K Number
K132229
Device Name
OMNI PATENT MONITORS
Manufacturer
Date Cleared
2014-02-21

(218 days)

Product Code
Regulation Number
870.2300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The purpose and function of the OMNI patient monitor is to monitor basic physiological parameters including - ECG waveform derived from 3, 5 or 12 lead measurements . - Heart Rate . - NIBP(systolic, diastolic, and mean arterial pressure) . - . SpO2 - Respiration . - Temperature up to 2 channels (Dual Temperature) . - . CO2 - IBP . - Anesthetic agents . The target population is for adult, neonate and pediatric patients. It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner. The purpose and function of the OMNI II patient monitor is to monitor basic physiological parameters including - ECG waveform derived from 3, 5 or 12 lead measurements . - Heart Rate . - NIBP(systolic, diastolic, and mean arterial pressure) . - SpO2 . - Respiration . - Temperature up to 2 channels (Dual Temperature) . - . CO2 - . Cardiac Output - IBP . - . Anesthetic agents The target population is for adult, neonate and pediatric patients with the exception of: - · Cardiac Output for which the target population is adult only. It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner. The purpose and function of the OMNI III patient monitor is to monitor basic physiological parameters including - ECG waveform derived from 3, 5 or 12 lead measurements . - Heart Rate . - NIBP(systolic, diastolic, and mean arterial pressure) . - SpO2 . - Respiration . - Temperature up to 2 channels (Dual Temperature) . - CO2 . - Cardiac Output ● - . IBP - Anesthetic agents . The target population is for adult, neonate and pediatric patients with the exception of: - · Cardiac Output for which the target population is adult only. It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner. The purpose and function of the OMNI Express patient monitor is to monitor basic physiological parameters including - ECG waveform derived from 3 to 5 lead measurements . - Heart Rate . - NIBP(systolic, diastolic, and mean arterial pressure) ● - . SpO2 - . Respiration - . Temperature - up to 2 channels (Dual Temperature) - CO2 - . Anesthetic agents The target population is for adult, neonate and pediatric patients. It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.
Device Description
The OMNI monitor is a comprehensive monitoring system with four, six or eight traces compiling, and processing, analyzing and displaying data from up to eight different patient parameters. It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability. Built-in battery facilitates transportation of patient. The OMNI monitor can be powered by an internal battery pack that provides 1 hour of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor. The OMNI II monitor is a comprehensive monitoring system with four, six or eight traces compiling, and processing, analyzing and displaying data from up to eight different patient parameters. It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability. Built-in battery facilitates transportation of patient. The OMNI II monitor can be powered by an internal battery pack that provides 1 hour of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor. The OMNI III monitor is a comprehensive monitoring system with eight traces compiling, and processing, analyzing and displaying data from up to six different patient parameters. It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability, Built-in battery facilitates transportation of patient. The OMNI III can be powered by an internal battery pack that provides 1 hour of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor. The OMNI EXPRESS monitor is a comprehensive monitoring system with two or three traces compiling, and processing, analyzing and displaying data from up to eight different patient parameters, It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability. Built-in battery facilitates transportation of patient. The OMNI EXPRESS monitor can be powered by an internal battery pack that provides 2 hours of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor.
More Information

K112329, K103737, K101052, K1037268

No
The document describes standard physiological monitoring and data processing without mentioning AI or ML algorithms.

No
Explanation: This device is described as a "patient monitor" and its purpose is to "monitor basic physiological parameters." It does not provide any treatment or therapy.

No

The device is described as a "patient monitor" which is used to "monitor basic physiological parameters." Monitoring vital signs and physical parameters, even if it aids in diagnosis, does not, in itself, constitute a diagnostic function according to common regulatory definitions; diagnostic devices typically provide definitive information about the presence, absence, or nature of a disease or condition. This device gathers data, but doesn't interpret it to provide a diagnosis.

No

The device description explicitly states that the OMNI monitors integrate "parameter measuring modules, display and recorder in one device," and are powered by an internal battery pack. This indicates the presence of hardware components beyond just software.

Based on the provided information, 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. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The OMNI patient monitor series measures physiological parameters directly from the patient's body (ECG, NIBP, SpO2, Respiration, Temperature, CO2, IBP, Anesthetic agents, Cardiac Output). It does not analyze samples taken from the body.
  • Intended Use: The intended use is to monitor basic physiological parameters of patients, not to perform diagnostic tests on biological samples.

