Retrospective clinical records of patients who underwent DBS procedures
The study retrospectively evaluated the accuracy of the HaGuide software in mapping sub-thalamic nucleus (STN) boundaries by comparing software-generated measurements against expert clinical assessments derived from routine intraoperative recordings.
Retrospective, Multi-centre, Clinical Validation of HaGuide Software; Retrospective, single-arm study
Parkinson's disease patients who underwent Deep Brain Stimulation (DBS) procedure; Sample Size: 81 patients (105 surgeries, 213 electrodes); Number of Sites: Multi-centre (US and outside US)
Not applicable for this study
Percent agreement between HaGuide software measurements and expert Neurosurgeon/Electrophysiologist measurements for STN entry and exit point depth
Indications for Use
The subject device, the Neuro Omega System incorporated the installed HaGuide software, including the Drive HeadStage unit, is intended to assist neurosurgeons in the operating room during functional neurosurgery and to record from and stimulate brain motor and sensory neurons and to aid in the placement of depth electrodes. The subject device, the Neuro Omega System incorporated the installed HaGuide software is also intended: To monitor, record and display the bioelectric signals produced by muscles, to stimulate peripheral nerves, and to monitor, record and display the electrical activity produced by nerves to aid the clinician in the diagnosis and prognosis of neuromuscular disease (EMG). To measure, record and display the electrical activity of the patient's brain obtained from two or more electrodes on the head (EEG). To measure, display and record the electrical activity of the patient's brain obtained from ECOG strip and grid electrodes. To provide stimulation via electrode pairs or a hand held bipolar probe for use in functional brain mapping procedures during treatment of patients with seizure disorder. The device is intended for intraoperative use by medical personnel. Within hospitals, laboratory, clinic or nursing home setting or outside of a medical facility under direct supervision of a medical professional. The device may also be placed in the intensive care unit or operating room for continuous recording.
Device Story
Neuro Omega System is an intraoperative neurophysiological recording and stimulation platform. Inputs include bioelectric signals from muscles (EMG), brain (EEG/ECoG), and peripheral nerves via electrodes. The system processes these signals to display real-time data and provide stimulation for functional brain mapping and target localization. The HaGuide software module identifies Subthalamic Nucleus (STN) boundaries (DLOR/VMNR) using power spectrum density and RMS analysis, providing stimulation location recommendations. Operated by neurosurgeons and medical personnel in ORs, ICUs, or clinics. Output assists clinicians in electrode placement and diagnosis of neuromuscular/seizure disorders. Benefits include improved accuracy in target localization for movement disorder surgeries.
Clinical Evidence
Retrospective, multi-center clinical validation study (n=81 patients, 105 surgeries, 213 electrodes) evaluated HaGuide software accuracy in mapping STN boundaries. Primary endpoint: percent agreement between software and expert neurosurgeon/electrophysiologist measurements. Results: 90.34% agreement (95% CI: 85.27-93.85%). Correlation coefficients for entry/exit depth were 0.9492 and 0.9317. Bland-Altman analysis showed mean differences of 0.18 mm and -0.15 mm. No adverse events reported.
Technological Characteristics
System comprises main unit (PC, monitor, I/O analog/digital unit), HeadStage (Head Box, connection box, Drive HeadStage), and accessories. Connectivity via Ethernet. Electrical safety per IEC 60601-1, 60601-2-10, 60601-2-26, 60601-2-40. Sterilization via steam (mechanical) and STERRAD (electrical). Software developed per ISO 62304. Class I electrical, Type BF protective.
Indications for Use
Indicated for adults and children requiring functional neurosurgery, neuromuscular disease diagnosis (EMG), EEG monitoring, ECoG recording, or functional brain mapping for seizure disorders. Used for recording/stimulating brain motor/sensory neurons, peripheral nerve stimulation, and depth electrode placement.
Regulatory Classification
Identification
A depth electrode is an electrode used for temporary stimulation of, or recording electrical signals at, subsurface levels of the brain.
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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. Food & Drug Administration" in a sans-serif font. The word "Administration" is on a separate line below "U.S. Food & Drug".
