K Number
K100394
Date Cleared
2010-04-15

(58 days)

Product Code
Regulation Number
870.2300
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The PMS8210A Multi Parameter Patient Monitor is a multi-parameters monitor used on human patients. The target populations are adult, pediatric and neonatal patients. The PMS8210A Patient Monitor has certain features and functions.

The patient parameters that can be monitored by PMS8210A Patient Monitor are: ECG(3-lead or 5-lead selectable), Heart Rate(HR), Pulse Rate(PR), Respiration Rate(RESP), Non-invasive Blood Pressure (NIBP), Arterial Hemoglobin Oxygen Saturation(SpO2) and Temperature (TEMP). Its design allows the operator to adjust the settings of parameter alarms that audibly and visually notify the operator when an excursion occurs.

The PMS8210A Patient Monitor is intended for use in a health care facility setting. It is intended for use by qualified medical personnel trained in the use of the equipment.

The PMS8210A Patient Monitor is not recommended for use in a patient's home or residence, or when it has not been ordered by a physician.

Device Description

PMS8210A Patient Monitor is a battery or line-powered patient monitor. The Patient Monitor acquires the physiological signals such as ECG, respiration (RESP), Non-Invasive blood pressure (NIBP), Saturation of pulse oxygen (SPO2), Temperature (TEMP), Heart rate (HR) and Pulse Rate (PR), The signals are converted into digital data and processed, examines the data for alarm conditions and displays the data. The monitor also provides operating control for the user.

AI/ML Overview

The provided text does not contain detailed information about specific studies, acceptance criteria, or performance data for the PMS8210A (IRIS) Multi-parameter Patient Monitor. Instead, it focuses on comparing the device's technical specifications and adherence to various medical standards with a predicate device (PM-9000 EXPRESS PATIENT MONITOR).

Therefore, I cannot provide a table of acceptance criteria and reported device performance, nor details about sample sizes, data provenance, expert ground truth, adjudication methods, MRMC studies, standalone performance, or training set information.

The document primarily acts as a 510(k) summary, which is a premarket notification to the FDA to demonstrate substantial equivalence to a legally marketed predicate device. This typically involves showing that the new device has the same intended use and the same technological characteristics, or different technological characteristics that do not raise different questions of safety and effectiveness and are as safe and effective as the predicate device.

The study described is a comparison of the PMS8210A Multi-parameter Patient Monitor's specifications and compliance with relevant medical standards against a predicate device, the PM-9000 EXPRESS PATIENT MONITOR (K053234). The intent is to demonstrate that the subject device is substantially equivalent to the predicate device.

Here's what can be extracted:

1. Table of Acceptance Criteria and Reported Device Performance:

The document lists various technical specifications and accuracy claims for the PMS8210A device (Subject Device) and compares them to the predicate device. While these are performance characteristics, they are not explicitly labeled as "acceptance criteria" through a formal study results table. The implication is that meeting or being comparable to the predicate's performance, and adhering to referenced standards, constitutes meeting acceptance criteria for substantial equivalence.

