K Number
K062144
Manufacturer
Date Cleared
2006-10-12

(77 days)

Product Code
Regulation Number
870.1025
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Escort M8 Vital Signs Patient Monitor Model 3810 is intended for use as a vital signs monitor for adult and pediatric patients in a hospital setting.

Device Description

The Escort M8 Vital Signs Patient Monitor Model 3810 is a multiparameter patient monitor intended to monitor adult and pediatric patient vital signs for general hospital use. The Escort M8 contains the hardware and software needed to perform complex data gathering and signal processing tasks that allow it to produce accurate and reliable measurements of physiological parameters such as heart rate, ECG, non invasive blood pressure, temperature, respiration, SPO2, and capnometry (eTCO2 and FiCO2), provides arrhythmia detection and displays this information on an LCD display.

AI/ML Overview

The provided text describes the acceptance criteria and performance of the Escort M8 Vital Signs Patient Monitor Model 3810, which is a multiparameter patient monitor.

Here's the breakdown of the requested information:

1. Acceptance Criteria and Reported Device Performance

Note: The document primarily focuses on technical parameters and compliance with standards rather than clinical performance metrics like sensitivity/specificity for disease detection. The "Performance" is reported as Pass/Fail against specified requirements.

ParameterAcceptance CriteriaReported Device Performance
General
Electrical SafetyUL 60601-1:2003, IEC 60601-1-1:2000Pass
EMCIEC 60601-1-2Pass
BiocompatibilityISO 10993-1Pass
ShockIEC 60068-2-27Pass
VibrationIEC 60068-2-64Pass
Invasive Pressure Monitoring
Measurement range-10 to 300 mmHgPass
Measurement accuracy± 2 mmHg or ± 2%Pass
Heart Rate Range30 to 240 bpm.Pass
Heart Rate Accuracy± 4 bpmPass
Sensitivity5 uV/V/mmHgPass
StandardIEC 60601-2-34: 2000Pass
Capnometer
Accuracy 0 to 20 min (0-38 mmHg)± 4 mmHgPass
Accuracy 0 to 20 min (39-99 mmHg)± 12%Pass
Accuracy 20 min and up (0-38 mmHg)± 2 mmHgPass
Accuracy 20 min and up (39-99 mmHg)± 5% of reading +0.08% for every 1mmHg above 38 mmHgPass
Measurement Range0 to 99 mmHg ; 0 to 13.0 Vol%; 0 to 13.0 kPaPass
Flow Rate50ml per min.Pass
Respiration Rate0 to 150 bpmPass
Respiration Accuracy (0-70 bpm)± 1 bpmPass
Respiration Accuracy (71-120 bpm)± 2 bpmPass
Respiration Accuracy (121-150 bpm)± 3 bpmPass
StandardISO 21647:2004Pass
Transmitter and Receiver
FrequencySpread spectrum 902 to 928 MHzPass
TransmissionBidirectional with seamless auto-retryPass
FCC Licensing47 CFR Part 15Pass
Arrhythmia Detector and Alarm
Heart Rate Range15 to 300 bpm.Pass
Heart range accuracy± 2 bpm or ± 1%, whichever is greaterPass
Pacer rejectionRejects all pulses of amplitude ± 2mV to ± 700mV and duration 0.1 to 2 ms with no tailPass
Tall T-Wave rejection (Without Arrhythmia Option)Rejects all T-Waves less than or equal to 120% of 1mV QRS.Pass
Tall T-Wave rejection (With Arrhythmia Option)Rejects T-Waves less than or equal to 60% of 1mv QRS.Pass
Arrhythmia analysisAsystole, Couplets, Bigeminy, Trigminy, Ventricular Tachycardia, Ventricular Fibrillation, Ventricular Rhythm, Ventricular runs, Multi-focal PVC's, and R-on-T.Pass
StandardAAMI/ANSI EC 57: 1998Pass
Oximeter
Saturation Range1% to 100%Pass
Saturation Accuracy (70-100%, no motion)± 2 digitsPass
Saturation Accuracy (70-100%, motion)± 3 digitsPass
Saturation Accuracy (0-69%)unspecifiedPass
Saturation Resolution1%Pass
Pulse rate range25 to 240 BpmPass
Pulse rate accuracy (25-240, no motion)± 3 digitsPass
Pulse rate accuracy (25-240, motion)± 5 digitsPass
Pulse rate resolution1 BPMPass
Display
TypeColor Active Matrix TFT LCDPass
Size8.4 in./21.3 cm diagonalPass
Resolution640 x 480 pixelsPass
Number of Traces4 channelsPass

