K Number

Device Name

DATEX-OHMEDA S/5 COMPACT CRITICAL CARE MONITOR WITH L-CICU05 AND L-CICU05A SOFTWARE

Manufacturer

GE HEALTHCARE

Date Cleared

2007-06-18

(69 days)

Product Code

MHX

Regulation Number

870.1025

Intended Use

The S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is indicated for monitoring of hemodynamic (including arrhythmia and ST-segment analysis), respiratory, ventilatory, gastrointestinal/regional perfusion, Bispectral index (BIS), and neurophysiological status of all hospital patients. The S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A software when using BIS is for monitoring the state of the brain by data acquisition and processing of electroencephalograph signals and may be used as an aid in monitoring the effects of certain anesthetic agents. The S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is indicated or use by qualified medical personnel only.

Device Description

The two software options for the S/5™ Compact Critical Care Monitor are identical, except that the L-CICU05A is equipped with extended arrhythmia analysis capability. The S/5™ Compact Critical Care Monitor with L-CICU05 and L CICU05A uses several types of plug-in measurement modules. The legacy Datex-Ohmeda M-series or E-series measurement modules are used. Modules are the subject of separate 510(k)'s and are not part of this notification. The S/5TM Compact Critical Care Monitor with L-CICU05 and L-CICU05A is typically furnished with a module that measures ECG, invasive and non-invasive blood pressures, pulse oximetry and temperature. Modules are placed in the S/5™ Monitor frame and are automatically recognized by the monitor. The patient cables are connected to the module plug in jacks and then monitoring can begin. The S/5TM Compact Critical Care Monitor with L-CICU05 and L-CICU05A can display measurements in the form of numeric values, traces and trends. Audible and visual alarms are used to indicate patient status. The priority profile of an aların depends on the parameter. The S/5TM Compact Critical Care Monitor with L-CICU05 and L-CICU05A is operated by a keyboard. Typically pressing a key results in a pop up menu appearing on the screen. Selections can then be made easily from the menu using a unique ergonomically designed pointing device on the keyboard called a ComWheel™. The software L-CICU05 and L-CICU05A perform some module related tasks like arrhythmia analysis, ST values calculation, heart rate calculation, impedance and respiration rate calculation, energy expenditure calculation and EEG spectrum analysis evoked potential response averaging calculations. All the module communication is also handled in the main software. There are various optional types of keyboards, some are like standard keyboards and another is a hand-held Remote controller (K-CREMCO) which is still directly connected to the S/5™ Compact Critical Care Monitor via a long cord but provides more flexibility in controlling the monitor while the doctor or nurse is handling other patient care needs. To facilitate quick access to menus, a bar code reader is also supported, although the bar code reader is not manufactured anymore. The S/5TM Compact Critical Care Monitor can be in a stand-alone or networked configuration. If networked, measurements are sent to the network for central station or monitor-to-monitor viewing. Trends as well as the patient care documentation can be sent via a network to a central computer for archiving. Networking can be hardwired or wireless. The S/5 Compact Critical Care Monitor can also be upgraded to L-CICU05(A) software using the S/5 I...F.E. upgrade program that offers a means to continuously keeping products up-to-date, by upgrading modular anesthesia and critical care monitors and network products dating from back to 2000 to the latest S/S software level. Upgrading of modular monitors and network products is performed with one of the available U-LIFE upgrade kits. The kit includes all hardware and software components needed to make the monitor or network product compatible with the latest main software being delivered. The currently available U-LIFE upgrade kit codes for S/5 Compact Critical Care Monitor are: ULIFE4-00-03 with U-CICU05 and User's Guide ULIFE4-00-03 with U-CICU05A and User's Guide

More Information

Contact

Type

Center

Panel

Date Received

Product Code

Subsequent Product Codes

Applicant Name (Manufacturer)

Device Name

Decision

Street 1

Street 2

City

State

Country Code

ZIP

Postal Code

Class Advise Committee

SSP Indicator

Third Party Reviewed

Expedited Review

Predicate Devices

K022740

Reference Devices

Not Found

AI/ML (Artificial Intelligence / Machine Learning)

No
The document describes standard signal processing and calculation functions for physiological parameters, with no mention of AI or ML techniques.

Therapeutic

No
The device is a critical care monitor that measures and displays patient physiological data. It does not provide any therapy or treatment.

