K210543 · Implicity, Inc. · DQK · Nov 3, 2021 · Cardiovascular
Device Facts
Record ID
K210543
Device Name
IM007
Applicant
Implicity, Inc.
Product Code
DQK · Cardiovascular
Decision Date
Nov 3, 2021
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 870.1425
Device Class
Class 2
Attributes
AI/ML, Software as a Medical Device
Intended Use
IM007 is intended for use by qualified healthcare professionals for the assessment of arrhythmias in Insertable Cardiac Monitor (ICM) ECG data. IM007 supports downloading and analyzing data recorded in compatible formats from ICMs. This version of the IM007 only supports ECG data from Medtronic ICMs. IM007 is intended to be electronically interfaced with other computer systems (remote monitoring platform) that supply the ECG data to IM007, and receive the output of IM007 (analysis) for viewing by the healthcare professionals. IM007 provides ECG signal processing and analysis, to detect asystole, bradycardia, atrial tachycardia or atrial fibrillation, ventricular tachycardia, normal rhythm and artifact. IM007 is not for use in life supporting or sustaining systems or ECG monitor and Alarm devices. IM007 interpretation results are not intended to be the sole means of diagnosis. It is offered to physicians on an advisory basis only in conjunction with the physician's knowledge of ECG patterns, patient background, clinical history, symptoms, and other diagnostic information.
Device Story
IM007 is a cloud-based software medical device (SaMD) that analyzes ECG signals from Medtronic Insertable Cardiac Monitors (ICMs). It functions as a server-side service accessed via an API by remote monitoring platforms. The device receives ECG files and parameters, processes them using a proprietary machine learning algorithm to detect arrhythmias (asystole, bradycardia, AT/AF, VT, normal rhythm, or artifact), and returns labeled waveform segments with timestamps to the remote platform. It is operated by healthcare professionals who review the advisory analysis alongside clinical history to aid in diagnosis. It does not provide a user interface or storage, relying on the integrated remote monitoring platform for these functions. It benefits patients by providing automated, supportive analysis of long-term cardiac monitoring data.
Clinical Evidence
Bench testing only. Algorithm performance was validated using ECG databases compliant with ANSI/AAMI EC57:2012 and proprietary Implicity databases. Results confirmed the device meets specifications and performs equivalently to the predicate device.
Technological Characteristics
Cloud-based server-side service; API-based communication (messaging queues); Machine Learning-based arrhythmia detection algorithm; interfaces with remote monitoring platforms; no client-side software or hardware; software-only device.
Indications for Use
Indicated for adults (over 18) with clinical syndromes or situations at increased risk of cardiac arrhythmias, or experiencing transient symptoms (dizziness, palpitation, syncope, chest pain) suggesting arrhythmia. Not tested for pediatric use.
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.
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November 3, 2021
Implicity, Inc. % Mark Johnson Regulatory Consultant MJ Medtech Consulting Services LLC 24125 Butteville Rd. NE Aurora, Oregon 97002
Re: K210543
Trade/Device Name: IM007 Regulation Number: 21 CFR 870.1425 Regulation Name: Programmable Diagnostic Computer Regulatory Class: Class II Product Code: DQK, DPS Dated: October 1, 2021 Received: October 4, 2021
Dear Mark Johnson:
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 mediation-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.
Jennifer Shih Kozen 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) K210543
Device Name IM007
## Indications for Use (Describe)
IM007 is intended for use by qualified healthcare professionals for the assessment of arrhythmias in Insertable Cardiac Monitor (ICM) ECG data.
IM007 supports downloading and analyzing data recorded in compatible formats from ICMs. This version of the IM007 only supports ECG data from Medtronic ICMs.
IM007 is intended to be electronically interfaced with other computer systems (remote monitoring platform) that supply the ECG data to IM007, and receive the output of IM007 (analysis) for viewing by the healthcare professionals. IM007 provides ECG signal processing and analysis, to detect asystole, bradycardia, atrial tachycardia or atrial fibrillation, ventricular tachycardia, normal rhythm and artifact.
IM007 is not for use in life supporting or sustaining systems or ECG monitor and Alarm devices.
