CIRCA MATRIX12 M Esophageal Temperature Probe and Temperature Monitoring System
K222311 · Circa Scientific, Inc. · FLL · May 25, 2023 · General Hospital
Device Facts
| Record ID | K222311 |
| Device Name | CIRCA MATRIX12 M Esophageal Temperature Probe and Temperature Monitoring System |
| Applicant | Circa Scientific, Inc. |
| Product Code | FLL · General Hospital |
| Decision Date | May 25, 2023 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 880.2910 |
| Device Class | Class 2 |
Intended Use
The CIRCA Temperature Monitoring System is composed of CIRCA Temperature Monitor and CIRCA MATRIX12 M Probe and is intended for the continuous detection, measurement and visualization (in ℃) of esophageal temperature. The intended environments of use are operating rooms and interventional electrophysiology rooms. The CIRCA Monitor must be used in conjunction with the CIRCA MATRIX12 M Probe. The role of esophageal temperature monitoring using this device in reducing the risk of cardiac ablation-related esophageal injury has not been established. The performance of the CIRCA Temperature Monitoring System in detecting esophageal temperature changes as a result of energy delivery during cardiac ablation procedures has not been evaluated.
Device Story
System consists of touch-screen monitor, interconnect cables, and 14Fr esophageal temperature probe; probe contains 12 NTC thermistor sensors in 3x4 array for continuous temperature measurement. Monitor displays individual sensor readings, min/max temperatures, and provides user-selectable alarms. Optional mapping cable allows probe visualization within 3D cardiac mapping systems (EnSite NavX, CARTO 3). Used in ORs and EP labs by clinicians. Data stored internally and exportable via USB to PC. Provides real-time temperature monitoring to assist clinicians; clinical benefit in reducing ablation-related injury not established.
Clinical Evidence
Bench testing only. Testing included biocompatibility (ISO 10993-1), sterility (ANSI/AAMI/ISO 11135), software lifecycle (IEC 62304), electrical safety (IEC 60601-1), EMC (IEC 60601-1-2), and performance (ISO 80601-2-56). Accuracy and response time met standards. Compatibility with 3D cardiac mapping systems (EnSite NavX, CARTO 3) verified.
Technological Characteristics
System uses 12 NTC thermistor sensors in a 3x4 array. Materials: Flexible Polyether, Rigid Polyamide PEBAX, Polyurethane film, Gold electrodes. Dimensions: 14Fr probe, 63cm length. Connectivity: USB export, mapping cable for 3D system integration. Power: 100-240 Vac. Sterilization: ETO (single-use probe). Software: IEC 62304 compliant. Monitor: Class I ME equipment, Type CF applied part, defibrillation-proof.
Indications for Use
Indicated for continuous detection, measurement, and visualization of esophageal temperature in operating rooms and interventional electrophysiology rooms.
Regulatory Classification
Identification
A clinical electronic thermometer is a device used to measure the body temperature of a patient by means of a transducer coupled with an electronic signal amplification, conditioning, and display unit. The transducer may be in a detachable probe with or without a disposable cover.
Special Controls
(1) Device is not a clinical thermometer with telethermographic functions;
(2) Device is not a clinical thermometer with continuous temperature measurement functions; and
(3) Appropriate analysis and testing (such as that outlined in the currently FDA-recognized editions, as appropriate, of ISO 80601-2-56, “Medical electrical equipment—Part 2-56: Particular requirements for basic safety and essential performance of clinical thermometers for body temperature measurement,” or ASTM E1965, “Standard Specification for Infrared Thermometers for Intermittent Determination of Patient Temperature,” or ASTM E1112, “Standard Specification for Electronic Thermometer for Intermittent Determination of Patient Temperature,” or ASTM E1104, “Standard Specification for Clinical Thermometer Probe Covers and Sheaths”) must validate specifications and performance of the device.
