K Number
K143734
Device Name
Digital Automatic Blood Pressure Monitor BPM28 Series - MD2800, MD2810
Date Cleared
2015-05-02

(123 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The upper arm blood pressure monitor is used for non-invasive measurement and monitoring of adults' arterial blood pressure. You can use it to measure your systolic and diastolic pressure, and pulse rate through an inflatable cuff wrapped around the upper arm. Quickly and easily, storing the results and displaying the progression of readings together with the average.
Device Description
Digital Automatic Blood Pressure Monitor BPM28 Series is a non-invasive blood pressure measurement system for use by medical professional or at home. It is designed to measure the systolic and diastolic blood pressure, and pulse rate of an individual in each measurement and then display the readings on a digital panel. The device utilizes the oscillometric methodology, in which an inflatable cuff is wrapped around the upper arm of an individual, for blood pressure measurement. This means the monitor detects your blood's movement through your brachial artery and converts the movement into a digital reading.
More Information

Not Found

No
The summary describes a standard oscillometric blood pressure monitor and does not mention any AI or ML capabilities. The testing described is for clinical accuracy against a reference method and standard compliance, not for evaluating an AI/ML algorithm.

No.
This device is for measurement and monitoring of blood pressure, not for treating a condition or disease.

No

The device measures physiological parameters (blood pressure and pulse rate) but does not provide a diagnosis of a disease or condition. It is used for monitoring.

No

The device description explicitly states it is a "Digital Automatic Blood Pressure Monitor" that utilizes an "inflatable cuff" and displays readings on a "digital panel," indicating it includes hardware components beyond just software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information for diagnosis, monitoring, or screening.
  • Device Function: This device measures blood pressure and pulse rate directly from the patient's upper arm using a cuff and oscillometric methodology. It does not analyze any biological specimens taken from the body.
  • Intended Use: The intended use is for non-invasive measurement and monitoring of arterial blood pressure, not for analyzing samples.

Therefore, based on the provided information, this blood pressure monitor falls under the category of a non-invasive medical device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The upper arm blood pressure monitor is used for non-invasive measurement and monitoring of adults' arterial blood pressure. You can use it to measure your systolic and diastolic pressure, and pulse rate through an inflatable cuff wrapped around the upper arm. Quickly and easily, storing the results and displaying the progression of readings together with the average.

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

DXN

Device Description

Digital Automatic Blood Pressure Monitor BPM28 Series is a non-invasive blood pressure measurement system for use by medical professional or at home. It is designed to measure the systolic and diastolic blood pressure, and pulse rate of an individual in each measurement and then display the readings on a digital panel.

The device utilizes the oscillometric methodology, in which an inflatable cuff is wrapped around the upper arm of an individual, for blood pressure measurement. This means the monitor detects your blood's movement through your brachial artery and converts the movement into a digital reading.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper arm

Indicated Patient Age Range

Age 16 or above

Intended User / Care Setting

medical professional or at 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)

Clinical Test Summary:
Testing to insure clinical accuracy of the device in accordance with ISO 81060-2:2013 is documented in Clinical Test report.
One hundred patients (46 males and 54 females) were invited for the study. Standard auscultation method was used as the reference blood pressure monitor measuring in the left upper arm. Blood pressure measurements were repeated alternatively with the device and auscultation in the same arm according to the sequence in ISO 81060-2:2013.

Non-Clinical Test Summary:
Digital Automatic Blood Pressure Monitor BPM28 Series has performed several non-clinical tests to show that all requirement specifications and standard requirements are met. The tests includes the follows:

  • EN 1060-1:1995+A2:2009
  • EN 1060-3:1997+A2:2009
  • IEC 60601-1:2012
  • EN 60601-1-2:2007
  • FCC Part 15 Subpart B
  • ISO 10993-5:2009
  • ISO 10993-10:2010
  • IEC 62304:2006
    Also, bench testing, IEC 80601-2-30, is conducted to show the performance of Digital Automatic Blood Pressure Monitor BPM28 Series is equivalent to 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.

K133619

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 870.1130 Noninvasive blood pressure measurement system.

(a)
Identification. A noninvasive blood pressure measurement system is a device that provides a signal from which systolic, diastolic, mean, or any combination of the three pressures can be derived through the use of tranducers placed on the surface of the body.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/11 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of a human figure, represented by three overlapping profiles, forming the shape of a bird in flight. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the emblem.

