AUDICOR CA300/CC100 Analyzer with SDB

K151433 · Inovise Medical, Inc. · MNR · Mar 18, 2016 · Anesthesiology

Device Facts

• Record ID: K151433
• Device Name: AUDICOR CA300/CC100 Analyzer with SDB
• Applicant: Inovise Medical, Inc.
• Product Code: MNR · Anesthesiology
• Decision Date: Mar 18, 2016
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 868.2375
• Device Class: Class 2
• Attributes: Software as a Medical Device

Intended Use

AUDICOR CA300/CC100 Analyzer with SDB is a software-only system intended to be used to analyze recordings from AUDICOR-compatible recording devices. AUDICOR CA300/CC100 Analyzer with SDB is capable of analyzing, editing, storing and reporting ECG, heart sound, sleep-disordered breathing (SDB), snoring detection, body position and activity level. An interpretation of the analysis results is produced in an integrated report for consideration by physicians. The AUDICOR CA300/CC100 Analyzer software is intended for use on adults 18 years of age and older. The SDB analysis and reporting is intended for use on adult patients as a screening device for obstructive or mixed apnea to determine the need for evaluation by polysomnography based on the patient's score. Patients screened for SDB should have periods of sleep of at least 4 hours duration. AUDICOR CA300/CC100 Analyzer with SDB is intended to be used by trained operators under the direct supervision of a physician in a hospital or clinic environment.

Device Story

Software-only system; analyzes physiologic signals (ECG, heart sounds, snoring, body position, activity) from AUDICOR-compatible recording devices. Transforms raw data into automated interpretations; generates integrated reports for physician review. Used in hospital/clinic environments by trained operators under physician supervision. Enables clinical decision-making regarding sleep-disordered breathing (SDB) screening and cardiac rhythm assessment. Benefits patients by identifying potential apnea or cardiac events requiring further diagnostic evaluation (polysomnography).

Clinical Evidence

Retrospective analysis of 252 subjects (heart failure cohort and negative cohort). Primary objective: compare new periodic heart sound measurement aggregation method to predicate's contiguous method. Statistical analysis demonstrated equivalence between methods.

Technological Characteristics

Software-only system; operates on PC. Analyzes 3-channel ECG and heart sounds. Connectivity via AUDICOR-compatible recording devices. Complies with ANSI/AAMI EC57 for cardiac rhythm/ST-segment measurement algorithms.

Indications for Use

Indicated for adults 18+ as a screening device for obstructive or mixed apnea to determine need for polysomnography; requires minimum 4 hours sleep duration. Used by trained operators under physician supervision.

Regulatory Classification

Identification

A breathing (ventilatory) frequency monitor is a device intended to measure or monitor a patient's respiratory rate. The device may provide an audible or visible alarm when the respiratory rate, averaged over time, is outside operator settable alarm limits. This device does not include the apnea monitor classified in § 868.2377.

Predicate Devices

• AUDICOR CPAM with SDB (K131883)

Submission Summary (Full Text)

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

March 18, 2016

Inovise Medical, Inc. Earl Anderson Director, Quality and Regulatory 8770 SW Nimbus Avenue, Suite D Beaverton, Oregon 97008

Re: K151433

Trade/Device Name: AUDICOR CA300/CC100 Analyzer with SDB Regulation Number: 21 CFR 868.2375 Regulation Name: Breathing Frequency Monitor Regulatory Class: Class II Product Code: MNR, MLO Dated: February 9, 2016 Received: February 16, 2016

Dear Mr. Anderson:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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 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); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); 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.

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If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

*Tejashri Purohit-Sheth, M.D.*

Tejashri Purohit-Sheth, M.D. Clinical Deputy Director DAGRID/ODE/CDRH FOR

Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known) K151433

Device Name AUDICOR CA300 / CC100 Analyzer with SDB

Indications for Use (Describe)

AUDICOR CA300/CC100 Analyzer with SDB is a software-only system intended to be used to analyze recordings from AUDICOR-compatible recording devices.

