K243495 · Natus Neurology Incorporated · GWF · Dec 12, 2024 · Neurology
Device Facts
Record ID
K243495
Device Name
Natus Ultrapro S100 (982A0594)
Applicant
Natus Neurology Incorporated
Product Code
GWF · Neurology
Decision Date
Dec 12, 2024
Decision
SESE
Submission Type
Special
Regulation
21 CFR 882.1870
Device Class
Class 2
Attributes
Pediatric
Indications for Use
The UltraPro S100 is intended for the acquisition, display, analysis, storage, reporting, and management of electrophysiological information from the human nervous and muscular systems including Nerve Conduction (NCS), Electromyography (EMG), Evoked Potentials (EP), Autonomic Responses and Intra-Operative Monitoring including Electroencephalography (EEG). Evoked Potentials (EP) includes Visual Evoked Potentials (VEP), Auditory Evoked Potentials (AEP), Somatosensory Evoked Potentials (SEP), Electroretinography (ERG), Electrooculography (EOG), P300, Motor Evoked Potentials (MEP) and Contingent Negative Variation (CNV). The UltraPro S100 with Natus Elite Software may be used to determine autonomic responses to physiologic stimuli by measuring the change in electrical resistance between two electrodes (Galvanic Skin Response and Sympathetic Skin Response). Autonomic testing also includes assessment of RR Interval variability. The UltraPro S100 with Natus Elite Software is used to detect the physiologic function of the nervous system, for the location of neural structures during surgery, and to support the diagnosis of neuromuscular disease or condition. The listed modalities do include overlap in functionality. In general, Nerve Conduction Studies measure the electrical responses of the nerve; Electromyography measures the electrical activity of the muscle and Evoked Potentials measure electrical activity from the Central Nervous System. The UltraPro S100 with Natus Elite Software is intended to be used by a qualified healthcare provider.
Device Story
UltraPro S100 is a computer-based electrodiagnostic system for acquiring, displaying, and analyzing electrophysiological signals (NCS, EMG, EP, EEG, Autonomic, IOM). System components include a base unit with control panel, 3-4 channel amplifier, PC (laptop/desktop), monitor, and Natus Elite software. Optional accessories include stimulators (electrical, auditory, visual), patient response buttons, and ultrasound integration. Operated by qualified healthcare providers in professional healthcare facilities. Inputs are physiological signals from human nervous/muscular systems via electrodes; system performs A/D conversion (48 kHz) and signal processing. Output is displayed on a monitor or printed for clinical review. Integrated ultrasound display/control allows visualization of nerves/muscles to aid in diagnostic confirmation. Device supports clinical decision-making by providing objective electrophysiological data; does not provide diagnostic conclusions.
Clinical Evidence
Bench testing only. Verification and validation activities confirmed performance and safety characteristics, demonstrating substantial equivalence to predicate devices.
Technological Characteristics
Computer-based system; 1-4 channel isolated amplifier; 24-bit A/D conversion at 48 kHz; >120 dB CMRR; >1000 MΩ input impedance. Powered by mains (100-240VAC) with isolation transformer. Connectivity via USB. Software-driven (Natus Elite) on Windows platform. Includes electrical, auditory, and visual stimulators. Integrated ultrasound display/control. Sterilization not applicable (non-invasive).
Indications for Use
Indicated for pediatric and adult patients with neuromuscular diseases. Used for acquisition, display, analysis, and management of electrophysiological data (NCS, EMG, EP, Autonomic, EEG, IOM). Used to detect nervous system physiologic function, locate neural structures during surgery, and support neuromuscular disease diagnosis. Contraindicated for use with flammable anesthetics or in conjunction with defibrillation equipment.
Regulatory Classification
Identification
An evoked response electrical stimulator is a device used to apply an electrical stimulus to a patient by means of skin electrodes for the purpose of measuring the evoked response.
{0}------------------------------------------------
Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food & 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" in a square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in a sans-serif font.
