K Number
K093017
Device Name
STELLAR 300
Date Cleared
2010-04-29

(212 days)

Product Code
Regulation Number
870.2300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The STELLAR 300 - three parameter Patient Monitoring system is intended to monitor a single Adult or Pediatric patient's vital signs at the bedside or during intra-hospital transport along with the appropriate accessories mentioned / supplied with the unit. Vital signs parameter includes Plethysmograph. It can also display the digital values of PR, SpO2, Non-Invasive Blood Pressure (Systolic, Diastolic and Mean) and Temperature readings. The user, responsible to interpret the monitored data made available, will be a professional health care provider. The device, which can also be used as a portable device, permits patient monitoring with adjustable alarm limits as well as visible and audible alarm signals. The monitor is not intended for home use.
Device Description
This STELLAR 300 unit is a 3 parameter Patient monitor System (TFT color monitor) with NIBP, Pulse oximetry and Temperature with an inbuilt two channel thermal array recorder for printing of Tabular trends & waveforms. STELLAR 300 have waveform display capability for Plethysmograph. It also displays the digital values of PR, SpO2, Non-Invasive Blood Pressure (Systolic, Diastolic and Mean) and Temperature readings. It has graded and color coded alarms. It has 2 hours and 12 hours tabular and graphical trends for SpO2 and Temperature. It has special module and trend for NIBP to store the last 100 readings. Alarm recall feature offers last 16 alarm conditions.
More Information

Not Found

No
The summary describes a standard vital signs monitor with basic data display, trending, and alarm functions. There is no mention of AI, ML, or any advanced analytical capabilities that would suggest the use of such technologies.

No.
The device is a patient monitoring system used to display vital signs, not to provide therapy or treatment.

Yes

Explanation: The device is described as a "Patient Monitoring system" that "monitors a single Adult or Pediatric patient's vital signs" and provides "digital values of PR, SpO2, Non-Invasive Blood Pressure (Systolic, Diastolic and Mean) and Temperature readings". It also mentions that the user, a "professional health care provider," is "responsible to interpret the monitored data made available." These functions directly align with the purpose of a diagnostic device, which is to gather and display data to aid in the assessment or diagnosis of a patient's condition.

No

The device description explicitly states it is a "3 parameter Patient monitor System (TFT color monitor)" with an "inbuilt two channel thermal array recorder," indicating it is a hardware device with integrated software.

Based on the provided information, the STELLAR 300 - three parameter Patient Monitoring system is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. The STELLAR 300 monitors vital signs directly from the patient's body (SpO2, NIBP, Temperature, Pulse Rate) using external sensors and probes.
  • The intended use and device description clearly state that it monitors a patient's vital signs at the bedside or during transport. This is direct patient monitoring, not laboratory testing of specimens.
  • There is no mention of analyzing biological samples or performing tests on specimens.

Therefore, the STELLAR 300 falls under the category of a patient monitoring system, which is a different type of medical device than an IVD.

N/A

Intended Use / Indications for Use

The STELLAR 300 - three parameter Patient Monitoring system is intended to monitor a single Adult or Pediatric patient's vital signs at the bedside or during intra-hospital transport along with the appropriate accessories mentioned / supplied with the unit. Vital signs parameter includes Plethysmograph. It can also display the digital values of PR, SpO2, Non-Invasive Blood Pressure (Systolic, Diastolic and Mean) and Temperature readings.

The user, responsible to interpret the monitored data made available, will be a professional health care provider. The device, which can also be used as a portable device, permits patient monitoring with adjustable alarm limits as well as visible and audible alarm signals. The monitor is not intended for home use.

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

MWI

Device Description

This STELLAR 300 unit is a 3 parameter Patient monitor System (TFT color monitor) with NIBP, Pulse oximetry and Temperature with an inbuilt two channel thermal arrav recorder for printing of Tabular trends & wavelorms.

STELLAR 300 have waveform display capability for Piethysmograph. It also displays the digital values of PR, SpO2_Non-Invasive Blood Pressure (Systolic. Displays Mean) and Temperature readings. It has graded and color coded alarms It has 2 hours and 12 hours tabular and graphical trends for SpO2 and Temperature. It has special adouls and rend for NIEP to store the last 100 readings. Allarm recall feature offers last 16 lam conditions.

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

Adult or Pediatric

Intended User / Care Setting

professional health care provider.
bedside or during intra-hospital transport.
The monitor is not intended for home use.

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)

Not Found

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.

K060058

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

§ 870.2300 Cardiac monitor (including cardiotachometer and rate alarm).