AUDICOR CA300/CC100 Analyzer with SDB is capable of analyzing, editing, storing and reporting ECG, heart sound, sleep-disordered breathing (SDB), snoring detection, body position and activity level. An interpretation of the analysis results is produced in an integrated report for consideration by physicians.

The AUDICOR CA300/CC100 Analyzer with SDB software is intended for use on adults 18 years of age and older. The SDB analysis and reporting is intended for use on adult patients as a screening device for obstructive or mixed apnea to determine the need for evaluation by polysomnography based on the patient's screened for SDB should have periods of sleep of at least 4 hours duration.

AUDICOR CA300/CC100 Analyzer with SDB is intended to be used by trained operators under the direct supervision of a physician in a hospital or clinic environment.

Type of Use (Select one or both, as applicable)

| <span style="font-family: DejaVu Sans, sans-serif">☑</span> Prescription Use (Part 21 CFR 801 Subpart D) |
|----------------------------------------------------------------------------------------------------------|
| <span style="font-family: DejaVu Sans, sans-serif">☐</span> Over-The-Counter Use (21 CFR 801 Subpart C) |

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# 510(k) Summarv

As required by 21 CFR, part 807.92 Submitted By: Inovise Medical, Inc. 8770 SW Nimbus Ave, Suite D Portland, OR 97008-7196 Phone [phone] Fax [phone] Contact: Earl Anderson Director, Quality and Requlatory Date Prepared: February 9, 2016 Date Revised: March 18, 2016 Proprietary Name: AUDICOR CA300 / CC100 Analyzer with SDB Common/ Usual ECG, Heart Sounds and SDB Analyzer Name: Classification: Primary: 868.2375, MNR (Regulation Description: Breathing frequency monitor) (Device Classification Name: Ventilatory effort recorder) Subsequent: 870.2800, MLO, (Regulation Description: Medical magnetic tape recorder) (Device Classification Name: Electrocardiograph, ambulatory, with analysis algorithm)

### Device Description:

AUDICOR CA300/CC100 Analyzer is a software-only system for the analysis of physiologic signals acquired through AUDICOR-compatible recording devices. Analysis results from ECG, heart sound, sleep-disordered breathing, snoring sounds, body position and activity levels are automatically interpreted. The AUDICOR CA300/CC100 software system allows for the review, edit, and storage of the analysis results. Reporting of analysis results is provided, together with patient data and notable events for review by the clinician.

The AUDICOR Analyzer software analyzes and reports the following parameters:

- Heart rate including bradycardia and tachycardia events .
- Atrial fibrillation ●
- ECG beat classification and morphology grouping with user-editing ●
- Heart rate variability ●
- Snoring detection ●
- Sleep disordered breathing events
- Sleep disordered breathing score
- Activity level ●
- Body Position
- Heart sound and combined ECG/heart sound measurements
- Heart rate distributions of heart sound parameters ●

### Intended Use:

AUDICOR CA300/CC100 Analyzer is a software-only system intended to be used to analyze recordings from AUDICOR-compatible recording devices.

AUDICOR CA300/CC100 is capable of analyzing, editing, storing and reporting ECG, heart sound, sleepdisordered breathing (SDB), snoring detection, body position and activity level. An interpretation of the analysis results is produced in an integrated report for consideration by physicians.

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The AUDICOR CA300/CC100 Analyzer software is intended for use on adults 18 years of age and older.

The SDB analysis and reporting is intended for use on adult patients as a screening device for obstructive or mixed apnea to determine the need for evaluation by polysomnography based on the patient's score. Patients screened for SDB should have periods of sleep of at least 4 hours duration.