Public Health Service

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

May 2, 2015

Grandway Technology (Shenzhen) Limited Patrick Chow Block 6 and 7, Zhu Keng Industrial Zone, Ping Shan Long Gang District Shenzhen, Guang Dong, 518118 CN

K143734 Re: Trade/Device Name: Digital Automatic Blood Pressure Monitor BPM28 Series -MD2800, MD2810 Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive Blood Pressure Measurement System Regulatory Class: Class II Product Code: DXN Dated: March 27, 2015 Received: March 27, 2015

Dear Patrick Chow,

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

1

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 devicerelated 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 vours,

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

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Druq Administration

Indications for Use

510(k) Number (if known)K143734
K143734Page 1 of 1
Device Name

Digital Automatic Blood Pressure Monitor BPM28 Series, MD2800, MD2810

Indications for Use (Describe)

The upper arm blood pressure monitor is used for non-invasive measurement and monitoring of adults' arterial blood pressure. You can use it to measure your systolic and diastolic pressure, and pulse rate through an inflatable cuff wrapped around the upper arm. Quickly and easily, storing the results and displaying the progression of readings together with the average.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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."

3

510(k) SubmitterGRANDWAY TECHNOLOGY (SHENZHEN) LIMITED
AddressBlock 6 and 7, Zhu Keng Industrial Zone, Ping Shan, Long Gang
District, Shenzhen, Guang Dong, People's Republic of China
Phone Number(00852)-2851-6789
Fax Number(00852)-2851-6278
Contact PersonMr. Patrick Chow
Date of Submission30-Dec-2014

Submitter Identification 1.

Device Identification 2.

Trade NameDigital Automatic Blood Pressure Monitor BPM28 Series
[Model No.: MD28x0]
x --- The first character (0 and 1) is for the identification of add-
onfeatures.
Common NameNon-invasive Blood Pressure Measurement System
Classification NameNon-invasive Blood Pressure Measurement System
(CFR 870.1130, Class II, Product Code DXN)

Predicate Device 3.

Predicate DeviceDigital Automatic Blood Pressure Monitor BPM18 Series
ManufacturerGRANDWAY TECHNOLOGY (SHENZHEN) LIMITED
510(k) NumberK133619

Device Description 4.

Digital Automatic Blood Pressure Monitor BPM28 Series is a non-invasive blood pressure measurement system for use by medical professional or at home. It is designed to measure the systolic and diastolic blood pressure, and pulse rate of an individual in each measurement and then display the readings on a digital panel.

The device utilizes the oscillometric methodology, in which an inflatable cuff is wrapped around the upper arm of an individual, for blood pressure measurement. This means the monitor detects your blood's movement through your brachial artery and converts the movement into a digital reading.

The table below illustrate the feature presence in Digital Automatic Blood Pressure Monitor BPM28 Series.

| Model | BP
Measurement | Pulse Rate
Measurement | WHO | IHB | LCD Type | Key Type | DC Jack | Key Ring
Illustration |
|--------|-------------------|---------------------------|-----|-----|---------------------|----------|---------|--------------------------|
| MD2800 | ✓ | ✓ | ✓ | ✓ | Positive Reflective | Hard | ✓ | ✓ |
| MD2810 | ✓ | ✓ | ✓ | ✓ | Positive Reflective | Soft | x | x |

4

Indication for Use 5.

The upper arm blood pressure monitor is used for non-invasive measurement and monitoring of adults' arterial blood pressure. You can use it to measure your systolic and diastolic pressure, and pulse rate through an inflatable cuff wrapped around the upper arm. Quickly and easily, storing the results and displaying the progression of readings together with the average.

Comparison of Technological Characteristics between New Device and 6. Predicate Devices

Digital Automatic Blood Pressure Monitor BPM28 Series is compared to the predicate device, BPM18 Series (K133619) in the device comparison table below.

Comparison between BPM28 Series and Predicate device
ItemPredicate DeviceBPM28 SeriesComment
Indication for UseDigital Automatic Blood Pressure
Monitor BPM18 Series is for use by
medical professional or home user. The
BPM18 Series is intended to measure the
systolic and diastolic blood pressure, and
pulse rate of an adult individual by using
a non-invasive technique, in which an
inflatable cuff is wrapped around the
upper arm.The upper arm blood pressure monitor is
used for non-invasive measurement and
monitoring of adults' arterial blood
pressure. You can use it to measure your
systolic and diastolic pressure, and pulse
rate through an inflatable cuff wrapped
around the upper arm. Quickly and
easily, storing the results and displaying
the progression of readings together with
the average.Equivalent
Measurement
MethodNon-invasive, OscillometricNon-invasive, OscillometricIdentical
IHB DetectionYesYesIdentical
Patient PopulationAge 16 or aboveAge 16 or aboveIdentical
BP Measurement
RangeCuff Pressure: 0 - 300 mmHg
Systolic Pressure: 50 - 250 mmHg
Diastolic Pressure: 30 - 200 mmHgCuff Pressure: 0 - 300 mmHg
Systolic Pressure: 50 - 250 mmHg
Diastolic Pressure: 30 - 200 mmHgIdentical
Number of User2 independent users2 independent usersIdentical
Memory Space2 users × 120 memory space2 users × 60 memory spaceEquivalent
Resolution of
MeasurementBlood Pressure: 1 mmHg or 0.1kPa
Pulse Rate: 1 beat/ minBlood Pressure: 1 mmHg
Pulse Rate: 1 beat/ minIdentical
Blood Pressure
Measurement
Accuracy± 3 mmHg or 2% of reading± 3 mmHgEquivalent
Pulse Rate
Measurement
Range30 - 180 beats/min40 - 180 beats/minEquivalent
Pulse Rate
Measurement
Accuracy± 5 % of the reading± 5 % of the readingIdentical
Display TypeLCDLCDIdentical
Power Source4 × 1.5 V AAA-batteries; and/or
AC adaptor (6V/600mA)4 × 1.5 V AAA-batteries; and/or
AC adaptor (6V/600mA)Identical
Pressurization
ModeAutomatic InflationAutomatic InflationIdentical
Deflation ModeAutomatic Exhaust/ DeflationAutomatic Exhaust/ DeflationIdentical
Operating
ConditionTemperature: 10 - 40 °C
Humidity: 30 - 85 % R.H. max
Atmospheric Pressure: 700 - 1060 kPaTemperature: +5 to +40 °C
Humidity: 15 to 93 % R.H. max
Atmospheric Pressure: 700 - 1060 kPaEquivalent

