K Number
K062194
Date Cleared
2007-04-11

(254 days)

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

The Central Monitoring System is intended to conduct centralized monitoring of adult, pediatric and neonatal vital sign information from multiple monitors in hospitals or medical institutions, the monitoring parameters include ECG, NIBP, SpO2, PR, RESP, IBP, TEMP, CO2 and AG. It is not intended for home use.

Device Description

Central Monitoring System is a kind of medical information system widely applied in clinical monitoring, whose operation requires specific hardware environment such as a PC platform, the PC and Operation System is dedicated. Depending on the specific hardware platform, the Central Monitor System constitutes a monitoring network system together with software, the Operation System and work together with bedside monitors. It can collect, and export the monitoring information of the patient transferred via network from the bedside monitor. It can also display and export the integrated information from bedside monitors so as to free-up doctors from clinical monitoring work and create centralized monitoring management.

The HYPERVISOR VI Central Monitoring System is a medical information system. This System includes a high-performance PC hardware system, the application software and Windows operation system (Windows XP). Through applying Mindray specified protocol, the Central Monitoring System obtains physiological information from cleared bedside monitors manufactured by Mindray, includes: PM-8000 Express, PM-9000 Express and VS-800.

The Central Monitoring System can maximally support the simultaneous networking of 32 bedside monitors. Also, TCP/IP protocol is applied to ensure reliable transmission of network data.

The Central Monitoring System offers centralized display of physiological information of many patients who are currently monitored simultaneously. The software can support two displays simultaneously, and can display information from up to 16 bedside monitors on a display and 32 bedside monitors on two displays simultaneously. And if any of the bedside monitors gives off alarm, prompt information will be immediately displayed by means of audible /words for medical personnel's attention.

The physiological waveforms displayed on the central monitoring system include to: ECG waveforms, RESP waveforms, CO2 waveforms, PLETH waveforms, IBP waveforms, and AG waveforms. The physiological parameters displayed on the central monitoring system include: HR, RR, SpO2, PR, SYS, DIA, MEAN, TEMP, CO2, AwRR.

Central Monitoring System makes an announcement for the physiological parameters based on the bedside monitor. The software also performs notification directly for alarms from the bedside monitor and triggers technical alarms for the error and failure of itself. Moreover database technology is applied to store these alarm events for the convenience of doctor's review and analysis.

AI/ML Overview

The provided text describes the HYPERVISOR VI Central Monitoring System and aims to demonstrate its substantial equivalence to a legally marketed predicate device. However, it does not contain the specific details required to fully address all parts of your request regarding acceptance criteria and a detailed study.

Here's what can be extracted and what information is missing:

1. Table of Acceptance Criteria and Reported Device Performance:

The document states that the conclusion drawn from testing and validation demonstrates the device is "as safe, as effective, and performs as well as the legally marketed predicate device, the M3150 Information Center (K#011093, by Agilent Co., Ltd)."

This implies that the acceptance criterion was substantial equivalence to the predicate device. However, the document does not specify quantifiable performance metrics or a detailed table of acceptance criteria used in the testing and validation, nor does it present specific performance data for the HYPERVISOR VI Central Monitoring System.

Missing Information: Specific numerical acceptance criteria (e.g., accuracy percentages, latency thresholds, alarm reliability rates) and the corresponding reported performance values from the study are not provided in this summary.

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

Missing Information: The document does not provide any information regarding the sample size used for the test set or the data provenance (e.g., country of origin, retrospective/prospective nature).

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

Missing Information: There is no mention of experts being used to establish a ground truth for a test set, nor their number or qualifications. This type of device (a central monitoring system displaying vital signs) would likely rely on direct comparison of displayed values to those from source monitors rather than expert interpretation for ground truth.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

Missing Information: No information about an adjudication method is provided.

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/Missing Information: This device is a central monitoring system for displaying vital signs, not an AI-assisted diagnostic tool for human readers. Therefore, an MRMC comparative effectiveness study would not be relevant in this context, and no such study is mentioned.

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

The device described is a "Central Monitoring System" which "collects, and exports the monitoring information of the patient transferred via network from the bedside monitor." It "offers centralized display of physiological information" and "makes an announcement for the physiological parameters based on the bedside monitor." This implies it operates in a standalone (algorithm only) capacity in terms of data collection, processing, and display, without a human-in-the-loop directly influencing its core function of data presentation from bedside monitors.