December 22, 2017
Alpha Omega Engineering Ltd, Maysana Mousa QA/RA Manager Nazareth Industrial Park, Mount Precipice, St.2015 Nazareth, 1612102 IL
## Re: K171581
Trade/Device Name: Neuro Omega System Regulation Number: 21 CFR 882.1330 Regulation Name: Depth Electrode Regulatory Class: Class II Product Code: GZL, GWF, IKN, GWQ, GYC Dated: November 13, 2017 Received: November 20, 2017
Dear Ms. Mousa:
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. 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); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
{1}------------------------------------------------
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 the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
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,
William J. Heetderks -S 2017.12.22 14:03:23 -05'00'
for Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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## Indications for Use
510(k) Number (if known) K171581
Device Name Neuro Omega System
#### Indications for Use (Describe)
The subject device, the Neuro Omega System incorporated the installed HaGuide software, including the Drive HeadStage unit, is intended to assist neurosurgeons in the operating room during functional neurosurgery and to record from and stimulate brain motor and sensory neurons and to aid in the placement of depth electrodes. The subject device, the Neuro Omega System incorporated the installed HaGuide software is also intended:
-To monitor, record and display the bioelectric signals produced by muscles, to stimulate peripheral nerves, and to monitor, record and display the electrical activity produced by nerves to aid the clinician in the diagnosis of neuromuscular disease (EMG).
-To measure, record and display the electrical activity of the patient's brain obtained from two or more electrodes on the head (EEG).
-To measure, display and record the electrical activity of the patient's brain obtained from ECOG strip and grid electrodes.
-To provide stimulation via electrode pairs or a hand held bipolar probe for use in functional brain mapping procedures during treatment of patients with seizure disorder.
The device is intended for intraoperative use by medical personnel. Within hospitals, laboratory, clinic or nursing home setting or outside of a medical facility under direct supervision of a medical professional. The device may also be placed in the intensive care unit or operating room for continuous recording.
Type of Use (Select one or both, as applicable)
| <span> Prescription Use (Part 21 CFR 801 Subpart D) </span> |
|-----------------------------------------------------------------------------|
| <span> Over-The-Counter Use (21 CFR 801 Subpart C) </span> |
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Image /page/3/Picture/0 description: The image is a logo for Alpha Omega. The logo features a stylized letter "A" in maroon, with a gray omega symbol underneath. The words "ALPHA" in maroon and "omega" in gray are to the right of the symbols. The tagline "Defining Neuroscience Technology" is in maroon below the logo.
# 510(k) Summary
This 510(k) summary of safety and effectiveness information is submitted in accordance with the requirements of the Safe Medical Devices Act (SMDA) of 1990. The contents of the 510(k) summary have been provided in conformance with 21 CFR §807.92
## Submitter Information
Alpha Omega Engineering Ltd. Mount Precipice 2015 P.O. Box 2268 Nazareth 1612102, Israel Tel:+972-4-6563-327 Fax:+972-4-6574-075
### Submission contact person:
Mrs. Maysana Mousa Tel:+972-4-6563-327 Fax:+972-4-6574-075 Mobile: +972-54-9043303
### Device Classification
| Proprietary Device Name:<br>Common name: | Neuro Omega System<br>Intraoperative neurophysiological recording and<br>stimulating device | | |
|----------------------------------------------------------------|---------------------------------------------------------------------------------------------|-----------------------|--------------------------------------|
| Product Code: | GZL | | |
| Subsequent Product Code: | GWF, IKN, GWQ, GYC | | |
| Classification Name: | Depth Electrode | | |
| Subsequent Classification names: | Electroencephalograph,<br>electrical,<br>electromyograph,<br>electrode | evoked<br>diagnostic, | stimulator,<br>response,<br>cortical |
| Classification Regulation:<br>Regulatory Class: | 21 CFR §882.1330<br>II | | |
| Identification of Legally Marketed Predicate Devices | | | |
| Neuro Omega System -<br>For cortical recording and stimulation | | K123796 | |
| Nicolet Cortical Stimulator - | | K072964 | |
Page 1 of 18
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## 1. Device Description
The Neuro Omega system is designed for different neurosurgery and neurophysiologic clinical applications including recording from and stimulate brain motor and sensory neurons to accurate navigation of electrodes for neurosurgery target localization in treatment of movement disorders by and to aid in the placement of depth electrodes. The device is also designed for measuring bioelectric signals produced by muscles and stimulate peripheral nerves to aid in the diagnosis and prognosis of neuromuscular disease (EMG).
