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510(k) Data Aggregation

    K Number
    K083630
    Date Cleared
    2009-04-23

    (136 days)

    Product Code
    Regulation Number
    870.2920
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    CLUE MEDICAL AND CLUE MEDICAL BASIC

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

    The clue medical and clue medical BASIC are handheld, battery operated single channel electrocardiographs intended for recording and transmitting ECG data by patients who are concerned about their heart rhythm. The clue medical and clue medical BASIC allow the patient to record their ECG data into the device memory and transmit it for display by healthcare professionals.

    Specifically, the clue medical and clue medical BASIC are intended for patients that are concerned about their heart rhythm or have experienced the following symptoms that are suggestive of abnormal heart rhythm:

    Skipped beats

    Pounding heart (palpitations)

    History of arrhythmia

    The clue medical and cluc medical BASIC ECG data is intended to be used by a licensed health care practitioner. These measurements are not intended for any specific clinical diagnosis. The clinical significance must be determined by the physician.

    Device Description

    The clue medical is an handheld battery operated single-channel ECG recorder featuring four fixed electrodes on the back of the device, an ECG lead connector, an IrDA and a Bluetooth interface and one single button to record and store up to ten ECG recordings with 30 seconds or two minutes duration. The stored ECG tests are processed into a printable Portable Document Format (PDF) that can be transmitted two ways. The PDF can be transmitted via IrDA or Bluetooth to an IrDa or Bluetooth capable local PC or printer. If the receiving device is not IrDa or Bluetooth capable, an optional IrDA USB stick is provided with the clue medical. The PDF file can then be saved, sent, displayed or printed. Alternatively, the PDF can be transmitted via a Bluetooth capable cell phone directly to the Telovital server for storage.

    The device requires that a user is mentally and physically capable of reading and understanding the Patient Operating Instructions. The patient must also be physically capable of pressing the record button and holding the device to his/her chest for an adequate reading.

    The clue medical BASIC is identical to the clue medical in design. The only difference is that the clue medical BASIC does not provide the added capability of sending the ECG data via cell phone directly to the Telovital server, it is only capable of transmission to a local PC or printer. The purpose of this Special 510(k) is to modify the method of wireless data transmission for both the clue medical and clue medical BASIC to include Bluetooth technology.

    AI/ML Overview

    This 510(k) submission (K083630) is for a modification to an already cleared device, the Telovital clue medical and clue medical BASIC. The modification specifically concerns the addition of Bluetooth technology for wireless data transmission. As such, the submission focuses on demonstrating that this change does not affect the device's fundamental safety, effectiveness, or intended use compared to the previously cleared version (K082013).

    Therefore, this document does not contain specific acceptance criteria for diagnostic performance or a detailed study proving the device meets new acceptance criteria for diagnostic accuracy. Instead, the "study" demonstrating acceptance is the testing performed against established safety and performance standards, asserting that the modification does not negatively impact these.

    Based on the provided text, here's a breakdown of the requested information:


    1. Table of Acceptance Criteria and Reported Device Performance

    As this submission is for a modification to an existing device, there are no specific diagnostic performance acceptance criteria or corresponding reported performance data for parameters like sensitivity, specificity, or AUC related to diagnostic accuracy. The acceptance criteria referenced are compliance with widely recognized medical device safety and performance standards. The reported "performance" for this submission is that the device continues to meet these standards after the modification.

    Acceptance Criteria (Standards)Reported Device Performance (Compliance)
    IEC 60601-1: General Requirements for SafetyCompliant
    IEC 60601-1-1: Safety Requirements for Medical Electrical SystemsCompliant (Previously, reaffirmed)
    IEC 60601-1-2: Electromagnetic compatibility - Requirements and testsCompliant
    IEC 60601-2-25: Particular Requirements for the Safety of ElectrocardiographsCompliant
    IEC 60601-2-47: Particular requirements for safety, including performance, for ambulatory electrocardiographic systemsCompliant
    IEC 60601-1, subclause 56.3(c): Electrode leadwires (for K082013)Compliant

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

    Not applicable for diagnostic performance as this submission is for a modification of an already cleared device, not a new diagnostic claim or performance study. The testing referenced relates to engineering and safety standards. Details on sample sizes for these engineering tests are not provided. The data provenance is implied to be from laboratory testing performed by the manufacturer to ensure compliance with the listed standards.

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

    Not applicable. Ground truth as typically understood for diagnostic device evaluation (e.g., expert labels for medical images) is not relevant here. The ground truth for the engineering standards is the specifications and requirements defined within those standards.

    4. Adjudication Method for the Test Set

    Not applicable. No clinical test set requiring adjudication is described.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No. An MRMC study or any study involving human readers comparing AI-assisted vs. non-AI-assisted performance was not conducted or reported in this submission. The device is an ECG recorder, not an AI-driven interpretation system.

    6. Standalone (Algorithm Only) Performance Study

    No. This device is a hardware ECG recorder. While it captures ECG data, it doesn't perform automated diagnostic interpretation or rely on a standalone algorithm in the sense of an AI diagnostic tool.

