K Number
K070791
Date Cleared
2007-06-26

(96 days)

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

The PM Series Patient Monitors including models PM-9000 Express and PM-8000 Express are intended to be used for monitoring, recording, and alarming of multiple physiological parameters in health care facilities by qualified health care professionals trained in the use of the equipment.

The physiological parameters that can be monitored by PM-9000 Express Patient Monitor are: ECG(3-lead or 5-lead or 12-lead selectable), arrhythmia detection, ST Segment analysis, Heart Rate(HR), Respiration Rate(RESP), Non-invasive Blood Pressure (NIBP), Pulse Oxygen Saturation (SpO2), Temperature (TEMP), Invasive Blood Pressure(IBP), Pulse Rate(PR), Carbon Dioxide (CO2), and Anaesthetic Gases(AG).

The physiological parameters that can be monitored by PM-8000 Express Patient Monitor are: ECG(3-lead or 5-lead selectable), arrhythmia detection, ST Segment analysis, Heart Rate(HR), Respiration Rate(RESP), Non-invasive Blood Pressure (NIBP), Pulse Oxygen Saturation (SpO2), Temperature (TEMP), Invasive Blood Pressure(IBP) and Pulse Rate(PR) , and Carbon Dioxide (CO2).

Their design allows the operator to adjust the settings of parameter alarms that audibly and visually notify the operator when an excursion occurs.

The target populations are human patients ranged from adult to neonate with the exception of the arrhythmia detection and ST Segment analysis, for which the farget populations are adult and pediatric only.

The PM Series Patient Monitors are not intended for use in a patient's home or residence, or when it has not been ordered by a physician.

Device Description

The PM Series Patient Monitors including models PM-9000 Express are battery or line-powered patient monitors. The patient monitors acquire the physiological signals such as ECG, respiration (RESP), non-invasive blood pressure (NIBP), saturation of pulse oxygen (SpO2), temperature (TEMP), invasive pressure (IBP), carbon dioxide (CO) and anaesthetic gases (AG, PM-9000 Express only). These physiological signals are converted into digital data and processed. The monitors examine the data for alarm conditions and present them on the color TFT display. The monitors also provide advantageous operating control for the user. The optional built-in recorder, the optional CF memory card provides hard copies of all digital data and waveforms as well as tabular and graphic trend information, and storage the previous monitoring data information when power off accidentally.

AI/ML Overview

The provided document is a 510(k) summary for the PM Series Patient Monitors. It details the device's intended use, comparison to predicate devices, and testing performed. However, it does not contain a specific table of acceptance criteria with reported device performance or a detailed study description with the requested information (sample sizes, ground truth provenance, expert qualifications, adjudication, MRMC, or standalone performance).

The document broadly states that "Bench testing has been conducted to validate and verify that the PM Series Patient Monitors...meet all design specifications and are substantially equivalent to the predicate devices." It also mentions compliance with various standards, including:

  • ANSI/AAMI EC13-2002, "Cardiac monitors, heart rate meters, and alarms"
  • AAMI EC57-98, "Testing and Reporting Performance Results of Cardiac Rhythm and ST-Segment Measurement Algorithms"
  • ISO 21647-2005, "Medical electrical equipment - Particular requirements for the basic safety and essential performance of respiratory gas monitors"
  • ISO9919, IEC60601-1, IEC60601-1-1, IEC60601-1-2, IEC60601-1-4, IEC60601-2-27, IEC60601-2-30, and ISO14971.

Compliance with these standards implies that the device met the requirements outlined within those standards for various physiological parameters, but the specific acceptance criteria and performance data are not excerpted or summarized in this document.

Therefore, I cannot provide the detailed information requested in the format of the table below based on the given text.


1. A table of acceptance criteria and the reported device performance

  • Not available in the provided text. The document states that "Bench testing has been conducted to validate and verify that the PM Series Patient Monitors...meet all design specifications" and comply with various standards. However, the specific acceptance criteria (e.g., accuracy thresholds, sensitivity, specificity for arrhythmias) and the corresponding reported performance values are not detailed.

2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

  • Not available in the provided text. The document mentions "Bench testing" and "clinical and bench testing" but does not specify the sample sizes used for the test set or the provenance of the data (country, retrospective/prospective).

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

  • Not available in the provided text. The document does not describe how ground truth was established for the test set, nor does it mention the number or qualifications of any experts involved in this process.

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

  • Not available in the provided text. There is no information regarding any adjudication methods for establishing ground truth or evaluating the test set.

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/Not available in the provided text. This device is a patient monitor, not an AI software intended to assist human readers in interpreting medical images or data. No MRMC study or AI assistance effect size is mentioned. The device directly measures and processes physiological signals.

