MORTARA ELI 350 ELECTROCARDIOGRAPH

K082946 · Mortara Instrument, Inc. · DPS · Dec 29, 2008 · Cardiovascular

Device Facts

• Record ID: K082946
• Device Name: MORTARA ELI 350 ELECTROCARDIOGRAPH
• Applicant: Mortara Instrument, Inc.
• Product Code: DPS · Cardiovascular
• Decision Date: Dec 29, 2008
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.2340
• Device Class: Class 2
• Attributes: Pediatric

Intended Use

The ELI 350 is intended to be a high-performance, 15-lead, multifunctional electrocardiograph. As a resting electrocardiograph, ELI 350 simultaneously acquires data from 15 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, high-end resting interpretation electrocardiograph; acquires data simultaneously from up to 15 leads via internal front-end amplifier. Device features a 17-inch color LCD for waveform/menu display and a full-size keyboard for data entry. Used in hospitals and clinics by physicians or trained personnel. The device analyzes cardiac electrical activity and provides interpretations to assist in diagnosing symptomatic patients. Output includes printed reports (thermal writer, 8.5" x 11") and stored records. Connectivity options include RS 232, LAN, WLAN, USB, and GSM module for retrieval or transmission. The device facilitates clinical decision-making by providing ECG data and interpretations for physician review, aiding in the assessment of rhythm patterns.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

15-lead resting electrocardiograph; 17-inch SXGA (1280 x 1024) color LCD; full-size thermal writer (8.5" x 11"); internal Mortara front-end amplifier. Connectivity: RS 232, LAN, WLAN, USB, GSM. Form factor: transport cart with clam-shell design.

Indications for Use

Indicated for acquisition, analysis, display, and printing of ECGs in clinical settings for adult and pediatric populations. Used by physicians or trained personnel under physician orders. Provides data interpretation for physician consideration; not intended as sole diagnostic means or vital signs monitor. Requires physician over-read.

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 350 by Mortara Instrument (K062677)

Submission Summary (Full Text)

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K082946
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#### Special 510(k): Device Modification

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

## DEC 2 9 2008

Date: September 30, 2008

Charles Morreale, Regulatory Affairs Manager Mortara Instrument, Inc. 7865 N. 86" Street Milwaukee, WI 53224 [phone] Fax: [phone] Phone: Contact: Charles Morreale (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 the next generation of the Mortara ELI 350 and is substantially equivalent to the legally marketed predicate device:

- ELI 350 by Mortara Instrument (K062677) .
The proposed ELI 350 is a modification of the Mortara predicate device. It will combine enhanced capabilities with the current technology resulting in the next generation Mortara ELI 350 Electrocardiograph.

#### Description:

Submitter:

The ELI 350 is a multi-channel, high-end resting interpretation electrocardiograph. The ELI 350 simultaneously acquires data from up to 15 leads. Once the data is acquired, it can be reviewed, and/or stored, and/or printed.

The electrocardiogram (ECG) is a graphic description of the electrical activity of the heart. This activity is recorded from the body surface by a group of electrodes positioned at predefined places to reflect the activity from different perspectives. The cardiac data acquired and provided by the ELI 350 is used by trained medical personnel to assist in the diagnosis of symptomatic patients with various rhythm patterns,

· The ELI 350 is designed to be installed on a transport cart. 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 in use. 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 allow a full size preview of the record for the technician to assess the { quality of the acquired ECG.

The ELI 350 uses 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.

r 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.

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Image /page/1/Picture/0 description: The image shows the logo for Mortara. The logo consists of a heart shape with the word "Mortara" written below it. The heart is white and is surrounded by a black border. The word "Mortara" is written in a bold, sans-serif font.

K082946

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#### Special 510(k): Device Modification

## Intended Use:

The ELI 350 is intended to be a high-performance, 15-lead, multifunctional electrocardiograph. As a resting electrocardiograph, ELI 350 simultaneously acquires data from 15 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.

## 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 and pediatric populations.
- The device is not intended to be used as a vital signs physiological monitor.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 2 9 2008

Mortara Instrument, Inc c/o Mr. Charles Morreale 7865 North 86th Street Milwaukee, WI 53224

Re: K082946

Trade/Device Name: Mortara ELI 350 Electrocardiograph Regulation Number: 21 CFR 870.2340 Regulation Name: Electrocardiograph Regulatory Class: Class II Product Code: DPS Dated: November 12, 2008 Received: November 14, 2008

#### Dear Mr. Morreale:

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 - Mr. Charles Morreale

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometrics' (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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.

M.Y. Hilleman

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

Enclosure

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# Indications for Use

:

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| 510(k) Number (if known): | K082946 |
|---------------------------|------------------------------------|
| Device Name: | Mortara ELI 350 Electrocardiograph |

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 and pediatric populations.
- The device is not intended to be used as a vital signs physiological monitor.

| Prescription Use (Part 21 CFR 801 Subpart D) | X AND/OR | Over-The-Counter Use (21 CFR 801 Subpart C) | |
|----------------------------------------------|----------------------|---------------------------------------------|--|
|----------------------------------------------|----------------------|---------------------------------------------|--|

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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M.G. Willdremer

(Division Sign-Off)

Division of Cardiovascular Devices

510(k) number K082946

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