K Number
K143728

Validate with FDA (Live)

Date Cleared
2015-05-15

(137 days)

Product Code
Regulation Number
870.1120
Age Range
All
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Minhua Disposable Blood Pressure Cuff is an accessory used in conjunction with non-invasive blood pressure monitoring systems for determination of a person's blood pressure. The cuff is non-sterile and for single-patient use. It is available in neonatal, pediatric and adult sizes. The cuff is not designed, sold, or intended for use except as indicated.

Device Description

The device comprises tubing attached to an inelastic sleeve with an integrated inflatable bladder that is wrapped around the patient's limb, secured by hook and loop closure, and used to measure the patient's blood pressure. The device tubing is connected to a non-invasive blood pressure measurement system.

AI/ML Overview

This document is solely a 510(k) premarket notification summary for a medical device (Minhua Disposable Blood Pressure Cuff). It does not contain information about acceptance criteria and a study proving device performance in the context of an AI/ML powered device.

The provided text describes a traditional medical device (blood pressure cuff) and focuses on demonstrating substantial equivalence to a predicate device through:

  • Comparison of Features: Intended use, patient populations, tube configuration, sterility, pressure limits, biocompatibility, cuff and tube port materials, hook & loop fastener, and conformity to AHA bladder sizes.
  • Compliance with Standards: ANSI/AAMI SP 10 (sphygmomanometers) and ISO 10993 (biocompatibility).

Therefore, I cannot extract the requested information (acceptance criteria table, sample sizes for test/training, expert qualifications, adjudication methods, MRMC studies, standalone performance, ground truth types) because it pertains to the evaluation of AI/ML devices, which is not the subject of this document.

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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 symbol. The symbol is a stylized representation of three human profiles facing right, stacked on top of each other. The profiles are rendered in a simple, line-art style.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

May 15, 2015

Suzhou Minhua Medical Apparatus Supplies Co., Ltd. c/o Rhonda Alexander, Senior Regulatory Specialist Registrar Corp. Medical Device Division 144 Research Drive Hampton, Virginia 23666

Re: K143728

Trade/Device Name: Minhua Disposable Blood Pressure Cuff Regulation Number: 21 CFR 870.1120 Regulation Name: Blood Pressure Cuff Regulatory Class: Class II Product Code: DXQ Dated: March 24, 2015 Received: March 25, 2015

Dear Ms. Alexander:

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.

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Page 2 - Rhonda Alexander

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-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 go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. 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.

Kenneth J. Cavanaugh -S

for

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

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

Device Name Minhua Disposable Blood Pressure Cuff

Indications for Use (Describe)

The Minhua Disposable Blood Pressure Cuff is an accessory used in conjunction with non-invasive blood pressure monitoring systems for determination of a person's blood pressure. The cuff is non-sterile and for single-patient use. It is available in neonatal, pediatric and adult sizes. The cuff is not designed, sold, or intended for use except as indicated.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

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Image /page/3/Picture/1 description: The image shows a logo for MINHUA. The logo is in blue and features a stylized font. There is a red dot above the letter 'i' in MINHUA. The logo has a modern and clean design.

Suzhou Minhua Medical Apparatus Supplies Co .,LTD Tel: +0086-13601885073 fax:+0086-021-59841086 Email:QD@minhuayiliao.com

510(k) SUMMARY (21 CFR 807.92)

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

The assigned 510(k) number is:

Premarket Notification [510(k)] Summary

A. General Information

Submitter's Name:Suzhou Minhua Medical Apparatus Supplies Co., LTD
Address:You Yi Industrial park, Songlin Town,
WuJiang ,CHINA 215222
Telephone:+86 21 59840221-8003
Fax Number:+86 21 59841086
Contact Person:Ji Dong Yang, Vice General Manager
E-mail:QD@minhuayiliao.com
Date Prepared:September. 03, 2014

B. Device

Trade Name:Minhua Disposable Blood Pressure Cuff
Common Name:Blood Pressure Cuff
Product Code:DXQ
Class:Class 2
Regulation Number:21 CFR 870.1120
Review Panel:Cardiovascular

C. Identification of Legally Marketed Predicate Device

Name:Medline Disposable Blood pressure cuffs
Manufacture:Medline Industries, Inc.
K Number:K071244
Date Cleared:March 5, 2008

D. Description of the Device

The device comprises tubing attached to an inelastic sleeve with an integrated inflatable bladder that is wrapped around the patient's limb, secured by hook and loop closure, and used to measure the patient's blood pressure. The device tubing is connected to a non-invasive blood pressure measurement system.

