K Number
K123130
Device Name
ANSWATCH WRIST MONITOR MODEL TS-0411
Date Cleared
2013-09-17

(348 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Non-invasive measurement of systolic pressure (SYS), diastolic pressure (DIA), heart rate (HR), heart rate variability (HRV), and irregular heartbeats (IrrHB) for professionals at office or patients at home under the supervision of a trained professional. The device is not intended for ambulatory use. The device is designed for wearing on the left wrist only. The device provides a HRV parameter which is only mathematical analysis and is not intended to produce any interpretation of those measurements or any kind of diagnosis.
Device Description
The non-invasive blood pressure measuring system HRVWatch Wrist Monitor measures blood pressures (BP) (systolic pressure SYS and diastolic pressure DIA) and heart rate (HR), using the oscillometric method commonly employed by electronic blood pressure meters. In addition, the device utilizes piezo-electrical sensors embedded in the cuff to obtain detailed radial arterial waveforms. The 5-minute continuous waveform recording allows the device to detect and report irregular heartbeats. Heart rate variability (HRV) parameters are also obtained by time- and frequency-domain analyses of peak-to-peak intervals. The main body of the device has the full functions of testing, display, and data storage. A mini-USB port is provided for connection and data download to a PC. A device-specific software, HRVWatch Manager, is included in the product package for database management and report printing running on a Windows-based PC. HRVWatch Wrist Monitor is intended to provide only patient parameter measurements and is not intended to produce any interpretation of those measurements or any kind of diagnosis.
More Information

Not Found

No
The summary describes standard oscillometric and time/frequency domain analyses, which are traditional signal processing techniques, not AI/ML. There is no mention of AI, ML, or related concepts like neural networks or deep learning.

No
The device measures vital signs (blood pressure, heart rate, heart rate variability) and detects irregular heartbeats but explicitly states it is not intended to produce any interpretation of these measurements or any kind of diagnosis. Therapeutic devices are used for treating diseases or conditions.

No

The document explicitly states that the device "is not intended to produce any interpretation of those measurements or any kind of diagnosis." It provides measurements (SYS, DIA, HR, HRV, IrrHB) but does not interpret them diagnostically.

No

The device description explicitly states it is a "non-invasive blood pressure measuring system" with a "main body of the device" that has "full functions of testing, display, and data storage." It also mentions "piezo-electrical sensors embedded in the cuff." This indicates the device includes hardware components beyond just software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that the device is a "non-invasive blood pressure measuring system" that measures blood pressure, heart rate, heart rate variability, and irregular heartbeats using the oscillometric method and piezo-electrical sensors. These measurements are taken directly from the patient's wrist.
  • Lack of Sample Analysis: There is no mention of the device analyzing any biological samples taken from the patient.

The device is a non-invasive medical device that measures physiological parameters directly from the body.

N/A

Intended Use / Indications for Use

Non-invasive measurement of systolic pressure (SYS), diastolic pressure (DIA), heart rate (HR), heart rate variability (HRV), and irregular heartbeats (IrrHB) for professionals at office or patients at home under the supervision of a trained professional. The device is not intended for ambulatory use. The device is designed for wearing on the left wrist only. The device provides a HRV parameter which is only mathematical analysis and is not intended to produce any interpretation of those measurements or any kind of diagnosis.

Product codes

DXN

Device Description

The non-invasive blood pressure measuring system HRVWatch Wrist Monitor measures blood pressures (BP) (systolic pressure SYS and diastolic pressure DIA) and heart rate (HR), using the oscillometric method commonly employed by electronic blood pressure meters. In addition, the device utilizes piezo-electrical sensors embedded in the cuff to obtain detailed radial arterial waveforms. The 5-minute continuous waveform recording allows the device to detect and report irregular heartbeats. Heart rate variability (HRV) parameters are also obtained by time- and frequency-domain analyses of peak-to-peak intervals. The main body of the device has the full functions of testing, display, and data storage. A mini-USB port is provided for connection and data download to a PC. A device-specific software, HRVWatch Manager, is included in the product package for database management and report printing running on a Windows-based PC. HRVWatch Wrist Monitor is intended to provide only patient parameter measurements and is not intended to produce any interpretation of those measurements or any kind of diagnosis.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

left wrist

Indicated Patient Age Range

Not Found

Intended User / Care Setting

professionals at office or patients at home under the supervision of a trained professional.

