K Number
K111686
Manufacturer
Date Cleared
2011-08-01

(46 days)

Product Code
Regulation Number
870.1130
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The A&D Medical UA-1000 family digital blood pressure monitors are intended for used by adults with 12 years older to measure the systolic and diastolic blood pressure and pulse rate.

Measure blood pressure (systolic and diastolic) and pulse rate.

Device Description

UA-1000 family uses an inflatable cuff which is wrapped around the patient's upper arm. The cuff is inflated automatically by an internal pump in the device. The systolic and diastolic blood pressures are determined by oscillometric method. The deflation rate is controlled by the internal electronic-controlled exhaust valve. There is a quick exhaust mechanism so that the pressure of the cuff can be completely released. There is a maximum pressure safety setting at 300mmHg. The device will not inflate the cuff higher than 300mmHg. The UA-1000 family will turn on an irregular heartbeat indicator if an irregular heartbeat was detected during the measurement process. At the end of the measurement, the systolic and diastolic pressures with pulse rate are shown on the LCD and stored in the device memory. For UA-1030T, the results is also annoucment in voice. The cuff is also deflated automatically at the same time. There are two memory banks to separate the measurements in the morning time and in the evening time. UA-1020 and UA-1030T can conduct average function for 3 consecutive measurmenets automatically.

AI/ML Overview

Here's an analysis of the provided text regarding the A&D Medical UA-1000 Family Digital Blood Pressure Monitors, structured to answer your questions:

Acceptance Criteria and Device Performance

1. Table of Acceptance Criteria and Reported Device Performance

The provided text focuses on demonstrating substantial equivalence to predicate devices rather than detailing specific acceptance criteria and their direct fulfillment through a standalone study. The key "acceptance criteria" inferred here are the Accuracy specifications, which are stated as unchanged from the predicate devices.

ParameterAcceptance Criteria (Predicate)Reported Device Performance (UA-1000 Family)
AccuracyBP: +/- 3mmHg or +/- 2% of measured value, whichever is greaterNo change - the same (implicitly meets predicate's criteria)
Pulse: +/- 5 % (pulse)No change - the same (implicitly meets predicate's criteria)
IHB (Irregular Heartbeat Detection)More than +/-25% to the mean interval of all pulse intervalsNo change - the same (implicitly meets predicate's criteria)

Note: The document explicitly states "No change - the same" for these critical performance parameters, indicating that the UA-1000 family is expected to perform identically to the previously cleared predicate devices for which these criteria were established and met. No new performance data for these specific criteria are provided in this summary.

2. Sample Size Used for the Test Set and Data Provenance

The provided 510(k) summary does not contain information about the sample size used for a test set or the data provenance (e.g., country of origin, retrospective/prospective) for proving device performance. The submission relies on establishing substantial equivalence to previously cleared devices rather than providing new clinical or performance study data for the UA-1000 family.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Their Qualifications

The 510(k) summary does not mention the use of experts or the establishment of ground truth for a test set. As noted above, the submission focuses on substantial equivalence. For blood pressure monitors, ground truth is typically established using a reference method (e.g., auscultatory readings by trained observers) rather than expert consensus on images or data.

4. Adjudication Method for the Test Set

The 510(k) summary does not describe any adjudication method for a test set.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study is typically used for diagnostic imaging devices where human readers interpret medical images with and without AI assistance to assess the AI's impact on diagnostic accuracy. This is not applicable to a blood pressure monitor.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

The concept of "standalone performance" as typically applied to AI algorithms (without human-in-the-loop) does not directly apply in this context for a blood pressure monitor. The device's primary function is to measure blood pressure using an oscillometric method. Its "standalone performance" is inherently its ability to accurately measure blood pressure on its own. The accuracy specifications (BP: +/- 3mmHg or +/- 2%; Pulse: +/- 5%) are the standalone performance metrics. The document states that these are "No change - the same" as the predicate devices, implying prior validation of these metrics.

7. The Type of Ground Truth Used (Expert Consensus, Pathology, Outcomes Data, etc.)

For blood pressure monitors, the ground truth for accuracy studies is typically established by simultaneous measurements using a recognized reference standard, such as:

  • Auscultation by trained observers: This involves two or more trained observers simultaneously taking blood pressure readings using a mercury sphygmomanometer (or an equivalent validated device) while being blinded to each other's readings and the test device's readings.
  • Intra-arterial measurements: In highly controlled research settings, direct intra-arterial measurements can serve as the gold standard.

The provided 510(k) summary does not detail how the ground truth was established for the original predicate devices or for any implied re-validation of the UA-1000 family. It simply states that the "Accuracy" is "No change - the same" as the predicates, meaning the original ground truth methods used for the predicates are presumed to apply.

