K Number
K103336
Manufacturer
Date Cleared
2011-04-13

(149 days)

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

The MPS450 Multiparameter Simulator is an electronic signal source for determining that patient monitors are performing within their operating specifications. The MPS450 provides the following function categories: ECG Functions Arrhythmia Functions ECG-Performance Testing Respiration Blood Pressure Temperature Cardiac Output (Optional) Fetal/Maternal ECG & IUP (Optional)

Device Description

Fluke Biomedical's MPS450 Multiparameter Simulator (hereafter referred to as the MPS450) provides a basis to train, evaluate, and perform preventive maintenance for virtually all patient monitors found in the healthcare industry. This is accomplished with multiple physiological simulations for ECG, blood pressure, respiration, temperature, artifact, and arrhythmia conditions. The MPS450 is a lightweight, battery powered unit that is portable enough to test a patient monitor anywhere the monitor is being used.

AI/ML Overview

The provided document describes the Fluke Biomedical MPS450 Multiparameter Simulator, a device intended to test the operation of patient monitors by simulating various physiological parameters. The submission focuses on demonstrating substantial equivalence to a predicate device, the MedSim300B.

Here's an analysis of the acceptance criteria and the study that proves the device meets them, based on the provided text:

Acceptance Criteria and Reported Device Performance

The acceptance criteria for the MPS450 are implicitly defined by comparing its performance specifications to those of the predicate device, the MedSim300B. The differences highlight where the MPS450 either meets or exceeds the predicate's capabilities or where features were deemed "not needed by customers."

Feature/ParameterAcceptance Criteria (Predicate - MedSim300B)Reported Device Performance (MPS450)Notes
Physical Characteristics
ConstructionAluminum casePlastic caseMPS450 is Lighter.
Size10 L x 7 W x 3 H inches7.5 L x 6 W x 2 H inchesMPS450 is Smaller.
Weight3.55 lbs1 lbs 8 ozMPS450 is Lighter.
Display2 by 24 character LCD4 by 20 character LCDMPS450 has More lines on display.
High level ECG connection¼" standard phone jack w/ lead II waveform at .2V/mV of ECG lead II signal0.2 V/mV +/- 5% of the ECG amplitude setting available on the BP3 connectorDifferent type of connector – same functionality.
Battery testYes, 8.4V or 9V, low battery signal if < 6.2VNoNot needed by customers in MPS450 ("nice to have, but not Must have feature").
Lead testYesNoNot a needed feature on MPS450.
Functional Operation - ECG Simulation
Lead configuration12 leads12 LeadsNone.
Output impedances500 to 2000ohms to RL500 to 2000ohms to RLNone.
Amplitude accuracy+/- 5%, 2Hz @ 1.0 mV p-p SQ wave Lead II+/- 2% setting lead IIMPS450 is More accurate.
NSR rates30 to 300 bpm30 to 300 bpmNone.
NSR amplitudes50 uV to 5.5mV50 uV to 5.5mVNone.
ST Segments-0.8 to + 0.8 mV-0.8 to + 0.8 mVNone.
Axis deviationNormal, horizontal and verticalNoFeature not needed by end-user customers.
Pediatric ECGYes, R Wave width reduced to 40 msYes, R Wave width reduced to 40 msNone.
Functional Operation - Performance Testing
Square wave2 Hz2 Hz, 0.125 Hz2 selections rather than 1 in MPS450.
Pulse4.0 sec.60msFaster pulse in MPS450.
Sine wavesVarious -0.05 to 1000 HzVarious -0.5 to 100 HzOnly narrower range of sine waves needed in MPS450.
Triangle wave2 Hz2 Hz and 2.5Hz2 selections in MPS450.
R Wave detectorYesYesNone.
Pacemaker0.1 to 2.0 msec pulse duration, -700 to +700 mV pulse amplitude0.1 to 2.0 msec pulse duration, -10 to +10 mV pulse amplitudePacer pulse amplitude lower for MPS450-testing at lower level than MedSim300.
Premature beat insertionYes, PVC, PNC or PACYes, PVC, PNC or PACNone.
Functional Operation - Respiration Simulation
Normal baseline impedances500 to 2000 ohms ref. to RL500 to 2000 ohms ref. to RLNone.
Lead selectionsI, II, and RL-LLLA or LLReference ECG leads only 2 choices in MPS450.
Impedance variation0, 0.1, 0.2, 0.5, 1.0, and 3.0 ohms0.2, 0.5, 1.0, and 3.0 ohmsSimplified selection of Impedance variables in MPS450.
Respiration rates15, 20, 30, 40, 60, 120 brpm15, 20, 30, 40, 60, 80, 100, 120 brpmAdded 80 and 100 brpm in MPS450.
ApneaOff, continuous, momentary, 12 & 32 sOff, continuous, momentary, 12, 22 & 32 sAdded 22 second Apnea in MPS450.
Functional Operation - Cardiac Output
Catheter sizeFixed, 7F injectate vol. 10 ccFixed, 7F injectate vol. 10 ccNone.
Blood temperatures36.0 to 38.0C; and user programmable37.0Single selection for temp. of blood in cardiac output.
Injectate tempChilled (2C)Chilled (0C) or 24 C2 selections for injectate temp.
Fixed blood flow rate3, 5, 7 L/min2.5, 5, 10 L/minSelection of blood flow rates widened in MPS450.
CurvesNormal, interrupt, slow, L/R shuntNormal, faulty and L/R shuntDifferent curves for simulating different cardiac flow conditions in MPS450.
Output trend1 normal, 2 defectiveNo.Feature not needed by customers in MPS450.
Functional Operation - Blood Pressure
I/O impedance300 ohms300 ohmsNone.
Exciter range2 to 16 V/DC to 4 kHz2 to 16 V/DC to 5kHzHigher frequency in MPS450.
Transducer Sensitivity5 or 40 uV/V/mmHg5 or 40 uV/V/mmHgNone.
Level accuracy+/- 1% full scale; +/- 1mmHg+/- (2% setting + 2mmHg)Different ranges on MPS450 resulted in different accuracy specification.
Static pres. selectionManual and automaticManualOnly Manual in MPS450.
BP selections - DynamicArterial, left and right ventricle, pulmonary artery, pulmonary wedge, Swan-GanzArterial, Radial artery, left and right ventricle, pulmonary artery, pulmonary wedge, right atrium, left atrium and Swan-GanzMore BP simulation types in MPS450.
BP selections - Static-10, -5, 0, 20, 30, 40, 80, 100, 200, 250, 300 mmHg-10, -5, 0, 20, 40, 50, 60, 80, 100, 150, 160, 200, 240, 320 and 400 mmHgMore static IBP pressures simulated in MPS450.
BP cable connectorDIN styleMini-DINDifferent connector uses different set of IBP cables – mini-DIN is smaller, but DIN style is more rugged.
Functional Operation - Temperature Simulation
Temperature points34, 37, 40C0, 24, 37 and 40CAdditional temp simulation points in MPS450.
Dynamic trendsHypothermia, spike and hyperthermiaNoFeature not implemented in MPS450 – not useful to end user customers.
Probe compatibilitySeries 400 and 700Series 400 and 700None.
Temp cable connectorDIN StyleMini-DinDifferent connector uses different set of IBP cables – mini-DIN is smaller, but DIN style is more rugged.