Diagnostic

Yes

The "Intended Use / Indications for Use" section states that the device is "indicated for monitoring of hemodynamic (including arrhythmia and ST-segment analysis), respiratory, ventilatory, gastrointestinal/regional perfusion, Bispectral index (BIS), and neurophysiological status of all hospital patients." It also mentions "monitoring the state of the brain by data acquisition and processing of electroencephalograph signals and may be used as an aid in monitoring the effects of certain anesthetic agents." This indicates the device is used to diagnose or assist in the diagnosis of patient conditions based on the collected physiological data.

SaMD (Software as a Medical Device)

The device description explicitly states that the software is used with the S/5™ Compact Critical Care Monitor frame and utilizes plug-in measurement modules, patient cables, a keyboard, and potentially a remote controller and barcode reader. These are all hardware components. The software is an integral part of a larger hardware system.

IVD (In Vitro Diagnostic)

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

Here's why:

Intended Use: The intended use describes monitoring various physiological parameters of patients (hemodynamic, respiratory, neurological, etc.). This involves directly measuring signals from the patient's body.
Device Description: The device description details a patient monitor that uses plug-in modules to acquire physiological data through patient cables connected to the body. It processes these signals to display values, traces, and trends.
Lack of IVD Characteristics: An IVD device is intended for use in vitro (outside the body) to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device does not perform such tests on specimens.

The device is a patient monitor used for real-time physiological monitoring of patients, which is distinct from an in vitro diagnostic device.

PCCP (Predetermined Change Control Plan) Authorized

N/A

Overview

Intended Use / Indications for Use

Intended Use:

The S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A is intended for multiparameter patient monitoring with optional patient care documentation.

Indications for use:

The S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A software when using BIS is for monitoring the state of the brain by data acquisition and processing of electroencephalograph signals and may be used as an aid in monitoring the effects of certain anesthetic agents.

The S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is indicated for use by qualified medical personnel only.

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

MHX, MLD, DSF

Device Description

The two software options for the S/5™ Compact Critical Care Monitor are identical, except that the L-CICU05A is equipped with extended arrhythmia analysis capability.

The S/5™ Compact Critical Care Monitor with L-CICU05 and L CICU05A uses several types of plug-in measurement modules. The legacy Datex-Ohmeda M-series or E-series measurement modules are used. Modules are the subject of separate 510(k)'s and are not part of this notification.

The S/5TM Compact Critical Care Monitor with L-CICU05 and L-CICU05A is typically furnished with a module that measures ECG, invasive and non-invasive blood pressures, pulse oximetry and temperature. Modules are placed in the S/5™ Monitor frame and are automatically recognized by the monitor. The patient cables are connected to the module plug in jacks and then monitoring can begin.

The S/5TM Compact Critical Care Monitor with L-CICU05 and L-CICU05A can display measurements in the form of numeric values, traces and trends. Audible and visual alarms are used to indicate patient status. The priority profile of an aların depends on the parameter.

The S/5TM Compact Critical Care Monitor with L-CICU05 and L-CICU05A is operated by a keyboard. Typically pressing a key results in a pop up menu appearing on the screen. Selections can then be made easily from the menu using a unique ergonomically designed pointing device on the keyboard called a ComWheel™.

The software L-CICU05 and L-CICU05A perform some module related tasks like arrhythmia analysis, ST values calculation, heart rate calculation, impedance and respiration rate calculation, energy expenditure calculation and EEG spectrum analysis evoked potential response averaging calculations. All the module communication is also handled in the main software.

There are various optional types of keyboards, some are like standard keyboards and another is a hand-held Remote controller (K-CREMCO) which is still directly connected to the S/5™ Compact Critical Care Monitor via a long cord but provides more flexibility in controlling the monitor while the doctor or nurse is handling other patient care needs. To facilitate quick access to menus, a bar code reader is also supported, although the bar code reader is not manufactured anymore. The S/5TM Compact Critical Care Monitor can be in a stand-alone or networked configuration. If networked, measurements are sent to the network for central station or monitor-to-monitor viewing. Trends as well as the patient care documentation can be sent via a network to a central computer for archiving. Networking can be hardwired or wireless.