ParameterAcceptance Criteria (Implied by Predicate/Standard)PMS8210A Reported Performance
ECG
GainPredicate: ×0.125; ×0.25; ×0.5; ×1; ×2; auto.×0.5; ×1.
Range of Heart Rate MonitoringAdult: 15300 bpm; Neonate/Pediatric: 15350 bpm (Predicate)Adult: 20300 bpm; Neonate/Pediatric: 20350 bpm
Resolution (HR)1 bpm (Predicate)1 bpm
Precision (HR)1 bpm or ±1% (Predicate)20200 bpm: 5% or ±5bpm; 201350 bpm: 10%
CMRRDiagnostic mode: ≥90dB; Monitoring mode: ≥105dB; Surgical mode: ≥105dB (Predicate)≥89 dB
Frequency Characteristic (Mode 1)0.05Hz-100Hz (Diagnostic), 0.5Hz-40Hz (Monitoring), 1Hz-20Hz (Surgical) (Predicate)Mode 1: 0.1Hz-40Hz; Mode 2: 0.67Hz-40Hz; Mode 3: 1Hz-25Hz
Respiration
Measuring RangeAdult: 0120 rpm; Neonate/Pediatric: 0150 rpm (Predicate)15 ~ 120 rpm
Resolution1 rpm (Predicate)1 rpm
Precision06 rpm: Unspecified; 7120rpm: ±2 rpm or ±2% (Predicate)The bigger one between ±2 rpm or ±2%
NIBP
BP AccuracyArithmetic mean values: ±5 mmHg; Standard deviation no greater than 8 mmHg (Predicate, also stated by ANSI/AAMI SP10:2002; EN1060-4)Arithmetic mean values: ±5 mmHg; Standard deviation no greater than 8 mmHg
SpO2
SpO2 Measurement Range0~100% (Predicate)0~100%
SpO2 Measurement AccuracyAdult/Pediatric: 70100%: ±2%; 069%: Unspecified; Neonate: 70100%: ±3%; 069%: Unspecified (Predicate)Adult/Pediatric: 70100%: ±2%; 069%: Unspecified; Neonate: 70100%: ±3%; 069%: Unspecified
Pulse Rate Measurement20 to 250 BPM (Predicate)20~250bpm
Temperature
Measurement Range0°C50°C (32122°F) (Predicate)0°C50°C (32122°F)
Measurement Accuracy±0.1°C (±0.2°F) (Predicate, also stated by ASTM E1112:00)±0.1°C (±0.2°F)

2. Sample size used for the test set and the data provenance:
This information is not provided in the given text. The document refers to "performance testing in accordance with IEC standards" but does not detail the size or nature of the test set or its provenance.

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 given text. The document focuses on technical specifications and standard compliance, not clinical ground truth establishment by experts.

4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:
This information is not provided in the given text.

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/provided. The device is a multi-parameter patient monitor, not an AI-assisted diagnostic tool involving human readers.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done:
The device itself is a standalone monitor. Its performance is assessed against technical specifications and standards (e.g., IEC, AAMI, EN, ISO). The document states the device has "software of Moderate concern" and that "the appropriate level of Software evaluation was performed," but does not detail the standalone performance study specific to an algorithm. The overall product performance is standalone.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):
The ground truth for evaluating the device's technical specifications and accuracy is largely based on measurements against established reference standards and calibrated equipment, as implied by adherence to standards like ANSI/AAMI SP10 for NIBP accuracy and ASTM E1112 for temperature accuracy. For SpO2, it leverages the Nellcor SpO2 module, implying its proven accuracy. There is no mention of expert consensus, pathology, or outcomes data as ground truth in this document.

8. The sample size for the training set:
This information is not provided in the given text. As a patient monitor rather than an AI/ML algorithm requiring a training set in the typical sense, this concept might not directly apply or is not detailed. The "software of Moderate concern" does not imply a classical AI/ML model.

9. How the ground truth for the training set was established:
This information is not provided in the given text, and likely not applicable in the context of this traditional medical device.

{0}------------------------------------------------

510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR Part 807.92.

Date: January 27, 2010

  1. Company and Correspondent making the submission:

Name - Shanghai 3F Electronics Co., Ltd. Address - Building 3, No. 128, Jiujing Road, Shanghai, China Telephone -- +86-21-67696500/51695200 ext: 8022 Fax - +86-21-67696296 Contact - Mr. Lu Yulin Email - rmdlu@3fmedical.cn

2. Device :

Trade/proprietary name: PMS8210A (IRIS) Patient Monitor/ Multi-Parameter

Patient Monitor

Common Name : Multi-parameter Patient Monitor

Classification of the device: Class II

Panels: Cardiovascular, General Hospital, Anesthesiology

Product code: 21CFR870.2700, Oximeter, DQA

21CFR870.2300, Monitor, Physiological, MWI

21CFR880.2910, Thermometer, Electronic, Clinical, FLL

21CFR871.1130, System, Measurement, Blood Pressure,

DXN

Establishment Registration Number : None Yet Predicate Devices:

{1}------------------------------------------------

Predicate ModelManufacturerK NumberSubmitted Device
PM-9000EXPRESS PATIENTMONITORShenzhenMindtay Bio-medicalElectronics Co.,LTDK053234PMS8210A (Iris) PatientMonitor/ Multi-ParameterPatient Monitor

3. Description :

3.1 General

PMS8210A Patient Monitor is a battery or line-powered patient monitor. The Patient Monitor acquires the physiological signals such as ECG, respiration (RESP), Non-Invasive blood pressure (NIBP), Saturation of pulse oxygen (SPO2), Temperature (TEMP), Heart rate (HR) and Pulse Rate (PR), The signals are converted into digital data and processed, examines the data for alarm conditions and displays the data. The monitor also provides operating control for the user.