The device may also be used to measure and record the electrical activity of the patient's brain obtained by placing two or more electrodes on the head (EEG).
The subject device, the Neuro Omega System may also be used to measure, display and record the electrical activity of the patient's brain obtained from ECOG strip and grid electrodes.
The subject device, the Neuro Omega System may also be used to provide stimulation via electrode pairs or a hand held bipolar probe for use in functional brain mapping procedures during treatment of patients with seizure disorder.
The subject device, the Neuro Omega System incorporated the installed HaGuide software as a user option tool, which is a real-time software solution designed to accurately detects the Sub Thalamic Nucleus region, its entrance and exit boundaries as well gives the user a stimulation location recommendation.
The HaGuide software robustly detects intra STN detection of Dorso lateral Oscillatory Region (DLOR) and Ventro Medical Non-Oscillatory Region (VMNR) boundary. The tool presents real time graphs of power spectrum density and RMS of each region.
# 2. Intended Use of Device
The subject device, the Neuro Omega System incorporated the installed HaGuide software, including the Drive HeadStage unit, is intended to assist neurosurgeons in the operating room during functional neurosurgery and to record from and stimulate brain motor and sensory neurons and to aid in the placement of depth electrodes.
The subject device, the Neuro Omega System incorporated the installed HaGuide software is also intended:
To monitor, record and display the bioelectric signals produced by muscles, to stimulate peripheral nerves, and to monitor, record and display the electrical activity produced by nerves to aid the clinician in the diagnosis and prognosis of neuromuscular disease (EMG).
To measure, record and display the electrical activity of the patient's brain obtained from two or more electrodes on the head (EEG).
To measure, display and record the electrical activity of the patient's brain obtained from ECOG strip and grid electrodes.
To provide stimulation via electrode pairs or a hand held bipolar probe for use in functional brain mapping procedures during treatment of patients with seizure disorder.
The device is intended for intraoperative use by medical personnel. Within hospitals, laboratory, clinic or nursing home setting or outside of a medical facility under direct supervision of a medical professional. The device may also be placed in the intensive care unit or operating room for continuous recording.
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## 3. Safety & Effectiveness
The Neuro Omega System has been compared to the New Omega System (K123796), in terms of intended use, indications for use, components, principles of operation, technological characteristics and safety features.
| # | Compariso<br>n parameter | Subject device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega | Reference device for<br>cortical recording and<br>stimulation:<br>Nicolet Cortical<br>Stimulator | SE comparison<br>discussion |
|---|------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 1 | Legally<br>distribution clearance<br>No. | Subject device | K123796 | K072964 | |
| 2 | Owner | Alpha Omega Engineering<br>Ltd. | Alpha Omega Engineering<br>Ltd. | Cardinal Health, Inc | |
| 3 | Intended use<br>and<br>indications<br>for use. | The subject device, the Neuro<br>Omega System incorporated<br>the installed HaGuide software,<br>including the Drive HeadStage<br>unit, is intended to assist<br>neurosurgeons in the operating<br>room during functional<br>neurosurgery and to record<br>from and stimulate brain motor<br>and sensory neurons and to aid<br>in the placement of depth<br>electrodes.<br>The subject device, the Neuro<br>Omega System incorporated | The Neuro Omega System,<br>including the NeuroDrive unit,<br>is intended to assist<br>neurosurgeons in the operating<br>room during functional<br>neurosurgery and to record<br>from and stimulate brain motor<br>and sensory neurons and to aid<br>in the placement of depth<br>electrodes.<br>The Neuro Omega System is<br>also intended to monitor,<br>record and display the<br>bioelectric signals produced by | The Cortical Stimulator is<br>intended for use in<br>functional brain mapping<br>procedures during<br>treatment of patients with<br>seizure disorder, providing<br>stimulation via electrode<br>pairs or a hand held<br>bipolar probe | Similarity<br>The intended use and<br>indications of the modified<br>Neuro Omega is identical to<br>the intended use and<br>indications of the legally<br>marketed Neuro Omega and<br>the Nicolet Cortical<br>Stimulator predicate<br>Devices.<br>Differences<br>The intended use and<br>indications of the modified |
