CardioBand ECG Event Recorder
K181998 · Samsung Strategy and Innovation Center (Ssic) · DPS · Nov 15, 2018 · Cardiovascular
Device Facts
| Record ID | K181998 |
| Device Name | CardioBand ECG Event Recorder |
| Applicant | Samsung Strategy and Innovation Center (Ssic) |
| Product Code | DPS · Cardiovascular |
| Decision Date | Nov 15, 2018 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 870.2340 |
| Device Class | Class 2 |
Intended Use
The CardioBand Event Recorder is indicated for use by adult patients, when prescribed by a physician, to record, display, store and transfer single-channel electrocardiogram (ECG) for rhythm interpretation.
Device Story
CardioBand Event Recorder is a wrist-worn device that records single-channel ECG signals; patient completes circuit via skin contact between fingers and wrist. Device transmits ECG data via Bluetooth LE to a smartphone application; data is then stored and transferred to a secure cloud for access by healthcare providers. Used by adult patients in ambulatory settings to assist in rhythm interpretation. Healthcare providers review the ECG output to inform clinical decision-making regarding heart conditions. Benefits include convenient, patient-initiated ECG monitoring.
Clinical Evidence
Single-center, non-randomized comparative study. CardioBand signal quality compared against the KardiaBand predicate and a reference gel-electrode 12-lead ECG device. Results demonstrated that for quantitative ECG measurement analysis, the CardioBand is substantially equivalent to the predicate within a margin of clinically acceptable measurement error.
Technological Characteristics
Wrist-worn sensor; Bluetooth LE connectivity; 24-bit resolution; 500 Hz sampling rate; internal Lithium-Ion battery. Conforms to IEC 60601-1 (safety), IEC 60601-1-2 (EMC), IEC 60601-2-47 (ambulatory ECG), and ISO 10993-1, -5, -10 (biocompatibility).
Indications for Use
Indicated for adult patients, when prescribed by a physician, to record, display, store, and transfer single-channel ECG for rhythm interpretation.
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
- KardiaBand System (K171816)
Related Devices
- K201644 — QardioCore · Qardio, Inc. · Feb 28, 2021
- K181310 — HeartCheck Cardi Beat ECG Monitor with GEMS Mobile · Cardiocomm Solutions, Inc. · Feb 22, 2019
- K210753 — KardiaMobile 6L · AliveCor, Inc. · Jun 30, 2021
- K130409 — ALIVECOR HEART MONITOR · AliveCor, Inc. · Sep 6, 2013
- K213233 — EZYPRO ECG Recorder (Model: UG02) · Sigknow Biomedical Co., Ltd. · Jun 23, 2022
Submission Summary (Full Text)
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November 15, 2018
Samsung Strategy and Innovation Center (SSIC) Matthew Wiggins, Ph.D. Acting Mgr QA/RA & Senior Mgr Algorithms 3655 North First Street San Jose. California 95134
Re: K181998
Trade/Device Name: CardioBand Event Recorder Regulation Number: 21 CFR 870.2340 Regulation Name: Electrocardiograph Regulatory Class: Class II Product Code: DPS Dated: July 25, 2018 Received: July 26, 2018
Dear Matthew Wiggins:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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 of medical device-related adverse events) (21 CFR 803) for
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devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
Jessica E. Paulsen -S
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
510(k) Number (if known) K181998
Device Name CardioBand Event Recorder
Indications for Use (Describe)
The CardioBand Event Recorder is indicated for use by adult patients, when prescribed by a physician, to record, display, store and transfer single-channel electrocardiogram (ECG) for rhythm interpretation.