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Image /page/4/Picture/1 description: The image shows a logo with the word "MINHUA" in blue, stylized with a unique font. The letters are connected and have a geometric appearance. There is a red dot above the "i" in "MINHUA". The logo has a modern and corporate feel.

Suzhou Minhua Medical Apparatus Supplies Co .,LTD Tel: +0086-13601885073 fax:+0086-021-59841086 Email:QD@minhuayiliao.com

E. Intended Use

Indirect measurement of blood pressure.

F .Indications for use

The Minhua Disposable Blood Pressure Cuff is an accessory used in conjunction with non-invasive blood pressure monitoring systems for determination of a person's blood pressure. The cuff is non-sterile and for single-patient use. It is available in neonatal, pediatric and adult sizes. The cuff is not designed, sold, or intended for use except as indicated.

G. Various size

ModelCuff SizeArm RangeBladder Range
002DC01NJT1100x26mm30-60mm68x26mm
002DC01NJT2100x26mm30-60mm
002DC02NJT1119x31mm40-80mm76 x 31mm
002DC02NJT2119x31mm40-80mm
002DC03NJT1146x41mm60-110mm96 x 41mm
002DC03NJT2146x41mm60-110mm
002DC04NJT1181x48mm70-130mm123 x 48mm
002DC04NJT2181x48mm70-130mm
002DC05NJT1191x56mm80-150mm132 x 56mm
002DC05NJT2191x56mm80-150mm
002DC06NJT1195x55mm80-140mm85 x 55mm
002DC06NJT2195x55mm80-140mm
002DC07NJT1274x83mm130-200mm135 x 83mm
002DC07NJT2274x83mm130-200mm
002DC09NJT1335x107mm180-260mm185 x 107mm
002DC09NJT2335x107mm180-260mm
002DC11NJT1524x143mm260-350mm265 x 143mm
002DC11NJT2524x143mm260-350mm
002DC13NJT1605x174mm320-420mm325 x 174mm
002DC13NJT2605x174mm320-420mm
002DC15NJT1745x198mm420-500mm425 x 198mm
002DC15NJT2745x198mm420-500mm

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Image /page/5/Picture/1 description: The image contains a logo with the word "MINHUA" in blue, stylized with a unique font. The "i" in "MINHUA" is dotted with a red circle. The logo has a modern and corporate feel, with the letters connected by a blue line at the bottom.

Suzhou Minhua Medical Apparatus Supplies Co .,LTD Tel: +0086-13601885073 fax:+0086-021-59841086 Email:QD@minhuayiliao.com

H. Comparison to the Predicate Device

FeaturesSu Zhou Minhua Medical Apparatus SuppliesCo., LtdMedline Industries, Inc.
Intended useIndirect measurement of blood pressureIndirect measurement of blood pressure
PatientPopulationsAdults/PediatricsAdults/Pediatrics
TubeConfigurationOne or two tubeOne or two tube
SterilityNot supplied sterileNot supplied sterile
Pressure limits0-300mmHg0-300mmHg
BiocompatibilityComply with ISO 10993 biocompatibility evaluationComply with ISO 10993 biocompatibility evaluation
cuffNon-woven fabric, NontoxicNon-woven fabric, Nontoxic
Tube portconnectorPVC:stable;corrosion resistance;heat-resistancePVC:stable;corrosion resistance;heat-resistance
Hook & loopfastenerNon-woven fabric+Nylon brushed fabric :stable, corrosion resistance; heat-resistance;Non-woven fabric+Nylon brushed fabric
Conform to AHA bladder sizes
RecommendationsRecommendations
002DC01NJT1 100x26mm (3-6cm)MDS 9741 100x26mm (3-6cm)
Neonat al 1002DC01NJT2 100x26mm (3-6cm)MDS 9751 100x26mm (3-6cm)
Neonat al 2002DC02NJT1 119x31mm (4-8cm)002DC02NJT2 119x31mm (4-8cm)MDS 9742 119x31mm (4-8cm)MDS 9752 119x31mm (4-8cm)
Neonat al 3002DC03NJT1 146x41mm (6-11cm)002DC03NJT21 146x41mm (6-11cm)MDS 9743 146x41mm (6-11cm)MDS 9753 146x41mm (6-11cm)
Neonat al 4002DC04NJT1 181x48mm (7-13cm)002DC04NJT2 181x48mm (7-13cm)MDS 9744 181x48mm (7-13cm)MDS 9754 181x48mm (7-13cm)
Neonat al 5002DC05NJT1 191x56mm (8-15cm)002DC05NJT2 191x56mm (8-15cm)MDS 9745 191x56mm (8-15cm)MDS 9755 191x56mm (8-15cm)
002DC06NJT1 195x55mm (8-14 cm)MDS 9710 195x55mm (8-14cm)