The "study" referenced in the "Conclusion" section ("The conclusions drawn from testing and validation...") would therefore refer to the performance of the system itself in accurately collecting, transmitting, displaying, and alarming based on the data received from the bedside monitors.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

Given the nature of the device as a central monitoring system for vital signs, the ground truth would most likely be established by direct comparison to the data generated by the source bedside monitors themselves. For example, comparing the heart rate displayed on the central monitor to the heart rate transmitted by the bedside monitor.

Missing Information: The document does not explicitly state the type of ground truth used.

8. The sample size for the training set:

Not Applicable/Missing Information: This device is a data display and management system, not a machine learning model that requires a "training set" in the traditional sense. It processes and displays existing physiological data.

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

Not Applicable/Missing Information: As above, the concept of a "training set" and its associated ground truth establishment is not relevant for this type of device according to the provided text.


Summary of available information regarding the "study" findings:

  • Study Goal: To demonstrate substantial equivalence of the HYPERVISOR VI Central Monitoring System to the Agilent Technologies Information Center (AIC) Software (K011093).
  • Methodology Hint: "Testing and validation" were performed.
  • Outcome/Conclusion: The device is "as safe, as effective, and performs as well as the legally marketed predicate device."
  • Key Differences noted (suggesting aspects compared):
    • M3150 (predicate) offers ST segment and arrhythmia analysis; HYPERVISOR VI does not.
    • M3150 offers Telemetry and wireless monitoring; HYPERVISOR VI does not.
    • PC requirements differ (OS, CPU).
    • Maximum number of connecting bedside monitors differs (HYPERVISOR VI: 32; M3150: 16).
  • Missing Details: Specific tests conducted, test protocols, numerical results, statistical analyses, or the detailed parameters measured during the "testing and validation" are not included in this 510(k) summary. The summary focuses on comparing technical specifications and overall intended use rather than detailed performance study results.

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510(K) SUMMARY

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR § 807.92.

The assigned 510(k) number is: K062194

APR 1 1 2007

Submitter:

Shenzhen Mindray Bio-medical Electronics Co., LTD Mindray Building, Keji 12th Road South, Hi-tech Industrial Park, Nanshan, Shenzhen, 518057, P. R. China Tel: +86 755 2658 2888 Fax: +86 755 2658 2680

  • Contact Person: .
    • Li Dongling

Shenzhen Mindray Bio-medical Electronics Co., LTD Mindray Building, Keji 12th Road South, Hi-tech Industrial Park, Nanshan, Shenzhen, 518057, P. R. China

  • Date Prepared: .
    July 14, 2006

Name of the device:

  • Trade/Proprietary Name: HYPERVISOR VI Central Monitoring System
  • Common Name: Central Monitoring System

. Classification

21 CFR 870.2300Cardiac monitor (including cardiotachometer and rate alarm)Class II
21 CFR 870.1130Non-Invasive blood pressure measurement SystemClass II
21 CFR 870.1110Blood pressure computerClass II
21 CFR 880.2910Clinical Electronic Thermometers -Temperature Monitor with ProbeClass II
21 CFR 870.2700Oximeter, PulseClass II
21 CFR 868.1400Carbon Dioxide Gas AnalyzerClass II
21 CFR 868.1720Oxygen Gas AnalyzerClass II

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062194

Legally Marketed Predicate Device:

Agilent Technologies Information Center (AIC) Software K011093

Description:

Central Monitoring System is a kind of medical information system widely applied in clinical monitoring, whose operation requires specific hardware environment such as a PC platform, the PC and Operation System is dedicated. Depending on the specific hardware platform, the Central Monitor System constitutes a monitoring network system together with software, the Operation System and work together with bedside monitors. It can collect, and export the monitoring information of the patient transferred via network from the bedside monitor. It can also display and export the integrated information from bedside monitors so as to free-up doctors from clinical monitoring work and create centralized monitoring management.

The HYPERVISOR VI Central Monitoring System is a medical information system. This System includes a high-performance PC hardware system, the application software and Windows operation system (Windows XP). Through applying Mindray specified protocol, the Central Monitoring System obtains physiological information from cleared bedside monitors manufactured by Mindray, includes: PM-8000 Express, PM-9000 Express and VS-800.

