ELI 350 ELECTROCARDIOGRAPH

K062677 · Mortara Instrument, Inc. · DPS · Nov 15, 2006 · Cardiovascular

Device Facts

• Record ID: K062677
• Device Name: ELI 350 ELECTROCARDIOGRAPH
• Applicant: Mortara Instrument, Inc.
• Product Code: DPS · Cardiovascular
• Decision Date: Nov 15, 2006
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 870.2340
• Device Class: Class 2
• Attributes: Pediatric

Intended Use

The ELI 350 is intended to be a high-performance, 12-lead, multifunctional electrocardiograph. As a resting electrocardiograph, ELI 350 simultaneously acquires data from all 12 leads. Once the data is acquired, it can be reviewed and/or stored, and/or printed. It will be a device primarily intended for use in hospitals, but may be used in medical clinics and offices of any size.

Device Story

The ELI 350 is a multi-channel, 12-lead interpretive electrocardiograph designed for hospital, clinic, and office use. It features a 'clam-shell' design with a 17-inch SXGA color LCD and a full-size keyboard for data entry and control. The device acquires ECG signals via an internal front-end amplifier, processes them for display, analysis, and printing, and supports real-time rhythm printouts via an 8.5" x 11" thermal writer. Technicians use the screen to preview and assess signal quality. Stored records can be transmitted via RS 232, LAN, WLAN, USB, or GSM modules. The device provides automated ECG interpretations intended to assist physicians in clinical decision-making; however, it is not a sole diagnostic tool and requires physician over-read. It benefits patients by facilitating rapid, high-quality ECG acquisition and standardized interpretation.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

12-lead electrocardiograph; 17" SXGA (1280x1024) color LCD; full-size thermal writer (8.5" x 11"); internal front-end amplifier; connectivity via RS 232, LAN, WLAN, USB, and GSM. Clam-shell form factor for transport. Software-based interpretive analysis.

Indications for Use

Indicated for acquisition, analysis, display, and printing of ECGs in clinical settings by physicians or trained personnel under physician orders. Intended for adult populations; pediatric use limited to acquisition, display, and printing. Not for use as a vital signs monitor or sole diagnostic tool; interpretations require physician over-read and correlation with other patient data.

Regulatory Classification

Identification

An electrocardiograph is a device used to process the electrical signal transmitted through two or more electrocardiograph electrodes and to produce a visual display of the electrical signal produced by the heart.

Predicate Devices

• ELI 300 by Mortara Instrument (K933143)

Submission Summary (Full Text)

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Special 510(k): Device Modification

## 510(k): ELI 350 Electrocardiograph Device Summary

NUV 15 2006

### Submitter:

Date: June 16, 2006

Harlan Van Matre, Manager of Quality Assurance / Regulatory Affairs Mortara Instrument, Inc. 7865 N. 86" Street Milwaukee, WI 53224 Fax: [phone] Phone: [phone] Contact: Harlan Van Matre (see above)

| Trade Name: | ELI 350 Electrocardiograph |
|----------------------|---------------------------------------------|
| Common Name: | Electrocardiograph |
| Classification Name: | Electrocardiograph<br>(Per 21 CFR 870.2340) |

### Legally marketed devices to which S. E. is claimed

The Mortara Instrument's ELI 350 Electrocardiograph is a current technology evolution of the Mortara ELI 300 and is substantially equivalent to the legally marketed predicate device:

- ELI 300 by Mortara Instrument (K933143) .
The proposed ELI 350 is a direct evolution of this Mortara predicate device. It will combine ELI 300 technologies with current technologies resulting in the Mortara ELI 350 Electrocardiograph.

### Description:

The ELI 350 is a multi-channel, high-end interpretive electrocardiograph. The ELI 350 provides simultaneous multi-channel acquisition and is designed to be installed on a transport car. Its design is a "clam-shell" style, with a 17" color LCD screen that can be closed over the printer when the unit is shipped or not used. The ELI 350 is able to acquire, analyze, display and print electrocardiograms acquired through its internal Mortara front-end amplifier. The size of the screen will size preview of the record for the technician to assess the quality of the acquired ECG.

The ELI 350 will use a 17" SXGA (1280 x 1024 pixel) color LCD for display of ECG waveforms, menu options and status information. A full size keyboard is part of the ELI 350 design and allows patient data entry as well as control of the functions available for the unit. The ELI 350 custom keyboard will include alphabetic, numeric, symbol, cursor control and special function keys. The ELI 350 incorporates a full size thermal writer (8.5" x 11") that allows printouts using several formats available to the user, from the 6+6 channels to the Cabrera formats. The writer is also used by the unit for real time, continuous rhythm printout.

The ELI 350 will offer storage capability in order to retrieve or transmit stored records. Transmission can be achieved using one of the optional communication media designed in the unit: RS 232, LAN, WLAN, USB port, GSM module.

### Intended Use:

The ELI 350 is intended to be a high-performance, 12-lead, multifunctional electrocardiograph. As a resting electrocardiograph, ELI 350 simultaneously acquires data from all 12 leads. Once the data is acquired, it can be reviewed and/or stored, and/or printed. It will be a device primarily intended for use in hospitals, but may be used in medical clinics and offices of any size.

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### Special 510(k): Device Modification

### Indications for Use:

- . The device is indicated for use to acquire, analyze, display and print electrocardiograms.
- The device is indicated for use to provide interpretation of the data for consideration by a physician. .
- The device is indicated for use in a clinical setting, by a physician or by trained personnel who are acting . on the orders of a licensed physician. It is not intended as a sole means of diagnosis.
- . The interpretations of ECG offered by the device are only significant when used in conjunction with a physician over-read as well as consideration of all other relevant patient data.
- . The device is indicated for use on adult populations.
- The device is indicated for use on pediatric populations for acquisition, display, and printing of multi-. channel ECGs.
- The device is not intended to be used as a vital signs physiological monitor. .

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Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NUV 15 2006

Mortara Instrument Inc. c/o Ms. Laura Spiegelhoff Manager of Quality Assurance and Regulatory Affairs 7865 N. 86 St. Milwaukee, WI 53224

Re: K062677

Trade Name: ELI 350 Electrocardiograph Regulation Number: 21 CFR 870.2340 Regulation Name: Electrocardiograph Regulatory Class: Class II Product Code: DPS Dated: October 31, 2006 Received: November 1, 2006

Dear Ms. Spiegelhoff:

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 (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. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), 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 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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

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Page 2 - Ms. Laura Spiegelhoff

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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. This letter will allow you to begin marketing your device as described in your Section 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), please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Bzimmana for

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use

KO62677 510(k) Number (if known):

### Mortara ELI 350 Electrocardiograph Device Name:

### Indications for Use:

- · The device is indicated for use to acquire, analyze, display and print electrocardiograms.
- The device is indicated for use to provide interpretation of the data for consideration by a physician.
- · The device is indicated for use in a clinical setting, by a physician or by trained personnel who are acting on the orders of a licensed physician. It is not intended as a sole means of diagnosis.
- · The interpretations of ECG offered by the device are only significant when used in conjunction with a physician over-read as well as consideration of all other relevant patient data.
- · The device is indicated for use on adult populations.
- · The device is indicated for use on pediatric populations for acquisition, display, and printing of multi-channel ECGs.
- · The device is not intended to be used as a vital signs physiological monitor.

Prescription Use × (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C)

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

AND/OR

Concurrence of CDRH, Office of Device Evaluation (ODE)

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