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)

HRVWatch Wrist Monitor has been tested extensively by both in-vitro (bench) and human clinical studies. The test results show that HRVWatch Wrist Monitor is in compliance with the following international standards:

  • (i) FDA "Noninvasive blood pressure meter submission guide" (March 10, 1997)
  • (ii) ANSI/AAMI SP10-1992 Electronic or Automatic Sphygmomanometers
  • (iii) EN60601-1: 1990 (including Amendments A1 (1993), A2 (1995)) Medical electrical equipment. General requirements for safety
  • (iv) IEC 60601-1: 1988 (including Amendment A1(1991) and A2 (1995)) Medical electrical equipment (this standard covers EMC safety)
  • (v) ISO 13485:2003 Medical Devices
  • (vi) 1996 Heart Rate Variability International Standard

Clinical Test:

  • (i) A total of 88 subjects were recruited for the human clinical study
  • (ii) Among the total, 10 subjects participated in the intra-device variability test. all in the SP10 BP test, and 50 subjects in the heart rate, heart rate variability, and irregular heartbeats test
  • (iii) Tests were conducted comparing HRVWatch to a manual mercury sphygmomanometer for measurement of BP and to an ECG for measurements of heart rate, heart rate variability, and irregular heartbeats
  • (iv) The clinical test results showed HRVWatch to be safe for its intended use and substantially equivalent to the predicate devices for technical designs, functions, and data accuracy

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.

K990638, K052450, K020708, K071188, K050620

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

K123130 P 1/3

510(k) Summary

This summary of 510(k) safety and effectiveness information is submitted in accordance with the requirements of Safe Medical Devices Act (SMDA) and 21 CFR 807.92.

5.1 510(k) Number: K123130

5.2 Applicant Information:

SEP 17 2013

Date Prepared: September 25th, 2012 Name: Taiwan Scientific Corporation Address: 10 F, 88-4, Ming-Chiuan Rd., Shin-Dian District, New Taipei 23141, Taiwan Phone:+886-2-8667-3362 Fax: +886-2-8667-3387 Contact Person: Dehchuan Sun Phone Number: Office: +886-2-8667-3362 / Cell +886-953-933-962 Fax Number: +886-2-8667-3387 E-mail: sundc@taiwanscientific.com.tw

5.3 Device Information:

Classification: DXN /Class II/870.1130 Trade Name: HRVWatch Wrist Monitor Common Name: Non-invasive blood pressure meter system Classification Name: Noninvasive blood pressure measurement system

5.4 Predicate Devices:

The Aneroid Mercury Sphygmomanometer K990638 The KD-788 Wrist Measurement Electronic Blood Pressure Monitor K052450 The Philips Pagewriter Touch Cardiograph K020708 The Portable ANSiscope K071188 The ReadMyHeart - Model RMHI3 K050620

5.5 Device Description:

The non-invasive blood pressure measuring system HRVWatch Wrist Monitor measures blood pressures (BP) (systolic pressure SYS and diastolic pressure DIA)

1

K123130 P 2/3

and heart rate (HR), using the oscillometric method commonly employed by electronic blood pressure meters. In addition, the device utilizes piezo-electrical sensors embedded in the cuff to obtain detailed radial arterial waveforms. The 5-minute continuous waveform recording allows the device to detect and report irregular heartbeats. Heart rate variability (HRV) parameters are also obtained by time- and frequency-domain analyses of peak-to-peak intervals. The main body of the device has the full functions of testing, display, and data storage. A mini-USB port is provided for connection and data download to a PC. A device-specific software, HRVWatch Manager, is included in the product package for database management and report printing running on a Windows-based PC. HRVWatch Wrist Monitor is intended to provide only patient parameter measurements and is not intended to produce any interpretation of those measurements or any kind of diagnosis.

5.6 Intended Use:

Non-invasive measurement of systolic pressure (SYS), diastolic pressure (DIA), heart rate (HR), heart rate variability (HRV), and irregular heartbeats (IrrHB) for professionals at office or patients at home under the supervision of a trained professional. The device is not intended for ambulatory use. The device is designed for wearing on the left wrist only. The device provides a HRV parameter which is only mathematical analysis and is not intended to produce any interpretation of those measurements or any kind of diagnosis.

