(186 days)
Not Found
No
The description mentions "algorithms that calculate SmO2 and pHm from collected spectra" but does not use terms like AI, ML, deep learning, or neural networks. The algorithms appear to be based on established spectroscopic principles rather than learned patterns from data.
No.
The device is described as an "adjunct, non-invasive monitor" and it explicitly states it "should not be used as the sole basis for diagnosis or therapy," indicating it is for monitoring rather than treatment.
Yes
The device is intended as a non-invasive monitor of hemoglobin oxygen saturation and pH, providing data that can be used to assess the physiological state of skeletal muscle tissue. While it is stated that the device "should not be used as the sole basis for diagnosis or therapy," it provides information that contributes to a diagnosis by a trained healthcare professional.
No
The device description explicitly details hardware components including light sources, a spectroscopic detector, microprocessors, communication components, and a battery, all contained within a reusable sensor. It also mentions a disposable sleeve. This is not a software-only device.
Based on the provided information, this device is not an In Vitro Diagnostic (IVD).
Here's why:
- Intended Use: The device is intended for use as a non-invasive monitor of hemoglobin oxygen saturation and pH of microvascular blood in skeletal muscle tissue. It measures these parameters directly from the tissue using a sensor placed on the skin.
- Device Description: The device uses Near Infrared (NIR) Spectroscopy to collect spectra from skin, fat, and muscle. It then calculates SmO2 and pHm from these collected spectra. This is a direct measurement from the body, not from a sample taken from the body.
- IVD Definition: An In Vitro Diagnostic device is defined as a medical device intended for use in vitro for the examination of specimens, including blood, tissues, and body excretions, derived from the human body, solely or principally for the purpose of providing information concerning a physiological state, state of health, or disease.
This device does not examine specimens derived from the human body in vitro. It performs a non-invasive measurement directly on the body.
N/A
Intended Use / Indications for Use
The Multi-Parameter Mobile CareGuide™ 3100 Oximeter is intended for use as an adjunct, non-invasive monitor of the hemoglobin oxygen saturation and pH of microvascular blood in a region of skeletal muscle tissue beneath the sensor may be positioned on pigmented skin. The Multi-Parameter Mobile CareGuide 3100 Oximeter is intended to allow for display of SmO2 and pHm data on a third party device, which would interface with the Multi-Parameter Mobile CareGuide 3100 Oximeter via USB or CAN connection. The Multi-Parameter Mobile CareGuide 3100 Oximeter is intended for prescriptive use (Rx only) by a trained healthcare professional in a hospital. The Multi-Parameter Mobile CareGuide 3100 Oximeter provides output of the most recent values of SmO2 and pHm in a trend, as well as operational device information. The Multi-Parameter Mobile CareGuide 3100 Oximeter should not be used as the sole basis for diagnosis or therapy. Note: The prospective clinical value of data from the Multi-Parameter Mobile CareGuide 3100 Oximeter has not been demonstrated in disease states.
Product codes (comma separated list FDA assigned to the subject device)
MUD, CBZ
Device Description
The Multi-Parameter Mobile CareGuide 3100 Oximeter sensor uses Near Infrared (NIR) Spectroscopy to calculate muscle oxygen saturation (SmO2) and muscle pH (pHm). The Multi-Parameter Mobile CareGuide 3100 Oximeter is a multiple parameter oximeter. The sensor contains algorithms that calculate SmO2 and pHm from collected spectra and communicates the current SmO2 and pHm results to a 30 party display or patient monitor through a proprietary protocol. The Multi-Parameter Mobile CareGuide 3100 Oximeter reusable sensor contains the optical and electronic elements necessary to collect spectra from skin, fat and muscle. The sensor has a 3m long cord with either a USB connection or CAN connection to the 310 party display/patient monitor. The sensor is identical to the predicate (K122645) Mobile CareGuide 2100 Oximeter hardware containing six major components: (1) light sources to illuminate the skin; (2) a spectroscopic detector to analyze the reflected spectra back from the subject; (3) a microprocessor to control the optical components; (4) a microprocessor to perform the spectral analysis and generate the calculated SmO2 and pHm; (5) one of two different communications components to transmit in CAN or USB format; (6) a battery to power all components. The Multi-Parameter Mobile CareGuide 3100 Oximeter uses the same disposable element as the Mobile CareGuide 2100 Oximeter, a disposable sleeve that isolates the sensor optical elements from the patient's skin.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Near Infrared (NIR) Spectroscopy
Anatomical Site
Skeletal muscle tissue
Indicated Patient Age Range
Not Found
Intended User / Care Setting
trained healthcare professional in a hospital.