Predicate Devices
- CIRCA S-CATH M Esophageal Temperature Probe and Temperature Monitoring System (K200943)
Related Devices
- K200943 — Circa S-Cath M Esophageal Temperature Probe and Temperature Monitoring System · Circa Scientific, LLC · Dec 17, 2021
- K192210 — ESOTEST MULTI Esophageal Temperature Probe and Temperature Monitoring System · Fiab Spa · Oct 10, 2019
- K180047 — ESOTEST MULTI Esophageal Temperature Probe and Temperature Monitoring System · Fiab Spa · Nov 8, 2018
- K112376 — S-CATH ESOPHAGEAL TEMPERATURE PROBE AND TEMPERATURE MONITORING SYSTEM · Circa Scientific, LLC · Aug 31, 2011
- K123361 — ESOTEST ESOPHAGEAL TEMPERATURE PROBE AND TEMPERATURE MONITORING SYSTEM · Fiab Spa · Feb 27, 2013
Submission Summary (Full Text)
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May 25, 2023
CIRCA Scientific, Inc. Fred Piazza Quality Assurance Manager 14 Inverness Drive East, Suite H-136 Englewood, Colorado 80112
Re: K222311
Trade/Device Name: CIRCA MATRIX12 M Esophageal Temperature Probe and Temperature Monitoring System Regulation Number: 21 CFR 880,2910 Regulation Name: Clinical electronic thermometer Regulatory Class: Class II Product Code: FLL, IDK Dated: April 26, 2023 Received: April 27, 2023
Dear Fred Piazza:
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.
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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 devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
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/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely.
Aneesh S. Deoras -S
Aneesh Deoras Assistant Director Division of Cardiac Electrophysiology, Diagnostics and Monitoring Devices Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known) K222311
#### Device Name
CIRCA MATRIX12 M Esophageal Temperature Probe and Temperature Monitoring System
#### Indications for Use (Describe)
The CIRCA Temperature Monitoring System is composed of CIRCA Temperature Monitor and CIRCA MATRIX12 M Probe and is intended for the continuous detection, measurement and visualization (in ℃) of esophageal temperature. The intended environments of use are operating rooms and interventional electrophysiology rooms. The CIRCA Monitor must be used in conjunction with the CIRCA MATRIX12 M Probe.
The role of esophageal temperature monitoring using this device in reducing the risk of cardiac ablation-related esophageal injury has not been established. The performance of the CIRCA Temperature Monitoring System in detecting esophageal temperature changes as a result of energy delivery during cardiac ablation procedures has not been evaluated.
| Type of Use (Select one or both, as applicable) |
|-------------------------------------------------|
|-------------------------------------------------|
> Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
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## I. SUBMITTER
CIRCA Scientific, Inc. 14 Inverness Drive East, Suite H-136 Englewood, CO 80112 Phone: (303) 951-8767 Contact: Fred Piazza Date Prepared: April 26, 2023
### II. DEVICE INFORMATION
Name of Device: CIRCA MATRIX12 M Esophageal Temperature Probe and Temperature Monitoring System
Common or Usual Name: Clinical electronic thermometer
Classification Name: Clinical electronic thermometer (21 CFR 880.2910)
Regulatory Class: II
Product Code(s): FLL, IKD
Predicate Device: CIRCA S-CATH M Esophageal Temperature Probe and Temperature Monitoring Probe, K200943
### III. DEVICE DESCRIPTION
The CIRCA Scientific Temperature Monitoring System consists of a touch-screen monitor, interconnect cables, and an esophageal temperature probe.
The monitor displays 12 temperature probe sensor readings (°C), the minimum and maximum temperature of all sensors, and contains an alarm system with userselected levels. The measured temperatures can be stored in the internal memory of the device and examined at a later time on an external personal computer (after exporting the corresponding data file to an USB flash drive).
The MATRIX12 M Esophageal Temperature Probe provides continuous temperature measurement (°C) and operates in direct mode (operating mode of a clinical thermometer where the output temperature is an unadiusted temperature that represents the temperature of the measuring site to which the probe is coupled). The probe contains 12 thermistor sensors located in a 3 x 4 sensor array. The sensors measure temperature by a thermistor that is sensitive to temperature changes. The probe is connected to the CIRCA Scientific monitor by using an interconnect cable. The 14Fr diameter probe is placed inside the esophagus.
The Probe is also equipped with 4 electrode sensors. By connecting the MATRIX12 M Probe to a 3D cardiac mapping system through the optional component
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Mapping Interconnect Cable, the probe can be visualized inside a 3D model of the patient's body for placement.