Type of Use (Select one or both, as applicable)
| <span></span> Prescription Use (Part 21 CFR 801 Subpart D) | <span></span> Over-The-Counter Use (21 CFR 801 Subpart C) |
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### CardioBand 510(k) Submission Section 5 510(K) Summary
### 510(k) Summary
### [As Required by 21 CFR 807.92(c)]
| Owner<br>Information<br>[As required<br>by<br>807.92(a)(1)] | Eunsung Park, SSIC-DH VP, Engineering<br>SAMSUNG STRATEGY & INNOVATION CENTER<br>3655 North First Street<br>San Jose, CA 95134<br>(408) 544 - 5310<br>es001.park@samsung.com<br>Contact: Matthew Wiggins, SSIC-DH Quality Assurance and Regulatory Affairs<br>Contact phone number: (770) 596-1765<br>Contact email: m.wiggins@samsung.com<br>Summary was prepared on 29-JUN-2018 and revised on 15-NOV-2018 |
|----------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device<br>Information<br>[As required<br>by<br>807.92(a)(2)] | Trade name - CARDIOBAND© EVENT RECORDER<br>Common name - CardioBand<br>Classification name – Quantitative Electrocardiographic Detector (21 CFR 870.2340, Product<br>Code DPS) |
| Claiming<br>Equivalence<br>[As required<br>by<br>807.92(a)(3)] | K171816 KardiaBand System |
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Image /page/4/Figure/2 description: The image shows a diagram of the Samsung CardioBand Event Recorder system. The system consists of three components: a wrist-worn CardioBand, a smart-phone application, and a secure cloud. The CardioBand records ECG signals from the patient and sends them to the smart-phone application. The smart-phone application then sends the data to the cloud, where it can be accessed by qualified healthcare providers. The CardioBand Event Recorder is intended to be used by a single patient to record, display, store and transfer single-channel electrocardiogram (ECG) for rhythm interpretation.
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AMSUN SAMSUNG STRATEGY & INNOVATION CENTER 3655 North First Street San Jose, CA 95134 (408) 544 - 4000 www.samsung.com/ssic
| | Characteristic<br>or Specification | D1: AliveCor<br>KardiaBand System<br>K171816 | D2: SSI CardioBand<br>ECG Event Recorder |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Predicate<br>Device<br>[As required<br>by<br>807.92(a)(6)] | Indications for<br>Use | The KardiaBand System<br>is intended to record, store<br>and transfer single-<br>channel electrocardiogram<br>(ECG) rhythms. The<br>KardiaBand System alsodisplays ECG rhythms<br>and detects the presence<br>of atrial fibrillation and<br>normal sinus rhythm<br>(when prescribed or used<br>under the care of a<br>physician). The<br>KardiaBand system is<br>intended for use by<br>healthcare professionals,<br>adult patients with known<br>or suspected heart<br>conditions and health<br>conscious individuals. | The CardioBand Event<br>Recorder is indicated for<br>use by adult patients,<br>when prescribed by a<br>physician, to record,<br>display, store and transfer<br>single-channel<br>electrocardiogram (ECG)<br>for rhythm interpretation. |
| | Product code | DXH, DPS | DPS |
| | Mechanism of<br>Action | Users completes circuit<br>with skin contact and<br>hardware transmits audio<br>signal to MCP to convert<br>and display ECG | Same, except transmission<br>to MCP is via Bluetooth<br>LE |
| | Anatomical Sites | Left hand fingers to right<br>wrist or vice versa | Same |
| | Where used<br>(intended use) | Mobile/active users at rest<br>(ambulatory) | Same |
| | | | |
| Data<br>Acquisition:<br>Frequency<br>Response | 0.5 Hz - 40 Hz | Same | |
| ECG channels | Single Channel | Same | |
| ECG Resolution | 16 bit | 24 bit | |
| Sample Rate | 300 Samples/ Second | 500 Samples/ Second | |
| Memory<br>Capacity | Essentially unlimited due<br>to real-time transmission<br>to MCP memory | Same | |
| Number of ECG<br>Leads | Single Lead, 2 electrodes | Same | |
| Energy Source:<br>Battery | Replaceable Lithium<br>Manganese Dioxide coin<br>cells | Internal Lithium<br>Ion battery | |
| Battery Life | 100 hours operation | 7 days operation | |
| User Interface:<br>Primary Lead | Lead 1: Left to Right | Same | |