2. Sample size used for the test set and the data provenance

The document states: "Validation and Verification Testing confirmed that this device operates as designed and intended. The specifications for this device were verified in bench testing under simulated use conditions. Compliance to performance standards was confirmed by bench testing. This device was validated using patient simulators under simulated use conditions."

  • Sample size for test set: The document does not specify a numerical sample size for "patient simulators" or "simulated use conditions." It implies that various scenarios within the specified ranges for each parameter were tested.
  • Data provenance: The testing was conducted internally by the manufacturer (Invivo Corporation) as part of their validation and verification process. It's not explicitly stated if it's retrospective or prospective in detail, but standard bench and simulator validation is typically prospective for device approval. The "country of origin of the data" would implicitly be the USA, where the company is located.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

Not applicable. The ground truth for this type of vital signs monitor performance testing is based on the known, precise outputs of patient simulators and calibrated measurement equipment used in bench testing, not expert consensus on interpretations of medical data.

4. Adjudication method for the test set

Not applicable. As the testing relies on objective measurements against pre-defined technical specifications, there is no need for an adjudication method by human experts.

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

Not applicable. This is a vital signs patient monitor, not an AI-powered diagnostic imaging device that involves human readers interpreting cases. Therefore, an MRMC study comparing human reader performance with and without AI assistance is not relevant to this submission.

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

Yes, effectively. The performance testing described (bench testing, patient simulators) assesses the device's algorithmic and hardware performance independently of direct human interpretation, focusing on its ability to accurately measure and display vital signs. The "Pass/Fail" results reflect the standalone performance against the technical requirements.

7. The type of ground truth used

The ground truth used for performance validation is instrumentation-based and simulated, derived from patient simulators and calibrated test equipment. This refers to precisely controlled inputs (e.g., specific blood pressure values, heart rates, SpO2 levels) generated by simulators, against which the device's measurements are compared for accuracy and precision.

8. The sample size for the training set

Not applicable. This device is a physiological patient monitor, not an AI/ML device that requires a "training set" in the context of machine learning model development. Its functionality is based on established signal processing algorithms and hardware engineering, not a learned model from a large dataset.

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

Not applicable, as there is no "training set" in the context of this device.

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510K SUMMARY OF SAFETY AND EFFECTIVENESS FOR ESCORT M8 VITAL SIGNS PATIENT MONITOR MODEL 3810

1. Submitter Information:

Invivo Corporation 12601 Research Parkway Orlando, Fl 32826

0C7 1 2 2006

Contact Person:Rusty Kelly
Title:Quality Control Manager
Telephone No.:(407) 275-3220 Ext: 166
Fax No.:(407) 206-9568
Date Prepared:July 5, 2006

2. Device Name:

Classification Name: Monitor, cardiac (incl. Cardiotachometer and rate alarm)

Propietary Name: Escort M8 Vital Signs Patient Monitor Model 3810

DeviceProduct CodeCFR ReferenceClass
ECGDRT870.2300II
non invasive blood pressureDXN870.1130II
invasive blood pressureDSK870.1110II
temperatureFLL880.2910II
respirationBZQ868.2375II
SPO2 (Oximeter)DQA870.2700II
ETCO2 (Capnometer)CCK868.1400II
arrhythmia detectionMHX870.1025II
transmitter and receiverDRG870.2910II
recorderDSF870.2810II
displayDXJ870.2450II

Product Codes:

3. Device Description:

The Escort M8 Vital Signs Patient Monitor Model 3810 is a multiparameter patient monitor intended to monitor adult and pediatric patient vital signs for general hospital use. The Escort M8 contains the hardware and software needed to perform complex data gathering and signal processing tasks that allow it to produce accurate and reliable measurements of physiological parameters such as heart rate, ECG, non invasive blood pressure, temperature, respiration, SPO2, and capnometry (eTCO2 and FiCO2), provides arrhythmia detection and displays this information on an LCD display.