The patient monitor is intended to be used in a hospital clinical area such as intensive care units, cardiac care units, operation room, emergency department, to provide additional information to the medical and nursing staff about the physiological condition of the patient. The PMS8210A patient monitor is intended to be used only under reqular supervision of clinical personnel. The intended location of use is clinics.

  1. Indication for use :

The PMS8210A Patient Monitor is a multi-parameters monitor used on human patients. The target populations are adult, pediatric and neonatal patients. The PMS8210A Patient Monitor has certain features and functions.

The patient parameters that can be monitored by PMS8210A Patient Monitor are: ECG(3-lead or 5-lead selectable), Heart Rate(HR), Pulse Rate(PR), Respiration Rate(RESP), Non-invasive Blood Pressure (NIBP),

{2}------------------------------------------------

Arterial Hemoglobin Oxygen Saturation(SpO2) and Temperature (TEMP). Its design allows the operator to adjust the settings of parameter alarms that audibly and visually notify the operator when an excursion occurs.

The PMS8210A Patient Monitor is intended for use in a health care facility setting. It is intended for use by qualified medical personnel trained in the use of the equipment.

The PMS8210A Patient Monitor is not recommended for use in a patient's home or residence, or when it has not been ordered by a physician.

    1. Comparison with predicate device: Please see next page for the comparison table.

{3}------------------------------------------------

Table of Comparison to Predicate Device 出来ないからない。 「

  1. General Specifications (i.e. physical/electrical)
Characteristics(i.e. physical/electrical)Subject DeviceClaimed SE Device 510(K) No.
Name and modelPMS8210A Multi-parameter Patient MonitorPM-9000 EXPRESS PATIENT MONITOR (K053234)
Physical dimension/weightDimensions: 250 (W)×180 (H)× 180 (D) (mm)Weight: 2.0kgDimensions: 318(W)×270(H)×137(D) (mm)Weight: <7.5kg
Display7 segment LED + 3.2" colorful TFT LCD (320×240)10.4" color TFT LCD(800×600)
Buttonkeys – front panelSoft keys – front panel
Type, Degree of protectionagainst electric shockAC power adapterElectr. Class I and internal power supplyAC power adapterElectr. Class I and internal power supply
Power supply100~240VAC(±10%),50/60Hz(±3Hz),45VA100~240VAC(± 10%),50/60Hz(±3Hz),140VA
Internal power sourceInsetting sealed lithium batter: 2200mAh and 4400mAhSealed Lead acid battery(for 2 pieces)And insetting li-ion battery (for 2 pieces)
Battery charging indicatorYesYes
Low battery indicatorYesYes
Battery charge time, typ.2200mAh: approx. 3 hours4400mAh: approx. 6 hoursAcid battery: approx. 12 hoursAnd li-ion battery: approx. 6.5 hours
Flammable anestheticsnot suitablenot suitable
Operating conditionTemperature: 0°C to 40°C (32°F to 104°F)Relative Humidity: ≤95% (non-condensing)Temperature: 0°C to 40°C (32° F to 104° F)Relative Humidity: 15%~95% (non-condensing)
Storage conditionTemperature: -40°C to 55°C (-40°F to 131°F)Relative Humidity: ≤95% (non-condensing)Temperature: -20°C to 60°C (-4°F to 140°F)Relative Humidity: 10%~95% (non-condensing)
EMCIEC 60601-1-2:2007IEC 60601-1-2:2001+A1:2004
Power on self testYesYes
Optional printerYesYes
CharacteristicsSubject DeviceClaimed SE Device 510(K) No.
Name and modelPMS8210A Multi-parameter Patient MonitorPM-9000 EXPRESS PATIENT MONITOR (K053234)
Lead3lead(RA,LA,LL);5lead(RA, RL, LA, LL,V)).3lead(RA, LA,LL);5lead(RA, RL, LA, LL,V));10lead(RA, RL, LA,LL,V1-V6)).
Lead optionMonitor lead(3 lead) / standard lead(5 lead)3 lead/ 5 lead/ 12 lead
Gain×0.5; x1.×0.125; ×0.25; ×0.5; ×1; ×2;auto.
Sweep speed12.5mm/s, 25mm/s, 50mm/s12.5mm/s, 25mm/s, 50mm/s
Range of heart rate monitoringAdult: 20300 bpm;Neonate/ Pediatric: 20350 bpmAdult: 15300 bpm;Neonate/ Pediatric: 15350 bpm
Resolution1 bpm1 bpm
Precision20200 bpm: 5% or ±5bpm;201350 bpm: 10%.1 bpm or ±1%
Alarm settingThe limit of alarm (setup range: 20~350 bpm), and leads-off alarm display.15~350 bpm
Input resistance≥5 MΩ≥5 MΩ
CMRR≥89 dBDiagnostic mode: ≥90dBMonitoring mode: ≥105dBSurgical mode: ≥105dB
Heart disorder analysisNONO
Anti-polarized voltage≤±500 mV3/5 lead ≤±300mV;12 lead ≤±500mV.
Baseline renewing time<5 s after the defibrillation<5 s after the defibrillation
ECG modeMode 1 (Monitoring mode), mode 2(Monitoring mode), mode 3 (Surgical mode)Diagnostic mode, Monitoring mode, Surgical mode.
Frequency characteristicMode 1: 0.1Hz-40Hz;Mode 2: 0.67Hz-40HzMode 3: 1Hz-25HzDiagnostic mode: 0.05Hz-100HzMonitoring mode: 0.5Hz-40HzSurgical mode: 1Hz-20Hz
Safeguard4000V high voltage isolation, anti-defibrillationWithstand 4000VAC/50Hz voltage in isolation;

