K Number
K990476
Device Name
HP VIRIDIA COMPONENT MONITORING SYSTEM, HP VIRIDIA CMS 24/26, MODEL REV. K WITH EASI-ECG OPTION
Date Cleared
1999-07-22

(156 days)

Product Code
Regulation Number
870.1025
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Hewlett-Packard Viridia Component Monitoring System, (M1175A/76A/77A), and Viridia 24/26 (M1205A) Rev.K with EASI-ECG Option is indicated for: - Assessment of symptoms that may be related to rhythm disturbances of the heart: patients with palpitations, the evaluation of arrhythmia's in adult and pediatric patients. - Assessment of risk in patients with or without symptoms of arrhythmia. - Assessment of efficacy of antiarrhythmic therapy. - Assessment of pacemaker function. - Assessment of symptomatic or asymptomatic patients to evaluate for ischemic heart disease. - Assessment is indicated for single-hospital environment.
Device Description
The new device consists of a software enhancement enabling the CMS system to accommodate an electrode placement pattern allowing signals for deriving the 12-lead electrocardiogram from the 5-lead EASI electrode system. The EASI option is fully compatible with the existing HP ECG frontend modules M1001A/B or M1002A/B.
More Information

K872781B, K951370

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and the device description focuses on a software enhancement for electrode placement and signal derivation, not AI/ML algorithms.

No.
The device is indicated for assessment and monitoring of heart conditions, not for treating them.

Yes

The device is indicated for "Assessment of symptoms that may be related to rhythm disturbances of the heart", "Assessment of risk in patients with or without symptoms of arrhythmia", "Assessment of efficacy of antiarrhythmic therapy", "Assessment of pacemaker function", and "Assessment of symptomatic or asymptomatic patients to evaluate for ischemic heart disease". These assessments are diagnostic activities.

No

The device description explicitly states it is a "software enhancement enabling the CMS system" and is "fully compatible with the existing HP ECG frontend modules M1001A/B or M1002A/B," indicating it is a software component integrated into existing hardware systems, not a standalone software-only device.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that this device is a "Component Monitoring System" and a "software enhancement enabling the CMS system to accommodate an electrode placement pattern allowing signals for deriving the 12-lead electrocardiogram from the 5-lead EASI electrode system." This indicates it's a system for monitoring electrical activity of the heart using electrodes placed on the body.
  • Intended Use: The intended uses listed are all related to assessing heart rhythm disturbances, risk, therapy efficacy, pacemaker function, and ischemic heart disease based on the electrical signals from the heart. These are clinical assessments performed on the patient directly, not on samples taken from the patient.

Therefore, the device is a clinical monitoring device that uses non-invasive methods (electrodes on the skin) to assess the heart's electrical activity, which falls outside the scope of in vitro diagnostics.

N/A

Intended Use / Indications for Use

The Hewlett-Packard Viridia Component Monitoring System, (M1175A/76A/77A), and Viridia 24/26 (M1205A) Rev.K with EASI-ECG Option is indicated for:

  • Assessment of symptoms that may be related to rhythm disturbances of the heart: patients with palpitations, the evaluation of arrhythmia's in adult and pediatric patients.
  • Assessment of risk in patients with or without symptoms of arrhythmia.
  • Assessment of efficacy of antiarrhythmic therapy.
  • Assessment of pacemaker function.
  • Assessment of symptomatic or asymptomatic patients to evaluate for ischemic heart disease.
  • Assessment is indicated for single-hospital environment.

Product codes

MHX

Device Description

The new device consists of a software enhancement enabling the CMS system to accommodate an electrode placement pattern allowing signals for deriving the 12-lead electrocardiogram from the 5-lead EASI electrode system. The EASI option is fully compatible with the existing HP ECG frontend modules M1001A/B or M1002A/B.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Heart

Indicated Patient Age Range

Adult and pediatric patients.

Intended User / Care Setting

Hospital environment

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)

Not Found

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

Not Found

Predicate Device(s)

K872781B, K951370

Reference Device(s)

K882609, K973437

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1025 Arrhythmia detector and alarm (including ST-segment measurement and alarm).

(a)
Identification. The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to produce a visible or audible signal or alarm when atrial or ventricular arrhythmia, such as premature contraction or ventricular fibrillation, occurs.(b)
Classification. Class II (special controls). The guidance document entitled “Class II Special Controls Guidance Document: Arrhythmia Detector and Alarm” will serve as the special control. See § 870.1 for the availability of this guidance document.