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4. Substantial Equivalence:

The Escort M8 Vital Signs Patient Monitor is substantially equivalent to the following devices:

Zoe Medical Nightingale Monitoring System510(k) K001775
Escort II + 400 Series (Escort Prism)510(k) K014294
Polaris 2004 Capnograph510(k) K040011
Masimo SET Radical Pulse Oximeter510(k) K992340
Datascope Passport 2 with View 12 ECG Analysis Module510(k) K020550

5. Indications for Use

The Escort M8 Vital Signs Patient Monitor is intended for use as a vital signs monitor for adult and pediatric patients in hospital settings.

6. Comparison to Predicate Devices

The Escort M8 Vital Signs Patient Monitor is a modification of the Zoe Medical Nightingale Monitoring System. This modification adds a capnometer, invasive blood pressure monitor, arrhythmia detector and alarm, strip chart recorder, replaces the existing oximeter, adds lead selectivity to ECG and increases the size of the display.

7. Technological Characteristics

A comparison of the technological characteristics of the Escort M8 Vital Signs Patient Monitor and the predicate devices has been performed. The results of this comparison demonstrate that the Escort M8 Vital Signs Patient Monitor is equivalent to the marketed predicate devices in technological characteristics.

8. Environmental and non-clinical testing

Applicable environmental and non-clinical testing was performed per UL60601 and IEC 60601-1-2 as well as other applicable standards and procedures. The Escort M8 Vital Signs Patient Monitor passed all tests.

9. Performance data

The performance data included in this submission to compare equivalency of the Escort M8 Vital Signs Patient Monitor with its predicate devices met the performance requirements for accuracy and precision and indicates substantial equivalence to the predicate devices. Equivalent performance in meeting user requirements was also determined.

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10. Summary of performance Testing

Validation and Verification Testing confirmed that this device operates as designed and intended. The specifications for this device were verified in bench testing under simulated use conditions. Compliance to performance standards was confirmed by bench testing.

This device was validated using patient simulators under simulated use conditions. The functional requirements and user needs of the Escort M8 Vital Signs Patient Monitor were verified to have been met.

General

ParameterRequirementPass/Fail
Electrical SafetyUL 60601-1:2003, IEC 60601-1-1:2000Pass
EMCIEC 60601-1-2Pass
BiocompatibilityISO 10993-1Pass
ShockIEC 60068-2-27Pass
VibrationIEC 60068-2-64Pass

Invasive Pressure Monitoring

ParameterRequirementPass/Fail
Measurement range-10 to 300 mmHgPass
Measurement accuracy± 2 mmHg or ± 2%Pass
Heart Rate Range30 to 240 bpm.Pass
Heart Rate Accuracy± 4 bpmPass
Sensitivity5 uV/V/mmHgPass
StandardIEC 60601-2-34: 2000Pass

Capnometer

ParameterRequirementPass/Fail
Accuracy 0 to 20 min0 to 38 mmHg: $\pm$ 4 mmHgPass
39 to 99 mmHg: $\pm$ 12%
Accuracy 20 min and up0 to 38 mmHg: $\pm$ 2 mmHgPass
39 to 99 mmHg: $\pm$ 5% of reading +0.08% for
every 1mmHg above 38 mmHg
Measurement Range0 to 99 mmHg ; 0 to 13.0 Vol%; 0 to 13.0 kPaPass
Flow Rate50ml per min.Pass
Respiration Rate0 to 150 bpmPass
Respiration Accuracy0 to 70 bpm : $\pm$ 1 bpmPass
71 to 120 bpm $\pm$ 2 bpm
121 to150 bpm $\pm$ 3 bpm
StandardISO 21647:2004Pass

Transmitter and Receiver

ParameterRequirementPass/Fail
FrequencySpread spectrum 902 to 928 MHzPass
TransmissionBidirectional with seamless auto-retryPass
FCC Licensing47 CFR Part 15Pass

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Multiple Lead Selection on Cardiac Monitor

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eads
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State of the secure to the manage with a many of the comments of the comments of the contribution of the

The testing of AAMI/ANSI EC 13 will be completed prior to product release, testing still ongoing.