December 12, 2024
Natus Neurology Incorporated Aniket Deshpande Regulatory Affairs Manager 3150 Pleasant View Road Middleton, Wisconsin 53562
Re: K243495
Trade/Device Name: Natus Ultrapro S100 (982A0594) Regulation Number: 21 CFR 882.1870 Regulation Name: Evoked Response Electrical Stimulator Regulatory Class: Class II Product Code: GWF, JXE, IKN, OLT, GWJ, GWE, GZP Dated: November 7, 2024 Received: November 12, 2024
Dear Aniket Deshpande:
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.
{1}------------------------------------------------
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).
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 QS 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.
All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.
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.
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/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-regulatory
{2}------------------------------------------------
assistance/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,
Image /page/2/Picture/3 description: The image contains the FDA logo on the left side. To the right of the logo is the name "Patrick Antkowiak -S" in black text. The name is split into two lines, with "Patrick" on the first line and "Antkowiak -S" on the second line.
for Jay Gupta Assistant Director DHT5A: Division of Neurosurgical, Neurointerventional, and Neurodiagnostic Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
{3}------------------------------------------------
### Indications for Use
Submission Number (if known)
K243495
Device Name
Natus Ultrapro S100 (982A0594)
#### Indications for Use (Describe)
The UltraPro is intended for the acquisition, display, analysis, storage, reporting, and management of electrophysiological information from the human nervous and muscular systems including Nerve Conduction (NCS), Electromyography (EMG), Evoked Potentials (EP), Autonomic Responses and Intra-Operative Monitoring including Electroencephalography (EEG).
Evoked Potentials (EP) includes Visual Evoked Potentials (VEP), Auditory Evoked Potentials (AEP), Somatosensory Evoked Potentials (SEP), Electroretinography (ERG), Electrooculography (EOG), P300. Motor Evoked Potentials (MEP) and Contingent Negative Variation (CNV). The UltraPro with Natus Elite Software may be used to determine autonomic responses to physiologic stimuli by measuring the change in electrical resistance between two electrodes (Galvanic Skin Response and Sympathetic Skin Response). Autonomic testing also includes assessment of RR Interval variability. The UltraPro with Natus Elite Software is used to detect the physiologic function of the nervous system, for the location of neural structures during surgery, and to support the diagnosis of neuromuscular disease or condition.
The listed modalities do include overlap in functionality. In general, Nerve Conduction Studies measure the electrical responses of the nerve; Electromyography measures the electrical activity of the muscle and Evoked Potentials measure electrical activity from the Central Nervous System.
The UltraPro with Natus Elite Software is intended to be used by a qualified healthcare provider.
Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
#### CONTINUE ON A SEPARATE PAGE IF NEEDED.
This section applies only to requirements of the Paperwork Reduction Act of 1995.
#### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW! *
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov
"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."
{4}------------------------------------------------
Image /page/4/Picture/1 description: The image shows the word "natus" in a teal color. The font is sans-serif and the letters are rounded. There is a registered trademark symbol to the right of the letter "s".
## 510(K) Summary
| Submitted By: | Natus Neurology Incorporated<br>3150 Pleasant View Road,<br>Middleton,<br>Wisconsin,<br>USA 53562 |
|----------------------|--------------------------------------------------------------------------------------------------------------|
| Contact Person: | Aniket Deshpande<br>Regulatory Affairs Manager<br>Tel: +1 800 356 0007<br>E-Mail: aniket.deshpande@natus.com |
| Proprietary Name: | UltraPro S100 |
| Common Name: | Diagnostic Electromyograph |
| Device Class: | Class II |
| Classification Name: | Evoked Response Electrical Stimulator |
| Product Code/<br>Regulation Number: | GWF | 21CFR §882.1870 (Primary) |
|-------------------------------------|-----|---------------------------|
| | JXE | 21CFR §882.1550 |
| | IKN | 21CFR §890.1375 |
| | OLT | 21CFR §882.1400 |
| | GWJ | 21CFR §882.1900 |
| | GWE | 21CFR §882.1890 |
| | GZP | 21CFR §882.1880 |
| Predicate Devices: | K130346 Synergy Focus (Primary Predicate) |
|--------------------|------------------------------------------------------|
| | K162383 Cadwell Sierra Summit, Cadwell Sierra Ascent |
{5}------------------------------------------------
Image /page/5/Picture/1 description: The image shows the word "natus" in a teal color. The word is written in a sans-serif font, and the letters are all lowercase. There is a registered trademark symbol to the right of the letter "s". The background is white.
