K Number
K093387
Device Name
FULLY AUTOMATIC ELECTRONIC BLOOD PRESSURE MONITOR MODEL KD-5961, KD-5962, KD-5902
Date Cleared
2009-11-27

(28 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
KD-5961,KD-5962,KD-5902 Fully Automatic Electronic Blood Pressure Monitor is for use by medical professionals or at home and is a noninvasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive technique in which an inflatable cuff is wrapped around the upper arm. The cuff circumference is limited to 22cm-48cm.
Device Description
KD-5961,KD-5962,KD-5902 Fully Automatic Electronic Blood Pressure Monitor is for use by medical professionals or at home and is a noninvasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive technique in which an inflatable cuff is wrapped around the upper arm. The cuff circumference is limited to 22cm-48cm. It is designed and manufactured according to ANSI/AAMI SP10--manual, electronic or automated sphygmanometers. The operational principle is based on oscillometric and silicon integrate pressure sensor technology, the result will be shown on a LCD with an electronic interface module, the result can also be classified and displayed by the function of blood pressure classification indicator, If any irregular heartbeat is detected, it can be shown on the LCD.
More Information

Not Found

No
The summary describes a standard oscillometric blood pressure monitor and does not mention any AI or ML capabilities.

No
The device is intended to measure blood pressure and pulse rate, which is a diagnostic function, not a therapeutic one. It does not actively treat or alleviate a medical condition.

Yes

Explanation: The "Intended Use / Indications for Use" section states that the device is "intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual," which are measurements used to inform a diagnosis.

No

The device description explicitly states it is a "Fully Automatic Electronic Blood Pressure Monitor" and describes physical components like an inflatable cuff, LCD, and silicon integrate pressure sensor technology, indicating it is a hardware device with integrated software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information for diagnosis, monitoring, or screening.
  • Device Function: The description clearly states that this device is a "noninvasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive technique in which an inflatable cuff is wrapped around the upper arm."
  • Non-Invasive: The key term here is "non-invasive." The device measures physiological parameters directly from the body without requiring any samples to be taken.

Therefore, since the device does not analyze specimens taken from the body, it does not fit the definition of an In Vitro Diagnostic. It is a non-invasive physiological monitoring device.

N/A

Intended Use / Indications for Use

KD-5961,KD-5962,KD-5902 Fully Automatic Electronic Blood Pressure Monitor is for use by medical professionals or at home and is a noninvasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive technique in which an inflatable cuff is wrapped around the upper arm. The cuff circumference is limited to 22cm-48cm.

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

DXN

Device Description

KD-5961,KD-5962,KD-5902 Fully Automatic Electronic Blood Pressure Monitor is for use by medical professionals or at home and is a noninvasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive technique in which an inflatable cuff is wrapped around the upper arm. The cuff circumference is limited to 22cm-48cm.

It is designed and manufactured according to ANSI/AAMI SP10--manual, electronic or automated sphygmanometers.

The operational principle is based on oscillometric and silicon integrate pressure sensor technology, the result will be shown on a LCD with an electronic interface module, the result can also be classified and displayed by the function of blood pressure classification indicator, If any irregular heartbeat is detected, it can be shown on the LCD.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper arm

Indicated Patient Age Range

adult

Intended User / Care Setting

medical professionals or at home

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)

KD-5961, KD-5962, KD-5902 Fully Automatic Electronic Blood Pressure Monitor conforms to the following standards:

  • · IEC 60601-1, Medical Electrical Equipment Part 1: General Requirements for Safety, 1988; Amendment 1, 1991-11, Amendment 2, 1995.
  • · IEC 60601-1-2, Medical Electrical Equipment Part 1-2: General Requirements for Safety - Collateral standard: Electromagnetic Compatibility - Requirements and Tests (Edition 2:2001 with Amendment 1:2004; Edition 2.1 (Edition 2:2001 consolidated with Amendment 1:2004)).
  • · AAMI SP10:2002, Manual, electronic or automated sphygmomanometers.
  • · AAMI / ANSI SP10:2002/A1:2003 --, Amendment 1 to ANSI/AAMI SP10:2002 Manual, electronic, or automated sphygmomanometers.
  • · AAMI / ANSI SP10:2002/A2:2006 --, Amendment 2 to ANSI/AAMI SP10:2002 Manual, electronic, or automated sphygmomanometers.

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.

K083246, K090771, K083317, K070826

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

§ 870.1130 Noninvasive blood pressure measurement system.

(a)
Identification. A noninvasive blood pressure measurement system is a device that provides a signal from which systolic, diastolic, mean, or any combination of the three pressures can be derived through the use of tranducers placed on the surface of the body.(b)
Classification. Class II (performance standards).