8. The Sample Size for the Training Set

The 510(k) summary does not provide any information regarding a training set sample size. This type of information would be relevant for devices employing machine learning or AI algorithms that require training data. While the device uses an oscillometric algorithm, it is a well-established method not typically referred to as an "AI algorithm" in this context that undergoes iterative training with a distinct "training set" in the modern sense of deep learning.

9. How the Ground Truth for the Training Set Was Established

As there is no mention of a training set in the context of an AI/ML algorithm requiring separate training and testing phases, this question is not applicable based on the provided document. The oscillometric method is a deterministic algorithm rather than a learned one in the contemporary AI sense.

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K11168b

AUG - 1 2011

Attachment (D) 510(k) Summary

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

    1. Date Prepared
      June 13, 2011

Submitter's Information 2.

A&D Engineering, Inc. Mr. Jerry Wang 1756 Automation Parkway, San Jose, CA 95131 Tel: 408-518-5113 Fax: 408-635-2313 Email: jwang@andonline.com

Device Information 3.

A&D Medical UA-1000 Family Digital Blood Pressure Monitors Proprietary Name: Common/Usual Name: Blood Pressure Monitor Non-invasive blood pressure measurement System Classification name: 21 CFR 870-1130, Class II, 74DXN.

4. Predicate Devices

A&D Model UA-787 Digital Blood Pressure Monitor with 510(k) number K012472 A&D Model UA-851THW Digital Blood Pressure Monitor with 510(k) number K082734 Predicate devices are designed and manufactured by the same company and facilities as the modified devices UA-1000 family.

Device Description - Technological and Operaional Characteristics ട്.

UA-1000 family uses an inflatable cuff which is wrapped around the patient's upper arm. The cuff is inflated automatically by an internal pump in the device. The systolic and diastolic blood pressures are determined by oscillometric method. The deflation rate is controlled by the internal electronic-controlled exhaust valve. There is a quick exhaust mechanism so that the pressure of the cuff can be completely released. There is a maximum pressure safety setting at 300mmHg. The device will not inflate the cuff higher than 300mmHg. The UA-1000 family will turn on an irregular heartbeat indicator if an irregular heartbeat was detected during the measurement process. At the end of the measurement, the systolic and diastolic pressures with pulse rate are shown on the LCD and stored in the device memory. For UA-1030T, the results is also annoucment in voice. The cuff is also deflated automatically at the same time. There are two memory banks to separate the measurements in the morning time and in the evening time. UA-1020 and UA-1030T can conduct average function for 3 consecutive measurmenets automatically. The detail comparison among devices are listed below.

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FeaturesUA-1010UA-1020UA-1030T
Powered by 4 AA size batteries and AC adaptor plugYesYesYes
Memory Size (90 measurements)YesYesYes
Time & DateYesYesYes
AM / PM Memory BanksYesYesYes
Pressure IndicatorYesYesYes
Average of Measurements in MemoryYesYesYes
IHB (Irregular Heartbeat Detection)YesYesYes
Outside Demission (140 w x 60 h x 105 d in mm)The sameThe sameThe same
Talking (Voice Announcement of Measurement Result)NoNoYes
Cuff StyleOptiOptiEasy Fit
LCD size (Viewing Area in mm)43 × 48.562.5 × 7262.5 × 72
Tricheck (Average of 3 consecutive measurements)NoYesYes

Intended Use 6.

The A&D Medical UA-1000 family digital blood pressure monitors are intended for used by adults with 12 years older to measure the systolic and diastolic blood pressure and pulse rate.

The intended user and the indication for use of A&D Medial UA-1000 family as described in the labeling are the same as their predicated devices, UA-787 and UA-851THW.

Summary of Substantial Equivalence 7.

Modifications from the predicate devices:

  • Change the plastic molds so UA-1000 family has a different appearance .
  • Separate the memeory into two banks so it can calculate the measurements in the . morning and in the evening separately.
  • UA-1020 and UA-1030T have a tricheck capability so it can average 3 . consecutive measurement results.
  • UA-1030T adds a voice anuouncemnt capability at the end of the measurement. .
ParameterPredicate Devices(UA-787 & UA-851THW)Modified Devices(UA-1000 Family)
MeasurementMethodOscillometric MethodNo change - the same
Measurement RangeBP : 20 to 280 mmHgPulse : 30 to 200 pulse/minNo change - the same
AccuracyBP : +/- 3mmHg or +/- 2% ofmeasured value, whichever is greaterPulse : +/- 5 % (pulse)No change - the same

