Cogent™ Hemodynamic Monitoring System; Cogent™ HMS
K232048 · Icu Medical · DXG · Dec 20, 2023 · Cardiovascular
Device Facts
Record ID
K232048
Device Name
Cogent™ Hemodynamic Monitoring System; Cogent™ HMS
Applicant
Icu Medical
Product Code
DXG · Cardiovascular
Decision Date
Dec 20, 2023
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 870.1435
Device Class
Class 2
Indications for Use
The Cogent HMS is intended for patients for whom the monitoring of CCO and calculated hemodynamic parameters is indicated for diagnostic and prognostic evaluation by a clinician. The Cogent HMS is intended for use with ICU Medical pulmonary artery catheters and central venous oximetry catheters and with ICU Medical Cogent sensors. The Cogent HMS is intended to measure and calculate venous oxygen saturation in patients. PulseCO functionality is limited to adult patients.
Device Story
Cogent HMS monitors hemodynamic parameters in hospital acute care (ICU, OR, trauma, cath lab). Inputs: patient data via ICU Medical pulmonary artery/central venous oximetry catheters and CardioFlo sensors; manual entry; or bedside monitor interface. System comprises base unit (PIM) and touch-screen display (UIM) communicating via wired/wireless connection. Device computes continuous cardiac output (CCO) via thermodilution or pulse power analysis, and venous oxygen saturation (SvO2) via reflectance spectrophotometry. Clinicians use output for diagnostic/prognostic evaluation. System supports patient care by providing real-time hemodynamic status. Operates on Windows 10 OS (v1.4.0).
Clinical Evidence
No clinical data. Bench testing only. Validation included PulseCO, Bolus CO, SvO2, and CCO algorithm validation, software verification/validation (IEC 62304), electrical safety (IEC 60601-1), and EMC (IEC 60601-1-2).
Technological Characteristics
Base unit (PIM) material: Polycarbonate-Siloxane Copolymer (SABIC LEXAN EXL9330-BK1A068). Display unit (UIM) material: Polycarbonate (Sabic Cycoloy C2950). Sensing: Thermodilution, pulse power analysis, reflectance spectrophotometry. Connectivity: Ethernet, RS-232, wireless/tethered UIM-PIM. Power: 90-130/210-254 VAC. Software: Windows 10 OS, v1.4.0.
Indications for Use
Indicated for critical care, trauma, and cardiac surgery patients requiring hemodynamic monitoring. PulseCO functionality limited to adult patients. No specific contraindications; suitability determined by physician judgment.
Regulatory Classification
Identification
A single-function, preprogrammed diagnostic computer is a hard-wired computer that calculates a specific physiological or blood-flow parameter based on information obtained from one or more electrodes, transducers, or measuring devices.
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December 20, 2023
ICU Medical Diane Stockman Senior Regulatory Associate, Global Regulatory 915 Calle Amanecer San Clemente, California 92673
Re: K232048
Trade/Device Name: Cogent™ Hemodynamic Monitoring System (HMS) Regulation Number: 21 CFR 870.1435 Regulation Name: Single-Function, Preprogrammed Diagnostic Computer Regulatory Class: Class II Product Code: DXG, DQA Dated: December 5, 2023 Received: December 8, 2023
Dear Diane Stockman:
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 (the 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 available 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.
Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).
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Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).
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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.
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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,
# Stephen C. Browning -S
LCDR Stephen Browning 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)
#### K232048
Device Name
CogentTM Hemodynamic Monitoring System (HMS)
#### Indications for Use (Describe)
The Cogent HMS is intended for patients for whom the monitoring of CCO and calculated hemodynamic parameters is indicated for diagnostic and prognostic evaluation by a clinician. The Cogent HMS is intended for use with ICU Medical pulmonary artery catheters and central venous oximetry catheters and with ICU Medical Cogent sensors. The Cogent HMS is intended to measure and calculate venous oxygen saturation in patients. PulseCO functionality is limited to adult patients.
#### Target Population -
The target populations are critical care patients, trauma patients, and cardiac surgery patients. The Cogent HMS is restricted to one patient at a time, and the PulseCO functionality is limited to adult patients. There are no specific contraindications for the instrument. Suitability for use on a patient is judgment. The physician shall also decide on the diameter of the catheter to be used in conjunction with the Cogent HMS.
#### Environments for Use -
The Cogent HMS is intended to be used by trained and qualified individuals in medical and surgical intensive care units, operating rooms, trauma and emergency units, coronary and intensive care units, and cardiac catheterization laboratories. The intended environment for use is the hospital, including the critical care units (i.e. medical, surgical, coronary), trauma and accident emergency units, post-anesthesia care units, operating rooms, and cardiac catheterization labs.
