(55 days)
No
The description details standard signal processing for blood pressure and pulse rate, and the addition of a positioning sensor. There is no mention of AI or ML algorithms, training data, or complex pattern recognition beyond basic signal analysis and irregular heartbeat detection.
Yes.
The device is intended for measuring blood pressure and pulse rate, which are physiological parameters used in the diagnosis, treatment, or prevention of disease, thus classifying it as a therapeutic device.
No
The device is described as a digital monitor intended for measuring blood pressure and pulse rate, and while it detects irregular heartbeats, this is presented as a warning signal rather than a definitive diagnosis. Its primary function is measurement, not diagnostic interpretation of medical conditions.
No
The device description explicitly mentions hardware components such as batteries, a wrist cuff, an integral pump, and an electronically controllable valve. While software is used for analysis, the device is not solely software.
No, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- IVD Definition: In Vitro Diagnostics are medical devices used to perform tests 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 the device is a "digital monitor intended for use in measuring blood pressure and pulse rate." It does this by using a cuff and analyzing pressure and pulse waveform data.
- No Sample Analysis: The device does not analyze any biological samples taken from the patient. It directly measures physiological parameters (blood pressure and pulse rate) from the body.
Therefore, based on the provided information, the device falls under the category of a non-invasive physiological monitoring device, not an In Vitro Diagnostic.
N/A
Intended Use / Indications for Use
The device is a digital monitor intended for use in measuring blood pressure and pulse rate in adult patient population with wrist circumference ranging from 5 1/4 inches (13.5 cm to 21.5 cm).
The device detects the appearance of irregular heartbeats during measurement and gives a warning signal with readings.
Environments of Use: Home Patient Population: Adult
Product codes
DXN
Device Description
This device originally received clearance under 510(k) K123498.
The device is an automatic non-invasive blood pressure system. The device is battery powered by 2 "AAA" batteries, there is no connection to external power. The device inflates a wrist cuff with an integral pump, then deflates the cuff via an electronically controllable valve. During inflation the cuff pressure is monitored and pulse waveform data is extracted. The extracted pulse waveform data is then analyzed by software which determines pulse rate, as well as systolic and diastolic pressure.
The device has a memory function that automatically stores up to 100 of the latest measurements. It can also display an average of the last three values.
The device also detects the appearance of irregular heartbeats during measurement.
As originally submitted under 510(k) K123498, the device contained the APS feature. The feature was removed prior to clearance.
This submission is for the addition of the Advanced Positioning Sensor (APS) into the device. The APS is an aid to help the user determine if the cuff is at the correct height in relationship to the heart. The addition of APS does not change the intended use of the device. The addition of APS does not alter the fundamental scientific technology. There are no changes in hardware. There are no changes in the software algorithm which determines blood pressure or pulse rate. The addition of the APS feature is an optional feature which the user can elect to use. The APS feature does not alter the accuracy of the device, but serve to assist the user in positioning the device at the level of the heart. Though there is no change in algorithm a clinical study in accordance with ANSI/AAMI/ISO 81060-2:2013 was performed to validate the clinical accuracy of the device when the arm is positioned by use of the APS, see Section 20.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
wrist
Indicated Patient Age Range
Adult
Intended User / Care Setting
Home user / Home
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)
A clinical study in accordance with ANSI/AAMI/ISO 81060-2:2013 was performed to validate the clinical accuracy of the device when the arm is positioned by use of the APS.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s)
Reference Device(s)
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).
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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around a stylized symbol. The symbol consists of three abstract human profiles facing to the right, stacked on top of each other. The profiles are depicted in a flowing, wave-like design.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
December 1, 2014
Omron Healthcare, Inc. % Mr. Paul Dryden Consultant ProMedic, Inc. 24301 Woodsage Drive Bonita Springs, Florida 34134-2958
Re: K142917
Trade/Device Name: Omron BP652N (HEM-6300-Z) with APS Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive Blood Pressure Measurement System Regulatory Class: Class II Product Code: DXN Dated: October 2, 2014 Received: October 7, 2014
Dear Mr. Paul Dryden,
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 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
1
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 Industry and Consumer Education 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 Industry and Consumer Education 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,
Melissa A. Torres -S
For Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
2
Page 1 of__1_
510(k) Number (if known): __ K142917
Device Name : __ Omron BP652N (HEM-6300-Z) with APS_____
Indications For Use:
The device is a digital monitor intended for use in measuring blood pressure and pulse rate in adult patient population with wrist circumference ranging from 5 1/4 inches (13.5 cm to 21.5 cm).