(a)
Identification. A cardiac monitor (including cardiotachometer and rate alarm) is a device used to measure the heart rate from an analog signal produced by an electrocardiograph, vectorcardiograph, or blood pressure monitor. This device may sound an alarm when the heart rate falls outside preset upper and lower limits.(b)
Classification. Class II (performance standards).

0

093017

Larsen & Toubro Limited

ELECTRICAL & ELECTRONICS DIVISION - ELECTRONIC PRODUCTS -

Mysore Canipus, KIADB Industrial Area, Hebbal - Hootegalli, Mysole - 570 018 - Tel.

E · Mail :

ત્ત્વના :

APR 2 9 2010

21" Aug 2009 Page: 01 of 04

510(K) SUMMARY

(Per section 84) 1.491 € j

.

CONTACT DATA
Submitter's NameLarsen & Toubro Limited
AddressKIADB Industrial Area, Hebbal Hootagalli.
Mysore - 570018, Karnataka, INDIA
Telephone91-821-2402561Fax91-821-2402468
Contact PersonA.B.DeshpandeTitleHead - Quality Assurance &
Management Representative
E-Mail addressDeshpandeAB@myw.ltindia.com
Date the summary was prepared12th Aug 2009

Regd, Off : L & T House, Ballard Estate, P O. Box 278, Mumbai 400 001 · Phone : +91(22)67525658 · Fax : +91(22)67525858 Website : www.LNTEBG.com

1

Image /page/1/Picture/0 description: The image is a black and white logo. The logo is a circle with two mirrored symbols inside. The symbols are stylized letters, possibly "L" and "T", connected in the middle. The letters are slightly distorted, and the overall image has a grainy texture.

larsen & Toubro Limited


Mysore Campus, KIADB Industral Area, Hebbal - Hootegali, Mysore - 570 018 - Tel - 91 (821) 2402561 - Fax ' +91 (821) 2402458

E · Mail ·

મગ્ર :

21ª Aug 2009
Page: 02 of 04

DEVICE
Trade nameSTELLAR 300
Common namePatient Monitoring System
Classification nameVital Signs Monitor
PREDICATE DEVICE IDENTIFICATION
CFR21 Section870.2300
Product code (optional)MWI
Classification panelCardiovascular
Device ClassClass II
Legally marketed Comparison Device /
K#STELLAR 404T Patient Monitoring
System (L&T Medical Equipments &
systems) / K060058

Regd. Off:L. & T House. Ballard Estate, P.O.Bex 278, Mumbai 400 001 ● Phone: +9 (122)67525658 ● Fax: +9 (22)67525358 Wabsite . www LNTEBG.com

2

Image /page/2/Picture/0 description: The image shows a logo consisting of two stylized letters, likely 'L' and 'T', mirrored and placed side-by-side within a circle. The letters are designed with sharp, angular lines, giving them a modern and geometric appearance. The logo is rendered in black against a white background, creating a high-contrast image. The overall design is simple yet distinctive, suggesting a corporate or brand identity.

ARSEN & Toubro Limited

ELECTRICAL & ELECTRONICS DIVISION - ELECTRONIC PRODUCTS

Mysore Campus, KIADƏ Indusmal Area, Hebbai - Hoolagalli, Mysore - 570 018 + Tol - +91 (821) 2402661 · Fax : +91 (821) 2402468

E - Mail :

Ref

215 Aug 2009 Page: 03 of 04

DEVICE DESCRIPTION

This STELLAR 300 unit is a 3 parameter Patient monitor System (TFT color monitor) with NIBP, Pulse oximetry and Temperature with an inbuilt two channel thermal arrav recorder for printing of Tabular trends & wavelorms.

STELLAR 300 have waveform display capability for Piethysmograph. It also displays the digital values of PR, SpO2_Non-Invasive Blood Pressure (Systolic. Displays Mean) and Temperature readings. It has graded and color coded alarms It has 2 hours and 12 hours tabular and graphical trends for SpO2 and Temperature. It has special adouls and rend for NIEP to store the last 100 readings. Allarm recall feature offers last 16 lam conditions.

INTENDED USE OF THE DEVICE

The STELLAR 300 - three parameter Patient Monitoring system is intended to monitor a single Adult or Pediatric patient's vital signs at the bedside or during intractor an transport along with the appropriate accessories mentioned / supplied with the with Vital signs parameter includes Plethysmograph. It can also display the digital values of PR, SpO3, Non-Invasive Blood Pressure (Systolic, Diastolic and Mean) and Temperature readings.