Arrhythmia Detector and Alarm

ParameterRequirementPass/Fail
Heart Rate Range15 to 300 bpm.Pass
Heart range accuracy$\pm$ 2 bpm or $\pm$ 1%, whichever is greaterPass
Pacer rejectionRejects all pulses of amplitude $\pm$ 2mV to $\pm$ 700mV and duration 0.1 to 2 ms with no tailPass
Tall T-Wave rejectionWithout Arrhythmia Option: Rejects all T-Waves less than or equal to 120% of 1mV QRS. With Arrhythmia Option: Rejects T-Waves less than or equal to 60% of 1mv QRS.Pass
Arrhythmia analysisAsystole, Couplets, Bigeminy, Trigminy, Ventricular Tachycardia, Ventricular Fibrillation, Ventricular Rhythm, Ventricular runs, Multi-focal PVC's, and R-on-T.Pass
StandardAAMI/ANSI EC 57: 1998Pass

Oximeter

ParameterRequirementPass/Fail
Saturation Range1% to 100%Pass
Saturation Accuracy70 to 100% ± 2 digits -no motionPass
70 to 100% ± 3 digits -motionPass
0 to 69% unspecifiedPass
Saturation Resolution1%Pass
Pulse rate range25 to 240 BpmPass
Pulse rate accuracy25 to 240 ± 3 digits -no motionPass
25 to 240 ± 5 digits -motionPass
Pulse rate resolution1 BPMPass

Display

ParameterRequirementPass/Fail
TypeColor Active Matrix TFT LCDPass
Size8.4 in./21.3 cm diagonalPass
Resolution640 x 480 pixelsPass
Number of Traces4 channelsPass

11. Quality System

This device is being designed and manufactured in a quality system that has been certified to EN 13485:2003 requirements, and conforms with the Medical Device Directive requirements found in the European Council Directive 93/42/EEC.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 1 2 2006

Invivo Corporation c/o Mr. Rusty Kelly Quality Control Manager 12601 Research Parkway Orlando, FL 32826

Re: K062144

Trade Name: Escort M8 Vital signs Patient Monitor, Model 3810 Regulation Number: 21 CFR 870.1025 Regulation Name: Physiological Patient Monitor (With Arrhythmia Detection or Alarm) Regulatory Class: Class II (two) Product Code: MHX, CCK, DSK, DRT, DQA Dated: July 26, 2006 Received: July 27, 2006

Dear Mr. Kelly:

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 such 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. Rusty Kelly

Please be advised that FDA's issuance of a substantial equivalence determination does not mean r lease be advisou that i bromination that your device complies with other requirements of the Act that I DA has made a acterimant administered by other Federal agencies. You must or any I cueral statutes and registements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set OF N Fart 807); moother (QS) regulation (21 CFR Part 820); and if applicable, the electronic form in the quality by systems (Sections 531-542 of the Act); 21 CFR 1000-1050. product raction of to begin marketing your device as described in your Section 510(k) I mis letter will and in your e FDA finding of substantial equivalence of your device to a legally prematication of the 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 rryou desire of Compliance at (240)276-0120. 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 Division of Small other general international and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

B. Ramimmar for

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

510K Number: K062144

Device Name: Escort M8 Vital Signs Patient Monitor Model 3810

Indications for Use: The Escort M8 Vital Signs Patient Monitor Model 3810 is intended for use as a vital signs monitor for adult and pediatric patients in a hospital setting.

Prescription Use J (21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Condurrence of CDRH, Office of Device Evaluation (ODE)

Blummemman
(Division Sign-Off)
Division of Cardiovascular Devices
510(k) Number K212144

Confidential

§ 870.1025 Arrhythmia detector and alarm (including ST-segment measurement and alarm).

(a)
Identification. The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to produce a visible or audible signal or alarm when atrial or ventricular arrhythmia, such as premature contraction or ventricular fibrillation, occurs.(b)
Classification. Class II (special controls). The guidance document entitled “Class II Special Controls Guidance Document: Arrhythmia Detector and Alarm” will serve as the special control. See § 870.1 for the availability of this guidance document.