K Number
K122046
Device Name
WRIST PULSE OXIMETER
Date Cleared
2013-02-04

(207 days)

Product Code
Regulation Number
870.2700
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The MD300W4 wrist pulse oximeter is a portable non-invasive device intended for spot checking ,data collection and recording of arterial oxygen saturation (SpO2) and pulse rate of adult and pediatric patient at home and hospital( including clinical use in internist/ surgery, Anesthesia, intensive care and etc).
Device Description
The proposed device MD300W4 consists of MCU circuit, power supply circuit, SpO2 module circuit, display circuit, Flash memory circuit, GPRS module circuit, charging circuit, real-time clock circuit, button circuit. It can measure, store, review and display the SpO2% and pulse rate value, time, ID number, pulse bar and battery power status, the connection of probe, and transmit data by GPRS or USB cable. The power supply is 4.2V Li-battery with capacity 1250mAh. The device can not be used to measure when it charges for the Li- battery. The Pulse oximeter works by applying a sensor to a pulsating arteriolar vascular bed. The sensor contains a dual light source and a photodetector. The one wavelength of light source is 660 nm, which is red light; the other is 940 nm, which is infrared light. Skin, bone, tissue, and venous vessels normally absorb a constant amount of light over time. The photodetector in probe collects and converts the light into electronic signal which is proportional to the light intensity. The arteriolar bed normally pulsates and absorbs variable amounts of light during systole and diastole, as blood volume increases and decreases. The ratio of light absorbed at systole and diastole is translated into an oxygen saturation measurement. This measurement is referred to as SpO2. The proposed device has one model detachable sensor as the accessory of which the skin-contacting material is silicon. It is listed below: M-50G (510(k) number: K082487) The proposed device is not for life-supporting or life-sustaining, not for implant. The device or probe is not sterile and does not need sterilization or re-sterilization. The device is for prescription. The device does not contain drug or biological products. The device is software-driven and the software validation is provided in Section 14 Software on page 14-1.
More Information

No
The device description and performance studies focus on standard pulse oximetry technology and signal processing, with no mention of AI or ML.

No.
The device is intended for "spot checking, data collection and recording of arterial oxygen saturation (SpO2) and pulse rate," which are diagnostic or monitoring functions, not therapeutic ones. The description explicitly states, "The proposed device is not for life-supporting or life-sustaining," further indicating it does not provide treatment.

Yes
The device is described as a non-invasive device for "spot checking, data collection and recording of arterial oxygen saturation (SpO2) and pulse rate," which are physiological parameters used in diagnosing various medical conditions.

No

The device description explicitly lists multiple hardware components (MCU circuit, power supply circuit, SpO2 module circuit, display circuit, Flash memory circuit, GPRS module circuit, charging circuit, real-time clock circuit, button circuit, sensor, battery) and describes its physical operation using light sources and a photodetector. While it is software-driven, it is not a software-only device.

No, 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 (like blood, urine, or tissue) to provide information about a person's health. This testing is done outside the body.
  • Device Function: The MD300W4 wrist pulse oximeter is a non-invasive device that measures SpO2 and pulse rate by applying a sensor to the skin. It works by analyzing light absorption through the skin and tissue, not by testing a sample taken from the body.

The description clearly states it's a "portable non-invasive device" and describes how it works by applying a sensor to the skin and using light. This is a direct measurement on the body, not an in vitro test.

N/A

Intended Use / Indications for Use

The MD300W4 wrist pulse oximeter is a portable non-invasive device intended for spot checking ,data collection and recording of arterial oxygen saturation (SpO2) and pulse rate of adult and pediatric patient at home and hospital( including clinical use in internist/ surgery, Anesthesia, intensive care and etc).

