ACTITRAC

K992410 · Individual Monitoring Systems, Inc. · GWQ · Oct 15, 1999 · Neurology

Device Facts

• Record ID: K992410
• Device Name: ACTITRAC
• Applicant: Individual Monitoring Systems, Inc.
• Product Code: GWQ · Neurology
• Decision Date: Oct 15, 1999
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 882.1400
• Device Class: Class 2

Intended Use

The ActiTrac is a small wrist-worn activity monitor designed for documenting physical movements associated with applications in physiological monitoring. The device is intended to be used to analyze circadian rhythms, automatically collect and score data for sleep parameters. These parameters, representing the number and intensity of limb movements, are directly correlated to sleep efficiency. The unit can also be used to assess activity in any instance where quantifiable analysis of physical motion is desirable.

Device Story

Wrist-worn, battery-operated activity monitor; utilizes piezoelectric accelerometer to detect limb motion. Device samples motion at 40Hz; analog signals amplified and digitized; integrated into activity counts or milli-g units; stored in 48KB on-board memory. Data downloaded to PC via smart cable/RS-232 port. Application software (Windows 95/98) programs device, retrieves data, displays dual bar graphs, and performs sleep scoring via ActiScore. Used by clinicians or researchers to assess circadian rhythms and sleep efficiency; provides quantifiable motion analysis to support clinical decision-making regarding sleep disorders or general activity levels.

Clinical Evidence

Bench testing only. Device sensitivity validated using a moving platform at 3.968 Hz and 0.2g amplitude, compared against a gold standard accelerometer. Calibration ensures output variation ≤±1% against laboratory standards. No clinical trial data provided.

Technological Characteristics

Piezoelectric accelerometer; microprocessor-based; surface mount electronics; ABS plastic housing; 48KB memory; 40Hz sampling rate; 8-bit data resolution. Connectivity via serial RS-232 smart cable to PC. Battery-operated (Lithium Keeper #LTC-7PN). Water-resistant.

Indications for Use

Indicated for patients requiring documentation of physical movement for physiological monitoring, circadian rhythm analysis, and sleep parameter scoring. No specific age or gender contraindications stated.

Regulatory Classification

Identification

An electroencephalograph is a device used to measure and record the electrical activity of the patient's brain obtained by placing two or more electrodes on the head.

Predicate Devices

• ACTIWATCH (K983533)

Submission Summary (Full Text)

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#### OCT 1 5 1999 510(k) SUMMARY:

"This summary of 510(k) safety and effectivness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92."

### Submitter's Name and Address:

David T. Krausman, Ph.D.

Individual Monitoring Systems, Inc. (DBA IM Systems)

1055 Taylor Ave., Suite 300

Baltimore, MD 21286

Phone: [phone], Fax: [phone]

Contact person: David T. Krausman, Ph.D.

July 19, 1999 Date summary was prepared:

#### Name of Device:

Trade Name:

ActiTrac

Activity Recording Device Common Name:

Classification Name: Electroencephalograph

### ldentification of predicate device:

Number K983533 - "ACTIWATCH" - MINI-MITTER CO., INC.

Product Code - GWQ

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#### Statement of intended use:

The ActiTrac is a small wrist-worn activity monitor designed for documenting physical movements associated with applications in physiological monitoring. The device is intended to be used to analyze circadian rhythms, automatically collect and score data for sleep parameters. These parameters, representing the number and intensity of limb movements, are directly correlated to sleep efficiency. The unit can also be used to assess activity in any instance where quantifiable analysis of physical motion is desirable.

### Device Description

#### Functions of the device:

The ActiTrac is a compact, wrist-worn, battery-operated activity monitor whose physical characteristics are similar to a small wristwatch. The monitor consists of the activity monitor itself and a wrist band.

The ActiTrac is intended for the measurement, storage, and analysis of body activity. The ActiTrac can be attached to the subject's limb and through the use of an accelerometer, motion of that limb is measured, the activity stored within the activity monitor.

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A computer program is used to set up the ActiTrac to collect data. This program runs on an IBM-compatible personal computer (PC). The major functions of the application software are to program the device to collect data, retrieve the data from the activity monitor, display the data, and to store the data for future reference and comparison.

The ActiTrac uses a smart download cable to provide a communiations link between the ActiTrac and the PC. To download data from the ActiTrac to the PC, one end of the ActiTrac's smart cable is inserted into the ActiTrac's port via a miniature 2.5 mm phone plug and the other end connected to the serial communications port of the PC via a standard 9-pin RS-232 COM port.

### Basic scientific concepts:

The ActiTrac utilizes a motion sensor known as an "accelerometer" to monitor the occurrence and degree of motion. This type of sensor provides an analog signal where the amplitude and speed of motion produces a signal whose magnitude and duration depend on the amount of motion. The activity signals are amplified and digitized by the on-board circuit. This information is stored in memory on board the device as activity counts. Activity can alternatively be stored in units of milli-q.