#### Device Description:
The UltraPro S100 system is designed for the acquisition, display, analysis, reporting, and management of electrophysiological information from the human nervous and muscular systems. The system is designed to perform Nerve Conduction (NCS). Electromyography (EMG), Evoked Potentials (EP), and Autonomic Responses. UltraPro S100 system provides a variety of tests spanning the various modalities.
The UltraPro S100 system consists of the following major components:
- Main unit (also known as base unit or main base unit) with integrated control panel; ●
- Amplifier (3- or 4-channel);
- . Computer- laptop or desktop (with keyboard and mouse)
- Display Monitor (for desktop system)
- . Application Software (Natus Elite)
The UltraPro S100 has the following optional accessories/ components:
- Audio stimulators (Headphones or other auditory transducers)
- Visual stimulators (LED goggles or stimulus monitor)
- . Electrical stimulators (RS10 probes, stimulus probe with controls)
- Cart and associated accessories when using cart such as isolation transformer
- Miscellaneous accessories such as Patient Response button, Triple footswitch, Reflex hammer, temperature probe and adapter, ultrasound device, printer, etc.
The electrodiagnostics system is powered by a connection to mains.
The entire user interface of UltraPro S100 system consists of two major elements:
- The primary means to interact with the system is via a personal computer (PC) running ● Natus Elite.
- The second means of interaction is the user interface elements on the hardware.
The UltraPro S100 is intended to be used by a qualified healthcare provider. This device does not provide any diagnostic conclusion about the patient's condition to the user. The intended use environment is in a professional healthcare facility environment.
{6}------------------------------------------------
Image /page/6/Picture/1 description: The image shows the word "natus" in a teal color. The font is sans-serif and the letters are evenly spaced. There is a small registered trademark symbol to the right of the letter "s".
#### Indications for Use:
The UltraPro S100 is intended for the acquisition, display, analysis, storage, reporting, and management of electrophysiological information from the human nervous and muscular systems including Nerve Conduction (NCS), Electromyography (EMG), Evoked Potentials (EP), Autonomic Responses and Intra-Operative Monitoring including Electroencephalography (EEG).
Evoked Potentials (EP) includes Visual Evoked Potentials (VEP), Auditory Evoked Potentials (AEP), Somatosensory Evoked Potentials (SEP), Electroretinography (ERG), Electrooculography (EOG), P300. Motor Evoked Potentials (MEP) and Contingent Negative Variation (CNV). The UltraPro S100 with Natus Elite Software may be used to determine autonomic responses to physiologic stimuli by measuring the change in electrical resistance between two electrodes (Galvanic Skin Response and Sympathetic Skin Response). Autonomic testing also includes assessment of RR Interval variability. The UltraPro S100 with Natus Elite Software is used to detect the physiologic function of the nervous system, for the location of neural structures during surgery, and to support the diagnosis of neuromuscular disease or condition.
The listed modalities do include overlap in functionality. In general, Nerve Conduction Studies measure the electrical responses of the nerve: Electromyography measures the electrical activity of the muscle and Evoked Potentials measure electrical activity from the Central Nervous System.
The UltraPro S100 with Natus Elite Software is intended to be used by a qualified healthcare provider.
{7}------------------------------------------------
Image /page/7/Picture/1 description: The image shows the logo for Natus Medical Incorporated. The logo is in a teal color and features the word "natus" in a sans-serif font. A registered trademark symbol is located to the right of the letter "s".