Product codes

DQA

Device Description

The proposed device MD300W4 consists of MCU circuit, power supply circuit, SpO2 module circuit, display circuit, Flash memory circuit, GPRS module circuit, charging circuit, real-time clock circuit, button circuit. It can measure, store, review and display the SpO2% and pulse rate value, time, ID number, pulse bar and battery power status, the connection of probe, and transmit data by GPRS or USB cable. The power supply is 4.2V Li-battery with capacity 1250mAh. The device can not be used to measure when it charges for the Li- battery. The Pulse oximeter works by applying a sensor to a pulsating arteriolar vascular bed. The sensor contains a dual light source and a photodetector. The one wavelength of light source is 660 nm, which is red light; the other is 940 nm, which is infrared light. Skin, bone, tissue, and venous vessels normally absorb a constant amount of light over time. The photodetector in probe collects and converts the light into electronic signal which is proportional to the light intensity. The arteriolar bed normally pulsates and absorbs variable amounts of light during systole and diastole, as blood volume increases and decreases. The ratio of light absorbed at systole and diastole is translated into an oxygen saturation measurement. This measurement is referred to as SpO2. The proposed device has one model detachable sensor as the accessory of which the skin-contacting material is silicon. It is listed below: M-50G (510(k) number: K082487) The proposed device is not for life-supporting or life-sustaining, not for implant. The device or probe is not sterile and does not need sterilization or re-sterilization. The device is for prescription. The device does not contain drug or biological products. The device is software-driven and the software validation is provided in Section 14 Software on page 14-1.

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 and pediatric patient

Intended User / Care Setting

at home and hospital( including clinical use in internist/ surgery, Anesthesia, intensive care and etc)

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

The clinical test is conducted according to ISO9919:2005 Annex EE in Yue Bei Pepople's Hospital. 12 health adults are selected as the subjects. The system is evaluated during steady state / non-motion conditions with various levels of induced hypoxia resulting in stable oxygen saturation levels between 100% and 70% SaO2. The SpO2 are compared to arterial blood sample oxygen saturation (functional SaO2) as measured by CO-Oximetry.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The clinical test is conducted according to ISO9919:2005 Annex EE in Yue Bei Pepople's Hospital. 12 health adults are selected as the subjects. The system is evaluated during steady state / non-motion conditions with various levels of induced hypoxia resulting in stable oxygen saturation levels between 100% and 70% SaO2. The SpO2 are compared to arterial blood sample oxygen saturation (functional SaO2) as measured by CO-Oximetry. There are no adverse events during the study. It can be determined from the study results that the SpO2 accuracy of the proposed device is compliance to the specification claimed by the manufacturer compared with "Golden Standard" Co-Oximeter. So the proposed device is safe and effective as well as the predicate device. The accuracy claimed by the manufacturer is identical to that of the predicate device. And the test result indicates that the safety and effectiveness of the proposed devices is identical to that of the predicate device.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

SpO2 accuracy: 90%-100%±2%, 80%-90%±3%, 70%-80%±3%,

§ 870.2700 Oximeter.

(a)
Identification. An oximeter is a device used to transmit radiation at a known wavelength(s) through blood and to measure the blood oxygen saturation based on the amount of reflected or scattered radiation. It may be used alone or in conjunction with a fiberoptic oximeter catheter.(b)
Classification. Class II (performance standards).

0

Exhibit F 510(k) Summary

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

The assigned 510(k) number is: ___K122046

Statement

Wrist Pulse Oximeters MD300W4 is a modification device to Wrist Pulse Oximeter

MD300W4MD300W
Display CreenOLEDSegment LCD
Transmission modeUSB and GPRSUSB
Power supplylithium-ion rechargeable battery1 AAA
Enclosure133mm×63mm×33mm60mm×50mm×20mm

MD300W (K081125). Their differences between them are listed below:

1. 510(k) Owner's Information

Establishment Registration Number: 3005569927

Beijing Choice Electronic Technology Co., Ltd.