The Central Monitoring System can maximally support the simultaneous networking of 32 bedside monitors. Also, TCP/IP protocol is applied to ensure reliable transmission of network data.

The Central Monitoring System offers centralized display of physiological information of many patients who are currently monitored simultaneously. The software can support two displays simultaneously, and can display information from up to 16 bedside monitors on a display and 32 bedside monitors on two displays simultaneously. And if any of the bedside monitors gives off alarm, prompt information will be immediately displayed by means of audible /words for medical personnel's attention.

The physiological waveforms displayed on the central monitoring system include to: ECG waveforms, RESP waveforms, CO2 waveforms, PLETH waveforms, IBP waveforms, and AG waveforms. The physiological parameters displayed on the central monitoring system include: HR, RR, SpO2, PR, SYS, DIA, MEAN, TEMP, CO2, AwRR.

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K062194

Central Monitoring System makes an announcement for the physiological parameters based on the bedside monitor. The software also performs notification directly for alarms from the bedside monitor and triggers technical alarms for the error and failure of itself. Moreover database technology is applied to store these alarm events for the convenience of doctor's review and analysis.

Statement of intended Use:

The Central Monitoring System is intended to conduct centralized monitoring of adult, pediatric and neonatal vital sign information from multiple monitors in hospitals or medical institutions, the monitoring parameters include ECG, NIBP, SpO2. PR, RESP, IBP, TEMP, CO2 and AG. It is not intended for home use.

Comparison of Technological Characteristics:

The HYPERVISOR VI Central Monitoring System is substantially equivalent to currently marketed predicate device. Both HYPERVISOR VI Central Monitoring System and the M3150 predicate device free-up doctors from clinical monitoring work and create centralized monitoring management.

The notable difference between the technical specifications of the HYPERVISOR VI and M3150 is shown as following:

    1. M3150 predicate can be used for ST segment and arrhythmia analysis, while the Central Monitoring System can not.
    1. M3150 can be used for Telemetry and wireless monitoring, while Central Monitoring System can not;
    1. The PC basic requirement is different, such as the operation system for Central Monitoring System is Windows XP professional, while M3150 is Windows NT4.0; the host CPU of Central Monitoring System is PIV 2.0 G, while the M3150 is PII 400+MHz;
    1. For Central Monitoring System, the maximum number of connecting bedside monitors is 32, while for M3150, the number is 16.

Conclusion:

The conclusions drawn from testing and validation of the HYPERVISOR VI Central Monitoring System demonstrates that the device is as safe, as effective, and performs as well as the legally marketed predicate device, the M3150 Information Center (K#011093, by Agilent Co., Ltd).

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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle-like symbol with three curved lines representing the body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the symbol.

Public Health Service

ood and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 1 1 2007

Shenzhen Mindray Bio-Medical Electronics Co. Ltd. c/o Ms. Susan D. Goldstein-Falk Official Correspondent mdi Consultants, Inc. 55 Northern Blvd., Suite 200 Great Neck, New York 11021

Re: K062194

Trade/Device Name: Hypervisor VI Central Monitoring System Regulation Number: 21 CFR 870.1025 Regulation Name: Arrhythmia detector and alarm (including ST-segment measurement and alarm) Regulatory Class: Class II (two) Product Code: MHX Dated: March 9, 2007 Received: March 12, 2007

Dear Ms. Goldstein-Falk:

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.

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

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Page 2 - Ms. Susan D. Goldstein-Falk

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. 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 (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 Manufacturers, 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,

Blymmma 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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Attachment #

Exhibit #E

510(k) Number (if known): K062194 Page 1 of 1

Device Name: HYPERVISOR VI Central Monitoring System Indications For Use:

The Central Monitoring System is intended to conduct centralized monitoring of adult, pediatric and neonatal vital sign information from multiple monitors in hospitals or medical institutions, the monitoring parameters include ECG, NIBP, SpO2, PR, RESP, IBP, TEMP, CO2 and AG. It is not intended for home use.

Prescription Use X (Per 21 CFR 801 Subpart D) Over-The Counter Use OR (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)
Blummenauer

ular Devices

§ 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.