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

  • Partially applicable. The PM Series Patient Monitors operate as standalone devices to acquire, process, and display physiological signals, and generate alarms. Their "algorithm only" performance would be inherent to their function to meet the standards they claim compliance with (e.g., accuracy of ECG analysis, ST-segment measurement, arrhythmia detection). However, a specific "standalone study" with detailed metrics is not described beyond the general statement of "bench testing."

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

  • Not explicitly stated in the provided text. Given the nature of a patient monitor, ground truth would typically come from reference standards for physiological measurements (e.g., calibrated devices for NIBP, temperature; manually verified ECG rhythm analysis by cardiologists for arrhythmia detection). However, the document does not specify the method for establishing ground truth.

8. The sample size for the training set

  • Not applicable/Not available in the provided text. The document describes a patient monitor, not an AI/ML-based device that typically undergoes a distinct "training" phase with a large dataset. While the algorithms within the monitor might have been developed using data, a specific "training set" in the context of modern AI/ML development is not mentioned.

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

  • Not applicable/Not available in the provided text. For the reasons stated in point 8, this information is not provided.

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K070791
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510(K) SUMMARY JUN 2 6 2007

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

The assigned 510(k) number is: _______________________________________________________________________________________________________________________________________________

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:
    March 7, 2007

Name of the devices:

r

  • Trade/Proprietary Name: PM Series Patient Monitors (Including Models PM-9000 � Express and PM-8000 Express)
  • Common Name: Patient Monitor �

● Classification

21 CFR 870.1025Arrhythmia detector and alarm(including ST-segment measurement and alarm)Class II
21 CFR 870.1025Detector and Alarm, ArrhythmiaClass II
21 CFR 870.1025Monitor, ST Segment with AlarmClass II
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 -0035

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K070791
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Temperature Monitor with ProbeClass II
21 CFR 870.2700Oximeter, PulseClass II
21 CFR 870.2710Ear Oximeter, PulseClass II
21 CFR 868.1400Carbon Dioxide Gas AnalyzerClass II
21 CFR 868.1500Enflura ne gas analyzerClass II
21 CFR 868.1620Halothane gas analyzerClass II
21 CFR 868.1700Nitrous Oxide gas analyzerClass II
21 CFR 868.1720Oxygen gas analyzerClass II

Legally Marketed Predicate Devices:

    1. K#053234, PM-9000 Express Patient Monitor, SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD.
    1. K#032858, IntelliVue MP60 and MP70 Patient Monitors, Philips Co., Ltd.
  • 8000M SYSTEM, GENERAL ELECTRIC MEDICAL 3) K#012467, SOLAR SYSTEMS INFORMATION TECH.
    1. K#020550. Passport 2 Vital Signs Monitor with View 12 ECG Analysis Module, Datascope Corp.
  • PM-8000 EXPRESS PATIENT MONITOR, SHENZHEN MINDRAY 5) K#053193. BIO-MEDICAL ELECTRONICS CO., LTD.

Description:

The PM Series Patient Monitors including models PM-9000 Express are battery or line-powered patient monitors. The patient monitors acquire the physiological signals such as ECG, respiration (RESP), non-invasive blood pressure (NIBP), saturation of pulse oxygen (SpO2), temperature (TEMP), invasive pressure (IBP), carbon dioxide (CO) and anaesthetic gases (AG, PM-9000 Express only). These physiological signals are converted into digital data and processed. The monitors examine the data for alarm conditions and present them on the color TFT display. The monitors also provide advantageous operating control for the user. The optional built-in recorder, the optional CF memory card provides hard copies of all digital data and waveforms as well as tabular and graphic trend information, and storage the previous monitoring data information when power off accidentally.

Statement of intended Use:

The PM Series Patient Monitors including models PM-9000 Express are intended to be used for monitoring, recording, and alarming of multiple physiological parameters in health care facilities by qualified health care professionals trained in the use of the equipments.

The physiological parameters that can be monitored by PM-9000 Express Patient Monitor are:

0036
Page 2 of 4

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ECG(3-lead or 5-lead or 12-lead selectable), arrhythmia detection, ST Segment analysis, Heart Rate(HR), Respiration Rate(RESP), Non-invasive Blood Pressure (NIBP), Pulse Oxygen Saturation (SpO2), Temperature (TEMP), Invasive Blood Pressure(IBP), Pulse Rate(PR), Carbon Dioxide (CO2), and Anaesthetic Gases(AG).

The physiological parameters that can be monitored by PM-8000 Express Patient Monitor are: ECG(3-lead or 5-lead selectable), arrhythmia detection, ST Segment analysis, Heart Rate(HR), Respiration Rate(RESP), Non-invasive Blood Pressure (NIBP), Pulse Oxygen Saturation (SpO2), Temperature (TEMP), Invasive Blood Pressure(IBP) and Pulse Rate(PR), and Carbon Dioxide (CO2).