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Suzhou Minhua Medical Apparatus Supplies Co .,LTD Tel: +0086-13601885073 fax:+0086-021-59841086 Email:QD@minhuayiliao.com

SizeChild002DC07NJT1 274X83mm (13-20cm)ChildMDS 9711 274X83mm (13-20cm)
002DC07NJT2 274X83mm (13-20cm)MDS 9721 274X83mm (13-20cm)
Small adult002DC09NJT1 335x107mm (18-26cm)Small adultMDS 9712 335x107mm (18-26cm)
002DC09NJT2 335x107mm (18-26cm)MDS 9722 335x107mm (18-26cm)
Adult002DC11NJT1 524X143mm (26-35cm)AdultMDS 9713 524X143mm (26-35cm)
002DC11NJT2 524X143mm (26-35cm)MDS 9723 524X143mm (26-35cm)
Big adult002DC13NJT1 605x174mm (32-42cm)Big adultMDS 9714 605x174mm (32-42cm)
002DC13NJT2 605x174mm (32-42cm)MDS 9724 605x174mm (32-42cm)
Thigh002DC15NJT1 745x198mm (42-50cm)ThighMDS 9715 745x198mm (42-50cm)
002DC15NJT2 745x198mm (42-50cm)MDS 9725 745x198mm (42-50cm)

The Minjua Disposable Blood Pressure Cuff has the same intended use, basic construction, and technology specification as the predicated devices are wrapped the patient's arm or leg and secured by a hook and loop fastener commonly called Velcro. Both devices are available in the same size and range and are intended for the same patient populations. The materials of both devices are all conformed to ISO 10993. As with the predicate, we provide extended sizes of the cuffs in order to accommodate special groups, such as overweight subjects. Based on the performance testing in this submission, the slight difference between these blood pressure cuffs does not raise any safety or effectiveness issue.

I. Summary of testing

The Minhua Disposable Blood Pressure Cuff has been tested according to the following standards: *ANSI/AAMI SP 10, Manual, electronic or automated sphygmomanometers, 2002+A1:2003+A2:2006+(R)2008

*ISO 10993-1, Biological evaluation of medical devices -- Part 1: Evaluation and testing within a risk management process, 2009

*ISO 10993-5, Biological evaluation of medical devices- Part 5: Tests for In Vitro cytotoxicity, 2009

*ISO 10993-10, Biological evaluation of medical devices -- Part 10: Tests for irritation and skin

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Image /page/7/Picture/1 description: The image shows a logo for MINHUA. The logo is blue and features a stylized design with the letters "MINHUA" incorporated into the design. There is a red dot above the letter "i" in MINHUA. The logo has a modern and corporate look.

Suzhou Minhua Medical Apparatus Supplies Co .,LTD Tel: +0086-13601885073 fax:+0086-021-59841086 Email:QD@minhuayiliao.com

sensitization :2010

J. Conclusion of Substantial Equivalence

Based on the comparison of intended use, design, materials and performance, we conclude that the new device is substantially equivalent to the predicate. The differences between the devices do not raise new questions of safety and effectiveness.

§ 870.1120 Blood pressure cuff.

(a)
Identification. A blood pressure cuff is a device that has an inflatable bladder in an inelastic sleeve (cuff) with a mechanism for inflating and deflating the bladder. The cuff is used in conjunction with another device to determine a subject's blood pressure.(b)
Classification. Class II (performance standards).