K Number
K072070
Device Name
PHILIPS MP2 AND X2 INTELLIVUE PATIENT MONITORS
Date Cleared
2007-08-10

(11 days)

Product Code
Regulation Number
870.1025
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Indicated for use by health care professionals whenever there is a need for monitoring and recording of, and to whenever enore 15 c, multiple physiological parameters of adults, gencrates and neonates in a hospital environment and during patient transport inside and outside of hospitals.
Device Description
The Philips MP2 and X2 IntelliVue Patient Monitors are devices for monitoring and recording of, and to generate alarms for, multiple physiological parameters. The modification adds the capability to function in transport environments outside of hospitals.
More Information

Not Found

No
The summary focuses on monitoring physiological parameters and extending transport capabilities, with no mention of AI/ML terms or related concepts like training/test sets for algorithmic performance.

No.
The device's intended use is for monitoring and recording physiological parameters and generating alarms, not for treating a disease or condition.

No
The device is described as a patient monitor for general physiological parameters and does not mention diagnosis. Its function is to monitor and record, and to generate alarms, rather than to identify or determine the nature of a disease or condition.

No

The device description explicitly states "The Philips MP2 and X2 IntelliVue Patient Monitors are devices for monitoring and recording of, and to generate alarms for, multiple physiological parameters," indicating a hardware component. The modification adds transport capability, not a change to a software-only device.

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

Here's why:

  • Intended Use/Indications for Use: The intended use describes monitoring and recording of physiological parameters of patients. This is a direct interaction with the patient's body, not the analysis of samples taken from the body.
  • Device Description: The description reinforces that it's a patient monitor, designed to monitor and record physiological parameters.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.) or providing information about a patient's health status based on such analysis.

IVD devices are specifically designed to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device's function is to directly measure and display physiological signals from a living patient.

N/A

Intended Use / Indications for Use

The modified Philips MP2 and X2 IntelliVue Patient Monitors are intended for monitoring and recording of, and to generate alarms for, multiple physiological parameters of adults, pediatrics and neonates in a hospital environment and during patient transport inside and outside of hospitals. The monitors are not intended for home use. They are intended for use by health care professionals.

Indications for Use: Indicated for use by health care professionals whenever there is a need for monitoring and recording of, and to whenever enore 15 c, multiple physiological parameters of adults, gencrates and neonates in a hospital environment and during patient transport inside and outside of hospitals.

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

DSI, MLD, MHX, DSJ, DSK, DXN, DXG, KRB, DRQ, DRT, DPS, MLC, DRW, KRC, DRJ, DQA, DSB, DSH, DSF, DRS, DSA, MSX, DRG, CCK, CBQ, NHO, NHP, NHQ, CBR, CCL, BZC, BZQ, LKD, KLK, FLL, GWR, GWS

Device Description

The modification adds to the MP2 and X2 IntelliVue Patient Monitors the capability to function in the transport environments outside of hospitals, such as a road ambulance, airplane or helicopter.

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

adults, pediatrics and neonates

Intended User / Care Setting

health care professionals / hospital environment and during patient transport inside and outside of hospitals.

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)

Verification, validation, and testing activities establish the performance, functionality, and reliability characteristics of the modified devices with respect to the predicates. Testing involved environmental, EMC, safety and performance tests. Pass/Fail criteria were based on the specifications cleared for the predicate devices and test results showed substantial equivalence. The results demonstrate that the modified Philips MP2 and X2 IntelliVue Patient Monitors meet all reliability requirements and performance claims.

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.

K062392, K063725, K071426

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

§ 870.1025 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.

0

This summary of 510(k) safety and effectiveness information is submitted in accordance with the requirements of the Safe Medical Devices Act of 1990 and 21 C.F.R. §807.92.

  • AUG 1 0 2007 1. The submitter of this premarket notification is: Markus Stacha Philips Medizin Systeme Boeblingen GmbH Hewlett-Packard-Str. 2 D-71034 Boeblingen, Germany Tel: ++49 7031 463-2840 Fax: ++49 7031 463-2442 e-mail: markus.stacha@philips.com
    This summary was prepared on July 27, 2007.

    1. The names of the devices are the Philips MP2 and X2 IntelliVue Patient Monitors. Classification names are as follows:
Device PanelClassificationProCodeDescription
Cardiovascular
Devices$870.1025, IIDSIDetector and alarm, arrhythmia
$870.1025, IIMLDMonitor, ST Segment with Alarm
$870.1025, IIMHXMonitor, Physiological, Patient
(with arrhythmia detection or
alarms)
$870.1100, IIDSJAlarm, Blood Pressure
$870.1110, IIDSKComputer, Blood Pressure
$870.1130, IIDXNSystem, Measurement, Blood-
Pressure, Non-Invasive
$870.1435, IIDXGComputer, Diagnostic, Pre-
Programmed, Single-Function
$870.1915, IIKRBProbe, Thermodilution
$870.2060, IIDRQAmplifier and Signal
Conditioner, Transducer Signal
$870.2300, IIDRTMonitor, Cardiac (incl.
Cardiotachometer & Rate Alarm)
$870.2340, IIDPSElectrocardiograph
$870.2340, IIMLCMonitor, ST Segment
$870.2350, IIDRWElectrocardiograph, Lead
Switching Adapter
$870.2370, IIKRCTester, Electrode, Surface,
Electrocardiograph
$870.2600, IDRJSystem, Signal Isolation
$870.2700, IIDQAOximeter
$870.2770, IIDSBPlethysmograph, Impedance
$870.2800, IIDSHRecorder, Magnetic tape,
Medical
$870.2810, IDSFRecorder, Paper Chart
$870.2850, IIDRSExtravascular Blood Pressure
Transducer
$870.2900, IDSACable, Transducer and
Electrode, incl. Patient
Connector
-MSXSystem, Network and
Communication, Physiological
Monitors