{4}------------------------------------------------

||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||\n

  1. ECG

バイト (

32 of 866

K100394

{5}------------------------------------------------

Respiration
તં

נייר ל

CharacteristicsSubject DeviceClaimed SE Device 510(K) No.
Name and modelPMS8210A Multi-parameter Patient MonitorPM-9000 EXPRESS PATIENT MONITOR (K053234)
Measuring methodThe thorax impedance method (used with ECG lead)Thoracic impedance
Measuring range15 ~ 120rpmAdult: 0120 rpm;Neonate/ Pediatric: 0150 rpm
Resolution1 rpm1 rpm
PrecisionThe bigger one between ±2 rpm or ±2%06 rpm: Unspecified;7120rpm: ±2 rpm or ±2%
Alarm setupYesYes
Alarm methodAudible and visual alarm, alarm events recallableAudible and visual alarm, alarm events recallable

4. Non-Invasive Blood Pressure (NIBP)

CharacteristicsSubject DeviceClaimed SE Device 510(K) No.
Name and modelPMS8210A Multi-parameter Patient MonitorPM-9000 EXPRESS PATIENT MONITOR (K053234)
MethodOscillometricOscillometric
Patient typeNeonatal, pediatric and adult patientsNeonatal, pediatric and adult patients
Unit of measuremmHg & kPammHg & kPa
Pressure measurementrange - SystolicAdult: 40 ~ 260mmHgpediatric: 40 ~ 160mmHgNeonate: 40 ~ 130mmHgAdult: 40 ~ 270mmHgpediatric: 40~200mmHgNeonate: 40 ~ 135mmHg
Pressure measurementrange - DiastolicAdult: 20 ~ 200mmHgpediatric: 20 ~ 120mmHgNeonate: 20 ~ 100mmHgAdult: 10 ~ 210mmHgpediatric: 10 ~ 150mmHgNeonate: 10 ~ 100mmHg
Pressure measurementAdult: 26 ~ 220mmHgAdult: 20 ~ 230mmHg