Study Information:

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

    • The document states "Laboratory studies have been conducted with a representative patient monitor to verify and validate the MPS450 will perform within its' published specifications."
    • It also mentions "The MPS450 software has been successfully validated to confirm the performance of the device."
    • However, specific numbers for the sample size of "patient monitors" or detailed data provenance (e.g., country of origin, retrospective/prospective) are not provided. The studies are described as "Non-Clinical Test Data" and were conducted in a laboratory setting.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • This information is not provided. As "non-clinical test data" performed in a laboratory, the "ground truth" would likely be established by comparing the MPS450's output against known, highly accurate reference signals or measurements from calibrated laboratory equipment, rather than expert human interpretation.
  3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

    • This information is not provided. Given the nature of a simulator, the "adjudication" would be a technical verification process against defined specifications, not a consensus-based method typically seen in image interpretation or diagnostic studies.
  4. 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:

    • No, an MRMC comparative effectiveness study was not done. This type of study relates to AI-assisted human performance in diagnostic tasks, which is not applicable to a device like the MPS450, designed as a simulator for equipment testing. The MPS450 does not involve "human readers" or "AI assistance" in the diagnostic sense.
  5. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:

    • Yes, a standalone performance evaluation was done. The "Non-Clinical Test Data" section explicitly states: "Laboratory studies have been conducted with a representative patient monitor to verify and validate the MPS450 will perform within its' published specifications" and "The MPS450 software has been successfully validated to confirm the performance of the device." This describes the device's inherent functional performance without human intervention in the signal generation process.
  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    • The ground truth for this device would be established by known, precise electrical and physiological signal characteristics generated by the simulator itself and verified against highly accurate measurement equipment. It's a technical "ground truth" based on physics and engineering specifications, not clinical outcomes or expert labels.
  7. The sample size for the training set:

    • This device is a simulator, not an AI/machine learning algorithm that requires a "training set" in the conventional sense. Therefore, the concept of a training set sample size is not applicable. The device's "training" refers to its design, programming, and rigorous testing against engineering specifications.
  8. How the ground truth for the training set was established:

    • As explained above, there is no "training set" in the context of machine learning. The device's "ground truth" is based on the fundamental electronic and physiological parameters it is designed to simulate, which are derived from established medical and engineering standards. Its performance is verified against these standards in laboratory testing.