Type of Use (Select one or both, as applicable)
| Prescription Use (Part 21 CFR 801 Subpart D) | <span></span> |
|----------------------------------------------|---------------|
| Over-The-Counter Use (21 CFR 801 Subpart C) | <span></span> |
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## 510(k) Summary
A summary of 510(k) substantial equivalence information in accordance with the requirements of 21CFR 870.1435 for the Cogent™ Hemodynamic Monitoring System (HMS) is provided below:
## I. Submitter Information
| Company Name | ICU Medical, Inc. |
|---------------------------------------------|-----------------------------------------------------------|
| Company Address | 951 Calle Amanecer, San Clemente, CA 92673 |
| Establishment Registration<br>Number | 2025816 |
| Application Correspondent<br>Name & Contact | Diane Stockman, Global Regulatory Affairs<br>224-706-2521 |
| Date prepared | December 19, 2023 |
## II. Device Information
| Trade or proprietary name | CogentTM Hemodynamic Monitoring System (HMS) |
|--------------------------------------------------------------|----------------------------------------------------------------------------------------------|
| Common or usual name | Hemodynamic Monitor |
| Regulation Name | Computer, Diagnostic, Pre-Programmed, Single-Function |
| Classification / Reason | Class II per 21 CFR 870.1435 |
| Product Code(s) | DXG - Computer, Diagnostic, Pre-Programmed, Single-Function;<br>DQA - Oximeter |
| Legally marketed device(s) to<br>which equivalence s claimed | K152006, CogentTM Hemodynamic Monitoring System (ICU<br>Medical) with software version 1.1.8 |
## III. Reason for 510(k) Submission
The purpose of this submission is to introduce new design features including an update to the Operating System from Windows 7 to Windows 10, enhancements to the user interface, software updates (from version 1.1.8 to 1.4.0) which includes feature enhancements and addresses known anomalies associated with the Windows transition, and minor hardware changes for obsolescence of components.
The obsolescence of the Windows 7 operating system (by Microsoft) and board processors are driving the need to upgrade the Cogent Hemodynamic Monitoring System (HMS) hardware and software in both the Power Interface Module (PIM) and the User Interface Module (UIM).
In addition, this submission provides a description of non-substantial changes made since the Cogent HMS initial clearance (under K152006) which were assessed and found to not impact the cleared device design, intended use, or risk levels. These changes were implemented in both the
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Image /page/5/Picture/1 description: The image shows the logo for ICU Medical. The logo is in blue and consists of the text "icumedical" in a sans-serif font. Below the text is the tagline "human connections" in a smaller, lighter font. The logo is simple and modern, and the blue color gives it a professional and trustworthy feel.
Windows 7 (list number 58400-000) and Windows 10 (list number 58400-200) configurations of the Cogent HMS device.
The fundamental technology, device parameters, mode of operation, and intended use of the Cogent HMS remain unchanged from the Predicate Device.
## IV. Device Description
The Cogent HMS is designed to compute and display cardiac and oximetry parameters relevant to patient care in the hospital acute care areas including Intensive Care Units and the Operating Room. Monitoring parameters include cardiac output and blood oxygen saturation levels, as well as other derived hemodynamic parameters. Measurements are obtained through the compatible ICU Medical pulmonary artery and central venous oximetry catheters, and ICU Medical CardioFlo™ sensors.
Input data for derived parameters may be keyed in by a clinician or may be obtained from a bedside monitor.
The Cogent HMS provides the following functions:
- monitors patient cardiac output continuously (CCO) using continuous thermodilution -(TdCO), and intermittently, using bolus thermodilution (Bolus CO);
- monitors continuous cardiac output (CCO) using pulse power analysis on an arterial pressure waveform;
- monitors venous oxygen saturation (SvO2) by measuring the reflectance spectrum of the blood; and
- provides a general-purpose interface to the analog input/output channels of other monitoring devices.
The Cogent HMS consists of:
- a base unit (patient interface module or PIM);
- a dedicated touch-screen display unit (user interface module or UIM) which allows for patient monitoring remotely (up to 50 feet); and
- associated cables
The PIM and UIM modules communicate with each other in docked, tethered (wired) or wireless mode.
#### The Cogent HMS is designed for compatibility with:
- ICU Medical Pulmonary Artery (PA) catheters via connection to cardiac output patient cables for the purposes of thermodilution cardiac output measurement.