0

510(k) Summary

K093.387

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

1.0 submitter's information

NOV 2 7 2009

Name:Andon Health Co., Ltd.
Address:No 31, Changjiang Road, Nankai District, Tianjin,
P.R. China
Phone number:86-22-6052 6161
Fax number:86-22-6052 6162
Contact:Liu Yi
Date of Application:10/23/2009

2.0 Device information

Trade name: Fully Automatic Electronic Blood Pressure Monitor Common name: Noninvasive blood pressure measurement system Classification name: Noninvasive blood pressure measurement system

3.0 Classification

Production code: DXN- Noninvasive blood pressure measurement system. Regulation number: 870.1130 Classification: 11

Panel: Cardiovascular

4.0 Predict device information

Andon Health Co., Ltd. Manufacturer: KD-5961 Fully Automatic Electronic Blood Pressure Monitor Device: KD-5962 Fully Automatic Electronic Blood Pressure Monitor KD-5902 Fully Automatic Electronic Blood Pressure Monitor KD-795 Fully Automatic Electronic Blood Pressure Monitor 510(k) number: K083246 K090771 K083317 K070826

5.0 Device description

KD-5961,KD-5962,KD-5902 Fully Automatic Electronic Blood Pressure Monitor is for use by medical professionals or at home and is a noninvasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual

1

by using a non-invasive technique in which an inflatable cuff is wrapped around the upper arm. The cuff circumference is limited to 22cm-48cm.

It is designed and manufactured according to ANSI/AAMI SP10--manual, electronic or automated sphygmanometers.

The operational principle is based on oscillometric and silicon integrate pressure sensor technology, the result will be shown on a LCD with an electronic interface module, the result can also be classified and displayed by the function of blood pressure classification indicator, If any irregular heartbeat is detected, it can be shown on the LCD.

6.0 Intended use

KD-5961,KD-5962,KD-5902 Fully Automatic Electronic Blood Pressure Monitor is for use by medical professionals or at home and is a noninvasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive technique in which an inflatable cuff is wrapped around the upper arm. The cuff circumference is limited to 22cm-48cm.

The intended use and the indication for use of KD-5961,KD-5962,KD-5902, as described in its labeling are the same as the predict device KD-5961.KD-5962.KD-5902(K083246 K090771 K083317).

7.0 Summary comparing technological characteristics with predicate
device
Technological CharacteristicsComparison result
Design principleIdentical
AppearanceIdentical
Patients contact MaterialsIdentical
PerformanceIdentical
BiocompatibilityIdentical
Mechanical safetyIdentical
Energy sourceIdentical
Standards metIdentical
Electrical safetyIdentical
EMCIdentical
FunctionIdentical

2

8.0 Performance summary

KD-5961, KD-5962, KD-5902 Fully Automatic Electronic Blood Pressure Monitor conforms to the following standards:

  • · IEC 60601-1, Medical Electrical Equipment Part 1: General Requirements for Safety, 1988; Amendment 1, 1991-11, Amendment 2, 1995.
  • · IEC 60601-1-2, Medical Electrical Equipment Part 1-2: General Requirements for Safety - Collateral standard: Electromagnetic Compatibility - Requirements and Tests (Edition 2:2001 with Amendment 1:2004; Edition 2.1 (Edition 2:2001 consolidated with Amendment 1:2004)).
  • · AAMI SP10:2002, Manual, electronic or automated sphygmomanometers.
  • · AAMI / ANSI SP10:2002/A1:2003 --, Amendment 1 to ANSI/AAMI SP10:2002 Manual, electronic, or automated sphygmomanometers.
  • · AAMI / ANSI SP10:2002/A2:2006 --, Amendment 2 to ANSI/AAMI SP10:2002 Manual, electronic, or automated sphygmomanometers.

9.0 Comparison to the predict device and the conclusion

Our device KD-5961,KD-5962,KD-5902 Fully Automatic Electronic Blood Pressure Monitor is substantially equivalent to the Fully Automatic Electronic Blood Pressure Monitor KD-5961,KD-5962,KD-5902 whose 510(k) number is K083246, K090771, K083317.

The several devices are identical in the intended use, the design principle, the material, the appearance, the functions, the performance, the energy source and the applicable standards. KD-5961,KD-5962,KD-5902 only adds a new cuff (cuff circumstance: 22cm-36cm) when compared with the predicted device(K083246, K090771, K083317).

The Environmental parameters of KD-5961 and KD-5902 is changed, the operational range for humidity (