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)
Testing demonstrates that the Multi-Parameter Mobile CareGuide 3100 Oximeter is a safe and effective oximeter meeting all relevant consensuses and FDA recognized standards. The test results in this submission demonstrate that the Multi-Parameter Mobile CareGuide 3100 Oximeter meets the expected performance requirements for an Oximeter, and is therefore equivalent to the predicate relative to safety and mechanical properties. The accuracy and safety of the Multi-Parameter Mobile CareGuide 3100 Oximeter is the same as the predicate device.
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.
K970906, K020967, K080238, K061204, K113656, K122645
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
§ 870.2700 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).
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K130079 Page 1 of 5
Reflectance Medical, Inc.
510(k) Premarket Notification Submission: Multi-Parameter Mobile CareGuide™ 3100 Oximeter
SECTION 5
510(k) SUMMARY
JUL 1 9 2013
SUMMARY OF SAFETY AND EFFECTIVENESS FOR Multi-Parameter Mobile CareGuide™ 3100 Oximeter
Submitter Information
| Name: | Reflectance Medical, Inc. (RMI) |
|---|---|
| Address: | 116 Flanders Road, Suite 1000 |
| Westborough, MA 01581 USA | |
| Telephone Number: | 508.366.4700 |
| Registration Number: | NA (RMI will apply for registration number following 510(k) clearance, prior to commencement of commercial shipment.) |
| Contact Person: | Dr. Babs Soller |
| Telephone Number: | 508.366.4700, Ext 223 |
| Fax Number: | 508.366.4770 |
| Email: | Babs.Soller@reflectancemedical.com |
| Date Prepared: | June 12, 2013 |
Device Name
| Trade name of New Device: | Multi-Parameter CareGuide™ Oximeter |
|---|---|
| Model Number: | 3100 |
| 510(k) Holder/Submitter: | Reflectance Medical, Inc. (RMI) |
| 510(k) Number: | N/A |
| Proposed Additional product codes: | CBZ, 21 C.F.R. § 868.1170, Anesthesiology |
| Classification Panel: | Anesthesiology |
Predicate Devices
| Predicate Device #1: | Multi Parameter Catheter |
|---|---|
| ---------------------- | -------------------------- |
| Predicate Device #1 : | Multi Parameter Catheter |
|---|---|
| Trade name of Device: | Paratrend™ Multi parameter Sensor and Satellite Monitor System |
| with Paratrend 7 Plus multi-parameter catheter | |
| Model #: | 7 |
| 510(k) holder/Submitter: | Diametrics Medical Limited |
.
1
1
510(k) Premarket Notification Submission: Multi-Parameter Mobile CareGuide™ 3100 Oximeter
| 510(k) Number: | K970906 |
|---|---|
| Product codes: | CBZ, 21 CFR 868.1170, Anesthesiology |
| Predicate Device #2: | |
| Trade name of device: | |
| Model #: | |
| 510(k) holder/Submitter: | |
| 510(k) Number: | |
| Product codes: | Terumo Khuri |
| Terumo Khuri™ Myocardial pH Monitoring System | |
| N/A | |
| Terumo Cardiovascular Systems Corporation | |
| K020967 | |
| CBZ, 868.1170, Anesthesiology | |
| Predicate Device #3: | |
| Trade name of Device: | |
| 510(k) holder/Submitter: | |
| 510(k) Numbers: | |
| Product Codes: | Masimo multi-parameter oximeter |
| Rainbow SET™ Radical 7 Co-oximeter | |
| Masimo Corporation | |
| K080238, K061204 | |
| DQA, 21 CFR 870.2700, Anesthesiology | |
| JKS, 21 CFR 862.3220, Clinical Toxicology | |
| DPZ, 21 CFR 870.2710, Cardiovascular (K080238) | |
| Predicate Device #4: | |
| Trade Name of Device: | |
| Model #: | |
| 510(k) Holder/Submitter: | |
| 510(k) Number: | |
| Product code: | CareGuide |
| Mobile CareGuide Oximeter | |
| 1100, 2100 | |
| Reflectance Medical Inc. | |
| K113656, CareGuide 1100 | |
| K122645, CareGuide 2100 | |
| MUD, 21 CFR 870.2700, Cardiovascular |
Device Description
The Multi-Parameter Mobile CareGuide 3100 Oximeter sensor uses Near Infrared (NIR) Spectroscopy to calculate muscle oxygen saturation (SmO2) and muscle pH (pHm).
