AIRSTRIP REMOTE PATIENT MONITORING (RPM)

K110503 · Airstrip Technologies, LP · MWI · Mar 10, 2011 · Cardiovascular

Device Facts

• Record ID: K110503
• Device Name: AIRSTRIP REMOTE PATIENT MONITORING (RPM)
• Applicant: Airstrip Technologies, LP
• Product Code: MWI · Cardiovascular
• Decision Date: Mar 10, 2011
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 870.2300
• Device Class: Class 2
• Attributes: Software as a Medical Device, 3rd-Party Reviewed

Intended Use

AirStrip RPM is software capable of displaying physiologic and other patient information. This informati: is generated by other medical devices and patient information system, and not by AirStrip RPM. AirStrip R : M captures this information from these other systems and displays it for clinicians. AirStrip RPM is intended to be used by clinicians for the following purposes: • By using a cellular telephone or other device on which AirStrip RPM is installed, to review physiologic ، : ta of a patient when the clinician is not at the hospital - · To view the near real-time waveforms remotely - To remotely review other standard or critical near real-time patient data from the monitored system - To provide a request for remote consultation regarding a patient's waveform or other data The AirStrip RPM software can display the physiologic data captured by other medical dev : es: - · ECG Waveform - · Heart Rate Monitored - · Respiratory Rate - · Oxygen Saturation - · Intracranial Pressure - · Central Venous Pressure - · Pulmonary Capillary Wedge Pressure - · Cardiac Index - · Cardiac Output - · Cerebral Perfusion Pressure - · Urine Output - · Urine/Stool Mix Output - · Systolic Blood Pressure Invasive - · Mean Arterial Pressure Invasive - · Diastolic Blood Pressure Invasive - · Systolic Blood Pressure Cuff - Mean Arterial Pressure Cuff - Diastolic Blood Pressure Cuff - · Vasoactive Infusions - · Antiarrhythmics - · Sedation - · Paralytics - · Laboratory Data including - Blood Gas - Chemistry - Hematology - Coagulation - · Allergies - · Medications

Device Story

AirStrip RPM is a mobile software application for clinicians to remotely view patient physiologic data and waveforms. It interfaces with hospital-based patient monitoring systems and information systems to capture real-time data, including ECG, vital signs, hemodynamic pressures, laboratory results, and medication information. The software transmits this data to a mobile device (e.g., cellular telephone) for remote visualization. It serves as a diagnostic aid for clinicians when they are away from the hospital, facilitating remote consultation and clinical decision-making. It does not generate patient data itself but acts as a conduit for viewing data from primary bedside monitors. The device benefits patients by allowing clinicians to monitor critical status and respond to clinical needs remotely.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Software-based remote monitoring system. Operates on mobile devices (cellular telephones/wireless devices). Displays data from external hospital monitoring systems. Connectivity via wireless networks. No specific hardware materials or sterilization required as it is a software-only device.

Indications for Use

Indicated for clinicians to remotely review physiologic data, waveforms, and patient information from hospital-based monitoring systems via mobile devices when not physically present at the hospital. Not intended for use where wireless devices are prohibited; not a replacement for direct viewing of primary monitoring devices.

Regulatory Classification

Identification

A cardiac monitor (including cardiotachometer and rate alarm) is a device used to measure the heart rate from an analog signal produced by an electrocardiograph, vectorcardiograph, or blood pressure monitor. This device may sound an alarm when the heart rate falls outside preset upper and lower limits.

Predicate Devices

• AirStrip RPM (K100433)

Submission Summary (Full Text)

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## DEPARTMENT OF HEALTH & HUMAN SERVICES

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Food and Drug Administration i 0903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

AirStrip Technologies. LP c/o Mr. Mark Job Regulatory Technology Services, LLC 1394 25" Street NW Buffalo, MN 55313

MAR 1 0 2011

Re: K110503

> Trade/Device Name: AirStrip RPM I2 Support Regulation Number: 21 CFR 870.2300 Regulation Name: Cardiac monitor (including cardiotachometer and rate alarm) Regulatory Class: Class II (two) Product Code: MWI Dated: February 18, 2011 Received: February 22, 2011

Dear Mr. Job:

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 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 -- AirStrip Technologies, LP, c/o Mr. Mark Job

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 libsting (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (2) CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm1118800.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR) Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely vours.

R. behmer

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 510(k) Number (if known): K400433 K11 0503

Device Name: AirStrip Remote Patient Monitoring (RPM) Remote Data Viewing software

Indications for Use: ·

AirStrip RPM is software capable of displaying physiologic and other patient information. This informati: is generated by other medical devices and patient information system, and not by AirStrip RPM. AirStrip R : M captures this information from these other systems and displays it for clinicians.

AirStrip RPM is intended to be used by clinicians for the following purposes:

• By using a cellular telephone or other device on which AirStrip RPM is installed, to review physiologic ፣ : ta of a patient when the clinician is not at the hospital

- · To view the near real-time waveforms remotely
- To remotely review other standard or critical near real-time patient data from the monitored system
- To provide a request for remote consultation regarding a patient's waveform or other data

The AirStrip RPM software can display the physiologic data captured by other medical dev : es:

- · ECG Waveform
- · Heart Rate Monitored
- · Respiratory Rate
- · Oxygen Saturation
- · Intracranial Pressure
- · Central Venous Pressure
- · Pulmonary Capillary Wedge Pressure
- · Cardiac Index
- · Cardiac Output
- · Cerebral Perfusion Pressure
- · Urine Output
- · Urine/Stool Mix Output
- · Systolic Blood Pressure Invasive
- · Mean Arterial Pressure Invasive
- · Diastolic Blood Pressure Invasive
- · Systolic Blood Pressure Cuff
- Mean Arterial Pressure Cuff
- Diastolic Blood Pressure Cuff
- · Vasoactive Infusions
- · Antiarrhythmics
- · Sedation
- · Paralytics
- · Laboratory Data including
- Blood Gas
- Chemistry
- Hematology
- Coagulation
- · Allergies
- · Medications

## Counter-Indications

AirStrip RPM software is intended for installation on cellular telephones and other wireless devices, anः is not intended for use anywhere cellular telephones or wireless devices are prohibited. AirStrip RPM is inter led for use by clinicians when they cannot be at the hospital. AirStrip RPM is Intended for use by clinicians as a di : gnostic aid, and not as a replacement for direct viewing of any of the monitoring devices from which It obtains its di I. .

| Prescription Use<br>(Part 21 CFR 801 Subpart D) | | Over-The-Counter Use<br>(21 CFR 801 Subpart C) |
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(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED) R.Richner

| Concurrence of CDRH, Office of Device Evaluation (ODE)<br>Page 1 of 1 | (Division Sign-Off) | Division of Cardiovascular Devices |
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510(k) Number K110503