| # | Comparison parameter | Subject device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega | Reference device for cortical recording and stimulation:<br>Nicolet Cortical Stimulator | SE comparison discussion |
| | | the installed HaGuide software<br>is also intended:<br>To monitor, record and display<br>the bioelectric signals produced<br>by muscles, to stimulate<br>peripheral nerves, and to<br>monitor, record and display the<br>electrical activity produced by<br>nerves to aid the clinician in<br>the diagnosis and prognosis of<br>neuromuscular disease (EMG).<br>To measure, record and display<br>the electrical activity of the<br>patient's brain obtained from<br>two or more electrodes on the<br>head (EEG).<br>To measure, display and record<br>the electrical activity of the<br>patient's brain obtained from<br>ECOG strip and grid<br>electrodes.<br>To provide stimulation via<br>electrode pairs or a hand held<br>bipolar probe for use in<br>functional brain mapping<br>procedures during treatment of<br>patients with seizure disorder.<br>The device is intended for | muscles, to stimulate<br>peripheral nerves, and to<br>monitor, record and display the<br>electrical activity produced by<br>nerves to aid the clinician in<br>the diagnosis and prognosis of<br>neuromuscular disease (EMG).<br>The device may also be used<br>to measure and record the<br>electrical activity of the<br>patient's brain obtained by<br>placing two or more electrodes<br>on the head (EEG).<br>The device is intended for use<br>by medical personnel within a<br>hospital, laboratory, clinic or<br>nursing home setting or<br>outside of a medical facility<br>under direct supervision of a<br>medical professional. The<br>device may also be placed in<br>the intensive care unit or<br>operating room for continuous<br>recording. | | Neuro Omega combines the<br>intended use and indications<br>of the predicate and<br>reference devices. |
| # | Comparison parameter | Subject device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega | Reference device for cortical recording and stimulation:<br>Nicolet Cortical Stimulator | SE comparison discussion |
| | | intraoperative use by medical<br>personnel. Within hospitals,<br>laboratory, clinic or nursing<br>home setting or outside of a<br>medical facility under direct<br>supervision of a medical<br>professional. The device may<br>also be placed in the intensive<br>care unit or operating room for<br>continuous recording.<br>The device is intended for<br>intraoperative use by medical<br>personnel. Within hospitals,<br>laboratory, clinic or nursing<br>home setting or outside of a<br>medical facility under direct<br>supervision of a medical<br>professional. The device may<br>also be placed in the intensive<br>care unit or operating room for<br>continuous recording. | | | |
| 4 | Device code and<br>regulation | Product Code: GZL<br>Regulation #: 21CFR882.1330<br><br>Subsequent Product Code:<br>GWF, IKN, GWQ, GYC<br>Subsequent Regulation #:<br>21CFR882.1870, 21CFR | Product Code: GZL<br>Regulation #:<br>21CFR882.1330<br><br>Subsequent Product Code:<br>GWF, IKN, GWQ<br>Subsequent Regulation #:<br>21CFR882.1870, 21CFR | Product Code: GYC<br>Regulation #:<br>21CFR882.1310 | Similarity<br>The device code and<br>regulation number of the<br>modified Neuro Omega are<br>identical to the intended use<br>and indications of the<br>legally marketed Neuro |
| # | Compariso<br>n<br>parameter | Subject device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega | Reference device for<br>cortical recording and<br>stimulation:<br>Nicolet Cortical<br>Stimulator | SE comparison<br>discussion |
| | | 890.1375, 21CFR882.1400,<br>21CFR882.1310 | 890.1375, 21CFR882.1400 | | Omega and the Nicolet<br>Cortical Stimulator<br>Predicate Devices.<br>Differences<br>The device code and<br>regulation number of the<br>modified Neuro Omega<br>combines the device code<br>and regulation number of<br>the predicate and reference<br>devices. Additionally, the<br>modified Neuro Omega does<br>not include the ETN device<br>code |