0

K990476

7.0 510(k) Summary

This summary of 510(k) safety and effectiveness information is submitted in accordance with the requirements of the Safe Medical Devices Act of 1990 and 21 C.F.R. §807.92.

  1. The submitter of this premarket notification is: Egon Pfeil Regulatory Affairs Medical Products Group-Europe Hewlett-Packard GmbH Herrenberger Strasse 110-140 D-71034 Germany 011 49 (7031) 14-2243 Tel: Fax: 011 49 (7031) 14-4297 Email:egon pfeil@hp.com

This summary was prepared on February 3, 1999

    1. The name of this device is Hewlett-Packard Viridia Component Monitoring System, Rev.K, with EASI-ECG Option. The common name is HP Virdia CMS, Rev.K. Classification names are as follows:

| Regulation

NumberClassification Name
870.2300Monitor, Cardiac (including Cardiotachometer & Rate
Alarm)
870.2350Adapter, Lead Switching, Electrocardiograph
870.1025Detector and Alarm, Arrythmia
    1. The new device with the EASI-ECG Option is substantially equivalent to the following predicate devices: the Totemite EASI Lead System Cable K872781B (12/29/87), and the Zymed T8010 Telemetry Central Station Monitor K951370 (10/6/95). The accessories and materials are optional and are the same accessories originally cleared for use with HP M1175A/76A CMS K882609 (1/19/89). The EASI-ECG will operate with the HP M1001A/B and M1002A/B ECG plug-in modules previously cleared under K973437 (12/3/97).
    1. The new device consists of a software enhancement enabling the CMS system to accommodate an electrode placement pattern allowing signals for deriving the 12-lead electrocardiogram from the 5-lead EASI electrode system. The EASI option is fully compatible with the existing HP ECG frontend modules M1001A/B or M1002A/B.

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    1. The CMS Rev.K with the EASI-ECG option has the same intended use as the legally marketed predicate devices. When used in the hospital environment, the HP EASI-ECG option is intended for use where 12-Lead ECG monitoring is indicated in adult patients.
    1. The CMS Rev.K with the EASI-ECG option operates using a monitoring technology rather than a telemetry system as used in the predicates. The measurement technology and the transmission of ECG signals, however, are similar and therefore the technological characteristics are essentially the same as those of the legally marketed predicate devices.

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is a stylized representation of a caduceus, a symbol often associated with healthcare, featuring three parallel lines that curve and resemble a stylized human figure.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 2 2 1999

Mr. Egon Pfeil Regulatory Affairs Medical Products Group-Europe Hewlett-Packard GmbH Herrenbergerstresse 110-140 D-71034 Boeblingen Germany

Re: K990476 HP Viridia CMS and 24/26 Rev K with EASI-ECG Requlatory Class: III (three) Product Code: MHX Dated: May 21, 1999 Received: May 26, 1999

Dear Mr. Pfeil:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, qood manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval) , it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 A substantially equivalent determination assumes compliance to 895. with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such

3

assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 510 (k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diaqnostic devices), please contact the Office of Compliance at (301) 594-4648. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, 2 Misbranding by reference to premarket notification? (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Thomas J. Callahan

Thomas J.Callahan, Ph.D. Director Division of Cardiovascular, Respiratory, and Neuroloqical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use Statement

510(k) Number (if known)K990476
Device NameThe Hewlett-Packard Viridia Component Monitoring System (M1175A/76A/77A), and Viridia 24/26 (M1205A) Rev. K with EASI-ECG Option
Indications for UseThe Hewlett-Packard Viridia Component Monitoring System, (M1175A/76A/77A), and Viridia 24/26 (M1205A) Rev.K with EASI-ECG Option is indicated for: Assessment of symptoms that may be related to rhythm disturbances of the heart: patients with palpitations, the evaluation of arrhythmia's in adult and pediatric patients.Assessment of risk in patients with or without symptoms of arrhythmia.Assessment of efficacy of antiarrhythmic therapy.Assessment of pacemaker function.Assessment of symptomatic or asymptomatic patients to evaluate for ischemic heart disease.Assessment is indicated for single-hospital environment.

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED

Concurrence of CDRH, Office of Device Evaluation/(ODE)
--------------------------------------------------------
(Division Sign-Off)
Division of Cardiovascular, Respiratory,
and Neurological Devices
510(k) NumberK990476

| Prescription Use

(Per 21 CFR 801.109) XOROver-The-Counter Use ______
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