(259 days)
Not Found
No
The description mentions a digital signal processor performing filtering, pulse rate, and saturation calculations, and noise reduction using algorithms, but does not mention AI or ML.
No
The device is a monitoring device that provides diagnostic information (SpO2 and pulse rate), but it does not treat or alleviate a disease or condition. While the information it provides can be used to guide therapeutic interventions, the device itself is not therapeutic.
Yes
The device is intended to provide continuous, non-invasive monitoring of functional arterial oxygen saturation and pulse rate, which are physiological parameters used to assess a patient's health status and aid in diagnosis.
No
The device description explicitly states it is a "Module" consisting of a "dual microprocessor based data acquisition system" and mentions "firmware" for both microprocessors, indicating it includes hardware components beyond just software.
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 these samples outside of the body.
- Device Function: The Model 509M Pulse Oximeter is a non-invasive device that measures functional arterial oxygen saturation and pulse rate directly on the patient's body (e.g., finger or toe). It does not analyze samples taken from the body.
- Intended Use: The intended use clearly states "continuous, non-invasive monitoring... in neonatal, pediatric and adult patients". This aligns with a patient-monitoring device, not an in vitro diagnostic test.
Therefore, the Model 509M Pulse Oximeter falls under the category of a medical device used for patient monitoring, not an in vitro diagnostic device.
N/A
Intended Use / Indications for Use
The Model 509M Pulse Oximeter is intended to provide continuous, non-invasive monitoring of functional arterial oxygen saturation and pulse rate in neonatal, pediatric and adult patients during both no motion and motion conditions and for patients who are well or poorly perfused in hospital, hospital-type facilities and intra-hospital transport environments such as the operating room, emergency department and intensive care units.
Product codes (comma separated list FDA assigned to the subject device)
DQA, DPZ
Device Description
The Model 509M Pulse Oximeter Module is designed for continuous, non-invasive monitoring of the functional oxygen saturation of arterial hemoglobin (SpO₂) and pulse rate. Oxygen saturation is measured with ratiometric technique using red and infrared absorbance of oxy- and deoxyhemoglobin and pulse rate is measured using the time between successive pulses. The O2 saturation sensors are already legally marketed as accessories to the Model 2001 monitor. The Model 509M displays digital values of SpO₂ and pulse rate and transmits these values as well as the plethysmogram to a Philips Monitoring System via the VueLink Interface. The Model 509M module consists of a dual microprocessor based data acquisition system that measures oxygen saturation data. The firmware for the primary microprocessor is responsible for handling the user interface and communications with external devices via VueLink interface. The firmware for the second microprocessor, a digital signal processor, performs the filtering, pulse rate and saturation calculations of the algorithms which analyze the incoming signals and perform noise reduction on that signal when the presence of noise is detected.
The Model 509M is powered by an external DC power supply. Audible and visual alarms for high/low saturation and pulse rate are available. Visual alerts are provided as a status for highlow outdren and Philips monitor's display (providing the alarms on the Philips dipslay are not disabled) The Model 509M also includes a temporary (2 minute) and diseay are not alsublour, he other configurable settings. The Model 2001 Pulse Oximeter has visual indicators for pulse error conditions, and alarm silence.
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
neonatal, pediatric and adult patients
Intended User / Care Setting
The Model 509M Pulse Oximeter and its sensors are intended to be used by trained operators when pulse oximetry monitoring is required in the judgement of a physician.
in hospital, hospital-type facilities and intra-hospital transport environments such as the operating room, emergency department and intensive care units.
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)
Not Found
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.
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
§ 870.2700 Oximeter.
(a)
Identification. An oximeter is a device used to transmit radiation at a known wavelength(s) through blood and to measure the blood oxygen saturation based on the amount of reflected or scattered radiation. It may be used alone or in conjunction with a fiberoptic oximeter catheter.(b)
Classification. Class II (performance standards).
0
MAY 2 1 2004
510(K) SUMMARY
December 15, 2003
Applicant's Name and Address a.
Respironics Novametrix, Inc. 5 Technology Drive Wallingford, CT 06492
b. Contact Person
Michael J. Malis Q.A. and Regulatory Manager (203) 697-6442 (203) 284-0753 (facsimile)
- Name of Device ပ
| Device Names (Proprietary/Trade Names): | Model 509M Pulse Oximeter |
|---|---|
| Device Name (Common Name): | Pulse Oximeter |
| Classification: | Class II, 21 C.F.R. 870.2700 |
| 74DQA/74 DPZ |
Equivalent Devices d.
Substantial equivalence to the following legally marketed predicate devices with the same or similar indications for use has been demonstrated by a comparison of product features as described in the labeling and promotional literature for the Model 509M, as well as testing to accepted industry standards. In addition, inter-device comparison studies were conducted to establish the Model 509Ms accuracy and to ensure that the sensors meet their currently published accuracy specifications with the Model 2001. The predicate device is as follows:
Device Description e.