5

Comparison between BPM28 Series and Predicate device
ItemPredicate DeviceBPM28 SeriesComment
Storage and
Transportation
ConditionTemperature: -20 - 60 °C
Humidity: 10 - 95 % R.H. max
Atmospheric Pressure: 700 - 1060 kPaTemperature: -25 to +70 °C
Humidity: up to 93% R.H. max
Atmospheric Pressure: 700 - 1060 hPaEquivalent
MaterialResistances, capacitance, transistors,
amplifiers, pressure sensor, CPU, PCB,
cuff ABS button, ABS cabinet, batteries
and packagingResistances, capacitance, transistors,
amplifiers, pressure sensor, CPU, PCB,
cuff ABS button, ABS cabinet, batteries
and packagingIdentical
Compatibility with
Environment and
Other DevicesNo influence with environment and other
deviceNo influence with environment and other
deviceIdentical
Applicable
Standard- EN 1060-1:1995+A2:2009
  • EN 1060-3:1997+A2:2009
  • IEC 60601-1:2012
  • EN 60601-1-2:2007
  • FCC Part 15 Subpart B
  • ISO 10993-5:2009
  • ISO 10993-10:2010
  • IEC 62304:2006
  • IEC 81060-2:2009 | - EN 1060-1:1995+A2:2009
  • EN 1060-3:1997+A2:2009
  • IEC 60601-1:2012
  • EN 60601-1-2:2007
  • FCC Part 15 Subpart B
  • ISO 10993-5:2009
  • ISO 10993-10:2010
  • IEC 62304:2006
  • IEC 81060-2:2013 | Equivalent |

Digital Automatic Blood Pressure Monitor BPM28 Series is a non-invasive measuring device and utilize the oscillometric methodology to measure the blood pressure reading. The key components of device are: a pressure sensor, an electric valve and an electronic control module together with an electric pump. The electric pump inflate (and deflate) the inflatable cuff automatically according to our designed architecture. The predicate device adopts exactly same methodology and key components for measuring blood pressure.

Clinical and Non-clinical Tests 7.

Clinical Test Summary

Testing to insure clinical accuracy of the device in accordance with ISO 81060-2:2013is documented in Clinical Test report.

One hundred patients (46 males and 54 females) were invited for the study. Standard auscultation method was used as the reference blood pressure monitor measuring in the left upper arm. Blood pressure measurements were repeated alternatively with the device and auscultation in the same arm according to the sequence in ISO 81060-2:2013.

Non-Clinical TestSummary

Digital Automatic Blood Pressure Monitor BPM28 Series has performed several non-clinical tests to show that all requirement specifications and standard requirements are met. The tests includes the follows:

  • EN 1060-1:1995+A2:2009

  • や EN 1060-3:1997+A2:2009
  • や IEC 60601-1:2012
  • ゃ EN 60601-1-2:2007
  • ◆ FCC Part 15 Subpart B
  • <> ISO 10993-5:2009

6

  • ISO 10993-10:2010 ゃ
  • ゃ IEC 62304:2006

As all of the clinical and non-clinical testing performed on Digital Automatic Blood Pressure Monitor BPM28 Series are as same as the predicate device.

Also, bench testing, IEC 80601-2-30, is conducted to show the performance ofDigital Automatic Blood Pressure Monitor BPM28 Series is equivalent to the predicate device.

Conclusion 8.

Digital Automatic Blood Pressure Monitor BPM28 Series has the same intended use and same technological characteristics as the predicate device, BPM18 Series (K133619). Moreover both clinicaland non- clinical testing has demonstrated that no differences in the technological characteristics and questioning on safety or effectiveness to be raised. Thus, Digital Automatic Blood Pressure Monitor BPM28 Series is substantially equivalent to the predicate device.