## IV. INDICATIONS FOR USE
The CIRCA Temperature Monitoring System is composed of CIRCA Temperature Monitor and CIRCA MATRIX12 M Probe and is intended for the continuous detection, measurement and visualization (in ℃) of esophageal temperature. The intended environments of use are operating rooms and interventional electrophysiology rooms. The CIRCA Monitor must be used in conjunction with the CIRCA MATRIX12 M Probe.
The role of esophageal temperature monitoring using this device in reducing the risk of cardiac ablation-related esophageal injury has not been established. The performance of the CIRCA Temperature Monitoring System in detecting esophageal temperature changes as a result of energy delivery during cardiac ablation procedures has not been evaluated.
| V. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE |
|---------------------------------------------------------|
| PREDICATE DEVICE |
| ELEMENT OF<br>COMPARISON | SUBJECT DEVICE:<br>CIRCA MATRIX12 M<br>Esophageal Temperature<br>Probe and Temperature<br>Monitoring System | PREDICATE DEVICE:<br>K200943 CIRCA S-CATH M<br>Esophageal Temperature<br>Probe and Temperature<br>Monitoring System | COMMENTS |
|-------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Thermometer<br>type | Esophageal | Esophageal | Same |
| Product Code | FLL, IKD | FLL, IKD | Same |
| Regulation | 880.2910 Clinical Electronic<br>Thermometer<br>890.1175 Cable, Electrode | 880.2910 Clinical Electronic<br>Thermometer<br>890.1175 Cable, Electrode | Same |
| ELEMENT OF<br>COMPARISON | SUBJECT DEVICE:<br>CIRCA MATRIX12 M<br>Esophageal Temperature<br>Probe and Temperature<br>Monitoring System | PREDICATE DEVICE:<br>K200943 CIRCA S-CATH M<br>Esophageal Temperature<br>Probe and Temperature<br>Monitoring System | COMMENTS |
| Indications for<br>Use | The CIRCA Temperature<br>Monitoring System is<br>composed of CIRCA<br>Temperature Monitor and<br>CIRCA MATRIX12 M Probe<br>and is intended for the<br>continuous detection,<br>measurement and<br>visualization (in ℃) of<br>esophageal temperature. The<br>intended environments of use<br>are operating rooms and<br>interventional<br>electrophysiology rooms. The<br>CIRCA Monitor must be used<br>in conjunction with the<br>CIRCA MATRIX12 M<br>Probe.<br>The role of esophageal<br>temperature monitoring using<br>this device in reducing the<br>risk of cardiac ablation-<br>related esophageal injury has<br>not been established. The<br>performance of the CIRCA<br>Temperature Monitoring<br>System in detecting<br>esophageal temperature<br>changes as a result of energy<br>delivery during cardiac<br>ablation procedures has not<br>been evaluated | The CIRCA Temperature<br>Monitoring System is<br>composed of CIRCA<br>Temperature Monitor and<br>CIRCA S-CATH M Probe<br>and is intended for the<br>continuous detection.<br>measurement and<br>visualization (in °C) of<br>esophageal temperature. The<br>intended environments of use<br>are operating rooms and<br>interventional<br>electrophysiology rooms. The<br>CIRCA Monitor must be used<br>in conjunction with the<br>CIRCA S-CATH M Probe.<br>The role of esophageal<br>temperature monitoring using<br>this device in reducing the<br>risk of cardiac ablation-<br>related esophageal injury has<br>not been established. The<br>performance of the CIRCA<br>Temperature Monitoring<br>System in detecting<br>esophageal temperature<br>changes as a result of energy<br>delivery during cardiac<br>ablation procedures has not<br>been evaluated | Same (except for<br>trade name) |
| Components | Temperature probe, Patient<br>cable, Monitor. The package<br>includes an external power<br>supply and hospital-grade<br>power cord. Optional<br>component: Mapping<br>Interconnect Cable | Temperature probe, Patient<br>cable, Monitor. The package<br>includes an external power<br>supply and hospital-grade<br>power cord. Optional<br>component: Mapping<br>Interconnect Cable | Same |