IM007 interpretation results are not intended to be the sole means of diagnosis. It is offered to physicians on an advisory basis only in conjunction with the physician's knowledge of ECG patterns, patient background, clinical history, symptoms, and other diagnostic information.
Type of Use (Select *one* or *both*, as applicable)X Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
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# 510(k) Summary
This summary of 510(k) substantial equivalence information is submitted in accordance with the requirements of 21 CFR 807.92
#### General Information 1
| Applicant | IMPLICITY INC<br>185 ALEWIFE BROOK PARKWAY - SUITE 210<br>CAMBRIDGE, MA 02138<br>USA<br>Phone: +33 6 76 731 731 |
|----------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person | David Perlmutter<br>Head of R&D<br>IMPLICITY INC<br>185 ALEWIFE BROOK PARKWAY - SUITE 210<br>CAMBRIDGE, MA 02138<br>USA<br>regulatory@implicity.com<br>Phone: +33 6 76 731 731 |
Assisted by Mark Johnson Regulatory consultant to Implicity Inc MJ Medtech Consulting Services LLC 3332 Rockwood circle Billings, Montana 59102
+1 (503) 575-5886
#### 2 Date prepared: November 2, 2021
#### Device Information 3
| Trade Name | IM007 Insertable Cardiac Monitor ECG Analysis System |
|----------------|-------------------------------------------------------------|
| Common Name | ICM ECG Analysis System |
| Classification | 21 CFR 870.1425, Programmable diagnostic computer, Class II |
| | 21 CFR 870.2340, Electrocardiograph, Class II |
| Product Code | DQK, DPS |
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#### Predicate Device 4
The predicate and reference devices for IM007 Insertable Cardiac Monitor ECG Analysis System are:
Predicate Device CARDIOLOGS, Inc., CardioLogs ECG Analysis Platform, K170568
Reference Device MEDTRONIC, Inc., Reveal LINQ Insertable Cardiac Monitor, K163460
Table 1 provides device information for the subject device Implicity IM007 and compares it to the predicate and the reference devices listed.
| | Subject Device | Predicate Device | Reference Device | Comparison<br>to Predicate |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device Name | IM007 | CardioLogs ECG<br>Analysis Platform | Reveal LINQ Insertable<br>Cardiac Monitor, Model<br>LNQ11 | |
| Manufacturer | IMPLICITY INC | CARDIOLOGS<br>TECHNOLOGIES | MEDTRONIC INC | |
| 510(k) # | K210543 | K170568 | K163460 | |
| Regulation<br>Number | 21 CFR 870.1425<br>21 CFR 870.2340 | 21 CFR 870.1425<br>21 CFR 870.2340 | 21 CFR 870.1025 | Same |
| Class | II | II | II | Same |
| Device Class /<br>Name | Programmable<br>diagnostic computer,<br>Electrocardiograph | Programmable<br>diagnostic<br>computer,<br>Electrocardiograph | Detector and Alarm,<br>Arrhythmia | Same |
| Product Code | DQK, DPS | DQK, DPS | DSI | Same |
| Level of<br>Concern | Major | Moderate | Major | Same |
| Table 2 Comparison between Subject, Predicate and Reference Devices indication for use | | | | |
| | Subject Device | Predicate Device | Reference<br>Device | Comparison to<br>Predicate Device |
| Indication<br>for Use | IM007 is intended for<br>use by qualified<br>healthcare<br>professionals for the<br>assessment of<br>arrhythmias in<br>Insertable Cardiac<br>Monitor (ICM) ECG<br>data. | The CardioLogs ECG<br>Analysis Platform is<br>intended for use by<br>qualified healthcare<br>professionals for the<br>assessment of<br>arrhythmias using ECG<br>data. | The Reveal LINQ<br>ICM is an<br>insertable<br>automatically<br>activated and<br>patient-activated<br>monitoring<br>system that<br>records<br>subcutaneous<br>ECG.<br><br>It is indicated in<br>the following<br>cases:<br>patients with<br>clinical<br>syndromes or<br>situations at<br>increased risk of | The Indication for Use<br>for the Subject Device<br>is focused on a subset<br>of ECG data which<br>specifically is<br>generated from ICM<br>devices. The<br>algorithm has been<br>developed for use<br>with all ECG<br>generating cardiac<br>monitors. Validation<br>of Implicity's first<br>generation system is<br>focused on ICM<br>outputs.<br><br>The safety and<br>performance of ECG<br>interpretation of ICM<br>devices is comparable<br>to that of the broader<br>array of ECG systems. |