- ICU Medical CardioFlo sensor and the CardioFlo reusable cable for the purpose of pulse power cardiac output measurement.
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Image /page/6/Picture/1 description: The image shows the ICU Medical logo. The logo is in blue and features the text "icu medical" in a sans-serif font. Below the main text, in a smaller font, are the words "human connections."
ICU Medical optical module or OpMod reusable cable, and its associated compatible ICU Medical PA and Central Venous oximetry catheters to calculate blood oxygen saturation.
#### V. Indications for Use
The Cogent HMS is intended for patients for whom the monitoring of CCO and calculated hemodynamic parameters is indicated for diagnostic evaluation by a clinician. The Cogent HMS is intended for use with ICU Medical pulmonary artery catheters and central venous oximetry catheters and with ICU Medical Cogent sensors. The Cogent HMS is intended to measure and calculate venous oxygen saturation in patients. PulseCO functionality is limited to adult patients.
#### Target Population
The target populations are critical care patients, trauma patients, and cardiac surgery patients. The Cogent HMS is restricted to one patient at a time, and the PulseCO functionality is limited to adult patients. There are no specific contraindications for the instrument. Suitability for use on a patient is up to the physician's judgment. The physician shall also decide on the diameter of the catheter to be used in conjunction with the Cogent HMS.
#### Environments for Use
Operating System
Software version
Product
Code
Windows 10 OS
DXG - Computer, Diagnostic, Pre-
Programmed, Single-Function
DQA - Oximeter (secondary)
version 1.4.0
(primary)
જ
The Cogent HMS is intended to be used by trained and qualified individuals in medical and surgical intensive care units, operating rooms, trauma and emergency units, coronary and intensive care units, and cardiac catheterization laboratories. The intended environment for use is the hospital, including the critical care units (i.e. medical, surgical, coronary), trauma and accident emergency units, postanesthesia care units, operating rooms, and cardiac catheterization labs.
| VI. SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE | | | |
|----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------|
| PREDICATE DEVICE | | | |
| Characteristics | Subject Device | Predicate Device (K152006) | Comparison |
| Device Name | ICU Medical CogentTM HMS<br>List Number 58400-200<br>CogentTM Hemodynamic Monitoring<br>System or Cogent HMS | ICU Medical CogentTM HMS<br>List Number 58400-000<br>CogentTM Hemodynamic Monitoring<br>System or Cogent HMS | Same |
| VI. SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE<br>PREDICATE DEVICE | | | |
| Characteristics | Subject Device<br>ICU Medical Cogent™ HMS | Predicate Device (K152006)<br>ICU Medical Cogent™ HMS | Comparison |
| | List Number 58400-200 | List Number 58400-000 | |
| Intended Use/<br>Indications for Use | The Cogent HMS is intended for<br>patients for whom the monitoring of<br>CCO and calculated hemodynamic<br>parameters is indicated for diagnostic<br>and prognostic evaluation by a clinician.<br>The Cogent HMS is intended for use<br>with ICU Medical pulmonary artery<br>catheters and central venous oximetry<br>catheters and with ICU Medical Cogent<br>sensors. The Cogent HMS is intended to<br>measure and calculate venous oxygen<br>saturation in patients. PulseCO<br>functionality is limited to adult patients. | The Cogent Hemodynamic Monitoring<br>System (HMS) is intended for patients<br>for whom the monitoring of continuous<br>cardiac output and calculated<br>hemodynamic parameters is indicated for<br>diagnostic and prognostic evaluation by a<br>clinician. Suitability for use on a patient<br>is up to the physician's judgment and the<br>diameter of the catheter to be used.<br>• The target population includes patients<br>for whom hemodynamic monitoring will<br>improve clinical care. The target<br>populations are identical to those for the<br>predicate devices and include:<br>o Critical Care Patients<br>o Trauma Patients<br>o Cardiac Surgery Patients<br>• The Cogent HMS is intended for use<br>with ICU Medical pulmonary artery<br>catheters and central venous oximetry<br>catheters, and with ICU Medical Cogent<br>sensors.<br>• The Cogent HMS is intended to<br>measure and calculate venous oxygen<br>saturation in patients.<br>• PulseCO functionality is limited to<br>adult patients | Similar<br>The statement<br>was reworded<br>for clarity only. |