## • Intended Use Comparison
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# • Performance Comparison
| # | Comparison<br>parameter | Proposed device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega | Reference device:<br>Nicolet Cortical<br>Stimulator | SE comparison<br>discussion |
|-----|----------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 1 | Legally<br>distribution<br>clearance No. | Subject device | K123796 | K072964 | |
| 2 | Owner | Alpha Omega Engineering<br>Ltd. | Alpha Omega Engineering<br>Ltd. | Cardinal Health, Inc | |
| 3 | Body Areas | Deep brain, cranial surface,<br>intracranial cortex and body | Deep brain, cranial surface and<br>body limbs | Intracranial brain cortex | Similarity<br>Identical for Neuro Omega |
| # | Comparison<br>parameter | Proposed device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega | Reference device:<br>Nicolet Cortical<br>Stimulator | SE comparison<br>discussion |
| | | limbs | | | modified and unmodified<br>devices<br>Differences<br>In addition to deep brain, cranial surface and body<br>limbs, the modified Neuro Omega may be used<br>mapping the brain by stimulation of the cortical<br>surface, which is equivalent to both predicate and<br>reference devices. |
| 4 | Target<br>population | Adults and children | Adults and children | Adults and children | Similarity<br>Identical.<br>Differences<br>None |
| 5 | Users | Neurosurgeon, Neurosurgery<br>staff and professional medical<br>personnel. | Neurosurgeon, Neurosurgery<br>staff and professional medical<br>personnel. | Qualified medical<br>personnel | Similarity<br>Identical for Neuro Omega modified and unmodified<br>devices<br>Differences<br>Subject device is equivalent to primary predicate device,<br>Nicolet Cortical Stimulator can be used by qualified<br>medical personnel |
| 6 | Use | Within hospitals, laboratory, | Within hospitals, laboratory, | Within a hospital or | Similarity |
| # | Comparison<br>parameter | Proposed device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega | Reference device:<br>Nicolet Cortical<br>Stimulator | SE comparison<br>discussion |
| | environment | clinic or nursing home setting<br>or outside of a medical facility<br>under direct supervision of a<br>medical professional. The<br>device may also be placed in<br>the intensive care unit or<br>operating room for continuous<br>recording | clinic or nursing home setting<br>or outside of a medical facility<br>under direct supervision of a<br>medical professional. The<br>device may also be placed in<br>the intensive care unit or<br>operating room for continuous<br>recording | clinical environment. | Identical.<br>Differences<br>Subject device is equivalent<br>to primary predicate device,<br>Nicolet Cortical Stimulator<br>can be used within a hospital<br>or clinical environment. |
| 7 | Usability and<br>Human Factors | ISO 62366, IEC 60601-1-6 and<br>FDA draft guidance<br>UCM259760 June 2011 | ISO 62366, IEC 60601-1-6<br>and<br>FDA draft guidance<br>UCM259760 June 2011 | Unknown | Similarity<br>Identical for Neuro Omega<br>modified and unmodified<br>devices<br>Differences<br>None |
| 8 | AC Power<br>Supply | 100-120 V AC,220-240V AC<br>50/ 60 Hz | 100-120 V AC,220-240V AC<br>50/ 60 Hz | 100-120 V AC,220-240V<br>AC<br>50/ 60 Hz | Similarity<br>Identical.<br>Differences<br>None |
| 9 | Software<br>applications | GUI, Monitoring, display,<br>Audio, signal processing,<br>Recording, Stimulation control,<br>identify number of channels<br>connected. | GUI, Monitoring, display,<br>Audio, signal processing,<br>Recording, Stimulation<br>control, identify number of<br>channels connected. | GUI, display, signal<br>processing and Stimulation<br>control | Similarity<br>Identical.<br>Differences<br>None |
| 10. | Electrical Safety | IEC 60601-1 3rd ED +<br>Risk analysis (ISO 14971) | IEC 60601-1 +<br>Risk analysis (ISO 14971) | IEC 60601-1 | Similarity<br>Tested for same or more<br>resent safety standards<br>Differences |
| # | Comparison<br>parameter | Proposed device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega | Reference device:<br>Nicolet Cortical<br>Stimulator | SE comparison<br>discussion |
