K Number
K032252
Device Name
MODEL 120 SERIES MATERNAL/FETAL MONITOR
Date Cleared
2003-08-21

(30 days)

Product Code
Regulation Number
884.2740
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
- 1. Fetal Surveillance A Corometrics 120 Maternal/Fetal Monitoring System is used for non-invasive and invasive monitoring of the fetus during the antepartum period as well as throughout labor and delivery (i.e. fetal heart rate and uterine activity monitoring). Fetal movement detection and fetal heart rate alarm options (user selectable high/low and poor signal quality alarms) are available. ll Maternal Monitoring > A Corometrics 120 Maternal/Fetal Monitoring System is intended for monitoring maternal vital signs to help assess maternal well-being. The vital signs which can be measured with these monitor configurations are summarized as follows: NOTE: Maternal vital signs provided by the monitor should only be used as an adjunct in patient assessment in conjunction with clinical signs and symptoms. Blood Pressure: The monitor is intended for use in the non-invasive monitoring of maternal blood pressure (NBP). This monitor is not intended for use in the neonatal or pediatric blood pressure monitoring. Pulse Oximetry. The monitor is intended for use in the non-invasive monitoring of maternal functional oxygen saturation of arterial hemoglobin (MSpO2). Heart/Pulse Rate. The monitor is intended for use in the non-invasive monitoring of the maternal heart/pulse rate. Additionally, an MECG waveform "snapshot" may be displayed and printed. NOTE: Only the maximum configuration provides both maternal heart rate and pulse rate data.
Device Description
The 120 Maternal/Fetal Monitoring System consists of the following features/options that can be available in multiple configurations: - fetal heart rate (via Doppler Ultrasound of FECG) - maternal uterine activity (via intrauterine pressure catheter or tocotransducer - fetal movement detection - maternal non-invasive blood pressure (clinician prompted or automatic) - maternal pulse oximetry - maternal heart/pulse rate (MECG) and ECG waveform "snapshot"
More Information

Not Found

No
The document describes a standard maternal/fetal monitoring system with features like Doppler ultrasound, uterine activity monitoring, and maternal vital signs. There is no mention of AI, ML, or any advanced algorithms beyond basic signal processing and alarms. The performance studies focus on compliance with standards and comparison to a predicate device, not on the performance of an AI/ML model.

No.
A Corometrics 120 Maternal/Fetal Monitoring System is used for monitoring, not for providing therapy. It measures fetal heart rate, uterine activity, maternal vital signs (blood pressure, SpO2, heart/pulse rate), and detects fetal movement to assess maternal and fetal well-being, but it does not treat medical conditions.

Yes

This device monitors fetal heart rate, uterine activity, and maternal vital signs (blood pressure, pulse oximetry, heart/pulse rate) to assess maternal well-being and fetal status, which falls under diagnostic purposes. The statement "Maternal vital signs provided by the monitor should only be used as an adjunct in patient assessment in conjunction with clinical signs and symptoms" also implies its role in diagnosis.

No

The device description explicitly lists hardware components such as Doppler Ultrasound, intrauterine pressure catheter or tocotransducer, and components for maternal non-invasive blood pressure, pulse oximetry, and MECG. This indicates it is a hardware-based system with integrated software, not a software-only device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to examine specimens outside of the body.
  • Device Function: The Corometrics 120 Maternal/Fetal Monitoring System is used for monitoring physiological parameters directly from the patient (fetus and mother). This includes fetal heart rate, uterine activity, maternal blood pressure, pulse oximetry, and heart/pulse rate. These are all measurements taken in vivo (within the living body).
  • Lack of Specimen Analysis: The description does not mention the analysis of any biological specimens. The inputs are physiological signals obtained through non-invasive or invasive sensors applied to the patient.

Therefore, the device's function aligns with patient monitoring, not in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The 120 Maternal/Fetal Monitoring System is intended for monitoring fetal and maternal vital signs: fetal heart rate; optional fetal movement detection, FHR and UA alarms; maternal uterine activity; heart/pulse rate, blood pressure and %SpO2.