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K103336

FLUKE.
Biomedical

Section III -510(k) Summary of Safety and Effectiveness

APR :1 3: 2011

Submitter:

Fluke Biomedical 6920 Seaway Blvd Everett WA. 98203 (440) 498-2579 -Phone (440-349-2307) - Fax John Nelson -Contact Person

Device Name:

  • Trade Name MPS450 Multiparameter Simulator
  • Common Name -Simulator
  • Classification Name Cardiac monitor (including cardiotachometer and rate alarm), per 21 CFR & 870.2300
  • Product Codes -DRT

Devices for Which Substantial Equivalence is Claimed:

  • MedSim300B

Device Description:

Principles of Operation

Fluke Biomedical's MPS450 Multiparameter Simulator (hereafter referred to as the MPS450) provides a basis to train, evaluate, and perform preventive maintenance for virtually all patient monitors found in the healthcare industry. This is accomplished with multiple physiological simulations for ECG, blood pressure, respiration, temperature, artifact, and arrhythmia conditions. The MPS450 is a lightweight, battery powered unit that is portable enough to test a patient monitor anywhere the monitor is being used.

Technological Characteristics

The MPS450 consists of the following components:

    1. Printed Circuit Board Assemblies using surface mount components and firmware loaded in embedded processors.
  1. Plastic injection molded case parts.
    1. Liquid Crystal Display for user interface.
  1. Two 9 V alkaline batteries for portable operation, giving user flexibility and portability.

Intended Use of the Device:

The MPS450 Multiparameter Simulator is an electronic signal source for determining that patient monitors are performing within their operating specifications.

The MPS450 provides the following function categories:

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FLUKE
Biomedical

ECG Functions Arrhythmia Functions ECG-Performance Testing Respiration Blood Pressure Temperature Cardiac Output (Optional) Fetal/Maternal ECG & IUP (Optional)

The intended user is a trained bioment technician, who is performing periodic preventative maintenance checks on patient monitors in service. Users can be associated with Hospitals, clinics, original equipment manufacturers, and independent service companies that repair and service medical equipment. The end user is a technically trained individual, specializing in medical instrumentation technology.

MPS450 is intended to be used in the laboratory environment and is not intended for use on patients, or to test devices while connected to patients.

This device is not to replace clinical testing of waveform detecting devices such as patient monitors.

MPS450 is intended for over-the counter use.

Summary of Technological Characteristics:

MPS450 is substantially equivalent to another legally marketed device in the United States. MPS450 functions in a manner similar to and is intended for the same use as MedSim300B that is currently marketed by Fluke Biomedical.

FeaturesMPS450MedSim 300B(K935817)Difference
Intended UseTo test operation ofpatient monitors bysimulating physiologicalparameters, including:ECG, respiration, bloodpressure, temperatureand cardiac outputTo test operation ofpatient monitors bysimulating physiologicalparameters, including:ECG, respiration, bloodpressure, temperatureand cardiac outputNone
Device Description
Physical characteristics.
constructionPlastic caseAluminum caseLighter
Size7.5 L x 6 W x 2 Hinches10 L x 7 W x 3 H inchesSmaller
Weight1lbs 8 oz3.55 lbsLighter
Operating panelcharacteristics
Display4 by 20 character LCD2 by 24 character LCDMore lines on display ofMPS450
ECG leads10 binding posts;compatible w/disposable snaps, 3.2mm or 4.0 mmelectrodes, and bananaplugs.10 binding posts;compatible w/disposable snaps, 3.2mm or 4.0 mmelectrodes, and bananaplugs.None
High level ECG0.2 V/mV +/- 5% of theECG amplitude settingavailable on the BP3connector¼" standard phone jackw/ lead II waveform at.2V/mV of ECG lead IIsignal. Use w/ analoginput, high level, centralstation monitors orrecordersDifferent type ofconnector- samefunctionality
BP Channels4 independent BPchannels w/ sensitivitycontrol (5 or 40uV/V/mmHg); cableinterface w/ monitors4 independent BPchannels w/ sensitivitycontrol (5 or 40uV/V/mmHg); cableinterface w/ monitorsNone
RespirationBaseline Impedance(500 - 2000) control;lead select controlBaseline Impedance(500 - 2000) control;lead select controlNone
TemperatureYes, fixed temp. probeselect control (400 or700 YSI) series probesYes, fixed or variabletemp. probe selectcontrol (400 or 700 YSI)series probesFixed temp probe useonly for MPS450
Cardiac outputYes, cable connect w/monitorYes, cable connect w/monitorNone
RS -232 portYesYesNone
Battery testNoYes, 8.4V or 9V, lowbattery signal if < 6.2VNot needed bycustomers in MPS 450-a "nice to have, but notMust have feature"
Lead testNoYesSame as above- not aneeded feature on MPS450
Function Key controlYesYesNone
Power2 X 9V alkalinebatteries w/ low batteryindicator; or batteryeliminator (115VAC)transformer certified toCSA C22.2. 231 series2 X 9V alkaline batteriesw/ low battery indicator;or battery eliminator(115VAC) transformercertified to CSA C22.2.231 series M89)None

