K Number
K113083
Date Cleared
2012-01-19

(93 days)

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

Truly Automatic Arm Blood Pressure Monitor, Models DB33, DB81, DB82, DB83, DB85, DB91, DB92, DB93 are a series device intended to measure the systolic and diastolic blood pressure 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 devices features include irregular pulse rhythm detection during measurement, and display a warning signal with the reading once the irregular heartbeat is detected. Over-The-Counter Use

Device Description

Truly Automatic Arm Blood Pressure Monitor DB series, Models DB33, DB81, DB83, DB85, DB91, DB92, DB93 are designed to measure the systolic and diastolic blood pressure and pulse rate of an individual by using a non-invasive technique in which an inflatable cuff is wrapped around the upper arm. Our method to define systolic and diastolic pressure is similar to the auscultatory method but uses an electronic pressure sensor rather than a stethoscope and mercury manometer. The sensor converts tiny alterations in cuff pressure to electrical signals, by analyzing those signals to define the systolic and diastolic blood pressure and calculating pulse rate, which is a well-known technique in the market called the "oscillometric method". The main components of the Truly Automatic Arm Blood Pressure Monitor DB series are the main unit and cuff unit. ABS is used to outer housing of the main unit. The preformed cuff unit, which is applicable to arm circumference approximately between 220 and 340 mm, includes the inflatable bladder and nylon shell. All models of the arm blood pressure monitor use a single size of cuff. The device consists of the microprocessor, the pressure sensor, the operation keys, the pump, the electromagnetic deflation control valve and the LCD. The subject devices are powered by four AA alkaline batteries. The device also compares the longest and the shortest time intervals of detected pulse waves to mean time interval and displays a warning signal with the reading to indicate the detection of irregular pulse rhythm when the difference of the time intervals is over 25%.

AI/ML Overview

Here's a breakdown of the acceptance criteria and study details for the Truly Automatic Arm Blood Pressure Monitor, based on the provided 510(k) summary:

1. Table of Acceptance Criteria and Reported Device Performance

CriteriaAcceptance Values (ANSI/AAMI SP10 Standard)Reported Device Performance (Test Result) – Systolic PressureReported Device Performance (Test Result) – Diastolic Pressure
Mean difference between test device and reference method≤ 5 mmHg3.3 mmHg4.5 mmHg
Standard deviation of differences≤ 8 mmHg5.2 mmHg4.6 mmHg
Between-observer agreement: ≥ 95% of readings agree to within x 10 mmHg95%100%100%
Between-observer agreement: ≥ 85% of readings agree to within x 5 mmHg85%95%99%

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

  • Sample Size: 90 subjects.
  • Data Provenance: The study was a clinical study conducted with subjects in a hospital setting. It includes 15 hypertensive patients, implying a mixture of normotensive and hypertensive individuals. The location (country) of the study is not explicitly stated, but the submitter is based in China. The study appears to be a prospective clinical study, as indicated by the "Subjects" and "Method" sections.

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

  • Number of Experts: Two doctors.
  • Qualifications of Experts: Not explicitly stated beyond "doctors." However, given they were using a standard mercury sphygmomanometer and performing "simultaneous and blinded blood pressure determinations," it can be inferred they are trained medical professionals capable of accurately measuring blood pressure.

4. Adjudication Method for the Test Set

  • The method described is "Simultaneous and blinded blood pressure determinations were performed by two doctors." This implies a form of independent double reading, where both doctors recorded their measurements without knowledge of the device's reading or each other's readings, and then these independent readings were compared against device readings and among themselves. It is not a typical 2+1 or 3+1 adjudication as seen in AI studies, but rather a direct comparison of independent expert measurements.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

  • No, a multi-reader multi-case (MRMC) comparative effectiveness study was not reported. This study focused on the accuracy of the device against a reference method and between human observers, not on how human readers' performance improved with AI assistance.

6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

  • Yes, this was effectively a standalone performance study. The device's measurements were compared directly against the reference standard (mercury sphygmomanometer readings by experts) and the agreement between experts themselves, without any human-in-the-loop interaction or AI assistance for the expert readings.

7. Type of Ground Truth Used

  • Expert Consensus / Reference Standard: The ground truth for blood pressure measurements was established by two doctors using a "standard mercury sphygmomanometer" as a "reference standard." This represents an expert-determined reference standard, often considered the gold standard for non-invasive blood pressure measurement.

8. Sample Size for the Training Set

  • The document does not explicitly mention a separate "training set" or "training data" for the device's algorithm. For traditional medical devices like blood pressure monitors, the underlying oscillometric algorithm would typically be developed and validated during the device's design phase using various physiological models and potentially earlier clinical data, but this specific 510(k) summary focuses on the clinical validation of the final device rather than the algorithm's development.

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

  • As no training set is explicitly mentioned in this summary, the method for establishing its ground truth is also not provided. The information provided pertains solely to the clinical validation of the completed device.