Their design allows the operator to adjust the settings of parameter alarms that audibly and visually notify the operator when an excursion occurs.

The target populations are human patients ranged from adult to neonate with the exception of the arrhythmia detection and ST segment analysis, for which the target populations are adult and pediatric only.

The PM Series Patient Monitors are not intended for use in a patient's home or residence, or when it has not been ordered by a physician.

Comparison of Technological Characteristics:

The modified devices are substantially equivalent to systems currently marketed predicate devices. The design, components, storage technology and energy source of the modified devices are similar to the predicate devices. Both the modified devices and the predicate devices provide a means for interfacing with a patient, collecting parameter specific physiological data, and processing the data for alarm generation and display of numeric values and waveforms on a bedside or central monitoring system. The parameters' specifications and technologies of the modified device are similar to the predicate devices.

The technological differences do not affect the safety or efficacy of the devices. Any safety issues that may be raised by software controlled medical devices are the same issues already addressed by the predicate devices and are addressed in the systems hazard analysis and in the system validation.

Testing:

Bench testing has been conducted to validate and verify that the PM Series Patient Monitors including models PM-9000 Express and PM-8000 Express meet all design specifications and are substantially equivalent to the predicate devices. The testing consisted of all environmental testing identified in the FDA's DCRND November 1993 "Reviewer Guidance Document for Premarket notification Submissions" Draft Guidance Document. Additional testing of ECG portion of the system has been performed to demonstrate compliance with the

Passion of C

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ANSI/AAMI EC13-2002, "Cardiac monitors, heart rate meters, and alarms" and AAMI EC57-98, "Testing and Reporting Performance Results of Cardiac Rhythm and ST-Segment Measurement Algorithms". Additional Testing of the Carbon Dioxide (CO2) portion of the system has been conducted according to the requirements outlined in the Standards ISO 21647-2005, "Medical electrical equipment - Particular requirements for the basic safety and essential performance of respiratory gas monitors".

Finally, a hazard analysis of the systems and their software have been performed and testing has been conducted to validate the systems overall operation. The PM Series Patient Monitors including models PM-9000 Express and PM-8000 Express have also been tested to assure compliance with the requirements of various published standards, including 1SO9919, IEC60601-1, IEC60601-1-1, IEC60601-1-2, IEC60601-1-4, IEC60601-2-27, IEC60601-2-30 and ISO14971, etc..

Conclusion:

The conclusions drawn from clinical and bench testing of the PM Series Patient Monitors including models PM-9000 Express and PM-8000 Express demonstrate that the devices are as safe, as effective, and performs as well as or better than the legally marketed predicate devices.

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Image /page/4/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular, with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. In the center of the seal is an abstract image of a bird-like figure with three lines representing the wings and a stylized head and body. The overall design is simple and clean, with a focus on the department's name and a symbolic representation of health and human services.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 2 6 2007

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

Re: K070791

PM Series Patient Monitors 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: May 30, 2007 Received: June 1, 2007

Dear Mr. Dongling:

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. Isting 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. Li Dongling

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 (OS) 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,

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):

Device Name: PM Series Patient Monitors

Indications for Use:

The PM Series Patient Monitors including models PM-9000 Express and PM-8000 Express are intended to be used for monitoring, recording, and alarming of multiple physiological parameters in health care facilities by qualified health care professionals trained in the use of the equipment.

The physiological parameters that can be monitored by PM-9000 Express Patient Monitor are: ECG(3-lead or 5-lead or 12-lead selectable), arrhythmia detection, ST Segment analysis, Heart Rate(HR), Respiration Rate(RESP), Non-invasive Blood Pressure (NIBP), Pulse Oxygen Saturation (SpO2), Temperature (TEMP), Invasive Blood Pressure(IBP), Pulse Rate(PR), Carbon Dioxide (CO2), and Anaesthetic Gases(AG).

The physiological parameters that can be monitored by PM-8000 Express Patient Monitor are: ECG(3-lead or 5-lead selectable), arrhythmia detection, ST Segment analysis, Heart Rate(HR), Respiration Rate(RESP), Non-invasive Blood Pressure (NIBP), Pulse Oxygen Saturation (SpO2), Temperature (TEMP), Invasive Blood Pressure(IBP) and Pulse Rate(PR) , and Carbon Dioxide (CO2).

Their design allows the operator to adjust the settings of parameter alarms that audibly and visually notify the operator when an excursion occurs.

The target populations are human patients ranged from adult to neonate with the exception of the arrhythmia detection and ST Segment analysis, for which the farget populations are adult and pediatric only.

The PM Series Patient Monitors are not intended for use in a patient's home or residence, or when it has not been ordered by a physician.

Prescription UseX (Part 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)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Cardiovascular Devices
510(k) NumberK0 7029
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0033

§ 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.