BIO-CYBERNETIC CARDIO-DIAGNOSIS SYSTEM (BKD)

K022596 · Clover Hi-Tech, Inc. · DQK · Jan 31, 2003 · Cardiovascular

Device Facts

• Record ID: K022596
• Device Name: BIO-CYBERNETIC CARDIO-DIAGNOSIS SYSTEM (BKD)
• Applicant: Clover Hi-Tech, Inc.
• Product Code: DQK · Cardiovascular
• Decision Date: Jan 31, 2003
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.1425
• Device Class: Class 2
• Attributes: Software as a Medical Device

Intended Use

The Bio-Cybernetic Cardio Diagnostic System is intended to be used as an aid to diagnosis by means of analysis of the EKG waveform in the frequency domain (power spectral estimate).

Device Story

Bio-Cybernetics Cardio-Diagnostic System analyzes EKG waveforms in frequency domain; utilizes power spectral estimation to aid clinical diagnosis. Device intended for professional use as diagnostic aid. Output provides frequency-based analysis of cardiac signals to assist healthcare providers in clinical decision-making. System facilitates cardiac assessment through spectral analysis of electrical heart activity.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Programmable diagnostic computer; performs frequency domain analysis (power spectral estimate) of EKG waveforms. Class II device (21 CFR 870.1425).

Indications for Use

Indicated for use as an aid to diagnosis via EKG waveform analysis in the frequency domain. Patient population not specified.

Regulatory Classification

Identification

A programmable diagnostic computer is a device that can be programmed to compute various physiologic or blood flow parameters based on the output from one or more electrodes, transducers, or measuring devices; this device includes any associated commercially supplied programs.

Submission Summary (Full Text)

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 3 1 2003

Clover Hi-Tech, Inc. c/o Ms. Cecilia L. Yu Law Offices of Cecilia L. Yu and Associates 17800 Castleton Street, Suite 415 City of Industry, CA 91748

Re: K022596

Trade Name: Bio-Cybernetics Cardio-Diagnostic System Regulation Number: 21 CFR 870.1425 Regulation Name: Programmable Diagnostic Computer Regulatory Class: Class II (two) Product Code: DQK Dated: November 1, 2002 Received: November 4, 2002

Dear Ms. Yu:

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 such 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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Page 2 - Ms. Cecilia L. Yu

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); 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. This letter will allow you to begin marketing your device as described in your Section 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), please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97) you may obtain. Other general information on your responsibilities under the Act may be obtained 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/cdrh/dsma/dsmamain.html

Sincerely yours,

m D. Zuckerman. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## INDICATIONS FOR USE STATEMENT

## K022596

## 510(k) Number (if known): Not assigned yet

Device Name: Bio-Cybernetics Cardio-Diagnostic System

The Bio-Cybernetic Cardio Diagnostic System is intended to be Indications for Use: used as an aid to diagnosis by means of analysis of the EKG waveform in the frequency domain (power spectral estimate).

## PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IS NEEDED.

Concurrence of CDRH, Office of Device Evaluation (ODE)

| (Division Sign-Off) | |
|------------------------------------|---------|
| Division of Cardiovascular Devices | |
| 510(k) Number | K022594 |

| Prescription Use<br>(Per 21 CFR 801.109) | X | OR | Over-The-Counter Use ________ |
|------------------------------------------|---|----|-------------------------------|
|------------------------------------------|---|----|-------------------------------|