| | Target Population -<br>The target populations are critical care<br>patients, trauma patients, and cardiac<br>surgery patients. The Cogent HMS is<br>restricted to one patient at a time, and<br>the PulseCO functionality is limited to<br>adult patients. There are no specific<br>contraindications for the instrument.<br>Suitability for use on a patient is up to<br>the physician's judgment. The physician<br>shall also decide on the diameter of the<br>catheter to be used in conjunction with<br>the Cogent HMS. | • The intended environment for use is the<br>hospital including Critical Care Units<br>(such as Medical, Surgical, and<br>Coronary), Trauma and Accident<br>Emergency Units, Post Anesthesia Care<br>Units, Operating Rooms, and Cardiac<br>Catheterization labs.<br>• The Cogent HMS is intended to be used<br>by trained and qualified individuals in<br>medical and surgical intensive care units,<br>operating rooms, trauma and accident<br>emergency units, coronary and intensive<br>care units and cardiac catheterization<br>laboratories.<br>• The Cogent HMS is restricted to one<br>patient at a time. | |
| | Environments for Use -<br>The Cogent HMS is intended to be used<br>by trained and qualified individuals in<br>medical and surgical intensive care<br>units, operating rooms, trauma and<br>emergency units, coronary and intensive<br>care units, and cardiac catheterization<br>laboratories.<br>The intended environment for use is the<br>hospital, including the critical care units<br>(i.e. medical, surgical, coronary),<br>trauma and accident emergency units,<br>post-anesthesia care units, operating<br>rooms, and cardiac catheterization labs. | | |
| VI. SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE | | | |
| PREDICATE DEVICE | | | |
| Characteristics | Subject Device | Predicate Device (K152006) | Comparison |
| | ICU Medical Cogent™ HMS<br>List Number 58400-200 | ICU Medical Cogent™ HMS<br>List Number 58400-000 | |
| Target Population | The target populations are critical<br>care patients, trauma patients, and<br>cardiac surgery patients. The<br>Cogent HMS is restricted to one<br>patient at a time, and the PulseCO<br>functionality is limited to adult<br>patients. There are no specific<br>contraindications for the instrument.<br>Suitability for use on a patient is up<br>to the physician's judgment. The<br>physician shall also decide on the<br>diameter of the catheter to be used<br>in conjunction with the Cogent<br>HMS. | The target population includes<br>patients for whom hemodynamic<br>monitoring will improve clinical<br>care. The target populations are<br>identical to those for the predicate<br>devices and include:<br>o Critical Care Patients<br>o Trauma Patients<br>o Cardiac Surgery Patients | Similar<br>Reworded for<br>added clarity<br>only. |
| Environments for Use | The Cogent HMS is intended to be<br>used by trained and qualified<br>individuals in medical and surgical<br>intensive care units, operating<br>rooms, trauma and emergency units,<br>coronary and intensive care units,<br>and cardiac catheterization<br>laboratories.<br>The intended environment for use is<br>the hospital, including the critical<br>care units (i.e. medical, surgical,<br>coronary), trauma and accident<br>emergency units, post-anesthesia<br>care units, operating rooms, and<br>cardiac catheterization labs. | • The intended environment for use is<br>the hospital including Critical Care<br>Units (such as Medical, Surgical, and<br>Coronary), Trauma and Accident<br>Emergency Units, Post Anesthesia<br>Care Units, Operating Rooms, and<br>Cardiac Catheterization labs.<br>• The Cogent HMS is intended to be<br>used by trained and qualified<br>individuals in medical and surgical<br>intensive care units, operating rooms,<br>trauma and accident emergency<br>units, coronary and intensive care<br>units and cardiac catheterization<br>laboratories.<br>• The Cogent HMS is restricted to<br>one patient at a time. | Similar<br>Reworded for<br>added clarity<br>only. |
| Principle of Operation | A monitoring system to display<br>clinical measurements of a patient's<br>hemodynamic (cardiovascular)<br>function when connected to a<br>catheter or sensor attached to a<br>patient. | A monitoring system to display<br>clinical measurements of a patient's<br>hemodynamic (cardiovascular)<br>function when connected to a<br>catheter or sensor attached to a<br>patient. | Same |