The device is a patient monitor, which is a different category of medical device than an in vitro diagnostic.

N/A

Intended Use / Indications for Use

OMNI
The purpose and function of the OMNI patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3, 5 or 12 lead measurements .
  • Heart Rate .
  • NIBP(systolic, diastolic, and mean arterial pressure) .
  • . SpO2
  • Respiration .
  • Temperature up to 2 channels (Dual Temperature) .
  • . CO2
  • IBP .
  • Anesthetic agents .

The target population is for adult, neonate and pediatric patients.

It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

OMNI II
The purpose and function of the OMNI II patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3, 5 or 12 lead measurements .
  • Heart Rate .
  • NIBP(systolic, diastolic, and mean arterial pressure) .
  • SpO2 .
  • Respiration .
  • Temperature up to 2 channels (Dual Temperature) .
  • . CO2
  • . Cardiac Output
  • IBP .
  • . Anesthetic agents

The target population is for adult, neonate and pediatric patients with the exception of:

  • · Cardiac Output for which the target population is adult only.
    It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

OMNI III
The purpose and function of the OMNI III patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3, 5 or 12 lead measurements ●
  • Heart Rate
  • NIBP(systolic, diastolic, and mean arterial pressure) .
  • . SpOz
  • Respiration .
  • Temperature up to 2 channels (Dual Temperature) ●
  • CO2
  • Cardiac Output .
  • IBP
  • Anesthetic agents .

The target population is for adult, neonate and pediatric patients with the exception of:

  • · Cardiac Output for which the target population is adult only.
    It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

OMNI Express
The purpose and function of the OMNI Express patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3 to 5 lead measurements .
  • Heart Rate .
  • NIBP(systolic, diastolic, and mean arterial pressure) ●
  • . SpO2
  • . Respiration
  • . Temperature - up to 2 channels (Dual Temperature)
  • CO2
  • . Anesthetic agents

The target population is for adult, neonate and pediatric patients.

It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

Product codes (comma separated list FDA assigned to the subject device)

MWI, DPS, DXN, DQA, BZQ, FLL, DSK, DQK, DXG, CCK

Device Description

OMNI
The OMNI monitor is a comprehensive monitoring system with four, six or eight traces compiling, and processing, analyzing and displaying data from up to eight different patient parameters. It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability. Built-in battery facilitates transportation of patient.

The OMNI monitor can be powered by an internal battery pack that provides 1 hour of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor.

OMNI II
The OMNI II monitor is a comprehensive monitoring system with four, six or eight traces compiling, and processing, analyzing and displaying data from up to eight different patient parameters. It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability. Built-in battery facilitates transportation of patient.

The OMNI II monitor can be powered by an internal battery pack that provides 1 hour of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor.

OMNI III
The OMNI III monitor is a comprehensive monitoring system with eight traces compiling, and processing, analyzing and displaying data from up to six different patient parameters. It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability, Built-in battery facilitates transportation of patient.

The OMNI III can be powered by an internal battery pack that provides 1 hour of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor.

OMNI Express
The OMNI EXPRESS monitor is a comprehensive monitoring system with two or three traces compiling, and processing, analyzing and displaying data from up to eight different patient parameters, It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability. Built-in battery facilitates transportation of patient.

The OMNI EXPRESS monitor can be powered by an internal battery pack that provides 2 hours of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor.

The OMNI patent monitor is substantial equivalent in intended use and similar technological characteristics of IBP, CO2. Anesthetic Agents, and 12 Lead ECG to the Datascope Corp. Spectrum™ Monitor under K062098.

The OMNI II and OMNI III are substantially equivalent to the Datascope Corp. Spectrum™ Monitor under K062098 in intended use and similar technological characteristics of IBP, CO2, Anesthetic Agents, 12 Lead ECG and Cardiac output .

The OMNI Express is substantially equivalent to the Datascope Corp. Spectrum™ Monitor under K062098 as it pertains to CO2 and Anesthetic Agents.

The OMNI Patient Monitors are substantially equivalent to the previously cleared OMNI Patient Monitors as it pertains to previously cleared technological characteristics and performance. A comparison of these technological characteristics is included in the submission.

