Intended Use

Indicated for use by adult patients (22 years and older) who have been diagnosed with, or are susceptible to developing, atrial fibrillation enabling them to monitor and record their heart rhythms. It is intended to record, store, transfer, and display single-channel electrocardiogram (ECG) rhythms. The device is intended for prescription use only.

Technology

The device is a miniaturized wearable watch incorporating two dedicated sensing electrodes for single-channel ECG and an optical sensor for PPG waveform collection. It uses a proprietary algorithm developed via machine learning to analyze continuous PPG data, detecting irregular pulses every 15 minutes during patient wear. ECG rhythms collected are securely transferred via proprietary Study Hub or Watch App to a cloud server for healthcare provider review through a web portal. The portal allows viewing of time-stamped ECG waveforms but no analysis. The device is interoperable with ZEUS System (Zio Watch) software.

Performance

Performance testing included bench verification and validation of software and hardware components against specifications, all meeting acceptance criteria. Clinical validation involved a prospective study collecting free-living PPG data from patients at risk of AF, with simultaneous reference ECG using Zio Patch. The device showed high sensitivity (96.1%) and specificity (98.1%) in detecting irregular pulse indicating atrial fibrillation, exceeding pre-specified thresholds and demonstrating equivalence to the predicate device (K192415) in safety and effectiveness for home use.

Predicate Devices

No predicate devices specified

Device Timeline

  • 1

    Submission

    10/12/2021

    9 months
  • 2

    FDA Approval

    7/19/2022

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