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510(k) Data Aggregation

    K Number
    K171889

    Validate with FDA (Live)

    Date Cleared
    2017-12-19

    (176 days)

    Product Code
    Regulation Number
    870.1120
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Reusable Blood Pressure Cuff is an accessory used in conjunction with noninvasive blood pressure measurement systems. The cuff is non-sterile and reusable in infant, pediatric but not neonatal, and adult sizes.

    Device Description

    The proposed device is an accessory used in conjunction with noninvasive blood pressure measurement systems, and wrap around the patient's limb. The cuff is non-sterile and reusable. The model difference of the proposed device includes bladder type, tube, color, joint model and size.

    AI/ML Overview

    The given text is a 510(k) Summary for a Reusable Blood Pressure Cuff, which is a submission to the FDA to demonstrate substantial equivalence to previously marketed devices. This document focuses on proving that the new device is as safe and effective as existing products, primarily through non-clinical testing and comparison to predicate devices, rather than an extensive study proving new performance criteria for a novel device or an AI algorithm.

    Therefore, many of the requested details, such as "number of experts used to establish ground truth," "adjudication method," "MRMC comparative effectiveness study," "standalone performance," and "sample size for training set," are not applicable to this type of regulatory submission and product. The device is a physical medical accessory, not an AI algorithm.

    I will extract the available and relevant information.


    Acceptance Criteria and Device Performance for Reusable Blood Pressure Cuff (K171889)

    The acceptance criteria for the Reusable Blood Pressure Cuff (K171889) are established by demonstrating compliance with recognized international standards and substantial equivalence to predicate devices. The study conducted was primarily non-clinical testing to verify design specifications and biological compatibility.

    1. A table of acceptance criteria and the reported device performance

    Acceptance Criteria / Performance AspectStandard/RequirementReported Device PerformanceComments on Performance
    Basic Safety and Essential PerformanceIEC 80601-2-30: 2013Complies
    Biocompatibility - CytotoxicityISO 10993-5: 2009Complies
    Biocompatibility - Irritation & Skin SensitizationISO 10993-10: 2010Complies
    Intended Use EquivalenceEquivalent to Predicate Device 1 (K133117) & Predicate Device 2 (K152468)Stated as same or slight differences that do not impact safety/effectivenessThe proposed devices include similar intended uses (accessory for noninvasive blood pressure measurement systems, non-sterile, reusable, various sizes). Differences like extended tube configurations or slight size variations are deemed not to affect safety or effectiveness.
    Device ClassClass II (Regulatory)Class II
    Product CodeDXQDXQ
    Regulation Number21 CFR 870.112021 CFR 870.1120
    Patient PopulationsAdult (for internal bladder), Infant/Pediatric/Adult (for integrated bladder)Matches Predicate Devices' populationsThe proposed device expands to include infant/pediatric populations for integrated bladder cuffs, which is aligned with Predicate Device 2.
    Tube ConfigurationOne or two tubeTwo tube configuration as well as one tubeBroader than Predicate 1 (one tube only), but matched by Predicate 2 (one or two tubes). Not considered a safety/effectiveness issue.
    Bladder TypeInternal Bladder / Integrated BladderBoth are offered by the proposed devicePredicate 1 uses Internal Bladder, Predicate 2 uses Integrated Bladder. The proposed device offers both variations.
    ReusableYesYes
    SterileNoNo
    Pressure Range0-300mmHg0-300mmHgMatches Predicate Devices.
    MaterialCompliant with Biocompatibility StandardsPolyester (internal bladder), TPU leather with nylon (integrated bladder)Different materials than predicate devices, but compliance with ISO 10993-5 and -10 confirmed.
    Size Range (Internal Bladder)e.g., Small adult: 17-22cm; Large Adult: 30-42 cmStated as "included in the range of the predicate device 1"User manual indicates clear selection based on size. Not considered a safety/effectiveness issue.
    Size Range (Integrated Bladder)e.g., Infant: 9-14.8cm; Child: 13.8-21.5cm; Thigh: 45-56.5cmStated as "different to that of predicate device 2," but "slight"User manual indicates clear selection based on size. Not considered a safety/effectiveness issue.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document does not specify sample sizes for the non-clinical tests (e.g., how many cuffs were tested for biocompatibility or performance). The data provenance is not detailed beyond the manufacturer being Suzhou Minhua Medical Apparatus Supplies Co., LTD in China, implying testing was likely conducted in China. The study refers to "non-clinical tests" and "test results" and "laboratory tests," which are inherently prospective for the specific devices being tested.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not applicable. The device is a physical medical accessory, and the "ground truth" for its performance is established by compliance with international engineering and biocompatibility standards, not by expert consensus on diagnostic interpretations.

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

    This information is not applicable. Adjudication methods are typically used in clinical studies involving interpretation (e.g., imaging reads) where there can be differing opinions among experts. This product's evaluation is based on objective measurements against engineering and biological standards.

    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

    This information is not applicable. MRMC studies are relevant for diagnostic devices, particularly those involving human interpretation of data/images, often with AI assistance. This device is a blood pressure cuff and does not involve "readers" or "AI assistance" in that context.

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

    This information is not applicable. The device is a physical blood pressure cuff, not an algorithm.

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

    The "ground truth" for the Reusable Blood Pressure Cuff is compliance with:

    • Engineering Standards: IEC 80601-2-30: 2013 (Medical Electrical Equipment - Basic Safety And Essential Performance Of Automated Non-Invasive Sphygmomanometers).
    • Biocompatibility Standards: ISO 10993-5: 2009 (Tests For In Vitro Cytotoxicity) and ISO 10993-10: 2010 (Tests For Irritation And Skin Sensitization).
    • Substantial Equivalence: Comparison to legally marketed predicate devices (K133117 and K152468) regarding intended use, principles of operation, materials, and performance specifications.

    8. The sample size for the training set

    This information is not applicable. "Training set" refers to data used to train algorithms, primarily in machine learning or AI. This device is a physical medical accessory.

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

    This information is not applicable as there is no "training set" for this physical device.

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