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, neonate and pediatric patients

For OMNI II and OMNI III: Cardiac Output for which the target population is adult only.

Intended User / Care Setting

licensed healthcare practitioner.
It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities.

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)

The OMNI series patient monitors underwent bench testing according to several different performance standards.
OMNI
Performance Test: IBP, Standard of Compliance: BS EN 60601-2-34:2000
Performance Test: ECG, Standard of Compliance: ANSI/AAMI EC13:2002/(R)2007
OMNI II, OMNI III
Performance Test: IBP, Standard of Compliance: BS EN 60601-2-34:2000
Performance Test: ECG, Standard of Compliance: ANSI/AAMI EC13:2002/(R)2007
Performance Test: Cardiac Output, Standard of Compliance: No Standard

Based on the conclusions of each of these tests it is determined that the OMNI Patient Monitors are safe and effective.

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.

K062098

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.

K112329, K103737, K101052, K1037268

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

§ 870.2300 Cardiac monitor (including cardiotachometer and rate alarm).

(a)
Identification. A cardiac monitor (including cardiotachometer and rate alarm) is a device used to measure the heart rate from an analog signal produced by an electrocardiograph, vectorcardiograph, or blood pressure monitor. This device may sound an alarm when the heart rate falls outside preset upper and lower limits.(b)
Classification. Class II (performance standards).

0

FEB 2 1 2014

ﮨﮯ ﻧ

510(k) SUMMARY (as required by 807.92(c))

| Regulatory Correspondent: | AJW Technology Consultants Inc
445 Apollo Beach Blvd
Apollo Beach, FL 33572
John O'Brien
jobrien@ajwtech.com
813-645-2855 x101
813-645-2856 |
|---------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter of 510(k): | Infinium Medical
12151 62nd Street North #5
Largo, FL 33773
Suleyman Bilgutay
sales@infiniummedical.com |
| Date of Summary: | June 8, 2013 |
| Trade/Proprietary Name: | Omni Series Patient Monitors |
| Common Name: | Patient Physiological Monitor (without Arrhythmia
Detection or Alarms) |
| Classification Name: | Monitor, physiological, patient (without Arrhythmia
detection or alarms) |
| Device Class: | II |
| Device Panel: | Cardiovascular |
| Product Code: | MWI |

Subsequent Product Codes:

Regulation NumberDescriptionProduct CodeApplicable Monitor
870.2340ElectrocardiographDPSAll
870.1130Noninvasive Blood
Pressure
MeasurementDXNAll
870.2700OximeterDQAAll
868.2375Breathing frequencyBZQAll

1

K132229

page 2 of 7

monitor
880.2910Clinical Electronic
ThermometerFLLAll
870.1110Blood Pressure
ComputerDSKOMNI, OMNI II,
OMNI III
870.1425Programmable
diagnostic computerDQKAll
870.1435Single-function,
preprogrammed
diagnostic computerDXGOMNI II, OMNI III
868.1400Carbon dioxide gas
analyzerCCKAll

Intended Use:

OMNI

The purpose and function of the OMNI patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3, 5 or 12 lead measurements .
  • Heart Rate .
  • NIBP(systolic, diastolic, and mean arterial pressure) .
  • . SpO2
  • Respiration .
  • Temperature up to 2 channels (Dual Temperature) .
  • . CO2
  • IBP .
  • Anesthetic agents .

The target population is for adult, neonate and pediatric patients.

It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

2

OMNI II

The purpose and function of the OMNI II patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3, 5 or 12 lead measurements .
  • Heart Rate .
  • NIBP(systolic, diastolic, and mean arterial pressure) .
  • SpO2 .
  • Respiration .
  • Temperature up to 2 channels (Dual Temperature) .
  • . CO2
  • . Cardiac Output
  • IBP .
  • . Anesthetic agents

The target population is for adult, neonate and pediatric patients with the exception of:

  • · Cardiac Output for which the target population is adult only.
    It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

3

page 4 of 7

OMNI III

The purpose and function of the OMNI III patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3, 5 or 12 lead measurements .
  • Heart Rate .
  • NIBP(systolic, diastolic, and mean arterial pressure) .
  • SpO2 .
  • Respiration .
  • Temperature up to 2 channels (Dual Temperature) .
  • CO2 .
  • Cardiac Output ●
  • . IBP
  • Anesthetic agents .