| Mechanism/Mode of<br>Action | Displays entered, measured, and<br>derived hemodynamic monitoring<br>parameters via device<br>interconnection with compatible<br>cable, optical module, and/or<br>bedside monitor to a compatible<br>catheter or pressure sensor (attached<br>to the patient). | Displays entered, measured, and<br>derived hemodynamic monitoring<br>parameters via device<br>interconnection with compatible<br>cable, optical module, and/or bedside<br>monitor to a compatible catheter or<br>pressure sensor (attached to the<br>patient). | Same |
| VI. SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE<br>PREDICATE DEVICE | | | |
| Characteristics | Subject Device<br>ICU Medical Cogent™ HMS<br>List Number 58400-200 | Predicate Device (K152006)<br>ICU Medical Cogent™ HMS<br>List Number 58400-000 | Comparison |
| Displayed parameters | CCO using continuous thermodilution CCO using arterial pressure waveform analysis Intermittent CO using bolus thermodilution Venous oxygen saturation (SvO2) using reflectance spectrophotometry Data via interface to other bedside monitoring devices | CCO using continuous thermodilution CCO using arterial pressure waveform analysis Intermittent CO using bolus thermodilution Venous oxygen saturation (SvO2) using reflectance spectrophotometry Data via interface to other bedside monitoring devices | Same |
| Measurement<br>Specifications | Oxygen Saturation: range: 10% to 100% repeatability: delta $\le$ 2% for a mean in the range of 40% to 100% Blood Temperature range: 77°F to 107.6°F (25°C to 42°C) accuracy: $\pm$ 0.54°F ( $\pm$ 0.3°C) for a measurement at 98.6°F (37°C) CCO (using PA catheter) range: 1 LPM through 20 LPM repeatability: CV $\le$ 3% using a flow simulator temperature range: 86°F to 104°F (30°C to 40°C) CCO measurement range Bolus CO (Thermodilution) range: 0.1 LPM through 20 LPM repeatability: CV $\le$ 2% averaged over 20 measurements using electronically generated data CCO (using CardioFlo sensor) range: 1 LPM through 20 LPM repeatability: CV $\pm$ 6% or 0.1 LPM, whichever is greater, when simulated with patient-recorded signal Heart Rate using ECG analog Range: 30 bpm through 200 bpm Heater output 7.5 Watts max, 6.0 Watts nominal External values displayed SpO2, MAP, CVP, HR SpO2 display range: 10 to 100% Blood temp. display range 60.8°F to 122°F (16°C to 50°C) | Oxygen Saturation: range: 10% to 100% repeatability: delta $\le$ 2% for a mean in the range of 40% to 100% Blood Temperature range: 77°F to 107.6°F (25°C to 42°C) accuracy: $\pm$ 0.54°F ( $\pm$ 0.3°C) for a measurement at 98.6°F (37°C) CCO (using PA catheter) range: 1 LPM through 20 LPM repeatability: CV $\le$ 3% using a flow simulator temperature range: 86°F to 104°F (30°C to 40°C) CCO measurement range Bolus CO (Thermodilution) range: 0.1 LPM through 20 LPM repeatability: CV $\le$ 2% averaged over 20 measurements using electronically generated data CCO (using CardioFlo sensor) range: 1 LPM through 20 LPM repeatability: CV $\pm$ 6% or 0.1 LPM, whichever is greater, when simulated with patient-recorded signal Heart Rate using ECG analog Range: 30 bpm through 200 bpm Heater output 7.5 Watts max, 6.0 Watts nominal External values displayed SpO2, MAP, CVP, HR SpO2 display range: 10 to 100% Blood temp. display range 60.8°F to 122°F (16°C to 50°C) | Same |
| Characteristics | Subject Device<br>ICU Medical Cogent™ HMS<br>List Number 58400-200 | Predicate Device (K152006)<br>ICU Medical Cogent™ HMS<br>List Number 58400-000 | Comparison |
| Compatibility -<br>Catheters and sensors | Compatible with currently marketed<br>ICU Medical catheters and pressure<br>sensors via patient interface cables. | Compatible with currently marketed<br>ICU Medical catheters and pressure<br>sensors via patient interface cables. | Same |
| Materials of<br>Construction | Base Unit (PIM):<br>Polycarbonate - Siloxane<br>Copolymer<br>SABIC, LEXAN Copolymer<br>EXL9330-BK1A068 Display Unit (UIM):<br>Polycarbonate -Sabic (E45329)<br>Cycoloy C2950 | Base Unit (PIM):<br>Polycarbonate - Siloxane<br>Copolymer<br>SABIC, LEXAN Copolymer<br>EXL9330-BK1A068 Display Unit (UIM):<br>Polycarbonate -Sabic (E45329)<br>Cycoloy C2950 | Same |
| Physical and Mechanical Specifications | | | |
| Display type: | Color LCD touch screen | Color LCD touch screen | Same |
| Memory: | Stores 4 patient records up to 72<br>hours each | Stores 4 patient records up to 72<br>hours each | Same |
| Dimensions: | 11" x 10" x 7"<br>( 27.9 cm x 25.4 cm x 17.8 cm ) | 11" x 10" x 7"<br>( 27.9 cm x 25.4 cm x 17.8 cm )…
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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.