    7. Type of Ground Truth Used

    The "ground truth" for this submission is conformity to established international medical device safety and performance standards (IEC 60601 series). These standards define technical requirements, electromagnetic compatibility, and safety criteria for medical electrical equipment, specifically for electrocardiographs.

    8. Sample Size for the Training Set

    Not applicable. This device is a hardware ECG recorder and does not describe an AI training set.

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

    Not applicable.

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    K Number
    K082013
    Date Cleared
    2008-11-10

    (118 days)

    Product Code
    Regulation Number
    870.2340
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    CLUE MEDICAL AND CLUE MEDICAL BASIC

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

    The clue medical and clue medical BASIC are handheld, battery operated single channel electrocardiographs intended for recording and transmitting ECG data by patients who are concerned about their heart rhythm. The clue medical BASIC allow the patient to record their ECG data into the device memory and transmit it for display by healthcare professionals.

    Specifically, the clue medical and clue medical BASIC are intended for patients that are concerned about their heart rhythm or have experienced the following symptoms that are suggestive of abnormal heart rhythm:

    Skipped beats Pounding heart (palpitations)

    History of arrhythmia

    The clue medical and clue medical BASIC ECG data is intended to be used by a licensed health care practitioner. These measurements are not intended for any specific clinical diagnosis. The clinical significance must be determined by the physician.

    Device Description

    The clue medical is an handheld battery operated single-channel ECG recorder featuring four fixed electrodes on the back of the device, an ECG lead connector, an IrDA interface and one single button to record and store up to ten ECG recordings with 30 seconds or two minutes duration. The stored ECG tests are processed into a printable Portable Document Format (pdf) that can be transmitted two ways. The pdf can be transmitted via IrDA to an IrDA capable local PC or printer. If the receiving device is not IrDA capable, an optional IrDA USB stick is provided with the clue medical. The pdf file can then be saved, sent, displayed or printed. Alternatively, the pdf can be transmitted via an IrDA capable cell phone directly to the Telovital server for storage.

    The clue medical BASIC is identical to the clue medical in design. The only difference is that the clue medical BASIC does not provide the added capability of sending the ECG data via cell phone directly to the Telovital server, it is only capable of IrDA transmission to a local PC or printer.

    AI/ML Overview

    The provided text describes the "clue medical and clue medical BASIC Telemedical Systems" and states that "Performance Testing" was conducted to meet several IEC standards. However, it does not provide detailed acceptance criteria with specific thresholds or reported device performance metrics in a quantitative manner that would allow for the creation of a table.

    Here's an analysis based on the available information:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document states that the devices "have been tested to meet all of the following standards," implying that compliance with these standards represents the acceptance criteria. However, it does not provide any quantitative performance results from these tests. Therefore, a table with specific performance metrics cannot be generated from the given text.

    Acceptance Criteria (Standard Compliance)Reported Device Performance
    IEC 60601-1: General Requirements for SafetyCompliant (Stated)
    IEC 60601-1-1: Safety Requirements for Medical Electrical SystemsCompliant (Stated)
    IEC 60601-1-2: General Requirements for SafetyCompliant (Stated)
    IEC 60601-2-25: Particular Requirements for the Safety of ElectrocardiographsCompliant (Stated)
    IEC 60601-2-47: Particular requirements for safety, including performance, for ambulatory electrocardiographic systemsCompliant (Stated)
    IEC 60601-1, subclause 56.3(c) for electrode leadwiresCompliant (Stated)

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

    The document mentions "Performance Testing" but does not specify any sample size for a test set (e.g., number of patients, number of ECG recordings). There is also no information regarding data provenance (e.g., country of origin, retrospective or prospective nature).

    3. Number of Experts and Qualifications for Ground Truth:

    The document does not mention the use of experts to establish ground truth for any test set or the qualifications of such experts. The study described focuses on compliance with electrical and safety standards, not on clinical performance evaluated by human experts against a ground truth.

    4. Adjudication Method for the Test Set:

    Since there is no mention of a test set being evaluated by experts or any clinical outcome, there is no adjudication method described.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:

    No Multi-Reader Multi-Case (MRMC) comparative effectiveness study was done or mentioned. The submission describes compliance with technical standards for an electrocardiograph and its electrical safety, not a study evaluating human reader performance with or without AI assistance. The device is a "single channel electrocardiograph intended for recording and transmitting ECG data," not an AI-powered interpretation system.

    6. Standalone (Algorithm Only) Performance Study:

    No standalone (algorithm only) performance study was conducted or described in the provided text. The device itself is hardware for recording ECG data; it doesn't appear to have an independent algorithm for interpretation (beyond potentially saving it as a PDF for healthcare professionals). The output is intended to be used by a "licensed health care practitioner" for determination of clinical significance.

    7. Type of Ground Truth Used:

    The study referenced is focused on compliance with electrical safety and performance standards (e.g., IEC 60601 series), not clinical diagnostic accuracy. Therefore, the "ground truth" for this "study" would be the specifications and requirements outlined in those standards, rather than expert consensus, pathology, or outcomes data.

    8. Sample Size for the Training Set:

    No training set is mentioned or implied as the device is not described as utilizing machine learning or artificial intelligence that would require a training set.

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

    Since there is no training set, this question is not applicable.

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