| ELEMENT OF<br>COMPARISON | SUBJECT DEVICE:<br>CIRCA MATRIX12 M<br>Esophageal Temperature<br>Probe and Temperature<br>Monitoring System | PREDICATE DEVICE:<br>K200943 CIRCA S-CATH M<br>Esophageal Temperature<br>Probe and Temperature<br>Monitoring System | COMMENTS |
| Temperature<br>measurement<br>range (°C) | 0 - 55 | 0 - 45 | Rated extended<br>output range is higher<br>for the subject device.<br>Consensus standard<br>ISO 80601-2-56<br>states in section<br>201.12.1.101: The<br>output temperature of<br>clinical thermometers<br>should cover the<br>minimum rated output<br>range from 34,0 °C to<br>43,0 °C. |
| Number of<br>temperature<br>sensors | 12 | 12 | Same |
| Temperature<br>sensor type | NTC Thermistor<br>(system accuracy ±0.3℃) | NTC Thermistor<br>(system accuracy ±0.3℃) | Same |
| Measurement<br>presentation /<br>User Interface | LCD monitor<br>Touch screen monitor | LCD monitor<br>Touch screen monitor | Same |
| Alarm<br>temperature<br>range (°C) | Upper threshold (Alarm and<br>Warning High)<br>Lower Threshold (Alarm and<br>Warning Low)<br>Low threshhold cannot be set<br>higher than upper threshold. | Upper threshold (Alarm and<br>Warning High)<br>Lower Threshold (Alarm and<br>Warning Low)<br>Low threshhold cannot be set<br>higher than upper threshold. | Same |
| Alarm signal | Visual (flashing yellow, blue,<br>or red on the LCD display)<br>Audible (intermittent sound) | Visual (flashing yellow, blue,<br>or red on the LCD display)<br>Audible (intermittent sound) | Same |
| Power<br>requirements | 100 - 240 Vac | 100 - 240 Vac | Same |
| Monitor<br>classification | Class I Medical Electrical<br>Equipment<br>Type CF Applied Part,<br>Defibrillation-Proof | Class I Medical Electrical<br>Equipment<br>Type CF Applied Part,<br>Defibrillation-Proof | Same |
| Dimensions<br>(cm) | Monitor: 26W x 19H x 9D<br>Patient cable length: 460<br>Temperature Probe: 63L;<br>14Fr | Monitor: 26W x 19H x 9D<br>Patient cable length: 460<br>Temperature Probe: 65L;<br>10Fr | Similar in size, minor<br>differences that do<br>not affect device<br>placement or use. |
| Introduction | Esophageal (nose / throat) | Esophageal (nose / throat) | Same |
| ELEMENT OF<br>COMPARISON | SUBJECT DEVICE:<br>CIRCA MATRIX12 M<br>Esophageal Temperature<br>Probe and Temperature<br>Monitoring System | PREDICATE DEVICE:<br>K200943 CIRCA S-CATH M<br>Esophageal Temperature<br>Probe and Temperature<br>Monitoring System | COMMENTS |
| Signal<br>processing and<br>display: | Actual temperature is a<br>function of the thermistor<br>resistance.<br>Temperature displayed in<br>0.1℃ increments. 1 input<br>(single probe) available.<br>12 sensors per probe<br>measurements and user-<br>selected alarm limits are<br>displayed on LCD monitor. | Actual temperature is a<br>function of the thermistor<br>resistance.<br>Temperature displayed in<br>0.1℃ increments. 1 input<br>(single probe) available.<br>12 sensors per probe<br>measurements and user-<br>selected alarm limits are<br>displayed on LCD monitor. | Same |
| Patient<br>contacting<br>materials | Flexible Polyether and Rigid<br>Polyamide PEBAX®,<br>Polyurethane Film and Gold<br>Electrodes | Flexible Polyether and Rigid<br>Polyamide PEBAX®<br>Tecothane® Urethane and<br>Gold Electrode Bands | Similar, both use<br>thermoplastics and<br>metals commonly<br>used for medical<br>device applications.<br>To bridge the<br>difference, subject<br>device was tested<br>under ISO 10993-1. |
| Operating<br>conditions | 0°C to 40°C<br>Non-condensed relative<br>humidity: 30% to 75% | 0°C to 40°C<br>Non-condensed relative<br>humidity: 30% to 75% | Same |
| Accuracy | 0.3℃ within rated output<br>range (ISO 80601-2-56<br>requirements for clinical<br>thermometers) | 0.3℃ within rated output<br>range (ISO 80601-2-56<br>requirements for clinical<br>thermometers) | Same |
| Precision and<br>repeatability<br>(°C) | 0.1 | 0.1 | Same |
