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510(k) Data Aggregation

    K Number
    K213984

    Validate with FDA (Live)

    Date Cleared
    2022-12-16

    (361 days)

    Product Code
    Regulation Number
    870.2700
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Oximeter is non-invasive device intended for spot-checking of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate (PR). The portable fingertip device is indicated for adult patients in home and hospital environments (including clinical use in internist/ surgery, anesthesia, intensive care, etc).

    Device Description

    The Oximeter is intended for spot-checking of functional pulse oxygen saturation (SpO2) and pulse rate (PR) of adult patients in the home and hospital. The oximeter features a small size, low power consumption, a convenient operation, and portability. It is only necessary for a patient to put one of his/her fingers into the fingertip clips for measurement. Principle of the oximeter as follows: A mathematical formula is established making use of Lambert Beer Law according to Spectrum Absorption Characteristics of Reductive hemoglobin (RHb) and Oxyhemoglobin (HbO2) in red and infrared zones. Photoelectric Oxyhemoglobin Inspection Technology is adopted in accordance with Capacity Pulse Scanning and Recording Technology, so that two beams of different wavelength of lights (660nm red and 905nm infrared light) can be focused onto a human nail tip through a clamping finger-type sensor. Relevant data is shown on the Oximeter's display through electronic circuits and a microprocessor. The four models (JZK-301, JZK-303, JZK-305, and JZK-307) have the same intended use, working principle, characteristic, and conformance standards, only in appearance have some different (appearance design, dimension, and weight).

    AI/ML Overview

    Here's an analysis of the acceptance criteria and the study proving the device meets them, based on the provided FDA 510(k) submission:

    1. Table of Acceptance Criteria and Reported Device Performance

    ParameterAcceptance Criteria (Predicate Device)Reported Device Performance (Targeted Device)
    SpO2 Accuracy$\pm$ 2% (70% - 100% SpO2), Unspecified for <70% SpO2$\pm$ 2% (70% - 100% SpO2), Unspecified for <70% SpO2 (determined through clinical hypoxia accuracy testing and comparison with CO-oximeter, meeting ISO 80601-2-61 criteria)
    Pulse Rate$\pm$ 2 bpm$\pm$ 2 bpm (determined through clinical hypoxia accuracy testing and comparison with CO-oximeter, meeting ISO 80601-2-61 criteria)
    Measurement Range (SpO2)0-100%45-100% (The submission states the subject device's range is within the range of the predicate, which is 0-100%. The specific reported range for the subject device is 45-100%, indicating it meets the predicate's relevant operational range.)
    Measurement Range (Pulse Rate)25-250 bpm25-250 bpm (The submission states the subject device's range is within the range of the predicate.)
    Electrical SafetyANSI AAMI ES60601-1 2005/(R)2012 and A1:2012, C1:2009/(R)2012 and A2:2010/(R)2012; IEC 60601-1-11 Edition 2.0 2015-01; IEC 60601-1-2 Edition 4.0 2014-02; ISO 80601-2-61 Second edition 2017-12 (Corrected version 2018-02)Passed all specified IEC/ANSI standards.
    EMC SafetyIEC 60601-1-2 Edition 4.0 2014-02Passed IEC 60601-1-2.
    BiocompatibilityISO 10993-5, ISO 10993-10, ISO 10993-23Passed all specified ISO 10993 series tests.
    SoftwareFDA "Guidance for Pre Market Submissions and for Software Contained in Medical Devices"Software verification and validation conducted.
    Cleaning ValidationFDA "Pulse Oximeters - Premarket Notification Submissions [510(k)s] - Guidance for Industry and Food and Drug Administration Staff"Conducted and proved device can function as intended after cleaning.
    Operating Environment (Humidity)15-85%RH (non-condensing) for predicate≤80%RH (Similar to predicate, met IEC 60601-1 and ISO 80601-2-61)
    Storage & Transport Environment (Humidity)10-95%RH for predicate≤93%RH (Similar to predicate, met ISO 80601-2-61)

    Please note that the acceptance criteria for SpO2 and Pulse Rate accuracy are directly stated as the target performance matching the predicate device. The narrative details how this performance was verified. Other criteria are related to compliance with recognized standards.

    2. Sample Size for the Test Set and Data Provenance

    • Sample Size: 12 subjects (healthy, non-smoking, light-to-dark-skinned adults).
    • Data Provenance: The study was a prospective clinical hypoxia accuracy testing conducted during induced hypoxia studies in an independent research laboratory. The country of origin is not explicitly stated, but the manufacturing and submission details point to China.

    3. Number of Experts and Qualifications for Ground Truth

    • The document implies the use of a CO-oximeter as the control device to establish the ground truth for arterial hemoglobin oxygen (SaO2) values from blood samples. While clinical experts are involved in conducting the study and collecting samples, the direct measurement of SaO2 by a CO-oximeter serves as the objective ground truth, rather than expert interpretation.
    • The qualifications of individuals operating the CO-oximeter or collecting blood samples are not specified in this summary but are implicit in conducting a clinical study according to ISO 80601-2-61.

    4. Adjudication Method for the Test Set

    • The ground truth for SpO2 and Pulse Rate accuracy was established by comparing the device's readings against arterial hemoglobin oxygen (SaO2) values determined from blood samples with a CO-oximeter. This is an objective measurement rather than a subjective expert adjudication process.
    • The analysis of the data included Bland and Altman statistics and assessing outliers. This indicates a statistical method for evaluating agreement rather than a consensus-based adjudication from multiple human readers. Therefore, an adjudication method like 2+1 or 3+1 is not applicable here as it's not based on expert interpretation of images or other subjective data.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    • No, an MRMC comparative effectiveness study was not done.
    • This study focused on the accuracy of the device itself against a reference standard (CO-oximeter), not on how human readers perform with or without AI assistance. The device is an oximeter, not an AI-assisted diagnostic tool.