The user, responsible to interpret the monitored data made available, will be a professional health care provider. The device, which can also be used as a porable device, permits patient monitoring with adjustable alarm limits as well as vi piraond audifile alam signals. The monitor is not intended for houne use.

Regd. Off : L & T House Bailard Estate, P.O.Eox 278, Mumbai 400 001 · Phone · +91(22)67525658 Website : www.LNTEBG.com

3

Image /page/3/Picture/0 description: The image shows a logo consisting of the letters 'LT' inside of a circle. The letters are stylized and appear to be connected. The logo is black and white and has a slightly distressed or vintage look. The image quality is somewhat low, with visible pixelation and artifacts.

larsen & Toubro Limited

ELECTRICAL & ELECTRONICS DIVISION - ELECTRONIC PRODUCTS

Mysora Campus, KIADB Industrial Araa. Hebbal · Hootagali, Mysore · 570 018 · Tel ·

E - Mar :

21" Aug 2009 Page: 04 Of 04

TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICE

Device: Larsen & Toubro limited make STELLAR 300 Patient Monitoring System. Predicate device:

STELLAR 4047 Patient Monitoring System (Make: L&T Medical Equipments & systems) / K060058

The parameters available with the Larsen & Toubro Limited make STELLAR 300 Patient monitoring system (NIBP, Pulse oximery and Temperature) are also available with the predicate device. The range and accuracy of the parameters & method of sensing are similar to the predicate devices. In STELLAR 300 monitor audible & visual alaring are STCLAR 40 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 STELLAR 404T has Adult & Neonate modes of operation whereas STELLAR 300 has only Adult mode of operation.

STELEAR 300 has got TFT color display like STELLAR 404T. STELLAR 300 hass got thermal array recerder similar to that available in STELLAR 4047. Battery provided in STELLAR 300 is Lithium for, where as it is Lead acid battery in case of predicate device STELLAR 404T.

Companison of all the parameters of STELLAR 300 to that of the predicate devices is given in the "Substantial Equivalence Equipment comparison" document.

Compliance to standards:

The following international standards are referred.

IEC 60601-1 Medical Electrical Equipment-General requirement for safety EC 60601-1-2 Medical Electrical Equipment-EMC requirements & sale

Conclusion:

Based on the Technological characteristics of STELLAR 300 and its comparison with that of predicate device STELLAR 404T, Larsen & Toubro Limited believes had their ad vice is substantially equivalent to this predicate Monitor and doesn't pose any additional risk on safety & effectiveness of the device.

(1) Ravindral Head - Design & Development

Regd. Off : L & 1 House. Bailaid Estate, P O. Ecx 276, Mumbai 400 001 · Prose · +9 (122)67525658 · Fax · +91(22)67525658 Website : www. UNTEBG.com

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

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 eagle or bird-like figure on the right side. To the left of the bird is a circular arrangement of text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA". The text is arranged to follow the curve of the circle.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-O66-0609 Silver Spring, MD 20993-0002

APR 2 9 2010

Larsen & Toubro Limited c/o Mr. E.J. Smith Smith Associates 1468 Harwell Avenue Crofton, MD 21114

K093017 Re:

Trade/Device Name: Stellar 300 Regulatory Number: 21 CFR 870.2300 Regulation Name: Cardiac Monitor (including cardiotachometer and rate alarm) Regulatory Class: Class II (Two) Product Code: MWI Dated: April 20, 2010 Received: April 21, 2010

Dear Mr. Smith:

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 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.

5

Page 2 - Mr. E.J. Smith

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportalProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,
W.Wod.

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

Enclosure

6

Indications for Use

K093017

510(k) Number (if known)

Device name: STELLAR 300

Indication for use:

The STELLAR 300 - three parameter Patient Monitoring system is intended to monitor a single Adult or Pediatric patient's vital signs at the bedside or during intra-hospital transport along with the appropriate accessories mentioned / supplied with the unit. Vital signs parameter includes Plethysmograph. It can also display the digital values of PR, SpO2, Non-Invasive Blood Pressure (Systolic, Diastolic and Mean) and Temperature readings.

The user, responsible to interpret the monitored data made available, will be a professional health care provider. The device, which can also be used as a portable device, permits patient monitoring with adjustable alarm limits as well as visible and audible alarm signals. The monitor is not intended for home use.

Prescription Use V (Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of CDRH, Office of Device Eyaluation (ODE)

W. Wess

Page 1 of 1

510(k) Number K085301

Division of Cardiovascular Device