The S/5 Compact Critical Care Monitor can also be upgraded to L-CICU05(A) software using the S/5 I...F.E. upgrade program that offers a means to continuously keeping products up-to-date, by upgrading modular anesthesia and critical care monitors and network products dating from back to 2000 to the latest S/S software level. Upgrading of modular monitors and network products is performed with one of the available U-LIFE upgrade kits. The kit includes all hardware and software components needed to make the monitor or network product compatible with the latest main software being delivered. The currently available U-LIFE upgrade kit codes for S/5 Compact Critical Care Monitor are:

ULIFE4-00-03 with U-CICU05 and User's Guide
ULIFE4-00-03 with U-CICU05A and User's Guide

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

all hospital patients.

Intended User / Care Setting

qualified medical personnel only.

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 Datex-Ohmeda S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A Software has been assessed against the standards below and details of conformity are presented in the attached 510(k) notification. The device has been thoroughly tested through validation and verification of specifications.

IEC 60601-1:1988+ Amdt.:1:1991 + Amdt. 2:1995 .
EN 60601-1: 1990 + A1:1993+A2:1995+A13:1996 .
CAN/CSA-C22.2 No.601.1-M90 +S1:1994+Amdt. 2:1998 .
IEC 60601-2-27:1994/EN 60601-2-27:1994 .
IEC 60601-2-30:1999/EN 60601-2-30:2000 .
IEC 60601-2-34:2001/EN 60601-2-34:2000 .
IEC 60601-2-40:1998 ●
IEC 60601-2-49:2001 .
IEC 60601-1-2(2001)/EN 60601-1-2 .
IEC 60601-1-4: 1996+Amdt. 1:1999/EN 60601-1-4 .
ISO 9918:1993/EN 864:1996 .
ISO 9919:1992/EN865:1997 ●
ISO 7767:1997/EN12598:1999 .
IEC 601-2-10:1987/EN 60601-2-10:2000 + Amd.1:2001 .
IEC 60601-2-26:2002/EN60601-2-26 .
EN 1060-1:1995 / EN-1060-3:1997 .
. EN 12470-4:1992
IEC 60068-2 .
UL 2601-1.1997 .
ANSI/AAMI ES-1:1993 .
ANSI/AAMI EC57:1998 .
FDA 21 CFR 898.12 .

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.

K022740

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

Regulation Number and Section

§ 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.

Summary

JUN 1 8 2007

Premarket Notification 510(k) Summary As required by section 807.92 Datex-Ohmeda S/5TM Compact Critical Care Monitor with L-CICU05 and L-CICU05A Software

GENERAL COMPANY INFORMATION as required by 807.92(a)(1)

COMPANY NAME/ADDRESS/PHONE/FAX:

GE Healthcare 86 Pilgrim Road Needham, MA 02492 USA Tel: 781-449-8685 Fax: 781-433-1344

NAME OF CONTACT:

Mr. Joel Kent

DATE:

March 30, 2007

DEVICE NAME as required by 807.92(a)(2)

TRADE NAME:

Datex-Ohmeda S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A Software

COMMON NAME:

Patient Monitor

CLASSIFICATION NAME:

The following Class II classification appears applicable:

Product Code	Classification Name	CFR Section
MHX	Arrhythmia detector & alarm	870.1025
MLD	Monitor ST-segment & alarm	870.1025
DSF	Paper Chart Recorder	870.2810

NAME OF LEGALLY MARKETED DEVICE FOR WHICH A CLAIM OF SUBSTANTIAL EQUIVALENCE IS MADE as required by 807.92(a)(3)

The Datex-Ohmeda S/5TM Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is substantially equivalent to the predicate Datex-Ohmeda S/5™ Compact Critical Care Monitor with L-CICU02 and L-CICU02A software (K022740).

DEVICE DESCRIPTION as required by 807.92(a)(4)

The two software options for the S/5™ Compact Critical Care Monitor are identical, except that the L-CICU05A is equipped with extended arrhythmia analysis capability.

ULIFE4-00-03 with U-CICU05 and User's Guide ULIFE4-00-03 with U-CICU05A and User's Guide

INTENDED USE as required by 807.92(a)(5)

Intended Use:

The S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A is intended for multiparameter patient monitoring with optional patient care documentation.

Indications for use:

The S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is indicated for use by qualified medical personnel only.