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# Physical characteristics "ActiTrac" vs. "Actiwatch (Predicate)"

| Parameter: | ActiTrac: | Actiwatch (Predicate): |
|---------------------------|-------------------------|------------------------|
| | | |
| Size | 37 x 55 x 12 mm | 37 x 29 x 9 mm |
| Weight | 23 grams | 17 grams |
| Battery type | Lithium Keeper #LTC-7PN | CR 2025 coin cell |
| Battery life | 4 years, typical | 6 months, typical |
| Accelerometer | piezoelectric | piezoelectric |
| Accelerometer sensitivity | <.012 g-force | <.01 g-force |
| Controller | Microprocessor | Microprocessor |
| Electronic components | Surface mount | Surface mount |
| Frame cover | ABS plastic | Polycarbonate plastic |
| Back cover | ABS plastic | Metal |
| Wrist band | Vinyl with buckle | Plastic with buckle |
| Moisture susceptibility | Water resistant | Water resistant |
| Storage Temperature | -10C to 50C | -10C to 50C |
| Operating Temperature | 0C to 40C | 0C to 40C |

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# Functional characteristics "ActiTrac" vs. "Actiwatch (Predicate)"

#### Parameter:

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### ActiTrac:

#### Actiwatch (Predicate):

| Recording days @ 1 minute | 31 days/48KB | 11 days/16KB, 44days/64KB |
|------------------------------|------------------------------|------------------------------|
| Sampling method | Analog to digital conversion | Analog to digital conversion |
| Recording method | Digital integration | Digital integration |
| Sampling rate | 40 per second | 32 per second |
| Data size per epoch | 8 bit byte | 8 bit byte |
| Recording epochs | 2 seconds to 2 minutes* | 2 seconds to 15 minutes |
| Memory size | 48 KB | 16 KB or 64 KB |
| Data units | activity counts or milli-g | activity counts only |
| Input/output format | Serial data | Serial data |
| Download method | Smart cable | Reader device |
| External display device | Personal computer | Personal computer |
| Displayed data | Dual bar graph | Dual bar graph |
| Application display software | PC Windows 95 & 98 | PC Windows 95 & 98 |
| Sleep scoring software | ActiScore | Actiware-Sleep |

* Application software is used to convert 1 or 2 minute recording epochs to 15 minute display epochs.

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#### Technological characteristics of ActiTrac and predicate device:

Both the ActiTrac and the predicate device, ActiWatch, use an accelerometer to detect accelerated motion in the range 0.01 g and upwards. Both devices detect motion and measure the amount and duration of motion. Both devices use analog to digital conversion methods and digital integration to convert motion to activity counts. Both devices record data on a computer board and the data can later be downloaded to a PC for analysis and storage. Both devices are typically wrist-worn and battery operated.

## Assessment of ActiTrac Performance Data:

#### Counts vs. Motion:

The most important performance characteristic of the ActiTrac is its sensitivity to motion. This characteristic is measured by programming the device to collect data in fixed intervals. For precise calibration, the device is subjected to a uniform, harmonic motion produced by a moving platform set for a constant frequency of 3.968 Hz and an amplitude of 0.2 g. The output of the device is compared to a gold standard accelerometer also placed on the moving platform. From these results, the acceleration is calculated. Activity counts are then computed from the acceleration. Motion as low as 0.01 g can be measured. Data formats from both devices are similar as shown in EXHIBIT #2.

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#### Variation between devices:

Due to small variations between characteristics and also due to variations in experimental control, there will be small differences between the activity counts measured with separate devices. Each ActiTrac is calibrated and checked to meet output specifications at or better than ±1% as compared to our established laboratory standard. Movement acceleration in the range of 0.1g to 1.0g are typical for human subjects; this is the region where the ActiTrac has its smallest variation between devices.

Comparison of Physical Attributes for "ActiTrac" and "Actiwatch" Promotional literature for both devices showing similar physical characteristics is illustrated in EXHIBIT #1.

# Comparison of Output Data for "ActiTrac" and "Actiwatch" Output data for both devices showing similar data formats and graphic display characteristics is illustrated in EXHIBIT #2.

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Image /page/7/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the top half of the circle. Inside the circle is a stylized image of an eagle or bird with three curved lines representing its wings or feathers.

Public Health Service

OCT 1 5 1999

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

David T. Krausman, Ph.D. Individual Monitoring Systems, Inc. 1055 Tavlor Avenue, Suite 300 Baltimore, Maryland 21286

Re: K992410 Trade Name: ACTITRAC Regulatory Class: II Product Code: GWQ Dated: July 19, 1999 Received: July 20, 1999

Dear Dr. Krausman:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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 (Premarket Approval), 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 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (OS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (OS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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#### Page 2 - David T. Krausman, Ph.D.

This letter will allow you to begin marketing your device as described in your 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 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number [phone] or [phone] or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Page 1 of 1

510(k) NUMBER (IF KNOWN): K992410

DEVICE NAME: ACTITRAC

INDICATIONS FOR USE:

#### Intended Use:

The ActiTrac is a small wrist-worn activity monitor designed for documenting physical movements associated with applications in physiological monitoring. The device is intended to be used to analyze circadian rhythms, automatically collect and score data for sleep parameters. These parameters, representing the number and intensity of limb movements, are directly correlated to sleep efficiency. The unit can also be used to assess activity in any instance where quantifiable analysis of physical motion is desirable.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109 OR

Over-The-Counter-Use (Optional Format 1 -

Hooll

(Division Sign-Off)
Division of General Restorative Devices
510(k) Number /L942410