## Summary of Technological Characteristics Compared to the Predicate Devices:
The Indications for use has remained unchanged from the primary predicate.
| 1. General | | | | |
|-----------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------|
| | This Submission | Primary Predicate | Reference Predicate | Discussion of differences |
| Characteristics | Natus Neurology Inc.<br>Natus UltraPro S100 | Natus Neurology Inc.<br>Synergy Focus<br>(K130346) | Cadwell Industries, Inc.<br>Sierra Summit<br>(K162383) | N/A |
| Product Code | GWF, IKN | GWF | IKN, GWF | Identical to Primary predicate.<br>Similar to reference predicate. |
| 1.1 Indications for<br>Use | The UltraPro S100 is intended<br>for the acquisition, display,<br>analysis, storage, reporting, and<br>management of<br>electrophysiological information<br>from the human nervous and<br>muscular systems including<br>Nerve Conduction (NCS),<br>Electromyography (EMG),<br>Evoked Potentials (EP),<br>Autonomic Responses and<br>Intra-Operative Monitoring<br>including<br>Electroencephalography (EEG).<br><br>Evoked Potentials (EP) includes<br>Visual Evoked Potentials (VEP),<br>Auditory Evoked Potentials<br>(AEP), Somatosensory Evoked<br>Potentials (SEP),<br>Electroretinography (ERG),<br>Electrooculography (EOG),<br>P300, Motor Evoked Potentials<br>(MEP) and Contingent Negative<br>Variation (CNV). The UltraPro<br>S100 may be used to determine | The Synergy Focus is intended<br>for the acquisition, display,<br>analysis, storage, reporting, and<br>management of<br>electrophysiological information<br>from the human nervous and<br>muscular systems including<br>Nerve Conduction (NCS),<br>Electromyography (EMG),<br>Evoked Potentials (EP),<br>Autonomic Responses and<br>Intra-Operative Monitoring<br>including<br>Electroencephalography (EEG).<br><br>Evoked Potential (EP) includes<br>Visual Evoked Potentials (VEP),<br>Auditory Evoked Potentials<br>(AEP), Somatosensory Evoked<br>Potentials (SEP),<br>Electroretinography (ERG),<br>Electrooculography (EOG),<br>P300, Motor Evoked Potentials<br>(MEP) and Contingent Negative<br>Variation (CNV). The Synergy<br>Focus may be used to | Cadwell Sierra Summit is<br>indicated for acquisition, display,<br>storage, transmission, analysis,<br>and reporting of<br>electrophysiological and<br>environmental data including<br>Electromyography (EMG), Nerve<br>Conduction Studies (NCS),<br>Evoked Potentials (EP), and<br>Autonomic Reponses (RR<br>Interval<br>Variability). The Cadwell Sierra<br>Summit is used as an aid in the<br>location of neural structures or<br>muscle, to detect the physiologic<br>function of the nervous system,<br>and to support the diagnosis of<br>neuromuscular diseases or<br>conditions.<br><br>The listed modalities do include<br>overlap in functionality. In<br>general, Nerve Conduction<br>Studies measure the electrical<br>responses of the peripheral<br>nerve; | Identical to Primary predicate.<br>Similar to reference predicate. |
| | autonomic responses to<br>physiologic stimuli by measuring<br>the change in electrical<br>resistance between two<br>electrodes (Galvanic Skin<br>Response and Sympathetic Skin<br>Response).<br>Autonomic testing also includes<br>assessment of RR Interval<br>variability. The UltraPro S100 is<br>used to detect the physiologic<br>function of the nervous system,<br>for the location of neural<br>structures during surgery, and to<br>support the diagnosis of<br>neuromuscular disease or<br>condition.<br><br>The listed modalities do include<br>overlap in functionality. In<br>general, Nerve Conduction<br>Studies measure the electrical<br>responses of the nerve;<br>Electromyography measures the<br>electrical activity of the muscle<br>and Evoked Potentials measure<br>electrical activity from the<br>Central Nervous System.<br><br>The Natus UltraPro S100 with<br>Natus Elite Software is intended<br>to be used by a qualified<br>healthcare provider. | determine autonomic responses<br>to physiologic stimuli by<br>measuring the change in<br>electrical resistance between<br>two electrodes (Galvanic Skin<br>Response and Sympathetic Skin<br>Response).<br>Autonomic testing also includes<br>assessment of RR Interval<br>variability. The Synergy Focus is<br>used to detect the physiologic<br>function of the nervous system,<br>for the location of neural<br>structures during surgery, and to<br>support the diagnosis of<br>neuromuscular disease or<br>condition.