| Subject Device | Predicate Device | Reference<br>Device | Comparison to<br>Predicate Device | |
| IM007 supports<br>downloading and<br>analyzing data<br>recorded in<br>compatible formats<br>from ICMs.<br>This version of the<br>IM007 only supports<br>ECG data from<br>Medtronic ICMs. | The product supports<br>downloading and<br>analyzing data<br>recorded in compatible<br>formats from any<br>device used for the<br>arrhythmia diagnostics<br>such as Holter, event<br>recorder, 12 lead<br>ambulatory ECG<br>devices, or other<br>similar devices when<br>assessment of the<br>rhythm is necessary. | cardiac<br>arrhythmias<br>● patients who<br>experience<br>transient<br>symptoms such<br>as dizziness,<br>palpitation,<br>syncope, and<br>chest pain that<br>may suggest a<br>cardiac<br>arrhythmia. | The Subject Device<br>takes ECG data only<br>from ICMs, and as in<br>the Predicate, use is<br>restricted to<br>compatible formats. | |
| IM007 is intended to<br>be electronically<br>interfaced with other<br>computer systems<br>(remote monitoring<br>platform) that supply<br>the ECG data to<br>IM007 and receive<br>the output of IM007<br>(analysis) for viewing<br>by the healthcare<br>professionals. | The Cardiologs ECG<br>Analysis Platform can<br>also be electronically<br>interfaced and perform<br>analysis with data<br>transferred from other<br>computer-based ECG<br>systems, such as an<br>ECG management<br>system.<br>The product can be<br>integrated into<br>computerized ECG<br>monitoring devices. | The device has<br>not been tested<br>specifically for<br>pediatric use. | Same | |
| Table 2 Comparison between Subject, Predicate and Reference Devices indication for use | | | | |
| | Subject Device | Predicate Device | Reference<br>Device | Comparison to<br>Predicate Device |
| | IM007 provides ECG<br>signal processing and<br>analysis, to detect<br>asystole, bradycardia,<br>atrial tachycardia or<br>atrial fibrillation,<br>ventricular<br>tachycardia, normal<br>rhythm and artifact. | The Cardiologs ECG<br>Analysis Platform<br>provides ECG signal<br>processing and<br>analysis, QRS and<br>Ventricular Ectopic<br>Beat detection, QRS<br>feature extraction,<br>interval measurement,<br>heart rate<br>measurement, and<br>rhythm<br>analysis. | | The Subject Device<br>uses equivalent signal<br>processing and<br>analysis methodology<br>as the Predicate.<br>The Subject Device<br>operates as a<br>software module<br>electronically<br>interfaced to another<br>computer system<br>that handles ECG<br>data, which is also<br>one of the modes of<br>operation of the<br>Predicate. |
| | IM007 is not for use<br>in life supporting or<br>sustaining systems or<br>ECG monitor and<br>Alarm devices. | The Cardiologs ECG<br>Analysis Platform is not<br>for use in life<br>supporting or<br>sustaining systems or<br>ECG monitor and<br>Alarm devices. | | Same |
| Table 2 Comparison between Subject, Predicate and Reference Devices indication for use | | | | |
| | Subject Device | Predicate Device | Reference<br>Device | Comparison to<br>Predicate Device |
| | IM007 interpretation<br>results are not<br>intended to be the<br>sole means of<br>diagnosis. It is offered<br>to physicians and<br>clinicians on an<br>advisory basis only in<br>conjunction with the<br>physician's<br>knowledge of ECG<br>patterns, patient<br>background, clinical<br>history, symptoms,<br>and other diagnostic<br>information. | CardioLogs ECG<br>Analysis Platform<br>interpretation results<br>are not intended to be<br>the sole means of<br>diagnosis. It is offered<br>to physicians and<br>clinicians on an<br>advisory basis only in<br>conjunction with the<br>physician's knowledge<br>of ECG patterns,<br>patient background,<br> | | Same |
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The following Table 2 compares the Indication for Use of the Subject Device to the Predicate and the Reference Devices.
