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510(k) Data Aggregation

    K Number
    K222982
    Date Cleared
    2023-06-23

    (268 days)

    Product Code
    Regulation Number
    868.1890
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Virtus Technology ApS

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Virtus Metabolic Monitor is indicated for the measurement of Resting Energy Expenditure (REE) for mechanically ventilated patients, who are non-spontaneous breathing, and who are at least 18 years of age.

    The Virtus Metabolic Monitor is intended to be used in Intensive Care Units (ICUs) in professional healthcare facilities only.

    The Virtus Metabolic Monitor is for prescription use only.

    Device Description

    Virtus Metabolic Monitor is a metabolic monitors designed for the measurement of resting energy expenditure (REE) for mechanically ventilated adult patients in the Intensive Care Unit (ICU).

    The device is enclosed in a metal casing with a color touch screen on front for user interaction and measurement results. On the left-hand side pneumatic connections to the flow and gas sensor (Flow Sensor) and on the rear the mains power inlet, on-switch, charging indicator and USB-connector for export of results.

    The Virtus Metabolic Monitor is portable and is supplied from the built-in battery or from mains, where it is automatically charged.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the Virtus Metabolic Monitor, based on the provided text:

    1. Acceptance Criteria and Reported Device Performance

    ParameterAcceptance CriteriaReported Device Performance
    REE Accuracy±3%Met acceptance criteria, measuring up to 7200 kcal/day with acceptable agreement to predicate.
    RQ Accuracy±5%Met acceptance criteria, with acceptable agreement to predicate.
    V'O2 Accuracy±3%Met acceptance criteria, measuring 75-1000 mL/min with acceptable agreement to predicate.
    V'CO2 Accuracy±3%Met acceptance criteria, measuring 75-1000 mL/min with acceptable agreement to predicate.
    Electrical SafetyCompliance with IEC 60601-1:2005+AMD1:2012Met acceptance criteria.
    EMCCompliance with IEC 60601-1-2:2014+A1:2020Met acceptance criteria.
    Risk ManagementCompliance with ISO 14971:2019, acceptable residual risksMet acceptance criteria.
    SoftwareCompliance with IEC 62304:2006+A1:2015, verified to requirements and validated for intended useMet acceptance criteria.
    BiocompatibilityMet acceptance criteria (for disposable flow sensor)Met acceptance criteria.
    Shelf-life1 year shelf-lifeMet acceptance criteria.
    Expected Lifetime5 years expected lifetimeMet acceptance criteria.
    UsabilityMet acceptance criteriaMet acceptance criteria.
    Measurement RangeREE: 500 - 7200 kcal/day; RQ: 0.05 - 2; V'O2: 75-1000mL/min; V'CO2: 75-1000mL/minSubject device capable of measuring V'O2 and V'CO2 up to 1000 ml/min and calculating corresponding 7200kcal/day for REE.

    2. Sample Size Used for the Test Set and Data Provenance

    The document describes a "side-by-side" test against the predicate device. However, the specific sample size for this test set (number of measurements, number of patients) is not provided. The data provenance (country of origin, retrospective/prospective) is also not explicitly stated. It's implied to be a testing scenario rather than a clinical study on patients, given the wording.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    The document does not mention the use of experts to establish ground truth for this non-clinical, side-by-side comparison test. The comparison was made against the measurements of a cleared predicate device (Cosmed Q-NRG+).

    4. Adjudication Method for the Test Set

    Since the ground truth was established by comparison to a predicate device's measurements in a laboratory setting, there was no expert adjudication method described.

    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was Done

    No, an MRMC comparative effectiveness study was not done. The described testing is a non-clinical side-by-side comparison of device measurements, not a study involving human readers or their improvement with AI assistance.

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

    Yes, the described testing is a standalone performance evaluation of the Virtus Metabolic Monitor. It directly compares the device's measurements (V'O2, V'CO2, REE) against those of a predicate device in a controlled setting, without a human-in-the-loop context.

    7. The Type of Ground Truth Used

    The "ground truth" for the non-clinical side-by-side test was the measurements provided by the predicate device (Cosmed Q-NRG+). The study aimed to show "acceptable agreement of measurements between the subject device and the predicate device."

    8. The Sample Size for the Training Set

    The document does not mention any training set or related sample size. The device calculates metabolic parameters using the standard Weir formula and relies on measured V'O2 and V'CO2. There's no indication of a machine learning-based algorithm requiring a training set in this summary.

    9. How the Ground Truth for the Training Set Was Established

    As no training set is mentioned or implied, the method for establishing its ground truth is not applicable.

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