5.7 Comparison to Predicate Device(s):

(i) HRVWatch conforms to ANSI/AAMI SP10 (confirmed by in-vitro and human clinical studies) and is substantially equivalent to the predicate devices of manual mercury sphygmomanometers for the measurement of systolic and diastolic pressures. (ii) HRVWatch employs the oscillometric method for the measurement of systolic pressure, diastolic pressure, and heart rate and is substantially equivalent to the predicate devices of wrist-worn automatic electronic BP meters. (iii) HRVWatch employs piezo-electrical sensors embedded in the cuff to measure radial pulse waveforms. From the 5-minute continuous pulse waveforms, peak-to-peak intervals are obtained. Peak intervals greater than 4 standard deviations are reported as irregular heartbeats. Heart rate variability (HRV) parameters are then calculated by time-domain and frequency-domain analyses. The data acquisition and analytical steps follow the guideline listed in 1996 HRV

2

International Standard. Confirmed by in-vitro and human clinical studies, HRVWatch is substantially equivalent to the predicate devices of electrocardiograph HRV analyzers for the measurements of HRV and irregular heartbeats.

5.8 Performance Summary (Bench and Clinical):

HRVWatch Wrist Monitor has been tested extensively by both in-vitro (bench) and human clinical studies. The test results show that HRVWatch Wrist Monitor is in compliance with the following international standards:

  • (i) FDA "Noninvasive blood pressure meter submission guide" (March 10, 1997)
  • (ii) ANSI/AAMI SP10-1992 Electronic or Automatic Sphygmomanometers
  • (iii) EN60601-1: 1990 (including Amendments A1 (1993), A2 (1995)) Medical electrical equipment. General requirements for safety
  • (iv) IEC 60601-1: 1988 (including Amendment A1(1991) and A2 (1995)) Medical electrical equipment (this standard covers EMC safety)
  • (v) ISO 13485:2003 Medical Devices
  • (vi) 1996 Heart Rate Variability International Standard

5.9 Discussion of Clinical Test

  • (i) A total of 88 subjects were recruited for the human clinical study
  • (ii) Among the total, 10 subjects participated in the intra-device variability test. all in the SP10 BP test, and 50 subjects in the heart rate, heart rate variability, and irregular heartbeats test
  • (iii) Tests were conducted comparing HRVWatch to a manual mercury sphygmomanometer for measurement of BP and to an ECG for measurements of heart rate, heart rate variability, and irregular heartbeats
  • (iv) The clinical test results showed HRVWatch to be safe for its intended use and substantially equivalent to the predicate devices for technical designs, functions, and data accuracy

5.10 Conclusions:

After extensive bench and clinical performance tests, HRVWatch was shown to be safe in use and substantially equivalent to the predicate devices

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three tail feathers, representing the three levels of government: federal, state, and local. The eagle is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter.

Public Health Service

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

September 17, 2013

Taiwan Scientific Corporation c/o Dr. Dehchuan Sun General Manager 10 F, 88-4, Ming-Chiuan Rd. Shin-Dian District New Taipei 23141 TAIWAN

K123130 Re:

Trade/Device Name: HRVWatch Wrist Monitor Regulatory Number: 21 CFR 870.1130 Regulation Name: Non-invasive Blood Pressure Measurement System Regulatory Class: II (two) Product Code: 74 DXN Dated: August 12, 2013 Received: August 19, 2013 .

Dear Dr. Sun:

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. Iisting 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

4

Page 2 - Dr. Dehchuan Sun

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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

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

Sincerely yours,

Owen=P.Faris-S

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

Enclosure

5

K123130

Indications for Use Statement

Indication for Use 510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________

Device Name: HRVWatch Wrist Monitor

Indications for Use: Non-invasive measurement of systolic pressure (SYS), diastolic pressure (DIA), heart rate (HR), heart rate variability (HRV), and irregular heartbeats (IrrHB) for professionals at office or patients at home under the supervision of a trained professional. The device is not intended for ambulatory use. The device is designed for wearing on the left wrist only. The device provides a HRV parameter which is only mathematical analysis and is not intended to produce any interpretation of those measurements or any kind of diagnosis.

Prescription Use Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________ AND (Part 21 CFR 801 Subpart D) (21 CFR 801 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Digitally signed by
Owen P. Faris -S
Date: 2013.09.17
13:44:00 -04'00'

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