| Hardware<br>platforms | Apple iPhone and Apple<br>Watch Band Sensor | Samsung Galaxy S6 or S7<br>Phone and CardioBand<br>Sensor | |
| Software<br>platforms | Apple iOS and<br>Apple Watch OS | Android OS (versions<br>Marshmallow to Nougat) | |
| Physical<br>Specifications:<br>Dimensions | 24.5 x 24.5 x 6.5 mm | 35.6 x 25.5 x 11.8 mm | |
| Weight | 9 grams | 14.2 grams | |
| Prescribed/Over-<br>the-Counter | Prescription and OTC | Prescription only | |
| Environmental:<br>Operating Temp | 10 to 40 degrees C | -5 to 50 degrees C | |
| Storage Temp | -20 to 60 degrees C | -20 to 30 degrees C | |
| Communications | Ultrasonic Acoustics | Bluetooth LE | |
| Conformance to<br>Recognized<br>Standards: | (From FDA Database) | (From Certification Labs) | |
| Medical<br>electrical<br>equipment - Part<br>1: General<br>requirements for<br>basic safety and<br>essential<br>performance | IEC 60601-1 | IEC 60601-1:2005<br>/(R)2012 and A1:2012 | |
| Medical<br>electrical<br>equipment -Part<br>1-2: General<br>requirements for<br>basic safety and<br>essential<br>performance –<br>Collateral<br>Standard:<br>Electromagnetic<br>disturbances –<br>Requirements<br>and tests | 60601-1-2 | 60601-1-2:2014 | |
| | Particular<br>requirements for<br>the basic safety<br>and essential<br>performance of<br>ambulatory<br>electrocardiographic systems | 60601-2-47 | 60601-2-47 |
| | Biological<br>evaluation of<br>medical devices<br>- Part 1:<br>Evaluation and<br>testing within a<br>risk management<br>process | ISO 10993-1 | ISO 10993-1 |
| | Biological<br>evaluation of<br>medical devices<br>-- Part 5: Tests<br>for in vitro<br>cytotoxicity | ISO 10993-5 | ISO 10993-5 |
| | Biological<br>evaluation of<br>medical devices<br>-- Part 10: Tests<br>for irritation and<br>skin sensitization | ISO 10993-10 | ISO 10993-10 |
| Non-Clinical<br>Performance<br>[As required<br>by<br>807.92(b)(1)] | The CardioBand Event Recorder was tested in accordance with international recognized<br>standards for EMC and electrical safety, and for biocompatibility. Further, the device underwent<br>verification and validation testing for wireless coexistence and for various data integrity, and<br>signal sufficiency. | | |
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SAMSUNG STRATEGY & INNOVATION CENTER 3655 North First Street San Jose, CA 95134 (408) 544 - 4000 www.samsung.com/ssic
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### MINSTIN SAMSUNG STRATEGY & INNOVATION CENTER 3655 North First Street San Jose, CA 95134 (408) 544 - 4000 www.samsung.com/ssic
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# AMSUI
SAMSUNG STRATEGY & INNOVATION CENTER 3655 North First Street San Jose, CA 95134 (408) 544 - 4000 www.samsung.com/ssic
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SAMSUNG SAMSUNG STRATEGY & INNOVATION CENTER 3655 North First Street San Jose, CA 95134 (408) 544 - 4000 www.samsung.com/ssic
| Clinical<br>Performance<br>[As required<br>by<br>807.92(b)(2)] | The CardioBand development team elected to validate the signal quality of the CardioBand ECG<br>signal in a comparative, single-center, non-randomized study. The CardioBand was compared to<br>the predicate device and to a reference gel-electrode 12-lead ECG device. |
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| Conclusion<br>on Clinical<br>and Non-<br>clinical Tests<br>[As required<br>by<br>807.92(b)(3)] | The CardioBand Event Recorder is substantially equivalent to the KardiaBand System<br>(K171816). The devices have nearly identical intended use. The devices have the same key<br>technological characteristics. The devices have the same mechanism of action, and they are<br>similar in dimensional and other characteristics. The devices conform to the same recognized<br>standards. In clinical testing, the CardioBand demonstrated that for quantitative ECG<br>measurement analysis it was substantially equivalent to the predicate when compared to a gel-<br>electrode reference ECG device given a margin of clinically acceptable measurement error. |
| Other<br>Information<br>As required<br>by 807.92(d)] | |