<br><br>The listed modalities do include<br>overlap in functionality. In<br>general, Nerve Conduction<br>Studies measure the electrical<br>responses of the nerve;<br>Electromyography measures the<br>electrical activity of the muscle<br>and Evoked Potentials measure<br>electrical activity from the<br>Central Nervous System.<br><br>The Synergy Focus is to be<br>used by a qualified healthcare<br>provider. | Electromyography measures the<br>electrical activity of the muscle,<br>and Evoked Potentials measure<br>the electrical activity from the<br>central nervous system. The<br>interface for third-party<br>noninvasive imaging display and<br>control is used to visualize the<br>morphology and location of<br>nerves and muscles, and serves<br>as an aid in confirming the<br>results of the aforementioned<br>modalities. Cadwell Sierra<br>Summit is indicated for use by<br>qualified medical practitioners.<br>This device does not provide<br>any diagnostic conclusion about<br>the patient's condition to the<br>user. | |
| 1.2 Warnings | Items related to off label<br>use or misuse. | Items related to off label<br>use or misuse. | Items related to off label<br>use or misuse. | Identical to predicate |
| 1.3 Contraindications | Items related to design and<br>indicated use limitations, such<br>as, not for use in the presence<br>of flammable anesthetics or in | Items related to design and<br>indicated use limitations, such<br>as, not for use in the presence<br>of flammable anesthetics or in | Items related to design and<br>indicated use limitations, such<br>as, not for use in the presence<br>of flammable anesthetics or in | Identical to predicate |
| | | | | |
| Target Population | conjunction with defibrillation<br>equipment. | conjunction with defibrillation<br>equipment. | conjunction with defibrillation<br>equipment. | |
| | Patients with neuromuscular<br>diseases for pediatric and adult<br>patients | Patients with neuromuscular<br>diseases for pediatric and adult<br>patients | Age: newborn to geriatric | Identical to predicate |
| Environment of Use | In a professional healthcare<br>facility environment. | In a professional healthcare<br>facility environment. | In a professional healthcare<br>facility environment. | Identical to predicate |
| | | | | |
| 2. General Design | | | | |
| 2.1 General<br>Systems Approach | Computer based equipment with<br>dedicated hardware peripherals<br>/components. | Computer based equipment with<br>dedicated hardware peripherals<br>/components. | Computer based equipment with<br>dedicated hardware peripherals<br>/ components. | Identical to predicate |
| | | | | |
| 2.2 User Input Device | Windows mouse/keyboard<br>driven graphic interface with<br>dedicated control panel. | Windows mouse/keyboard<br>driven graphic interface with<br>dedicated control panel. | Windows mouse/keyboard<br>driven graphic interface with<br>dedicated control panel. | Identical to predicate |
| | | | | |
| 2.3 User Output<br>Device | Digital color display and<br>commercial printers. | Digital color display and<br>commercial printers. | Digital color display and<br>commercial printers. | Identical to predicate |
| | | | | |
| 2.4 Patient Inputs | 1 to 4 channel amplifier, isolated | 1 to 4 channel amplifier, isolated | 1 to 12 channel amplifier,<br>isolated. | Identical to primary predicate.<br>Similar to reference predicate. |
| 2.5 Signal Acquisition | Analog to digital conversion at<br>48 kHz per sample rate | Analog to digital conversion at<br>48 kHz per sample rate | Analog to digital conversion at<br>100 kHz (EMG channels), 25<br>kHz (EP channels). | Identical to primary predicate.<br>Similar to reference predicate. |
| 2.6 Trigger Input<br>(synchronization to<br>external events). | Yes…
Predicate graph will load when search results are available.
Embedding visualization will load when search results are available.
PDF viewer will load when search results are available.
Loading panels...
Select an item from Submissions
Click any panel, subpart, regulation, product code, or device to see details here.
Section Matches
Results will appear here.
Product Code Matches
Results will appear here.
Special Control Matches
Results will appear here.
Loading collections...
Loading
My Alerts
You will receive email notifications based on the filters and frequency you set for each alert.
Sort by:
Create Alert
Search Filters
Agent Token
Create a read-only bearer token for Claude, ChatGPT, or other agents that can call HTTP APIs.
Copy this now. It will not be shown again.
Connected apps
Apps you authorized through browser sign-in. Disconnecting revokes their access immediately.
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.