| 11 | Particular safety | IEC 60601-2-10,<br>IEC 60601-2-26,<br>IEC 60601-2-40 +<br>Risk analysis (ISO 14971) | IEC 60601-2-10,<br>IEC 60601-2-26,<br>IEC 60601-2-40 +<br>Risk analysis (ISO 14971) | IEC 60601-1,<br>IEC 60601-2-26 | None<br>Similarity<br>Identical.<br>Differences<br>None |
| 12 | Electromagnetic<br>Compatibility | IEC 60601-1-2 +<br>Risk analysis (ISO 14971) | IEC 60601-1-2 +<br>Risk analysis (ISO 14971) | IEC 60601-1-2 | Similarity<br>Identical.<br>Differences<br>None |
| 13 | Sterility and<br>Sterility<br>standards | Sterility of the reusable<br>components is performed by<br>the hospital clinical staff and<br>was validated to comply with<br>the following standards: ISO<br>17665-1, ST81 and STERRAD | Sterility of the reusable<br>components is performed by<br>the hospital clinical staff and<br>was validated to comply with<br>the following standards: ISO<br>11135, ISO 10993-7, ST77,<br>ST81, ST67 | Not relevant for the ECoG. | Similarity<br>Identical for Neuro Omega<br>modified and unmodified<br>devices<br>Differences<br>For the modified Neuro<br>Omega system only<br>STERRAD sterilization is<br>allowed for HeadStage<br>electronic components,<br>while in the legally cleared<br>device ETO and STERRAD<br>were allowed. |
| 14 | Software<br>development<br>standard | ISO 62304 | ISO 62304 | Not relevant for the ECoG. | Similarity<br>Identical for Neuro Omega<br>modified and unmodified |
| # | Comparison<br>parameter | Proposed device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega | Reference device:<br>Nicolet Cortical<br>Stimulator | SE comparison<br>discussion |
| | | | | | devices<br>Differences<br>None |
| 15 | Electrical Class | I | I | Not relevant for the ECoG. | Similarity<br>Identical for Neuro Omega<br>modified and unmodified<br>devices<br>Differences<br>None |
| 16 | Protective Type | BF | BF | BF | Similarity<br>Identical<br>Differences<br>None |
| # | Compariso<br>n<br>parameter | Proposed device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega | Reference device:<br>Nicolet Cortical<br>Stimulator | SE comparison<br>discussion |
| 1 | Legally<br>distributio<br>n clearance<br>No. | Subject device | K123796 | K072964 | |
| 2 | Owner | Alpha Omega Engineering<br>Ltd. | Alpha Omega Engineering<br>Ltd. | Cardinal Health, Inc | |
| 3 | Device<br>Components | Main Unit including: Mobile<br>Rack, Power Supply, Isolation<br>Transformer, PC, Monitor,<br>keyboard, mouse, Speakers,<br>I/O analog/ Digital unit and<br>Front End unit.<br>Head Stage components: Head<br>Box, Connection Box. Drive<br>HeadStage System, Remote<br>control handpiece, Head stage<br>cables, and single use<br>electrodes cable. | Main Unit including: Mobile<br>Trolley, Power Supply,<br>Isolation Transformer, Panel<br>PC, Monitor, keyboard,<br>mouse, Speakers and Front<br>End unit.<br>Head Stage components: Head<br>Box module, NeuroDrive<br>System, Remote control<br>handpiece, Head stage<br>recording cable, Head stage<br>cables and single use<br>electrodes cable. | Hand-held unit including;<br>display, power supply and<br>control knob | Similarity<br>Identical for Neuro Omega<br>modified and unmodified<br>devices<br>Differences<br>None |
| 4 | Operating<br>System | Windows 7, 64bit | Same | Not relevant for the ECoG<br>HeadBox. | Similarity<br>Identical for Neuro Omega<br>modified and unmodified<br>devices<br>Differences<br>None |
| 5 | Computer | Touch screen PC | Industrial PC | Not relevant for the ECoG | Similarity |
| # | Comparison<br>parameter | Proposed device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega | Reference device:<br>Nicolet Cortical<br>Stimulator | SE comparison<br>discussion |
| 6 | Trolley<br>Connectors | 4 USB ports | 4 USB ports | Not relevant | Similarity<br>Identical for Neuro Omega<br>modified and unmodified<br>devices<br>Differences<br>None |
| 7 | Main Unit<br>system<br>connectors | •Ethernet ports<br>•1 Remote port<br>•2 Audio out | Same | Not relevant | Similarity<br>Identical for Neuro Omega<br>modified and unmodified<br>devices<br>Differences<br>None |
| 8 | Communicati<br>on | Ethernet protocol | Same | Not relevant | Similarity<br>Identical for Neuro Omega<br>modified and unmodified<br>devices<br>Differences<br>None |
| # | Compariso<br>n<br>parameter | Proposed device:<br>Neuro Omega | Primary Predicate device:<br>Neuro Omega…
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Learn the FDA Browser
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.