AUDICOR CA300/CC100 is intended to be used by trained operators under the direct supervision of a physician in a hospital or clinic environment.

| Characteristic | Subject Device | Predicate (K131883) |
|----------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | AUDICOR CA300/CC100<br>Analyzer is a software-only<br>system intended to be used to<br>analyze recordings from<br>AUDICOR-compatible recording<br>devices. AUDICOR<br>CA300/CC100 is capable of<br>analyzing, editing, storing and<br>reporting ECG, heart sound,<br>sleep-disordered breathing<br>(SDB), snoring detection, body<br>position and activity level. An<br>interpretation of the analysis<br>results is produced in an<br>integrated report for<br>consideration by physicians.<br>The AUDICOR CA300/CC100<br>Analyzer software is intended<br>for use on adults 18 years of<br>age and older.<br>The SDB analysis and reporting<br>is intended for use on adult<br>patients as a screening device<br>for obstructive or mixed apnea<br>to determine the need for<br>evaluation by polysomnography<br>based on the patient's score.<br>Patients screened for SDB<br>should have periods of sleep of<br>at least 4 hours duration.<br>AUDICOR CA300/CC100 is<br>intended to be used by trained<br>operators under the direct<br>supervision of a physician in a<br>hospital or clinic environment. | The AUDICOR System when<br>used with AUDICOR Sensors on<br>the chest wall and properly<br>attached Holter unit, is intended<br>for use on adults 18 years of<br>age and older in acquiring,<br>analyzing and reporting ECG,<br>heart sound, Sleep Disordered<br>Breathing (SDB) and snoring<br>detection and to provide<br>interpretation of the data in an<br>integrated report for<br>consideration by physicians.<br>The SDB analysis and reporting<br>is intended for use on adult<br>patients only as a screening<br>device for obstructive or mixed<br>apnea to determine the need for<br>evaluation by polysomnography<br>based on the patient's score.<br>Patients screened for SDB<br>should have periods of sleep of<br>at least 4 hours duration during<br>which the ECG is predominantly<br>sinus rhythm in nature. The<br>AUDICOR recording may be<br>obtained at any location<br>specified by a physician<br>including home, hospital or<br>clinic. The device is intended<br>for use only under the direct<br>supervision of a physician. |
| Device Classification | MNR, Ventilatory Effort<br>Recorder, MLO, class II,<br>Electrocardiograph, Ambulatory<br>(with analysis program) | MNR, Ventilatory Effort<br>Recorder, MLO, class II,<br>Electrocardiograph, Ambulatory<br>(with analysis program) |
| <b>General Functionalities:</b> | | |
| Data utilized from AUDICOR-<br>compatible recording devices | Yes | Yes |
| Data display on PC for<br>interpretation | Yes | Yes |
| Data analysis (computer,<br>computer-assisted or manual) | Computer-assisted | Computer-assisted |
| Comprehensive report | Optional | Optional |
| generation | | |
| ECG Analysis | | |
| Channels | 3 | 3 |
| Minimum analysis interval | 10 second snapshot | 10 second snapshot |
| Typical analysis interval | 24 - 48 hours | 24 - 48 hours |
| Heart rate | Yes | Yes |
| Heart rate variability | Yes | Yes |
| ECG arrhythmia detection and<br>classification | Yes | Yes |
| ECG morphology grouping<br>and editing | Yes | Yes |
| Atrial Fibrillation | Yes | Yes |
| Heartsound Analysis | | |
| Heart sound analysis of single<br>10 second recordings | Yes | Yes |
| Minimum analysis interval | 10 second snapshot | 10 second snapshot |
| Typical analysis interval | At least 4 hours, aggregated<br>contiguous or periodic 10<br>second interval results | At least 4 hours, aggregated<br>contiguous 10 second interval<br>results |
| Heart sound analysis<br>aggregation of continuous<br>10s intervals, totaling up to 48<br>hours | Yes | Yes |
| Heart sound analysis<br>aggregation of periodic<br>sampling of 10s intervals,<br>totaling up to 48 hours | Yes | No |
| Comprehensive set of heart | Yes | Yes |
| sound parameters | | |
| SDB Analysis | | |
| Minimum analysis interval | 4 hours | 4 hours |
| SDBSS (Score) | Yes | Yes |
| Snoring detection | Yes | Yes |
| Other Analyses | |…