SUMMARY OF TECHNOLOGICAL CHARACTERITICS OF DEVICE COMPARED TO THE PREDICATE DEVICE as required by 807.92(a)(6)

The Datex-Ohmeda S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is substantially equivalent to the predicate Datex-Ohmeda S/5TM Compact Critical Care Monitor with L-CICU02 and L-CICU02A software (K022740). The S/57M Compact Critical Care Monitor with L-CICU05and L-CICU05A is a modular multiparameter patient monitor providing connections to measurement modules. The general construction, intended use of the S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A are the same as for the predicate S/57M Compact Critical Care Monitor with L-CICU02 and L-CICU02A software (K022740). The indications for use for the Datex-Ohmeda S/5TM Compact Critical Care Monitor with L-CICU05 and L-CICU05A software are the same as for the predicate. The S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is indicated for monitoring of hemodynamic (including arrhythmia and ST-segment analysis), respiratory, ventilatory, gastrointestinal/regional perfusion, Bispectral index (BIS) and neurophysiological status of all hospital patients. The S/5TM Compact Critical Care Monitor with L-CICU05 and L-CICU05A software when using B1S is for monitoring the state of the brain by data acquisition and processing of electroencephalograph signals and may be used as an aid in monitoring the effects of certain anesthetic agents. The S/5TM Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is indicated for use by qualified medical personnel only. Based on the above and a detailed analysis in Tab 5 Comparison and other documentation

included in this 510(k) notification and attachments it is evident that the main features and indications for use of the S/5TM Compact Critical Care Monitor with

L-CICU05 and L-CICU05A software is substantially equivalent to the predicate S/5™ Compact Critical Care Monitor with L-CICU02 and L-CICU02A software (K022740).

SUMMARY OF NONCLINICAL TESTING FOR THE DEVICE and CONCLUSIONS as required by 807.92(b)(1)(3)

IEC 60601-1:1988+ Amdt.:1:1991 + Amdt. 2:1995 .
EN 60601-1: 1990 + A1:1993+A2:1995+A13:1996 .
CAN/CSA-C22.2 No.601.1-M90 +S1:1994+Amdt. 2:1998 .
IEC 60601-2-27:1994/EN 60601-2-27:1994 .
IEC 60601-2-30:1999/EN 60601-2-30:2000 .
IEC 60601-2-34:2001/EN 60601-2-34:2000 .
IEC 60601-2-40:1998 ●
IEC 60601-2-49:2001 .
IEC 60601-1-2(2001)/EN 60601-1-2 .
IEC 60601-1-4: 1996+Amdt. 1:1999/EN 60601-1-4 .
ISO 9918:1993/EN 864:1996 .
ISO 9919:1992/EN865:1997 ●
ISO 7767:1997/EN12598:1999 .
IEC 601-2-10:1987/EN 60601-2-10:2000 + Amd.1:2001 .
IEC 60601-2-26:2002/EN60601-2-26 .
EN 1060-1:1995 / EN-1060-3:1997 .
. EN 12470-4:1992
IEC 60068-2 .
UL 2601-1.1997 .
ANSI/AAMI ES-1:1993 .
ANSI/AAMI EC57:1998 .
FDA 21 CFR 898.12 .

CONCLUSION:

The summary above shows that the Datex-Ohmeda S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A Software is substantially equivalent in safety and effectiveness to the legally marketed (predicate) Datex-Ohmeda S/5™ Compact Critical Care Monitor with L-CICU02 and L-CICU02A software (K022740).

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of an eagle or bird with three curved lines representing its body and wings. The bird is facing to the right. Encircling the bird is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 1 8 2007

GE Healthcare c/o Mr. Joel C. Kent. RAC Manager, Quality and Regulatory Affairs 86 Pilgrim Road Needham, MA 02492

Re: K071020

Datex-Ohmeda S/5TM Compact Critical Care Monitor with L-CICU05 and CICU05A Software 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 21, 2007 Received: May 21, 2007

Dear Mr Kent:

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.

Page 2 - Mr. Joel C. Kent

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. 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.

Blfemmimara for

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

Indications for Use

510(k) Number (if known): _(07 1020

Device Name: Datex-Ohmeda S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A Software.

Indications for use:

The S/5™ Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is indicated or use by qualified medical personnel only.

cription Use Over-The-Counter Use AND/OR tt 21 CFR 801 Subpart D) (21 CFR 801 Subpart C) E.Do not write below this line-continue on another page of needed)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of 1

Bhammamo

(Division Sign-Off)
Division of Cardiovascular Devices
510(k) Number K071020