33 of 866

ri

{6}------------------------------------------------

Range-Dean pressurepediatric: 26 ~ 133mmHgNeonate: 26 ~ 110mmHgpediatric: 20 ~ 165mmHgNeonate: 20 ~ 110mmHg
BP accuracyArithmetic mean values:±5 mmHg;Standard deviation no greater than 8 mmHgArithmetic mean values:±5 mmHg;Standard deviation no greater than 8 mmHg
BP measurement accuracyANSI/AAMI SP10:2002;EN1060-4Meets ANSI/AAMI SP10:1992+A1:2002
Cuff pressure range0 to 300mmHg0 to 300mmHg
Auto zero CALYesYes
Over pressure protectorAdult/ Pediatric: 300mmHg;Neonate: 150mmHgAdult: 297±3mmHgPediatric: 240±3mmHgNeonate: 147±3mmHg
Alarm setupThe range is the same as parameter measurementrange of SYS、DIA、MAPThe range is the same as parameter measurementrange of SYS、DIA、MAP
Alarm methodSound light alarm, and record the alarm status forreviewSound light alarm, and record the alarm status forreview

5. Pulse Oximetry. (SpO2)

CharacteristicsSubject DeviceClaimed SE Device 510(K) No.
Name and modelPMS8210A Multi-parameter Patient MonitorPM-9000 EXPRESS PATIENT MONITOR (K053234)
SpO2 moduleNellcor SpO2Nellcor SpO2
Patient typeAdult, Pediatric & NeonateAdult, Pediatric & Neonate
SpO2 measurement range0~100%0~100%
adult/ Pediatric:adult/ Pediatric:
70~100%: ±2%;70~100%: ±2%;
SpO2 measurement accuracy0~69%: Unspecified.0~69%: Unspecified.
neonateneonate
70~100%: ±3%;70~100%: ±3%;
0~69%: Unspecified.0~69%: Unspecified.
Alarm range(%)0~100%0~100%
Pulse rate measurement20~250bpm20 to 250 BPM

34 of 866

K100394

Page 4 of 5

{7}------------------------------------------------

K100394 p8/12

:

No.CategoryDirectives/StandardsTitle & Comments
1General93/42/EECMedical Device Directive
21CFR820Code of Federal Regulations
91/157/EECBattery Declaration Directive
93/86/EECBattery Disposal Directive
IEC60601-1:1988General requirements for Safety and
A1:1991,+ A2:1995Essential Performance
IEC60601-1-1:2000Medical electrical equipment -- Part 1:General requirements for safety- Collateralstandard-Safety requirements for medicalelectrical systems
IEC60601-1-4:2000Programmable medical systems
IEC 60601-1-6:2006Medical electrical equipment - Part 1-6:General requirements for safety - Collateralstandard: Usability
IEC 60601-1-8: 2006Medical electrical equipment - Part 1-8:General requirements for safety - Collateralstandard: General requirements, tests andguidance for alarm systems in medicalelectrical equipment and medical electricalsystems
IEC 60601-2-25Medical electrical equipment, Part 2-25:Particular requirements for the safety ofelectrocardiographs
IEC 60601-2-27: 2005Medical electrical equipment -- Part 2-27:Particular requirements for the safety,including essential performance, ofelectrocardiographic monitoringequipment. (Cardiovascular)
IEC 60601-2-49:2001Medical electrical equipment --- Part 2-49:Particular requirements for the safety ofmultifunction patient monitoring equipment
ISO14971:2007Medical devices-Application of riskmanagement to medical devices
2AlarmIEC60601-1-8 2006Medical electrical equipment - Part 1-8:General requirements for safety - Collateralstandard: General requirements, tests andguidance for alarm systems in medicalelectrical equipment and medical electricalsystems
3NIBPAAMI SP 10:2002Electronic or AutomatedSphygmomanometers
EN1060-1:1995Non-invasive sphygmomanometers - Part 1:General requirements
EN1060-3:1997Non-invasive sphygmomanometers - Part 3supplementary requirements for
EN1060-4: 2004Non-invasive sphygmomanometers - Part 4:Test procedures to determine the overallsystem accuracy of automated non-invasivesphygmomanometers.
IEC60601-2-30:1999Medical Electrical Equipment-Part 2-30:Particular requirements for safety ofautomatic cycling indirect blood pressuremonitoring equipment.
5SpO2EN 865:1997ISO 9919:2005Pulse oximeters, Particular requirementsMedical electrical equipment -- Part 2-34:Particular requirements for the basic safetyand essential performance of pulse oximetersequipment for medical use
6TemperatureASTM E1112:2000ASTM E1104-03EN 12470-4:2000Electronic thermometer for intermittentdetermination of patient temperatureStandard Specification for ClinicalThermometer Probe Covers and SheathsClinical thermometers-Part 4: Performance ofelectrical thermometers for continuousmeasurement.
7ECGMeasurementANSI/AAMIEC11:1991/(R)2001AAMI/ANSI EC13:2002/(R)2007ANSI/AAMI EC12:2000/(R) 2005AAMI EC53/(R) 2001Diagnostic electrocardiographic devicesCardiac monitors, heart rate meters, andalarmsDisposable ECG electrodesECG cables and leadwires. (Cardiovascular)
8EMCIEC60601-1-2:2007Medical Electrical Equipment-Part1-2:General Requirements for Safety -2.Collateral Standard-Electromagneticcompatibility - Requirements and tests
IEC61000-3-2Harmonic Emission
IEC61000-3-3Voltage Fluctuations/Flicker Emission
IEC61000-4-2Electrostatic Discharge (ESD)
IEC61000-4-3Radiated RF electromagnetic field
IEC61000-4-4Electrical fast Transient/Burst (EFT)
IEC61000-4-5Surge current
IEC61000-4-6Conducted disturbances, induced by RF field
IEC61000-4-8Power frequency (50/60Hz) Magnetic field
IEC61000-4-11Voltage dips, short interruptions, and voltagevariation on power supply input lines
CISPR 11, EN55011RF emissions
9BiocompatibilityISO10993-1Biological evaluation of medical devices -
Part 1: Evaluation and testing
15010993-2Biological evaluation of medical devices -
Part 5: Tests for In Vitro cytotoxicity.
ISO10993-10Biological evaluation of medical devices -
Part 10: Tests for irritation and delayed-type
hypersensitivity
10LabelingEN1041:1998Terminology, symbols and information
provided with medical devices - information
supplied by the manufacturer with medical
devices.
11MarkingIEC60878, EN980,Graphical Symbols for use in the labeling of
ISO7000, EN60417-1,Medical Devices
EN60417-2
12PackageISTA: Pre-Shipment TestPre-Shipment Test Procedures (Package)
Procedures
(Procedure 1A, 1994
Rev.)
13ReliabilityiIEC60068-2-1Environmental testing - Part 2-1: Tests - Test
A: Cold
IEC60068-2-2Environmental testing - Part 2-2: Tests - Test
B: Dry heat
IEC 60068-2-6Environmental testing - Part 2-6: Tests - Test
Fc: Vibration (sinusoidal)
IEC 60068-2-27Environmental testing - Part 2-27: Tests - Te
st Ea and guidance: Shock
IEC60068-2-30Environmental testing- Part 2-30: Tests - Tes
t Db: Damp heat, cyclic
IEC 60068-2-64Environmental testing - Part 2-64: Tests - Te
st Fh: Vibration, broadband random and guid
ance

.

1

:

:

s

、、 .

35 of 866

.

Page 1 / 3

:

{8}------------------------------------------------

K100394
p9/12

··············································································································································································

{9}------------------------------------------------

K100394
p10/12


.


{10}------------------------------------------------

·m (GeostationsOr ±5 bpm (Campa20~250bpn3bpm ({------------------------------------------------------------------------------------------------------------------------------------------------------------------------------aleUlleeange-PulPulse rate accurar
AND AND A CLASS OF A
AND of the first of the country of can and other free for the first for for------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Or ±5 bpm (Campar±3bpm (Geostationa20~250bpm------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Note: Because the same NELLCOR SPO2 module and the sensors and cables are used in PM-9000 EXPRESS PATIENT MONITOR (K053234 Alarm
(bpm)