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## Table 2 Comparison between Subject, Predicate and Reference Devices indication for use
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| Table 2 Comparison between Subject, Predicate and Reference Devices indication for use | | | | |
|----------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Subject Device | Predicate Device | Reference Device | Comparison to Predicate Device |
| Patient<br>population | Adults (over 18) in<br>the following cases:<br>- patients with clinical<br>syndromes or<br>situations at<br>increased risk of<br>cardiac arrhythmias<br>- patients whosymptoms such as<br>dizziness, palpitation,<br>syncope, and chest<br>pain that may suggest<br>a cardiac arrhythmia.<br><br>The device has not<br>been tested<br>specifically for<br>pediatric use. | Adults (over 18). | - patients with<br>clinical<br>syndromes or<br>situations at<br>increased risk of<br>cardiac<br>arrhythmias<br>- patients who<br>experience<br>transient<br>symptoms such<br>as dizziness,<br>palpitation,<br>syncope, and<br>chest pain that<br>may suggest a<br>cardiac<br>arrhythmia<br><br>The device has<br>not been tested<br>specifically for<br>pediatric use. | Same.<br><br>The Subject Device<br>has also the same<br>target population of<br>the Reference Device,<br>which is a subset of<br>the target population<br>of the Predicate<br>Device. |
The Subject, Predicate, and Reference devices all provide output classifications in the analysis of ECG signals that are transmitted from compatible Insertable Cardiac Monitor (ICM) devices. Table 3 below compares the output classifications between these devices.
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| Table 3 Comparison between Subject, Reference & Predicate Devices rhythm analysis outputs | | | | |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|
| Subject Device<br>Output classification | Reference Device<br>Reveal LINQ | Predicate Device | Comparison with<br>Predicate Device | |
| Asystole (Ventricular<br>pause)<br>Absence of ventricular<br>contraction for a<br>duration equal or<br>superior to the asystole<br>programmable duration. | Pause (asystole)<br>No ventricular events<br>are sensed for a<br>programmable period<br>of time. | Ventricular pause<br>No ventricular<br>complex during at<br>least three seconds. | Same (except for the<br>programmable<br>duration) | |
| Bradycardia<br>Slow ventricular rate.<br>Lower than the<br>programmable brady<br>rate | Brady<br>(bradyarrhythmia)<br>The patient's heart rate<br>falls to a rate that is<br>lower than the<br>programmable brady<br>threshold. | Sinus bradycardia<br>(< 50 /min)<br>Sinus rhythm with<br>unusual or<br>abnormal slow rate. | Same | |
| AT/AF (Atrial<br>Tachycardia / Atrial<br>Fibrillation)<br>At least one of the<br>following:<br>- Atrial tachycardia<br>(ectopic)<br>- Atrial flutter<br>- Atrial fibrillation | AF only or AT/AF<br>(atrial fibrillation only<br>or atrial<br>tachyarrhythmia/atrial<br>fibrillation)<br>The patient has an<br>atrial tachyarrhythmia<br>or atrial fibrillation. The<br>clinician can also<br>choose to record atrial<br>fibrillation only. The<br>Reveal LINQ device<br>detects an episode of<br>conducted AT or AF by<br>analyzing the<br>irregularity of<br>ventricular rhythm<br>using an automatic<br>algorithm. | AF - Atrial<br>fibrillation<br>AF - Atrial<br>fibrillation or flutter<br>(uncertain)<br>Atrial flutter<br>Atrial tachycardia or<br>flutter<br>AF - Atrial<br>fibrillation, flutter<br>or atrial tachycardia<br>Atrial tachycardia,<br>ectopic<br>AT - Atrial<br>tachycardia - | Same<br>All classifications are<br>regrouped under one<br>because of the<br>clinical significance<br>and the fact that it is<br>often impossible to<br>distinguish with<br>certainty by<br>healthcare<br>professional. | |
| Table 3 Comparison between Subject, Reference & Predicate Devices rhythm analysis outputs | | | | |
| Subject Device<br>Output classification | Reference Device<br>Reveal LINQ | Predicate Device | Comparison with<br>Predicate Device | |
| | | short run(s) | | |