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K113083

Image /page/0/Picture/1 description: The image shows the word "TRULY" in bold, black letters. There is a line underneath the word. A circled "R" is to the right of the word.

Truly Instrument Limited

510(k) Summary

JAN 1 9 2012

Date of Summary Preparation: August. 16.2011

1. Submitter's Identifications

Submitter's Name:Truly Instrument Limited
Address:Site 2, Truly Industrial Area, Shanwei City,Guangdong Province, China
Contact Person:Manager Yang Jian-Hao
Telephone:86-0660-3380070
Fax:86-0660-3380377

2. Name of the Device

Device Classification Name:System, Measurement, Blood-Pressure, Non-invasive
Trade Nam:Truly Automatic Arm Blood Pressure Monitor
Models:DB33, DB81, DB82, DB83, DB85, DB91, DB92, DB93
Classification Panel:cardio-vascular
Common/Usual Name:Automatic Arm Blood Pressure Monitor
Product Code:DXN
Device Classification:Class II
Contraindications :N/A

3. The Predicate Devices

Truly Automatic Arm Blood Pressure Monitor, Model DB61M, K091434

4. Device Description

Truly Automatic Arm Blood Pressure Monitor DB series, Models DB33, DB81, DB83, DB85, DB91, DB92, DB93 are designed to measure the systolic and diastolic blood pressure and pulse rate of an individual by using a non-invasive technique in which an inflatable cuff is wrapped around the upper arm. Our method to define systolic and diastolic pressure is similar to the auscultatory method but uses an electronic pressure sensor rather than a stethoscope and mercury manometer. The sensor converts tiny alterations in cuff pressure to electrical signals, by analyzing those signals to define the systolic and diastolic blood pressure and calculating pulse rate, which is a well-known technique in the market called the "oscillometric method".

The main components of the Truly Automatic Arm Blood Pressure Monitor DB series are the main unit and cuff unit. ABS is used to outer housing of the main unit. The preformed cuff unit, which is applicable to arm circumference approximately between 220 and 340 mm, includes the inflatable bladder and nylon shell. All models of the arm blood pressure monitor use a single size of cuff. The device consists of the microprocessor, the pressure sensor, the operation keys, the pump, the electromagnetic deflation control valve and the LCD. The subject devices are powered by four AA alkaline batteries.

The device also compares the longest and the shortest time intervals of detected pulse waves to mean time interval and displays a warning signal with the reading to indicate the detection Page 1 of 5

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TRULY Truly Instrument Limited

of irregular pulse rhythm when the difference of the time intervals is over 25%.

5. Intended use of device

Truly Automatic Arm Blood Pressure Monitor DB series, Models DB33, DB81, DB82, DB83. DB91, DB91, DB93 are a series devices intended to measure the systolic and diastolic blood pressure 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 devices features include irregular pulse rhythm detection during measurement, and display a warning signal with the reading once the irregular heartbeat is detected.

6. Summary of Substantial Equivalence

ParameterPredicate Devices DB61MDB33DB81DB82DB83DB85DB91DB92DB93Result
Intended useMeasuring systolic and diastolic blood pressure and pulse rate of adult individualMeasuring systolic and diastolic blood pressure and pulse rate of adult individualSame
Indicationsfor useMeasuring systolic and diastolic blood pressure and pulse rate of adult individual, Including irregular pulse rhythm detection. Over-The-Counter UseMeasuring systolic and diastolic blood pressure and pulse rate of adult individual, Including irregular pulse rhythm detection. Over-The-Counter UseSame
TargetPopulationAdultAdultSame
AnatomicalsitesUpper ArmUpper ArmSame
Where used(hospital,home,ambulance.etc)HomeHomeSame
Energy usedand / ordelivered4x 1.5V AA Battery4x 1.5V AA BatterySame
HumanfactorsBlood pressureBlood pressureSame
designRefer to Table-2Same
performanceMeasuring systolic and diastolic blood pressure and pulse rate of adult individual, Including irregular pulse rhythm detectionMeasuring systolic and diastolic blood pressure and pulse rate of adult individual, Including irregular pulse rhythm detectionSame
materialsRefer to Table-2Same
biocompatibiCuffCuffSame

Table-1: The comparison table

Page 2 of 5

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TRULY® Truly Instrument Limited
ParameterPredicate Devices DB61MDB33DB81DB82DB83DB85DB91DB92DB93Result
lityAccording to ISO-10993According to ISO-10993
Compatibilitywith theenvironmentand otherdevicesOperation Environment:10℃~ 40℃, 15%90%RHStorage Environment:-20℃ 60℃, 10%~95%RHOperation Environment:10℃~ 40℃, 15%90%RHStorage Environment:-20℃ 60℃, 10%~95%RHSame
sterilityN/AN/ASame
ElectricalsafetyAccording to IEC60601-1-2According to IEC60601-1According to IEC60601-1-2According to IEC60601-1Same
MechanicalsafetySameSameSame
ChemicalsafetyN/AN/ASame
ThermalsafetyN/AN/ASame