The target population is for adult, neonate and pediatric patients with the exception of:

  • · Cardiac Output for which the target population is adult only.
    It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

4

OMNI Express

The purpose and function of the OMNI Express patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3 to 5 lead measurements .
  • Heart Rate .
  • NIBP(systolic, diastolic, and mean arterial pressure) ●
  • . SpO2
  • . Respiration
  • . Temperature - up to 2 channels (Dual Temperature)
  • CO2
  • . Anesthetic agents

The target population is for adult, neonate and pediatric patients.

It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

Device Description:

OMNI

The OMNI monitor is a comprehensive monitoring system with four, six or eight traces compiling, and processing, analyzing and displaying data from up to eight different patient parameters. It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability. Built-in battery facilitates transportation of patient.

The OMNI monitor can be powered by an internal battery pack that provides 1 hour of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor.

OMNI II

The OMNI II monitor is a comprehensive monitoring system with four, six or eight traces compiling, and processing, analyzing and displaying data from up to eight different patient parameters. It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability. Built-in battery facilitates transportation of patient.

The OMNI II monitor can be powered by an internal battery pack that provides 1 hour of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor.

5

OMNI III

The OMNI III monitor is a comprehensive monitoring system with eight traces compiling, and processing, analyzing and displaying data from up to six different patient parameters. It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability, Built-in battery facilitates transportation of patient.

The OMNI III can be powered by an internal battery pack that provides 1 hour of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor.

OMNI Express

The OMNI EXPRESS monitor is a comprehensive monitoring system with two or three traces compiling, and processing, analyzing and displaying data from up to eight different patient parameters, It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability. Built-in battery facilitates transportation of patient.

The OMNI EXPRESS monitor can be powered by an internal battery pack that provides 2 hours of monitoring from fully charged batteries. The batteries are continuously recharged when AC power is connected to the monitor.

Substantial Equivalence:

The OMNI patent monitor is substantial equivalent in intended use and similar technological characteristics of IBP, CO2. Anesthetic Agents, and 12 Lead ECG to the Datascope Corp. Spectrum™ Monitor under K062098.

The OMNI II and OMNI III are substantially equivalent to the Datascope Corp. Spectrum™ Monitor under K062098 in intended use and similar technological characteristics of IBP, CO2, Anesthetic Agents, 12 Lead ECG and Cardiac output .

The OMNI Express is substantially equivalent to the Datascope Corp. Spectrum™ Monitor under K062098 as it pertains to CO2 and Anesthetic Agents.

The OMNI Patient Monitors are substantially equivalent to the previously cleared OMNI Patient Monitors as it pertains to previously cleared technological characteristics and performance. A comparison of these technological characteristics is included in the submission.

DeviceClearance NumberSubstantial Equivalence to
Datascope Corp - Spectrum
TM MonitorK062098Intended use and functions of IBP,
CO2, Cardiac Output, Anesthetic
Agents
OMNI Patient MonitorK112329Intended use
Previously Cleared Technological
Characteristics and Performance
OMNI II Patient MonitorK103737Intended use

6

| | | Previously Cleared Technological
Characteristics and Performance |
|---------------------------------|----------|-------------------------------------------------------------------------------------|
| OMNI III Patient Monitor | K101052 | Intended use
Previously Cleared Technological
Characteristics and Performance |
| OMNI Express Patient
Monitor | K1037268 | Intended use
Previously Cleared Technological
Characteristics and Performance |

Rational for Substantial Equivalence:

The testing completed in the previously cleared submissions along with the additional testing completed demonstrates that the OMNI Series Patient Monitors exhibit comparable mechanical and functional characteristics to the predicate devices in addition to being biocompatible acceptable. Based on those characteristics, the Infinium OMNI Patient Monitors are substantially equivalent to the predicate devices in safety and effectiveness in addition to being intended for the same uses.

Summary of Non-Clinical Data:

The OMNI series patient monitors underwent bench testing according to several different performance standards. Below is a chart of the different testing that was completed.