Product Specification Comparison

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Pressurization SourceAutomatic internal pumpNo change – the same
Cuff DeflationMethodConstant speed electrical controlledexhaust valve (ECEV method)No change – the same
Display TypeLiquid crystal displayNo change – the same
Cuff AttachmentMethodBy plastic hose connected to monitorNo change – the same
IHB (IrregularHeartbeats Detection)More than +/-25% to the meaninterval of all pulse intervalsNo change – the same
Power Source6V DC, 4x1.5V AA batteries or ACadapter as an optionNo change – the same
Battery Life4 months with daily measurementNo change – the same
OperatingEnvironment50°F (10°C) to 104°F (40°C)30 %RH to 85% RHNo change – the same
Storage Environment14°F (-20°C) to 140°F (60°C)10 %RH to 95% RHNo change – the same
Data Memory Sizewith Time & Date30, 60 or 280 rmemories for UA-78751 memories for UA-851THW90 memories for all threemodels of UA-1000 family
DimensionsUA-787 – 163(W)×62(H)×112(D)UA-851THW –150(W)×156(H)×120(D)140(W)×60(H)×105(D) for allthree models of UA-1000family
WeightUA-787 - 920 g (2.03 lb) withoutbatteriesUA-851THW - 940 g (2.07 lb)without batteriesUA-1010–265gUA-1020–285gUA-1030T–300gwithout batteries
Cuff DesignUA-851THW - D-ring cuffsUA-787 - U-shape cuffsUA-1010 & UA-1020 – thesame as UA-851THEUA-1030T – the same as UA-787
Arm SizeUA-787 – 19 to 36 cmUA-851THW – 24 to 45 cmUA-1030T – 23 to 37 cmUA-1010 & UA-1020 – 16 to45 cm
Clock (Time/Date)NoUA-1000 Family –Yes
TalkingNoNo : UA-1010 & UA-1020Yes : UA-1030T (3 languages –English, French, & Spanish)
AM/PMNoUA-1000 Family –Yes
Pressure IndicatorUA-787 (No), UA-851THW (Yes)UA-1000 Family –Yes
Wireless RadioConnectivityUA-787 (No), UA-851THW (Yes)No
Personal PC AnalysisSoftwareUA-787 (No), UA-851THW (Yes)No

Key Features Comparison

ParameterPredicate Devices(UA-787 & UA-851THW)Modified Devices(UA-1000 Family)
Field serviceNot allowedNo Change - the same
Automatic zero at "START"YesNo Change - the same
Manual zero adjustmentNot allowedNo Change - the same

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CalibrationNot allowed in the fieldNo Change - the same
SterilizationNot neededNo Change - the same
Blood Pressure ReadingClassification CriteriaUSA JNC VIINo change - the same

Substantial Equivalence Conclustion:

UA-1000 family digital blood pressure monitors have the following similarities to the predicate devices, UA-851THW and UA-787 digital blood pressure monitors, which previously received the 510(k) clearance.

  • Same intended use. .
  • Same oscillometric method to determine the blood pressure & pulse rate �
  • Same inflation method automatic internal pump .
  • Same deflation method automatic electrical controlled exhaust valve .
  • Same materials, no new materials used .
  • Same manufacturing processes at the same facility .

As a conclusion, the intended use of the modified device, UA-1000 family as described in its labeling, has not changed as a result of the modifications. The fundamental scientific technology of the modified device, UA-1000 family, has not changed, either. There is no significant difference that affects the safety or effectiveness of the modified device as compared to the predicate devices.

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Image /page/4/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized emblem resembling an abstract bird or eagle, composed of three curved lines.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

A&D Engineering, Inc. c/o Mr. Jerry Wang Director of Engineering and Quality Affairs 1756 Automation Parkway San Jose, CA 95131

AUG - 1 2011

Re: K111686

Trade/Device Name: UA-1000 Family Digital Blood Pressure Monitors Regulatory Number: 21 CFR 870.1130 Regulation Name: Non-Invasive Blood Pressure Measurement System Regulatory Class: II (two) Product Code: DXN Dated: July 14, 2011 Received: July 19, 2011

Dear Mr. Wang:

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. 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

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Page 2 - Mr. Jerry Wang

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 (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.

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/ReportaProblem/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/Resourcesfor You/Industry/default.htm.

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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K111686
page 1 of 1

Attachment B

Indications for Use

510(k) Number (if known):_

Device Name: A&D Medical UA-1000 Family Digital Blood Pressure Monitors

Indications For Use:

Measure blood pressure (systolic and diastolic) and pulse rate.

Prescription Use (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)

Signature

iovascular Devices

510(k) Number

Page 1 of _ 1

§ 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).