| VT Ventricular<br>Tachycardia<br>At least one of the<br>following:<br>-Tachycardia that<br>originates in a ventricle.<br>Sometimes life-<br>threatening.<br>NSVT - Non-sustained<br>ventricular tachycardia | Tachy (ventricular<br>tachyarrhythmia)<br>The patient's heart rate<br>increases to a rate that<br>is higher than the<br>programmable tachy<br>rate (interval)<br>threshold for the<br>programmable tachy<br>duration or higher than<br>231 bpm (intervals<br>lower than 260 ms) for<br>30 of the last 40 beats. | VT - Ventricular<br>tachycardia<br>Wide-QRS<br>tachycardia that<br>originates in a<br>ventricle.<br>Sometimes life-<br>threatening.<br>NSVT - Non-<br>sustained<br>ventricular<br>tachycardia<br>Run of ≥ 4<br>consecutive<br>premature<br>ventricular<br>complexes with a<br>heart rate ≥ 100<br>/min. | Same<br>All classifications are<br>regrouped under one<br>because of the<br>clinical significance<br>and the fact that it is<br>often impossible to<br>distinguish with<br>certainty by<br>healthcare<br>professional,<br>with the exception of<br>using the<br>programmable tachy<br>rate. | |
| Normal Rhythm<br>The ECG does not<br>present any significant<br>abnormality. | N/A (Normal rhythm is<br>absence of abnormal<br>classification).<br>Normal rhythm is<br>detected by the device<br>but not transmitted<br>through remote<br>monitoring. | Normal rhythm is<br>absence of<br>abnormal<br>classification. | Same | |
| Unspecified<br>abnormality<br>An abnormality is<br>detected in the signal,<br>but the abnormality is | N/A | N/A | This label is specific<br>to IM007<br>This output prompts<br>the healthcare | |
| Table 3 Comparison between Subject, Reference & Predicate Devices rhythm analysis outputs | | | | |
| Subject Device<br>Output classification | Reference Device<br>Reveal LINQ | Predicate Device | Comparison with<br>Predicate Device | |
| not classified as one of<br>the other abnormality<br>labels by the algorithm. | | | professional to<br>review the ECG | |
| Artifact<br>Presence of a non-<br>cardiac noise, which<br>distorts the signal and<br>prevents proper medical<br>interpretation of the<br>specified portion. | N/A | X - Pure noise<br>Tracing with only<br>noise and no ECG<br>data | Same | |
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Table 4 provides a comparison of the features of the Subject and Predicate devices.
| Table 4 Comparison between Subject and Predicate Devices features | | | |
|-------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------|--------------------------------------|
| Feature | Subject Device<br>IM007 | Predicate Device<br>CardioLogs ECG<br>Analysis Platform | Comparison to<br>Predicate<br>Device |
| Heart rate<br>determination for<br>non-paced adult | Yes | Yes | Same |
| QRS detection | Yes<br>This is not an output of the<br>Subject Device but is<br>calculated as an intermediate<br>value prior to generating the<br>output. | Yes | Same |
| Non-paced<br>arrhythmia<br>interpretation for<br>adult patients | Yes | Yes | Same |
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| Table 4 Comparison between Subject and Predicate Devices features | | | |
|-------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------|------------------------------------------|
| Feature | Subject Device<br>IM007 | Predicate Device<br>CardioLogs ECG<br>Analysis Platform | Comparison to<br>Predicate<br>Device |
| User interface to<br>view ECG data with<br>tools | No<br>IM007 does not include a user<br>interface for viewing ECG data,<br>as the viewing of ECG data<br>belongs to the "client"<br>application. | Yes<br>The user should only<br>use CardioLogs' user<br>interface to view<br>ECG data analysis. | not necessary<br>for the intended<br>use |
| Database to store<br>the results | No<br>Results are stored in the<br>"client application". | Yes | Not necessary<br>for the intended<br>use |
Table 5 provides a comparison of the technology of the Subject, Predicate, and Reference devices
| Table 5 Comparison between Subject, Reference, and Predicate Devices technology | | | |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Subject Device | Predicate Device…
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