| Response time | Heating transient response<br>time is approximately 1.7<br>seconds and cooling transient<br>response time is<br>approximately 1.4 seconds.<br>Response time is for probe<br>plunged from reference water<br>bath to a water bath with a<br>2℃ differential, ISO 80601-<br>2-56 requirements for clinical<br>thermometers. | Heating transient response<br>time is approximately 6<br>seconds and cooling transient<br>response time is<br>approximately 8.5 seconds.<br>Response time is for probe<br>plunged from reference water<br>bath to a water bath with a<br>2℃ differential, ISO 80601-<br>2-56 requirements for clinical<br>thermometers. | While the subject<br>device achieves a a<br>faster response time,<br>the clinical benefits<br>of the faster response<br>time have not been<br>established. |
| Probe<br>sterilization | ETO Sterilized.<br>Probe is for single-use only. | ETO Sterilized.<br>Probe is for single-use only. | Same |
| ELEMENT OF<br>COMPARISON | SUBJECT DEVICE:<br>CIRCA MATRIX12 M<br>Esophageal Temperature<br>Probe and Temperature<br>Monitoring System | PREDICATE DEVICE:<br>K200943 CIRCA S-CATH M<br>Esophageal Temperature<br>Probe and Temperature<br>Monitoring System | COMMENTS |
| Biocompatibility<br>of the patient<br>contacting part | Compliance to ISO 10993-1<br>Categorization by nature of<br>body contact: Surface-<br>contacting device, mucosal<br>membrane.<br>Categorization by duration of<br>contact: Limited exposure<br>(A) – device whose<br>cumulative single, multiple or<br>repeated use or contact is up<br>to 24 h. | Compliance to ISO 10993-1<br>Categorization by nature of<br>body contact: Surface-<br>contacting device, mucosal<br>membrane.<br>Categorization by duration of<br>contact: Limited exposure<br>(A) – device whose<br>cumulative single, multiple or<br>repeated use or contact is up<br>to 24 h. | Same |
| Software | Compliance to IEC 62304 | Compliance to IEC 62304 | Same |
| Electrical safety | Compliance to IEC 60601-1 | Compliance to IEC 60601-1 | Same |
| EMC | Compliance to IEC 60601-1-<br>2 | Compliance to IEC 60601-1-<br>2 | Same |
| Performance<br>bench testing | Compliance to ISO 80601-2-<br>56 | Compliance to ISO 80601-2-<br>56 | Same |
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# 510(k) SUMMARY
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# 510(k) SUMMARY
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## 510(k) SUMMARY
Substantial Equivalence Discussion:
Esophageal temperature monitoring using standard temperature sensor technology (thermistor) is the technological principle for both the subject and predicate devices.
The subject device has the same intended use as the predicate device, which is legally marketed. The subject device (CIRCA MATRIX12 M Esophageal Temperature Probe and Temperature Monitoring System) and the predicate device (CIRCA S-CATH M Esophageal Temperature Probe and Temperature Monitoring System, K200943) are similar in the following areas:
- Indications for use
- Components
- Temperature monitoring technology and monitor display ●
- Number of temperature sensors
- Route of administration .
- Accuracy, precision and repeatibility
Both systems have been evaluated to FDA recognized consensus standards in the areas of biocompatibility, sterilization, software, electrical safety, EMC, and performance for clinical electronic thermometers.
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## VI. NON-CLINICAL PERFORMANCE DATA
No performance standards have been established under Section 514 of the Food, Drug and Cosmetic Act for this device. Performance, labeling, electrical, biocompatibility, and sterilization testing of the subject device was conducted based on the risk analysis and on the requirements of recognized standards and FDA guidance documents.
The device was subjected to the following non-clinical testing to demonstrate that it performs as intended to the predicate device:
| TEST NAME | ENDPOINT | RESULT SUMMARY |
|--------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| In vitro cytotoxicity,<br>sensitization, and irritation | Verifying the compliance of the<br>esophageal probe to the requirements<br>of ISO 10993-1 for the considered<br>type and duration of contact. | Results of tests demonstrate that the<br>sample can be considered non<br>cytotoxic, non sensitizer, and non<br…