Table-2: The comparison table in Design and Materials

ParameterPredicateDevicesDB61MDB33DB81DB82DB83DB85DB91DB92DB93
MeasurementalgorithmMethodOscillometricmethodNo change,all same
Measurementsite of bodyArmNo change,all same
PressureSensorMSP-2107No change,all same
CuffNo change,all same
SoftwareNo change,all same
IrregularheartbeatdetectionMore than ±25% to the mean interval of pulse intervals.About the more detailed description of the IH detection algorithm, pleaserefer to "Software validation report I-5. Algorithm description 4.Determination method of irregular heartbeat".
Memory Size4 x 992X601X401X404X994X994X994X994X99
MeasurementPressureRange20 ~ 280 mmHgNo change,all same
MeasurementPulse Range40 ~ 195 beats/minNo change,all same
Mesauringresolution1 mmHgNo change,all same
Accuracy±3mmHgNo change,all same

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ParameterPredicateDevicesDB61MDB33DB81DB82DB83DB85DB91DB92DB93
Pressure
AccuracyPulse$\pm5%$No change,all same
Pressurization SourceAutomaticinternal pumpNo change,all same
CuffDeflationAutomaticdeflationNo change,all same
OperatingEnvironment1040℃1590%RHNo change,all same
PowerVoltage4X 1.5VNo change,all same
HardwarecircuitNo change,all same
ElectronicelementNo change,all same
PCBNo change,all same
Display TypeLiquid crystaldisplayLiquid crystal display,Only difference size
CoverDifference

Truly Instrument I imited

7. Summary of Clinical study

l ). Subjects:

Ninety subjects including 15 hypertensive patients in the hospital were participated in clinical study.

2). Method:

A standard mercury sphygmomanometer was used as a reference standard. Simultaneous and blinded blood pressure determinations were performed by two doctors.

3). Criteria:

The ANSI/AAMI SP10 Standard recommended :

  • a mean difference of x5mmHg, with standard deviation of differences of x8 mmHg A. between test device and reference method.
  • Between-observer agreement should be:95% or more of readings made B. simultaneously by observers agree to within x10mmHg and 85% or more agree to within x5 mmHg.

4). Result

Through clinical research, we can convinced that the clinical device is safe and effective. The results of the clinical data refer the follow two tables.

Table-1 Between test device and reference method
CriteriaTest Result
Systolic PressureDiastolic Pressure

blog 1 Pativan toot daving and reference a

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Image /page/4/Picture/1 description: The image shows the word "TRULY" in bold, black letters. To the right of the word is a circled "R", indicating that the word is a registered trademark. The word is simple and clear, making it easily readable.

Truly Instrument Limited

Mean differencesx 5 mmHg3.3 mmHg4.5 mmHg
SD differencesx 8 mmHg5.2 mmHg4.6 mmHg
Table-2 Betwee-observer agreement
-----------------------------------------
CriteriaTest Result
Systolic PressureDiastolic Pressure
At least 95% of readings agree towithin x 10mmHg100%100%
At least 85% of readings agree towithin x 5mmHg95%99%

8. Conclusions

The new subject series devices of Truly Automatic Arm Blood Pressure Monitor continue to follow principles of hardware and software design of the predicate device DB61M(K091434), and the feature, safety, effectiveness are also as same as DB61M., just only in case and LCD''s size changes. Thus, the subject devices are substantially equivalent to the predicate devices.

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Image /page/5/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 symbol with three curved lines representing the body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the bird symbol.

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

Truly Instrument Co., Ltd. c/o: Mr. Jack Lee Truly (USA) INC 2620 Concord Avenue, Suite 106 Alhambra, CA 91803

JAN 1 9 2012

Re: K113083

Truly Automatic Arm Blood Pressure Monitor (DB33, DB81, DB82, DB83, DB91, DB92, DB93) - 8 models Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive blood pressure measurement system Regulatory Class: II Product Code: DXN Dated: January 13, 2012 Received: January 13, 2012

Dear Mr. Lee:

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 for ass based of 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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 or any Federal statutes and regulations administered by other Federal agencies. You must

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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 forth in the quant) of brovisions (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 17 you active pov.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

Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K113083

Truly Instrument Limited

Indications for Use

510(K) Number (if Known)

Device Name: Truly Automatic Arm Blood Pressure Monitor DB Series:

Models DB33, DB81, DB82, DB83, DB85, DB91, DB92, DB93 Indication For Use:

Truly Automatic Arm Blood Pressure Monitor, Models DB33, DB81, DB82, DB83, DB85, DB91, DB92, DB93 are a series device intended to measure the systolic and diastolic blood pressure 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 devices features include irregular pulse rhythm detection during measurement, and display a warning signal with the reading once the irregular heartbeat is detected.

AND/OR -Prescription Use _______________ (Part 21 CFR 801 Subpart D)

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)

(Division Sign-Off)
Division of Cardiovascular Devices
510(k) NumberK113083
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§ 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).