-.
2
510(k) Premarket Notification Submission: Multi-Parameter Mobile CareGuide™ 3100 Oximeter
| Characteristics | Reflectance Medical Multi-Parameter Mobile CareGuide 3100
Oximeter |
|------------------------|-----------------------------------------------------------------------|
| Principle of Operation | NIR spectroscopy |
| Components | Monitor with reusable sensor and disposable pad |
| Light Source | LEDs |
| Parameters Measured | Tissue oxygen saturation (SmO2) and muscle pH (pHm) |
The Multi-Parameter Mobile CareGuide 3100 Oximeter is a multiple parameter oximeter. The sensor contains algorithms that calculate SmO2 and pHm from collected spectra and communicates the current SmO2 and pHm results to a 30 party display or patient monitor through a proprietary protocol. The Multi-Parameter Mobile CareGuide 3100 Oximeter reusable sensor contains the optical and electronic elements necessary to collect spectra from skin, fat and muscle. The sensor has a 3m long cord with either a USB connection or CAN connection to the 310 party display/patient monitor. The sensor is identical to the predicate (K122645) Mobile CareGuide 2100 Oximeter hardware containing six major components: (1) light sources to illuminate the skin; (2) a spectroscopic detector to analyze the reflected spectra back from the subject; (3) a microprocessor to control the optical components; (4) a microprocessor to perform the spectral analysis and generate the calculated SmO2 and pHm; (5) one of two different communications components to transmit in CAN or USB format; (6) a battery to power all components. The Multi-Parameter Mobile CareGuide 3100 Oximeter uses the same disposable element as the Mobile CareGuide 2100 Oximeter, a disposable sleeve that isolates the sensor optical elements from the patient's skin.
Indications for Use
The Multi-Parameter Mobile CareGuide™ 3100 Oximeter is intended for use as an adjunct, noninvasive monitor of the hemoglobin oxygen saturation and pH of microvascular blood in a region of skeletal muscle tissue beneath the sensor may be positioned on pigmented skin. The Multi-Parameter Mobile CareGuide 3100 Oximeter is intended to allow for display of SmO2 and pHm data on a third party device, which would interface with the Multi-Parameter Mobile CareGuide 3100 Oximeter via USB or CAN connection. The Multi-Parameter Mobile CareCuide 3100 Oximeter is intended for prescriptive use (Rx only) by a trained healthcare professional in a hospital. The Multi-Parameter Mobile CareGuide 3100 Oximeter provides output of the most recent values of SmO2 and pHm in a trend, as well as operational device information. The Multi-Parameter Mobile CareGuide 3100 Oximeter should not be used as the sole basis for diagnosis or
3
510(k) Premarket Notification Submission: Multi-Parameter Mobile CareGuide™ 3100 Oximeter
therapy. Note: The prospective clinical value of data from the Multi-Parameter Mobile CareGuide 3100 Oximeter has not been demonstrated in disease states.
Rationale for Substantial Equivalence
This device's oximetry feature has been already cleared under classification regulation 21 C.F.R 8 870.2700, Oximeter. The remaining component of the device is pH (21 CFR 868.1170).
The Multi-Parameter CareGuide 3100 has the same intended use as one of the identified predicates, the Terumo Khuri Regional pH monitor (K020967).
There is no change in how the User would use the information generated by the Multi-Parameter Care Guide 3100 relative to the predicate devices. They are all intended for monitoring of respective parameters. Neither the Multi-Parameter CareGuide 3100 nor any of the predicate devices identified by RMI provide diagnostic output.
The Multi-Parameter CareGuide 3100 has the same principle of operation (an optical technological platform that relies on light absorption) as the Paratrend 7 Sensor (pH) (K970906) predicate device. The Multi-Parameter Mobile CareGuide 3100 includes a sensor and monitor and, outputs a numeric trend like these predicate devices.
While the optical technology used in the Multi-Parameter CareGuide 3100 is not identical to that of the Paratrend monitor, the accuracy of the CareGuide 3100 is comparable to that predicate device. Much like the testing strategy used by other multi-parameter monitors, accuracy of the CareGuide 3100 was established via a bridging study, comparing CareGuide 3100 values against direct blood measurements using a laboratory analyzer.
The Multi-Parameter CareGuide 3100 also has the same technological characteristics as the previously cleared RMI devices, the CareGuide 1100 (K113656) and the Mobile CareGuide 2100 (K122645).