1

072070

2/3

Device PanelClassificationProCodeDescription
$870.2910, IIDRGTransmitters and Receivers,
Physiological Signal,
Radiofrequency
Anesthesiology
Devices$868.1400, IICCKAnalyzer, Gas, Carbon Dioxide,
Gaseous-Phase
$868.1500, IICBQAnalyzer, Gas, Enflurane,
Gaseous-Phase (Anesthetic
Concentration)
$868.1500, IINHOAnalyzer, Gas, Desflurane,
Gaseous-Phase (Anesthetic
Concentration)
$868.1500, IINHPAnalyzer, Gas, Sevoflurane,
Gaseous-Phase (Anesthetic
Concentration)
$868.1500, IINHQAnalyzer, Gas, Isoflurane,
Gaseous-Phase (Anesthetic
Concentration)
$868.1620, IICBSAnalyzer, Gas, Halothane,
Gaseous-Phase (Anesthetic
Concentration)
$868.1700, IICBRAnalyzer, Gas, Nitrous Oxide,
Gaseous-Phase (Anesthetic
Concentration)
$868.1720, IICCLAnalyzer, Gas, Oxygen, Gaseous-
Phase
$868.1880, IIBZC
$868.2375, IIBZQMonitor, Breathing Frequency
$868.2480, IILKDMonitor, Carbon Dioxide,
Cutaneous
$868.2500, IIKLKMonitor, Oxygen, Cutaneous, for
Infant not under Gas Anesthesia
General Hospital
and Personal Use
Devices$880.2910, IIFLLThermometer, Electronic,
Clinical
Neurological
Devices$882.1400, IIGWRElectroencephalograph
$882.1420, IGWSAnalyzer, Spectrum,
Electroencephalogram Signal
    1. The modified Philips MP2 and X2 IntelliVue Patient Monitors are substantially equivalent to the previously cleared Philips IntelliVue Patient Monitors MP2, X2, and MP5 marketed pursuant to K062392, K063725, K071426.
    1. The modification adds to the MP2 and X2 IntelliVue Patient Monitors the capability to function in the transport environments outside of hospitals, such as a road ambulance, airplane or helicopter.
    1. The modified Philips MP2 and X2 IntelliVue Patient Monitors are intended for monitoring and recording of, and to generate alarms for, multiple physiological parameters of adults, pediatrics and neonates in a hospital environment and during patient transport inside and outside of hospitals. The monitors are not intended for home use. They are intended for use by health care professionals.

2

    1. The modified devices have the same technological characteristics as the legally marketed predicate devices.
    1. Verification, validation, and testing activities establish the performance, functionality, and reliability characteristics of the modified devices with respect to the predicates. Testing involved environmental, EMC, safety and performance tests. Pass/Fail criteria were based on the specifications cleared for the predicate devices and test results showed substantial equivalence. The results demonstrate that the modified Philips MP2 and X2 IntelliVue Patient Monitors meet all reliability requirements and performance claims.

K072070 p3/3

3

Public Health Service

Image /page/3/Picture/2 description: The image shows the seal of the Department of Health & Human Services (HHS). The seal features a stylized eagle with three stripes representing the three levels of government: federal, state, and local. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 1 0 2007

Philips Medizin Systeme Böblingen GmbH c/o Mr. Markus Stacha Senior Regulatory Affairs Engineer Hewlett-Packard - Str. 2 D - 71034 Boeblingen GERMANY

Re: K072070

Philips MP2 and X2 IntelliVue 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: July 27, 2007 Received: July 30, 2007

Dear Mr. Stacha:

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.

4

Page 2 - Mr. Markus Stacha

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.

Bhimamor for

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

Enclosure

5

Indications for Use

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Namc: Philips MP2 and X2 IntelliVue Patient Monitors.

Indications for Use: Indicated for use by health care professionals whenever there is a need for monitoring and recording of, and to whenever enore 15 c, multiple physiological parameters of adults, gencrates and neonates in a hospital environment and during patient transport inside and outside of hospitals.

Over-The-Counter Use _ No Prescription Use yes -- AND/OR (21 CFR 807 Subpart C) (Part 21 CFR 801 Subpart D) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

B.Brumana

diovascular Devices