The Model 509M Pulse Oximeter Module is designed for continuous, non-invasive monitoring of the functional oxygen saturation of arterial hemoglobin (SpO₂) and pulse rate. Oxygen saturation is measured with ratiometric technique using red and infrared absorbance of oxy- and deoxyhemoglobin and pulse rate is measured using the time between successive pulses. The O2 saturation sensors are already legally marketed as accessories to the Model 2001 monitor. The Model 509M displays digital values of SpO₂ and pulse rate and transmits these values as well as the plethysmogram to a Philips Monitoring System via the VueLink Interface. The Model 509M module consists of a dual microprocessor based data acquisition system that measures oxygen saturation data. The firmware for the primary microprocessor is responsible for handling the user interface and communications with external devices via VueLink interface. The firmware for the second microprocessor, a digital signal processor, performs the filtering, pulse rate and saturation calculations of the algorithms which analyze the incoming signals and perform noise reduction on that signal when the presence of noise is detected.
1
The Model 509M is powered by an external DC power supply. Audible and visual alarms for high/low saturation and pulse rate are available. Visual alerts are provided as a status for highlow outdren and Philips monitor's display (providing the alarms on the Philips dipslay are not disabled) The Model 509M also includes a temporary (2 minute) and diseay are not alsublour, he other configurable settings. The Model 2001 Pulse Oximeter has visual indicators for pulse error conditions, and alarm silence.
Intended Use f.
The Model 509M Pulse Oximeter is intended to provide continuous, non-invasive monitoring of functional arterial oxygen saturation and pulse rate in neonatal, pediatric and adult patients during both no motion and motion conditions and for patients who are well or poorly perfused in hospital, hospital-type facilities and intra-hospital transport environments such as the operating room, emergency department and intensive care units. The Model 509M Pulse Oximeter and its sensors are intended to be used by trained operators when pulse oximetry monitoring is required in the judgement of a physician. The intended use, patient population and environments of use are the same or similar to the predicate device, the Novametrix Model 2001.
g. Technological Characteristics
The Model 509M Pulse Oximeter measures functional oxygen saturation and pulse rate with sensors that contain red and infrared light sources. Since oxygen saturated blood absorbs different amounts of light at each wavelength (red and infrared) as compared with unsaturated blood, the amount of light absorbed at each wavelength by the blood in each pulse can be used to calculate oxygen saturation. The light energy from red and infrared LEDs is beamed through a sample cell- a pulsating vascular bed, the patient's finger or toe for example. The remaining light energy not absorbed by the sample cell reaches a photodiode, on the opposing side of the sensor. The signal received by the photodiode is split into its red and infrared components, sampled, software filtered, processed using proprietary algorithms and displayed as a numerical value for functional oxygen saturation and as a waveform, the plethysmogram.
The Model 509M uses the identical SpO2 and pulse rate software algorithm to process the information from the sensor as the predicate device, Model 2001 Pulse Oximeter, cleared under K993979 and K000794.
h. Certification Statement
In accordance with the requirements of 21 CFR 807.87(j), the following certification is provided:
Respironics Novametrix, Inc. believes that all data and information submitted in this notice are truthful and accurate and no material fact has been omitted.
Michael Means
Michael J. Malis Q.A. and Regulatory Manager
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Image /page/2/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 design featuring three abstract human figures, possibly representing individuals or families, with flowing lines suggesting movement or connection.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
MAY 21 2004
Mr. Kevin Mader Manager of Quality Assurance and Regulatory Affairs Respironics Novametrix, Inc. 5 Technology Drive Wallingford, Connecticut 06492
Re: K032755
Trade/Device Name: Modcl 509M Pulse Oximeter Regulation Number: 21 CFR 870.2700 Regulation Name: Oximeter Regulatory Class: Class II Product Codc: DQA, DPZ Dated: April 15, 2004 Received: April 19, 2004
Dear Mr. Mader:
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 Amerouse over and 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 approvisions 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 such additional controls. Existing major regulations affecting (1 NET), to may of each 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
3
Page 2 -- Mr. Kevin Mader
and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice and hoting (21 CF R Part 807), as ality systems (QS) regulation (21 CFR Part 820); and if requirements us bet form in all ation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
21 CFX 1000-1050.
This letter will allow you to begin marketing your device as described in your Section 510(k) This letter wifi are n you ve organ 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), If you desire specific at not to research (301) 594-4646. 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 from the Inter State State 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 yours,
Ches Chiu Lin, Ph.D.
Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
4
510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________ K032755
Model 509M Pulse Oximeter Device Name: _________________________________________________________________________________________________________________________________________________________________
Indications For Usc:
The Model 509M Pulse Oximeter is intended to provide continuous, non-invasive monitoring The Model 505M F alse Oxinced is intended to protein neonatal, pediatric and adult patients of functional artenal oxygen saturation and for patients who are well or poorly perfused dultrig both no motion and motion ochalities and intra-hospital transport environments such as the in nospital, noopkar type for department and intensive care units.
Prescription Use_X (Part 21 CFR 801 Subpart D) AND/OR
Over-The-Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Söng Hams 5/20/2004
esthesiology, General Hospital, Infection Control. Dental Devices
510(k) Number: K032755