Patient MonitorPerformance TestStandard of Compliance
OMNIIBPBS EN 60601-2-34:2000
OMNIECGANSI/AAMI
EC13:2002/(R)2007
OMNI II, OMNI IIIIBPBS EN 60601-2-34:2000
OMNI II, OMNI IIIECGANSI/AAMI
EC13:2002/(R)2007
OMNI II, OMNI IIICardiac OutputNo Standard

Based on the conclusions of each of these tests it is determined that the OMNI Patient Monitors are safe and effective.

7

Public Health Scrvice

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

Image /page/7/Picture/3 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of two main elements: the department's name arranged in a circular fashion around the left side and a stylized symbol on the right. The symbol is a graphic representation of an abstract human figure embracing or protecting something, possibly representing health and well-being.

Re:

February 21, 2014

Infinium Medical c/o Mr. John O'Brien 445 Apollo Beach Blvd Apollo Beach, FL 33572 US

K13229 Trade/Device Name: Omni Patient Monitors (Models: Omni, Omni II, Omni III and Omni Express) Regulation Number: 21 CFR 870.2340 Regulation Name: Monitor, Physiological, Patient (Without Arrhythmia Detection Or Alarms) Regulatory Class: Class II Product Code: MWI Dated: January 13, 2014 Received: January 16, 2014

Dear Mr. O'Brien:

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 r your device 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 statues 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 of medical device-related adverse labornig (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.

8

Page 2 - Mr. John O'Brien

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 toll-free 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" (21 CFR 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,

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

9

Indications for Use

510(k) Number (if known):

Device Name: OMNI Patient Monitor

The purpose and function of the OMNI patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3, 5 or 12 lead measurements .
  • Heart Rate .
  • NIBP(systolic, diastolic, and mean arterial pressure) t
  • . SpO2
  • Respiration .
  • Temperature up to 2 channels (Dual Temperature) .
  • . CO2
  • . IBP
  • Anesthetic agents .

The target population is for adult, neonate and pediatric patients:

It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

Prescription Use X (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 807 Subpart C)

the control control control control controllers.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

AND/OR

Concurrence of CDRH, Office of Device Evaluation (ODE)

Digitally signed by
Owen P. Faris -S
Date: 2014.02.21
14:03:26-05'00'

Page I of I

10

K132229 page 2 of 4

Indications for Use

510(k) Number (if known):

Device Name: OMNI II Patient Monitor

The purpose and function of the OMNI II patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3, 5 or 12 lead measurements .
  • Heart Rate ●
  • NIBP(systolic, diastolic, and mean arterial pressure) .
  • SpOz ●
  • Respiration .
  • . Temperature - up to 2 channels (Dual Temperature)
  • . CO2
  • Cardiac Output ●
  • . IBP
  • Anesthetic agents ●

The target population is for adult, neonate and pediatric patients with the exception of:

  • Cardiac Output for which the target population is adult only. .
    It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 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: 2014.02.21
14:03:43 -05'00'

Page i of I

11

K132229 page 3 of 4

Indications for Use

510(k) Number (if known):

Device Name: OMNI III Patient Monitor

The purpose and function of the OMNI III patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3, 5 or 12 lead measurements ●
  • Heart Rate �
  • NIBP(systolic, diastolic, and mean arterial pressure) .
  • . SpOz
  • Respiration .
  • Temperature up to 2 channels (Dual Temperature) ●
  • � CO2
  • Cardiac Output .
  • IBP
  • Anesthetic agents .

The target population is for adult, neonate and pediatric patients with the exception of:

  • · Cardiac Output for which the target population is adult only.
    It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 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 -5
Date: 2014.02.21
14:04:01 -05'00'

Page 1 of 1

12

Indications for Use

510(k) Number (if known):

Device Name: OMNI Express Patient Monitor

The purpose and function of the OMNI Express patient monitor is to monitor basic physiological parameters including

  • ECG waveform derived from 3 to 5 lead measurements .
  • Heart Rate .
  • NIBP(systolic, diastolic, and mean arterial pressure) .
  • SpO2 .
  • Respiration .
  • Temperature up to 2 channels (Dual Temperature) .
  • . CO2
  • � Anesthetic agents

The target population is for adult, neonate and pediatric patients:

It may be used as bedside or portable monitor and be used in all hospitals and hospitaltype facilities such as clinics and emergency room facilities. It is to be used under the direct supervision of a licensed healthcare practitioner.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 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: 2014.02.21
14:04:19 -05'00'

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