The device detects the appearance of irregular heartbeats during measurement and gives a warning signal with readings.
Environments of Use: Home Patient Population: Adult
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Over-The-Counter Use
3
510(k) Summary Page 1 of 7 10/2/2014
| Omron Healthcare, Inc. | |
|---|---|
| 1925 West Field Court | Tel - 847-247-5626 |
| Lake Forest, IL 60045 USA | Fax- 847-680-5626 |
| Official Contact: | Renee Thornborough – Director QA/RA |
| Proprietary or Trade Name: | Model BP652N(HEM-6300-Z) with APS |
| Common/Usual Name: | Noninvasive blood pressure measurement system |
| Classification Name/Code: system. | DXN - Noninvasive blood pressure measurement |
| 21CFR 870.1130 | |
| Class II | |
| Device: | Model BP652N(HEM-6300-Z) with APS |
| Predicate Device: | Model BP652N (HEM-6300-Z) K123498 |
| Braun Series BP 200 Series K003732 | |
| Device Description: |
This device originally received clearance under 510(k) K123498.
The device is an automatic non-invasive blood pressure system. The device is battery powered by 2 "AAA" batteries, there is no connection to external power. The device inflates a wrist cuff with an integral pump, then deflates the cuff via an electronically controllable valve. During inflation the cuff pressure is monitored and pulse waveform data is extracted. The extracted pulse waveform data is then analyzed by software which determines pulse rate, as well as systolic and diastolic pressure.
The device has a memory function that automatically stores up to 100 of the latest measurements. It can also display an average of the last three values
The device also detects the appearance of irregular heartbeats during measurement.
As originally submitted under 510(k) K123498, the device contained the APS feature. The feature was removed prior to clearance.
This submission is for the addition of the Advanced Positioning Sensor (APS) into the device. The APS is an aid to help the user determine if the cuff is at the correct height in relationship to the heart. The addition of APS does not change the intended use of the device. The addition of APS does not alter the fundamental scientific technology. There are no changes in hardware. There are no changes in the software algorithm which
4
510(k) Summary Page 2 of 7 10/2/2014
determines blood pressure or pulse rate. The addition of the APS feature is an optional feature which the user can elect to use. The APS feature does not alter the accuracy of the device, but serve to assist the user in positioning the device at the level of the heart. Though there is no change in algorithm a clinical study in accordance with ANSI/AAMI/ISO 81060-2:2013 was performed to validate the clinical accuracy of the device when the arm is positioned by use of the APS, see Section 20.
Description of APS:
The Advanced Positioning Sensor is an aid to help the user determine if the cuff is at the correct height in relation to the heart. It makes this determination based on the reading of an accelerometer (to measure the angle of the arm in relation to the table) integral to the device.
The APS has no interface to the software algorithm which determines blood pressure or pulse rate, it is a visual feedback to the user indicating whether the device is positioned appropriately in accordance with the APS angle measurement criteria as below.
Image /page/4/Picture/7 description: The image shows three Omron blood pressure monitors on wrists, demonstrating correct and incorrect positioning. The first monitor, labeled "Too Low," displays a reading with the indicator light positioned below the heart symbol. The second monitor, labeled "Correct," shows the indicator light aligned with the heart symbol. The third monitor, labeled "Too High," shows the indicator light above the heart symbol.
As above, there are no changes to the hardware, blood pressure or pulse rate algorithms.
Intended User Home user
Patient Population
This device is intended for use on adults.
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510(k) Summary Page 3 of 7 10/2/2014
Indications for Use:
The device is a digital monitor intended for use in measuring blood pressure and pulse rate in adult patient population with wrist circumference ranging from 5 1/4 inches to 8 1/2 inches (13.5 cm to 21.5 cm).
