510(k) Report

510(k) · Cleared

Cleared

SPEAC System

K200276510(k) TraditionalCleared Feb 6, 2021368-day reviewClass II21 CFR 882.1580

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Brain Sentinel, Inc. · POS Physiological Signal Based Seizure Monitoring System

Cleared on Feb 6, 2021 as substantially equivalent to K182180 (Brain Sentinel, Inc., 2019) after a 368-day review. Its family tree reaches back 2 generations to 2017.

Decided
Feb 6, 2021
Review
368 days
Class
Class II
Product code
POS
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to DEN140033 (2017). No later device cites it as a predicate yet.

DEN140033 · Companion · Lgch, Inc. · 2017K182180 · SPEAC System · Brain Sentinel, Inc. · 20192016201820202022
  1. Root · 2 generations backDEN140033 CompanionLgch, Inc. · 2017
  2. 1 generation backK182180 SPEAC SystemBrain Sentinel, Inc. · 2019
  3. This deviceK200276 SPEAC SystemBrain Sentinel, Inc. · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2DEN140033CompanionLgch, Inc.2017—
−1K182180SPEAC SystemBrain Sentinel, Inc.2019—
0 (this device)K200276SPEAC SystemBrain Sentinel, Inc.2021—
FIG. 1 — Lineage of K200276, 2017–2021Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in POS? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new POS device

  1. #1 K232915 EpiMonitorscore 19.5 · 39 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K182180SPEAC System
Summary page 4
…physiological signal-based seizure monitoring system; Regulation 21 CFR 882.1580 Review Panel Neurodiagnostic Devices; Neurology Predicate Device K182180 Manufacturer Brain Sentinel, Inc. Device Name Brain Sentinel Monitoring and Alerting System Regulation Name…
Brain Sentinel, Inc.2019—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 4 years and passes through 2 companies; a new generation was cleared every 2.2 years on median.
  • None of the 2 ancestors has a recall.

How does its category compare?

All POS devices

POS Physiological Signal Based Seizure Monitoring System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · POS

4in 2025

2017: 12018: 22019: 12021: 12024: 12025: 4
2007high 4 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · POS

154in 2025

2025: 154 days median
2007high 154 (2025)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · POS

1in 2023

2023: 1
2007high 1 (2023) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · POS

1in 2025

2021: 12024: 12025: 1
2007high 1 (2021) · low 0 (2007)2025

MAUDE reports naming product code POS, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20171—00
20182—00
20191—00
20200—00
20211—01
20220—00
20230—10
20241—01
2025415401
20260—0—

What is it indicated for?

The SPEAC® System is intended for use as an adjunct to seizure monitoring in adults in the home or healthcare facilities during periods of rest. The non-EEG Physiological Signal Based Seizure Monitoring System continuously records and stores surface electromyographic (SEMG) data for subsequent review. Trained healthcare professionals may use the electrophysiological SEMG data during a post-hoc review, with other contextual data, to characterize…

Read the full statement (155 words)

The SPEAC® System is intended for use as an adjunct to seizure monitoring in adults in the home or healthcare facilities during periods of rest.

The non-EEG Physiological Signal Based Seizure Monitoring System continuously records and stores surface electromyographic (SEMG) data for subsequent review.

Trained healthcare professionals may use the electrophysiological SEMG data during a post-hoc review, with other contextual data, to characterize upper-extremity motor activity (UEMA) ipsilateral to the device from other activity.

Audio data recorded during seizure monitoring may be available for review by a trained healthcare professional.

The device is to be used on the belly of the biceps muscle to analyze sSEMG signals. When sEMG signal patterns associated with a unilateral, appendicular, tonic extension that could be associated with a GTC seizure are detected, the SPEAC System sends adjunctive alarms to alert caregivers.

Adjunctive alarms may be disabled by a physician order while continuing to record sSEMG data for subsequent review.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K200276: SPEAC System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K200276

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026