline (professional or
rechargeable) battery or rechargeable
NiMH battery1x AA Alkaline (professional or
rechargeable) battery or
rechargeable NiMH battery
Data transmissionUSBBluetooth 2.1+EDR Protocol: SPP.Bluetooth 2.1+EDR Protocol:
SPP.
ECG Amplifier Comparison
Reference Device COR12
(K183369)Subject Device
SpiroSphere ECGCardioSphere
Intended Use /
Indications for UseThe COR12 ECG is intended for
measuring the surface
electrocardiogram (ECG) of a patient.
The acquired ECG can be recorded and
displayed on a screen or printed on
paper. The COR12 ECG can be used
for applications in patients age 4 years
and older and a weight of 20 kg or
higher. The COR12 ECG is intended to
be used for routine ECG collection,
recording both under resting and stress
conditions. The measurement is
performed by trained healthcare
professionals under the direction of a
physician in healthcare facilities (e.g.
the doctor's office or hospital).The SpiroSphere is a compact device
to measure inspiratory and expiratory
lung function parameters in adults
and children aged 4 years and older.
With the option ECG,
electrocardiographic measurements
can be made under resting
conditions. For this purpose a 12-
channel surface electrocardiogram
can be measured and recorded. The
acquired ECG can be displayed on
the screen or printed on paper. The
interpretation software is intended to
support the physician in evaluation of
the resting ECG in terms of
morphology and rhythm. Automatic
interpretation of the ECG is not
possible for pediatric subjects with an
age below 16 years and for
pacemaker subjects. It is not
intended for intra-cardial use.
A qualified physician has to reassess
all ECG measurements. An
interpretation by SpiroSphere ECG is
only significant if it is considered inWith the CardioSphere,
electrocardiographic
measurements can be made
under resting conditions. For this
purpose a 12-channel surface
electrocardiogram can be
measured and recorded. The
acquired ECG can be displayed
on the screen or printed on
paper. The interpretation
software is intended to support
the physician in evaluation of the
resting ECG in terms of
morphology and rhythm.
Automatic interpretation of the
ECG is not possible for pediatric
subjects with an age below 16
years and for pacemaker
subjects. It is not intended for
intra-cardial use.
A qualified physician has to
reassess all ECG
measurements. An interpretation
by CardioSphere is only
connection with other clinical
findings. ECG interpretation
statements made by the SpiroSphere
ECG represent partial qualitative and
quantitative information on the
patient's cardiovascular condition
and no therapy or drugs can be
administered based solely on the
interpretation statements. The
SpiroSphere ECG is not intended for
use in an EMS environment
(Emergency Medical Services
Environment).
The minimum age for ECG
application is 4 years.
It can be used by physicians in the
office or hospital.significant if it is considered in
connection with other clinical
findings. ECG interpretation
statements made by the
CardioSphere represent partial
qualitative and quantitative
information on the patient's
cardiovascular condition and no
therapy or drugs can be
administered based solely on the
interpretation statements. The
CardioSphere is not intended for
use in an EMS environment
(Emergency Medical Services
Environment).
The minimum age for ECG
application is 4 years.
It can be used by physicians in
the office or hospital.
Patient populationpatients age 4 years and older and a
weight of 20 kg or higherpatients age 4 years and olderpatients age 4 years and older
Data outputRecorded and displayed on screen or
printedIdenticalIdentical
RecordsUnder resting and stress conditionsUnder resting conditionsUnder resting conditions
Dimensions W x H x
D8.0 x 9.3 x 2.1 cm (3.3 x 3.7 x 0.8 in)IdenticalIdentical
Weight (without
battery)200 g (0.4 lbs)IdenticalIdentical
12-channel Surface
ECG RecordingYesIdenticalIdentical
ElectrodesStandard ECG electrodesIdenticalIdentical
Connection of the
electrodes4 mm snap, gildedIdenticalIdentical
Technology of ECG
signalImpedance measurementIdenticalIdentical
Resolution /
Amplitude
quantisation1,94μV/bit ECGIdenticalIdentical
FilterBandpass 0.05 Hz - 150 Hz No line
filter (50 Hz / 60 Hz)IdenticalIdentical
Pacemaker detection4000 HzIdenticalIdentical
Temperature range
operationT = 10-37 °CIdenticalIdentical
Ambient pressure
range operation700 to 1060 hPa (525 to 795 mmHg)IdenticalIdentical
Humidity (operation,
storage, transport)5 – 95% RH (not condensing)IdenticalIdentical
Power supply1x AA Alkaline (professional or
rechargeable) battery or rechargeable
NiMH batteryIdenticalIdentical
Runtime>5h with AA battery

8h with rechargeable NiMH battery
(2850 mAh) | Identical | Identical |
| Classification
according to 60601-1
-Protection type
against electric
shock
-Protection level
against electric
shock | Device with internal power supply Type
CF | Identical | Identical |
| Recovery Time after
defibrillation |