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, -

Functional Operation
ECG simulation
Lead configuration12 Leads12 leadsNone
Output impedances500 to 2000ohms to RL500 to 2000ohms to RLNone
Amplitude accuracy+/- 2% setting lead II+/- 5%, 2Hz @ 1.0 mVp-p SQ wave Lead IIMore accurate in MPS450
NSR rates30 to 300 bpm30 to 300 bpmNone
NSR amplitudes50 uV to 5.5mV50 uV to 5.5mVNone
ST Segments-0.8 to + 0.8 mV-0.8 to + 0.8 mVNone
Axis deviationNoNormal, horizontal andverticalFeature not needed byend-user customers
Pediatric ECGYes, R Wave widthreduced to 40 msYes, R Wave widthreduced to 40 msNone

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Performance testing
Square wave2 Hz, 0.125 Hz2 Hz2 selections rather than 1 in MPS 450
Pulse60ms4.0 sec.Faster pulse in MPS450
Sine wavesVarious -0.5 to 100 HzVarious -0.05 to 1000 HzOnly narrower range of sine waves needed in MPS450
Triangle wave2 Hz and 2.5Hz2 Hz2 selections in MPS450
R Wave detectorYesYesNone
PacemakerYes, 0.1 to 2.0 msec pulse duration, -10 to +10 mV pulse amplitudeYes, 0.1 to 2.0 msec pulse duration, -700 to +700 mV pulse amplitudePacer pulse amplitude lower for MPS450-testing at lower level than Medsim300
Premature beat insertionYes, PVC, PNC or PACYes, PVC, PNC or PACNone
Cable connectorECG leads, 10 binding postingsECG leads, 10 binding postingsNone
Respiration simul.
Normal baseline impedances500 to 2000 ohms ref. to RL500 to 2000 ohms ref. to RLNone
Lead selectionsLA or LLI, II, and RL-LLReference ECG leads only 2 choices in MPS 450
Impedance variation0.2, 0.5, 1.0, and 3.0 ohms0, 0.1, 0.2, 0.5, 1.0, and 3.0 ohmsSimplified selection of Impedance variables in MPS450
Respiration rates15, 20, 30, 40, 60, 80, 100, 120 brpm15, 20, 30, 40, 60, 120 brpmAdded 80 and 100 brpm in MPS450
ApneaOff, continuous, momentary, 12, 22 & 32 sOff, continuous, momentary, 12 & 32 sAdded 22 second Apnea in MPS450
Cable connectorECG leads, binding postsECG leads, binding postsNone
Cardiac outputYesYesNone
Catheter sizeFixed, 7F injectate vol. 10 ccFixed, 7F injectate vol. 10 ccNone
Blood temperatures37.036.0 to 38.0C; and user programmableSingle selection for temp. of blood in cardiac output.
Injectate tempChilled (0C) or 24 CChilled (2C)2 selections for injectate temp.
Fixed blood flow rate2.5, 5, 10 L/min3, 5, 7 L/minSelection of blood flow rates widened in MPS 450
CurvesNormal, faulty and L/R shuntNormal, interrupt, slow, L/R shuntDifferent curves for simulating different cardiac flow conditions in MPS 450
Output trendNo.1 normal, 2 defectiveFeature not needed by customers in MPS450
Image: Fluke Biomedical logo
Bath/Injectate resistanceContinuously variable, 3pin standardContinuously variable, 3pin standardNone
Cable connector
- Blood tempAmerican Edward, 3 pinstandardAmerican Edward, 3 pinstandardNone
- Injectate TempAmerican Edward, 4 pinstandardAmerican Edward, 4 pinstandardNone
Blood pressure
I/O impedance300 ohms300 ohmsNone
Exciter range2 to 16 V/DC to 5kHz2 to 16 V/DC to 4 kHzHigher frequency inMPS450
Transducer Sensitivity5 or 40 uV/V/mmHg5 or 40 uV/V/mmHgNone
Level accuracy+/- (2% setting +2mmHg)+/- 1% full scale; +/-1mmHgDifferent ranges onMPS 450 resulted indifferent accuracyspecification
Static pres. SelectionManualManual and automaticOnly Manual inMPS450
BP selections
- DynamicArterial, Radial artery,left and right ventricle,pulmonary artery,pulmonary wedge, rightatrium, left atrium andSwan-GanzArterial, left and rightventricle, pulmonaryartery, pulmonarywedge, Swan-GanzMore BP simulationtypes in MPS450
- Static-10, -5, 0, 20, 40, 50, 60,80, 100, 150, 160, 200,240, 320 and 400mmHg-10, -5, 0, 20, 30, 40, 80,100, 200, 250, 300mmHgMore static IBPpressures simulated inMPS450
- Cable connectorMini-DINDIN styleDifferent connector usesdifferent set of IBPcables- mini-DIN issmaller, but DIN style ismore rugged.
Temperature SimulationMini-DINDIN StyleDifferent connector usesdifferent set of IBPcables-mini-DIN issmaller, but DIN style ismore rugged.
- Temperature0, 24, 37 and 40C34, 37, 40CAdditional tempsimulation points inMPS450
- Dynamic trendsNoHypothermia, spike andhyperthermiaFeature notimplemented inMPS450- not useful toend user customers.
Probe compatibilitySeries 400 and 700Series 400 and 700None
Cable connectorMini-DinDIN Style
DINdifferentcablesmallmore