    6. Standalone (Algorithm Only) Performance

    • Yes, a standalone performance study was done. The entire clinical study described is about the standalone performance of the Oximeter device, without human-in-the-loop assistance for interpretation. The device itself produces the SpO2 and PR readings.

    7. Type of Ground Truth Used

    • The ground truth for SpO2 and Pulse Rate accuracy was outcomes data / objective measurement: arterial hemoglobin oxygen (SaO2) values determined from blood samples using a CO-oximeter.

    8. Sample Size for the Training Set

    • Not applicable / Not specified. This device is a pulse oximeter, which operates on established opto-electronic principles (Lambert Beer Law, Photoelectric Oxyhemoglobin Inspection Technology) rather than a machine learning or AI algorithm that typically requires a distinct training set. The clinical study performed is a validation (test set) study.

    9. How the Ground Truth for the Training Set Was Established

    • Not applicable / Not specified. As there is no explicit training set mentioned for an AI/ML model, the establishment of ground truth for such a set is not relevant to this submission. The device's operational principles are physics-based, not data-driven in the sense of AI training.
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    K Number
    K173045

    Validate with FDA (Live)

    Device Name
    Oximeter
    Date Cleared
    2018-06-05

    (250 days)

    Product Code
    Regulation Number
    870.2700
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    SpO2 Sensors are indicated for continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate(PR) for adult patients weighing greater than 40kg at hospital facilities.

    Device Description

    The SpO2 Sensors are a family of oximeter sensors designed for compatibility with listed predicate oximeter manufacturers/monitors. The sensors are made up of connector, cable, two specific wavelength LEDs & a photo detector assembled into the sensor housing. The sensors use optical means to determine the light absorption of functional arterial hemoglobin by being connected between the patient and the oximeter. The Sensors contain finger clip type, soft tip and textile adhesive type. All the sensors will be labeled for compatibility for a specific monitor.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the SpO2 Sensor, based on the provided text:

    Acceptance Criteria and Device Performance

    Acceptance CriteriaReported Device Performance
    SpO2 Accuracy±3% (70-100%)
    Pulse Rate Accuracy±3 (30-250bpm)

    Note: The document explicitly states these criteria and performance in the "Comparison to predicate device" section (page 5-6) and confirms that the subject device's accuracy for fingers "meets the requirements of ISO 80601-2-61" (page 6).

    Study Information

    2. Sample size used for the test set and the data provenance:

    • Sample Size: 13 human adult volunteers.
    • Data Provenance: Not explicitly stated, but the study was a "Clinical hypoxia test" performed on "human adult volunteers." This indicates prospective data collection for the purpose of the study. The country of origin is not specified.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • This information is not provided in the document. The ground truth method is specified (co-oximetry), but details about experts establishing this ground truth are absent.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

    • This information is not provided in the document.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

    • An MRMC study was not performed. This device is an SpO2 sensor (a measurement device), not an AI-assisted diagnostic tool. Therefore, a study comparing human readers with and without AI assistance is not applicable.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:

    • A standalone performance study was done in the sense that the device's accuracy was tested directly against an established reference method (co-oximetry) without human interpretation being the primary variable. The device's output (SpO2 and pulse rate) is a direct measurement.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    • The ground truth for the SpO2 accuracy was "arterial oxygen saturation (SaO2) as determined by co-oximetry." Co-oximetry is a recognized reference method for measuring oxygen saturation in arterial blood.

    8. The sample size for the training set:

    • This information is not provided. As this is a sensor (hardware device) and not an AI/software algorithm typically requiring a "training set" in the machine learning sense, such a concept might not apply directly. The document focuses on the sensor's optical principles and signal processing.

    9. How the ground truth for the training set was established:

    • This information is not provided as the concept of a "training set" in the context of machine learning and its associated ground truth establishment is not applicable to this device's description. The device's performance is validated through clinical testing against a reference standard.
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    K Number
    K965172

    Validate with FDA (Live)

    Date Cleared
    1997-07-16

    (204 days)

    Product Code
    Regulation Number
    870.2700
    Reference & Predicate Devices
    N/A
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Replacement for Nellcor Patient Module; to connect oximeter sensors to oximeter monitor. For use with Nellcor® N200® and N100® 5 button oximeters only.

    Device Description

    Not Found

    AI/ML Overview

    The provided text is a 510(k) clearance letter from the FDA for an "Oximeter Pre-AMP Cable." This document primarily grants marketing clearance for the device based on its substantial equivalence to a predicate device.

    It does not contain any information regarding acceptance criteria or a study proving the device meets acceptance criteria in the way you've outlined. The FDA letter is a regulatory approval, not a performance study report.

    Therefore, I cannot populate the requested table and information based on the provided text. The document doesn't include:

    1. Acceptance criteria or reported device performance metrics.
    2. Sample sizes used for test sets.
    3. Details about experts for ground truth establishment.
    4. Adjudication methods.
    5. Multi-reader multi-case (MRMC) comparative effectiveness studies.
    6. Standalone (algorithm-only) performance studies.
    7. Type of ground truth used.
    8. Sample size for training set.
    9. How ground truth for the training set was established.

    The document states that the device is a "Replacement for Nellcor Patient Module; to connect oximeter sensors to oximeter monitor. For use with Nellcor® N200® and N100® 5 button oximeters only." This indicates its intended use, but not specific performance criteria or test results.

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