Room 1127-1128 Building B, Bailangyuan

Fuxing Road, No. A36,

100039 Beijing, China

Contact Person: Mr. Lei Chen /Quality Director

Phone: +86-10-88790480

Fax: 215-4052545

Email: cc@choicemmed.com

2. Prepared Date: Aug. 8, 2012

3. Proposed Device Information

Device Common Name: Pulse Oximeter -

Device Trade Name: Wrist Pulse Oximeter

Model: MD300W4

1

Classification Name: Oximeter

Class: II

Regulation Number: 21 CFR 870.2700

Product Code: DQA

Panel: Anesthesiology

4. Predicate Device

Wrist Pulse Oximeter MD300W (K081125)

Beijing Choice Electronic Technology Co., Ltd.

Room 1127-1128 Building B, Bailangyuan

Fuxing Road, No. A36

100039 Beijing, China

5. Device Description

The proposed device MD300W4 consists of MCU circuit, power supply circuit, SpO2 module circuit, display circuit, Flash memory circuit, GPRS module circuit, charging circuit, real-time clock circuit, button circuit.

It can measure, store, review and display the SpO2% and pulse rate value, time, ID number, pulse bar and battery power status, the connection of probe, and transmit data by GPRS or USB cable.

The power supply is 4.2V Li-battery with capacity 1250mAh. The device can not be used to measure when it charges for the Li- battery.

The Pulse oximeter works by applying a sensor to a pulsating arteriolar vascular bed. The sensor contains a dual light source and a photodetector. The one wavelength of light source is 660 nm, which is red light; the other is 940 nm, which is infrared light.

Skin, bone, tissue, and venous vessels normally absorb a constant amount of light over time. The photodetector in probe collects and converts the light into electronic signal which is proportional to the light intensity. The arteriolar bed normally pulsates and absorbs variable amounts of light during systole and diastole, as blood volume increases and decreases. The ratio of light absorbed at systole and diastole is translated into an oxygen saturation measurement. This measurement is referred to as SpO2.

The proposed device has one model detachable sensor as the accessory of which the skin-contacting material is silicon. It is listed below:

M-50G (510(k) number: K082487)

The proposed device is not for life-supporting or life-sustaining, not for implant. The device

2

2

or probe is not sterile and does not need sterilization or re-sterilization. The device is for prescription. The device does not contain drug or biological products.

The device is software-driven and the software validation is provided in Section 14 Software on page 14-1.

Proposed DevicePredicate Device
ITEMWrist Pulse Oximeter
MD300W4Wrist Pulse Oximeter MD300W
(K081125)
CompositionA main unit, SpO2 sensorA main unit, SpO2 sensor
Design principleSkin, bone, tissue, and venous
vessels normally absorb a constant
amount of light over time. The
photodetector in probe collects and
converts the light (660nm red light
and 940nm near infrared light)
into electronic signal which is
proportional to the light intensity.
The arteriolar bed normally
pulsates and absorbs variable
amounts of light during systole and
diastole, as blood volume increases
and decreases. The ratio of light
absorbed at systole and diastole is
translated into an oxygen
saturation measurement. This
measurement is referred to as
SpO2.Skin, bone, tissue, and venous
vessels normally absorb a constant
amount of light over time. The
photodetector in probe collects and
converts the light (660nm red light
and 940nm near infrared light) into
electronic signal which is
proportional to the light intensity.
The arteriolar bed normally pulsates
and absorbs variable amounts of
light during systole and diastole, as
blood volume increases and
decreases. The ratio of light
absorbed at systole and diastole is
translated into an oxygen saturation
measurement. This measurement is
referred to as SpO2
Patient Contact
MaterialMedical Silica gel and NylonMedical Silica gel and Nylon
Display
unit
specificationOLEDSegment LCD
Working timeWork for 10h continuouslyWork for 12h continuously
Power4.2V Li-battery1 *AAA
Display ParameterSpO2, pulse rateSpO2, pulse rate
SpO2 display
range0%-100%0%-100%
SpO2 measuring
range70%-100%70%-100%
SpO2 Resolution1%1%
SpO2 Accuracy70%-100%+3%70%-100%+3%
90%-100%±2%, 80%-90%±3%, 70%-80%±3%,