the Characteristics are same

dictive 6. Tempera

ature (Predictive & Monitor)
CharacteristicsSubject DeviceClaimed SE Device 510(K) No.
Name and modelPMS8210A Multi-parameter Patient MonitorPM-9000 EXPRESS PATIENT MONITOR (K053234)
Temperature parameterOptional parameterOptional parameter
Patient typeAdult, Pediatric & NeonateAdult, Pediatric & Neonate
Unit of measure°C & °F°C & °F
Measurement siteOral, Rectal & AxillaryOral, Rectal & Axillary
Temperature measurementrange0°C50°C (32122°F)0°C50°C (32122°F)
Temperature measurementaccuracy±0.1°C (±0.2°F)±0.1°C (±0.2°F)
ASTM E1112:00ASTM E1112:00
Probe cross contaminationcontrolSingle useSingle use
Disposable coverDisposable cover

38 of 866

Page 5 of 5

{11}------------------------------------------------

    1. Safety and Performance Data :
      Please refer to the Declaration of Conformity for the comprehensive list of testing performed on the PMS8210A Multi-parameter Patient Monitor. The PMS8210A has undergone Third Party safety testing in accordance with IEC standards and completed performance testing in accordance with IEC standards. In that this device has software of Moderate concern; the appropriate level of Software evaluation was performed.

8. Conclusions:

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the information provided in this premarket notification Shanghai 3F Electronics Co., Ltd. concludes that the Patient Monitor, Model PMS8210A, is safe and effective and substantially equivalent to predicate devices as described herein.

    1. Shanghai 3F Electronics Co., Ltd.will update and include in a summary any other information deemed seasonably necessary by the FDA.
      END

{12}------------------------------------------------

Image /page/12/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-066-0609 Silver Spring, MD 20993-0002

APR 1 5 2010

Shanghai 3F Electronics Co., Ltd. c/o Mr. Charles Mack Principal Engineer International Regulatory Consultants (IRC) 77325 Joyce Way Echo, OR 97826

Re: K100394

Trade/Device Name: PMS8210A (IRIS) Multi-parameter Patient Monitor Regulatory Number: 21 CFR 870.2300 Regulation Name: Physiological Patient Monitor (without arrhythmia detection or alarms) Regulatory Class: II (two) Product Code: 74 MWI Dated: February 7, 2010 Received: February 16, 2010

Dear Mr. Mack:

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 (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. The general controls provisions of the Act include requirements for annual registration. Iisting of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

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.

:

{13}------------------------------------------------

Page 2 - Mr. Charles Mack

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 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportalProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely vo

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{14}------------------------------------------------

Indications for Use

Indications for Use

510(k) Number (if known):

Device Name: PMS8210A (IRIS) Multi-parameter Patient Monitor

Indications for Use:

The PMS8210A Multi Parameter Patient Monitor is a multi-parameters monitor used on human patients. The target populations are adult, pediatric and neonatal patients. The PMS8210A Patient Monitor has certain features and functions.

になってきましたができ

The patient parameters that can be monitored by PMS8210A Patient Monitor are: ECG(3-lead or 5-lead selectable), Heart Rate(HR), Pulse Rate(PR), Respiration Rate(RESP), Non-invasive Blood Pressure (NIBP), Arterial Hemoglobin Oxygen Saturation(SpO2) and Temperature (TEMP). Its design allows the operator to adjust the settings of parameter alarms that audibly and visually notify the operator when an excursion occurs.

The PMS8210A Patient Monitor is intended for use in a health care facility setting. It is intended for use by qualified medical personnel trained in the use of the equipment.

The PMS8210A Patient Monitor is not recommended for use in a patient's home or residence, or when it has not been ordered by a physician.

Prescription Use __

AND/OR

Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________

(Part 21 CFR 801 Subpart D)

(21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

W. M

510(k) Number

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Cardiovascular Devices

27 of 866

Page 1 of 1

§ 870.2300 Cardiac monitor (including cardiotachometer and rate alarm).

(a)
Identification. A cardiac monitor (including cardiotachometer and rate alarm) is a device used to measure the heart rate from an analog signal produced by an electrocardiograph, vectorcardiograph, or blood pressure monitor. This device may sound an alarm when the heart rate falls outside preset upper and lower limits.(b)
Classification. Class II (performance standards).