. . . .

: : : : :

.

1

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edical

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ferent connector uses erent set of IBP les- mini-DIN is aller, but DIN style is re rugged:

Biomedical

Substantial Equivalence:

The MPS450 is substantially equivalent to one other legally marketed device in the United States. The MPS450 functions in a manner similar to and is intended for the same use as the MedSim300B manufactured by Fluke Biomedical.

The MPS450 is similar to the MedSim300B in that it is a cordless battery-operated device, uses LCD display, and allows user to simulate physiological parameters to verify the operation of patient monitors. The MPS450 differs from the MedSim300B in that the MPS450 is lighter, smaller does not contain a battery test feature, improved accuracy and a wider range of performance testing characteristics than the MedSim300B.

Non-Clinical Test Data:

Laboratory studies have been conducted with a representative patient monitor to verify and validate the MPS450 will perform within its' published specifications -Document: NPI-10292010-00002

The MPS450 software has been successfully validated to confirm the performance of the device. Document: NPI-10292010-00002 and NPI-11012010-00001

Clinical Test Data:

Clinical testing has not been conducted on this product.

Conclusion:

Based upon the laboratory studies, similar technological/performance characteristics as compared to the predicate device, and successful validation of the MPS450 software, the performance of the MPS450 is deemed to be substantially equivalent to the MedSim300B.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/6/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo features a stylized symbol resembling a person with outstretched arms, with three lines representing the body and arms. The symbol is enclosed within a circular border, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter of the circle.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Fluke Biomedical c/o Mr. John Nelson Director of Regulatory/Quality Affairs 6045 Cochran Rd. Solon, OH 44139

APR 1 3 2011

Re: K103336

Trade/Device Names: MPS450 Multiparameter Simulator Regulatory Number: 21 CFR 870.2300 Regulation Name: Cardiac Monitor (including Cardiotachometer and Rate Alarm) Regulatory Class: Class II (Two) Product Code: DRT Dated: March 24, 2011 Received: April 4, 2011

Dear Mr. Nelson:

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, listing 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.

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Page 2 – Mr. John Nelson

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 (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) 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/CDRH0ffices/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/ReportaProblem/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.hum.

Sincerely yours,

Bram D. Zuckerman, M.D.

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

Enclosure

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Indications for Use

510(k) Number (if known): K103336

Device Name: MPS450 Multiparameter Simulator

Indications for Use:

The MPS450 Multiparameter Simulator is an electronic signal source for determining that patient monitors are performing within their operating specifications.

The MPS450 provides the following function categories: .

ECG Functions Arrhythmia Functions ECG-Performance Testing Respiration Blood Pressure Temperature Cardiac Output (Optional) Fetal/Maternal ECG & IUP (Optional)

Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use X AND/OR . (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)000099
Division of Cardiovascular Devices
510(k) NumberK10 3336

§ 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).