    1. Fetal Surveillance
      A Corometrics 120 Maternal/Fetal Monitoring System is used for non-invasive and invasive monitoring of the fetus during the antepartum period as well as throughout labor and delivery (i.e. fetal heart rate and uterine activity monitoring). Fetal movement detection and fetal heart rate alarm options (user selectable high/low and poor signal quality alarms) are available.

ll Maternal Monitoring

A Corometrics 120 Maternal/Fetal Monitoring System is intended for monitoring maternal vital signs to help assess maternal well-being. The vital signs which can be measured with these monitor configurations are summarized as follows:

NOTE: Maternal vital signs provided by the monitor should only be used as an adjunct in patient assessment in conjunction with clinical signs and symptoms.

Blood Pressure: The monitor is intended for use in the non-invasive monitoring of maternal blood pressure (NBP). This monitor is not intended for use in the neonatal or pediatric blood pressure monitoring.

Pulse Oximetry. The monitor is intended for use in the non-invasive monitoring of maternal functional oxygen saturation of arterial hemoglobin (MSpO2).

Heart/Pulse Rate. The monitor is intended for use in the non-invasive monitoring of the maternal heart/pulse rate. Additionally, an MECG waveform "snapshot" may be displayed and printed.

NOTE: Only the maximum configuration provides both maternal heart rate and pulse rate data.

Product codes (comma separated list FDA assigned to the subject device)

85 HGM

Device Description

The 120 Maternal/Fetal Monitoring System consists of the following features/options that can be available in multiple configurations:

  • fetal heart rate (via Doppler Ultrasound of FECG)
  • maternal uterine activity (via intrauterine pressure catheter or tocotransducer
  • fetal movement detection
  • maternal non-invasive blood pressure (clinician prompted or automatic)
  • maternal pulse oximetry
  • maternal heart/pulse rate (MECG) and ECG waveform "snapshot"

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The Model 120 Maternal/Fetal Monitor complies with the voluntary standards as detailed in Section 9 of this submission. The following quality assurance measures were applied to the development of the Model 120: Requirements specification review, Code inspections, Software and hardware testing, Safety testing, Environmental testing, Final validation.
The results of these measurements demonstrated that the Model 120 Maternal/Fetal Monitor (with Masimo SET Pulse Oximetry) is as safe, as effective, and performs as well as the predicate device.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K991739, K992238

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 884.2740 Perinatal monitoring system and accessories.

(a)
Identification. A perinatal monitoring system is a device used to show graphically the relationship between maternal labor and the fetal heart rate by means of combining and coordinating uterine contraction and fetal heart monitors with appropriate displays of the well-being of the fetus during pregnancy, labor, and delivery. This generic type of device may include any of the devices subject to §§ 884.2600, 884.2640, 884.2660, 884.2675, 884.2700, and 884.2720. This generic type of device may include the following accessories: Central monitoring system and remote repeaters, signal analysis and display equipment, patient and equipment supports, and component parts.(b)
Classification. Class II (performance standards).

0

AUG 2 1 2003

K032252
Page 1 of 1

510(k) Summary of Safety and Effectiveness

Date:July 21, 2003
Submitter:GE Medical Systems Information Technologies
4502 Woodland Corporate Boulevard
Tampa, FL 33614 USA
Contact Person:Melissa Robinson
Regulatory Affairs Specialist
GE Medical Systems Information Technologies
Phone: 813-887-2133
Fax: 813-887-2545
Device:
Trade Name:Corometrics Model 120 Maternal/Fetal Monitor
Common/Usual Name:Maternal/Fetal Monitor
Classification Names:21 CFR 884.2740 System, Monitoring, Perinatal
Predicate Devices:K991739 Corometrics Model 120 Maternal/Fetal Monitor
K992238 Masimo SET® Radical Pulse Oximeter and LNOP® series of
sensors and cables
Device Description:The 120 Maternal/Fetal Monitoring System consists of the following
features/options that can be available in multiple configurations:
fetal heart rate (via Doppler Ultrasound of FECG)maternal uterine activity (via intrauterine pressure catheter or
                tocotransducerfetal movement detectionmaternal non-invasive blood pressure (clinician prompted or
                automatic)maternal pulse oximetrymaternal heart/pulse rate (MECG) and ECG waveform "snapshot" |