- . The principle of operation of the Multi-Parameter Mobile Care Guide 3100 Oximeter is identical to that of the predicate CareGuide devices. They use the exact same NIR spectroscopic platform to measure tissue oxygen saturation and muscle. The same software quantitative algorithm for SmO2 is used in both devices.
- The Multi-Parameter Mobile CareGuide 3100 Oximeter is equivalent to the Mobile . CareGuide 2100 predicate in reusable components. Both devices use the exact same sensor hardware: main sensor CPU board, battery, optical board (light sources, spectrometer and microprocessor), CAN/USB interfaces, plastic housing and cables.
- The Multi-Parameter Mobile CareGuide 3100 Oximeter is equivalent to the CareGuide � predicates in disposable components. Both devices use the exact same disposable sheath ("Ray") and disposable sensor check device ("Cradle").
4
510(k) Premarket Notification Submission: Multi-Parameter Mobile CareGuide™ 3100 Oximeter
- The Multi-Parameter Mobile CareGuide 3100 Oximeter has the identical underlying LED . light source as the CareGuide predicates, with the exact same range of wavelength (700-900 nm).
Summary of Safety and Effectiveness Data
Testing demonstrates that the Multi-Parameter Mobile CareGuide 3100 Oximeter is a safe and effective oximeter meeting all relevant consensuses and FDA recognized standards. The test results in this submission demonstrate that the Multi-Parameter Mobile CareGuide 3100 Oximeter meets the expected performance requirements for an Oximeter, and is therefore equivalent to the predicate relative to safety and mechanical properties. The accuracy and safety of the Multi-Parameter Mobile CareGuide 3100 Oximeter is the same as the predicate device.
Conclusion
The Multi-Parameter Mobile CareGuide 3100 Oximeter is equivalent to predicate device in terms of technology (NIR Spectroscopy) and intended use. The Multi-Parameter Mobile CareGuide 3100 Oximeter does not raise new questions of safety or effectiveness, as compared to the predicate. Therefore, the Multi-Parameter Mobile CareGuide 3100 Oximeter is substantially equivalent to the predicate device.
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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 is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is an abstract image of a stylized caduceus, which is a symbol of medicine and healthcare. The caduceus features a staff with two snakes coiled around it and a pair of wings at the top.
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MID-20993-0602
July 19, 2013
Reflectance Medical, Inc. c/o Ms. Nandini Murthy 116 Flaunders Road, Suite 1000 Westborough. MA 01581
Re: K130079
Trade/Device Name: Multi-Parameter Mobile CareGuide 3100 Oximeter Regulation Number: 21 CFR 870.2700 Regulation Name: Oximeter Regulatory Class: Class II Product Code: MUD CBZ Dated: June 13, 2013 Received: June 18, 2013
Dear Ms. Nandini Murthy:
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. 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
6
Page 2 - Ms. Nandini Murthy
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/ReportalProblem/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,
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
7
510(k) Premarket Notification Submission: Multi-Parameter Mobile CareGuide™ 3100 Oximeter
Indications for Use Form
Indications for Use
510(k) Number (if known): K130079
Device Name: Multi-Parameter Mobile CareGuide™ 3100 Oximeter
Indications for Use:
The Multi-Parameter Mobile CareGuide™ 3100 Oximeter is intended for use as an adjunct, non-invasive monitor of the hemoglobin oxygen saturation and pH of microvascular blood in a region of skeletal muscle tissue beneath the sensor may be positioned on pigmented skin. The Multi-Parameter Mobile CareGuide 3100 Oximeter is intended to allow for display of SmO2 and pHm data on a third party device, which would interface with the Multi-Parameter Mobile CareGuide 3100 Oximeter via USB or CAN connection. The Multi-Parameter Mobile CareGuide 3100 Oximeter is intended for prescriptive use (Rx only) by a trained healthcare professional in a hospital. The Multi-Parameter Mobile CareGuide 3100 Oximeter provides output of the most recent values of SmO2 and pHm in a trend, as well as operational device information. The Multi-Parameter Mobile CareGuide 3100 Oximeter should not be used as the sole basis for diagnosis or therapy. Note: The prospective clinical value of data from the Multi-Parameter Mobile CareGuide 3100 Oximeter has not been demonstrated in disease states.
Prescription Use X (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 OF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Digitally signed by
Owen P. Faris -S
Date: 2013.07.19
08:19:45-04'00'