The device detects the appearance of irregular heartbeats during measurement and gives a warning signal with readings.
Environment of Use: Home
Contraindications
There are no known contraindications.
Predicate Device Comparison
The BP652N(HEM-6300-Z) with APS was compared to the predicates Model BP652N (HEM-6300-Z) K123498 and Braun Series BP 200 Series K003732 as in the device comparison table below.
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510(k) Summary Page 4 of 7 10/2/2014
Device Comparison
| PREDICATE | PREDICATE | Device Under Review | Comment | |
|---|---|---|---|---|
| Omron BP652N (HEM-6300-Z) | ||||
| K123498 | Braun BP2000 series K003732 | Omron BP652N (HEM-6300-Z) with | ||
| APS | ||||
| Indications for Use | The device is a digital monitor | |||
| intended for use in measuring blood | ||||
| pressure and pulse rate in adult | ||||
| patient population with wrist | ||||
| circumference ranging from 5 1/4 | ||||
| inches to 8 1/2 inches (13.5 cm to | ||||
| 21.5 cm). | ||||
| The device detects the appearance of | ||||
| irregular heartbeats during | ||||
| measurement and gives a warning | ||||
| signal with readings. | The Braun PrecisionSensor™ (BP2000 | |||
| series) wrist blood pressure monitor is | ||||
| indicated for use for the noninvasive | ||||
| measurement of blood pressure (systolic | ||||
| and diastolic} and pulse rate in adults, in | ||||
| a home use setting. Use may be initiated | ||||
| by the individual or as part of a | ||||
| hypertension monitoring and | ||||
| management program supervised by a | ||||
| health care provider. | The device is a digital monitor intended | |||
| for use in measuring blood pressure and | ||||
| pulse rate in adult patient population | ||||
| with wrist circumference ranging from 5 | ||||
| 1/4 inches to 8 1/2 inches (13.5 cm to | ||||
| 21.5 cm). | ||||
| The device detects the appearance of | ||||
| irregular heartbeats during measurement | ||||
| and gives a warning signal with | ||||
| readings. | Identical K123498 | |||
| Patient Population | Adult | Adult | Adult | Identical K123498 and K003732 |
| Environment of | ||||
| Use | Home | Home | Home | Identical K123498 and K003732 |
| Prescriptive | OTC | OTC | OTC | Identical K123498 and K003732 |
| Patient Connection | Yes via cuff | Yes via cuff | Yes via cuff | Identical K123498 and K003732 |
| Technology | Oscillometric | Oscillometric | Oscillometric | Identical K123498 and K003732 |
| Advanced | ||||
| Positioning Sensor | - | Device has position Sensor | Added* | Identical in function to K003732 |
| Braun BP2000 series | ||||
| Measurement | ||||
| range | Pressure: 0-299 mmHg | |||
| Pulse rate: 40 to 180 bpm | Pressure: 0-300 mmHg | |||
| Pulse rate: 40 to 160 bpm | Pressure: 0-299 mmHg | |||
| Pulse rate: 40 to 180 bpm | Identical K123498 | |||
| Accuracy of | ||||
| pressure indicator | +/- 3 mmHg or 2% of reading | +/- 3 mmHg | +/- 3 mmHg or 2% of reading | Identical K123498 |
| Pressure sensor | Piezo resistance sensor | Not specified | Piezo resistance sensor | Identical K123498 |
| Accuracy Pulse | ||||
| Rate | +/-5% | +/-5% | +/-5% | Identical K123498 and K003732 |
| Inflation Method | Piezo-electric pump | Not specified | Piezo-electric pump | Identical K123498 |
| Deflation Method | Internal valve | Electronic control valve | Internal valve | Identical K123498 and K003732 |
| Display Type | LCD | LCD | LCD | Identical K123498 and K003732 |
| Irregular pulse | ||||
| detection | Yes | No | Yes | Identical K123498 |
| Power Source | AAA batteries | AAA batteries | AAA batteries | Identical K123498 and K003732 |
| Operating | ||||
| Conditions | Temperature: 10° to 40° C | |||
| Humidity: 15 to 85% RH | Temperature: 10° to 40° C | |||
| Humidity: |