| Intended Use: | The 120 Maternal/Fetal Monitoring System is intended for monitoring
fetal and maternal vital signs: fetal heart rate; optional fetal movement
detection, FHR and UA alarms; maternal uterine activity; heart/pulse
rate, blood pressure and %SpO2. |
| Technology: | The Corometrics Model 120 Maternal/Fetal Monitor employs the same
fundamental scientific technology as the predicate devices. |
| Test Summary: | The Model 120 Maternal/Fetal Monitor complies with the voluntary
standards as detailed in Section 9 of this submission. The following
quality assurance measures were applied to the development of the
Model 120: Requirements specification reviewCode inspectionsSoftware and hardware testingSafety testingEnvironmental testingFinal validation |
| Conclusion: | The results of these measurements demonstrated that the Model 120
Maternal/Fetal Monitor (with Masimo SET Pulse Oximetry) is as safe,
as effective, and performs as well as the predicate device. |

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with three curved lines above them, resembling a bird in flight. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 2 1 2003

Ms. Melissa Robinson Regulatory Affairs Specialist GE Medical Systems Information Technologies 4502 Woodland Corporate Blvd. TAMPA FL 33614

Re: K032252

Trade/Device Name: Corometrics Model 120 Maternal/Fetal Monitor Regulation Number: 21 CFR 884.2740 Regulation Name: Perinatal monitoring system with accessories

Regulatory Class: II Product Code: 85 HGM Dated: July 21, 2003 Received: July 22, 2003

Dear Ms. Robinson:

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.

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); 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.

2

This letter will allow you to begin marketing your device as described in your Section 510(k)

premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of the letter:

8xx.1xxx(301) 594-4591
876.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4616
884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx(301) 594-4616
892.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4654
Other(301) 594-4692

Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97) you may obtain. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers. International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely vours.

Nancy C. Brogdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

16032252 510(k) Number (if known):

Corometrics Model 120 Maternal/Fetal Monitoring System Device Name:

Indications For Use:

    1. Fetal Surveillance
      A Corometrics 120 Maternal/Fetal Monitoring System is used for non-invasive and invasive monitoring of the fetus during the antepartum period as well as throughout labor and delivery (i.e. fetal heart rate and uterine activity monitoring). Fetal movement detection and fetal heart rate alarm options (user selectable high/low and poor signal quality alarms) are available.

ll Maternal Monitoring

A Corometrics 120 Maternal/Fetal Monitoring System is intended for monitoring maternal vital signs to help assess maternal well-being. The vital signs which can be measured with these monitor configurations are summarized as follows:

NOTE: Maternal vital signs provided by the monitor should only be used as an adjunct in patient assessment in conjunction with clinical signs and symptoms.

Blood Pressure: The monitor is intended for use in the non-invasive monitoring of maternal blood pressure (NBP). This monitor is not intended for use in the neonatal or pediatric blood pressure monitoring.

Pulse Oximetry. The monitor is intended for use in the non-invasive monitoring of maternal functional oxygen saturation of arterial hemoglobin (MSpO2).

Heart/Pulse Rate. The monitor is intended for use in the non-invasive monitoring of the maternal heart/pulse rate. Additionally, an MECG waveform "snapshot" may be displayed and printed.

NOTE: Only the maximum configuration provides both maternal heart rate and pulse rate data.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use

A. Leymm

(Division Sign-O Division of Reproductive, Abdomina (Optional Format 1-2-96)