K Number
K151206
Device Name
Fingertip Pulse Oximeter
Date Cleared
2015-08-28

(114 days)

Product Code
Regulation Number
870.2700
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Fingertip Pulse Oximeter MD300C208/MD300C198 is a non-invasive device intended for spot-checking of oxygen saturation of arterial hemoglobin (SpO2) and pulse rate of adult, adolescent and child patients in hospitals and hospital facilities.
Device Description
The Fingertip Pulse Oximeter features low power consumption, convenient operation and portability. Place one fingertip into the photoelectric sensor for diagnosis and the pulse rate and oxygen saturation will appear on the display. The proposed device consists of power supply module, detector and emitter LED, signal collection and processor module, display module, Bluetooth module, user interface and button control. The pulse oximeter works by applying a sensor to a pulsating arteriolar vascular bed. The sensor contains a dual light source and photo detector. The one wavelength of light source is 660nm, which is red light; the other is 905nm, which is infrared-red light. Skin, bone, tissue and venous vessels normally absorb a constant amount of light over time. The photo detector in finger sensor collects and converts the light into electronic signal which is proportional to the light intensity. The arteriolar bed normally pulsates and absorbs variable amounts of light during systole and diastole, as blood volume increases and decreases. The ratio of light absorbed at systole and diastole is translated into an oxygen saturation measurement. This measurement is referred to as SpO2. The proposed device is not for life-supporting or life-sustaining, not for implant. The device is not sterile and the transducers are reusable and do not need sterilization and re-sterilization. The device is for prescription. The device does not contain drug or biological products. The device is software-driven and the software validation is provided in software.
More Information

Not Found

No
The description details a standard pulse oximetry technology based on light absorption and signal processing, with no mention of AI or ML algorithms for data analysis or interpretation.

No.

The device is explicitly stated as "non-invasive" and "intended for spot-checking of oxygen saturation... and pulse rate". It provides diagnostic measurements but does not administer therapy or directly treat a condition.

Yes

Explanation: The device is intended for "spot-checking of oxygen saturation of arterial hemoglobin (SpO2) and pulse rate" and the description states "Place one fingertip into the photoelectric sensor for diagnosis," which indicates its use in providing diagnostic information.

No

The device description explicitly lists hardware components such as a power supply module, detector and emitter LED, signal collection and processor module, display module, and Bluetooth module. While it is software-driven, it is not solely software.

Based on the provided text, 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.
  • Device Function: The description clearly states that the Fingertip Pulse Oximeter is a non-invasive device that measures oxygen saturation and pulse rate by applying a sensor to the fingertip. It does not analyze samples taken from the body.
  • Intended Use: The intended use is for "spot-checking of oxygen saturation of arterial hemoglobin (SpO2) and pulse rate of adult, adolescent and child patients". This is a physiological measurement, not a diagnostic test performed on a sample.

Therefore, the device's function and intended use fall outside the scope of an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The Fingertip Pulse Oximeter MD300C208/MD300C198 is a non-invasive device intended for spot-checking of oxygen saturation of arterial hemoglobin (SpO2) and pulse rate of adult, adolescent and child patients in hospitals and hospital facilities.

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

DQA

Device Description

The Fingertip Pulse Oximeter features low power consumption, convenient operation and portability. Place one fingertip into the photoelectric sensor for diagnosis and the pulse rate and oxygen saturation will appear on the display.

The proposed device consists of power supply module, detector and emitter LED, signal collection and processor module, display module, Bluetooth module, user interface and button control.

The pulse oximeter works by applying a sensor to a pulsating arteriolar vascular bed. The sensor contains a dual light source and photo detector. The one wavelength of light source is 660nm, which is red light; the other is 905nm, which is infrared-red light. Skin, bone, tissue and venous vessels normally absorb a constant amount of light over time. The photo detector in finger sensor collects and converts the light into electronic signal which is proportional to the light intensity. The arteriolar bed normally pulsates and absorbs variable amounts of light during systole and diastole, as blood volume increases and decreases. The ratio of light absorbed at systole and diastole is translated into an oxygen saturation measurement. This measurement is referred to as SpO2.

The proposed device is not for life-supporting or life-sustaining, not for implant.

The device is not sterile and the transducers are reusable and do not need sterilization and re-sterilization.

The device is for prescription.

The device does not contain drug or biological products.

The device is software-driven and the software validation is provided in software.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Fingertip

Indicated Patient Age Range

adult, adolescent and child patients

Intended User / Care Setting

hospitals and hospital 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 Fingertip Pulse Oximeter MD300C208 and MD300C198 were supported by both laboratory and clinical accuracy testing in order to ensure that they were appropriate performance and functional features to fully comply with recognized standards and is substantially equivalent to the predicate device.

Non-clinical Test:
The Fingertip Pulse Oximeter MD300C208/MD300C198 is designed and tested and will be manufactured in accordance with both mandatory and voluntary standards, including:
IEC60601-1: 2005 Medical Electrical Equipment-Part 1: General Requirements for Safety.
IEC60601-1-2:2007 Medical Electrical Equipment-Part1-2: General requirements for safety, Collateral standard: Electromagnetic compatibility -Requirements and tests.
ISO 80601-2-61:2011 Medical Electrical Equipment- Part 2-61: Particular requirements for basic safety and essential performance of pulse oximeter equipment.

All clauses are assessed to comply with the requirement of ISO 80601-2-61:2011(First Edition) for use with IEC60601-1:2005 (Third Edition) +CERR.1(2005)+CORR.2(2007). Excluded the following clauses:
201.7.9.2.14.101c) biocompatibility
201.10 Protection against unwanted and excessive radiation HAZARDS
201.12 ACCURACY of controls and instruments and protection against hazardous outputs
201.15.3.5.101.2 Shock and vibration for professional transport
202 EMC
208 Alarm

Other performance tests conducted include SpO2 and PR Accuracy Test, Device Output Time and Finger Out Time Test, Device Response Time Test, Weak Perfusion Test, High and Low Temperature & Humidity Test Per Guidance for Industry and FDA Staff: Pulse Oximeter-Premarket Notification submission [510(k)s].

Software Validation:
In compliance with FDA Guidance to Compliance with FDA Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices.

List of non-clinical tests performed:

  1. System Performance Test
  2. Performance Test according to ISO 80601-2-61
  3. Electromagnetic Compatibility Test According to IEC 60601-1-2
  4. Electrical Safety Test According to IEC 60601-1
  5. Bluetooth Wireless Test according to FCC Part 15B and Part 15C

Key Results:
The test results indicate that the safety and effectiveness of the proposed device is identical to that of the predicate device. The proposed device is as safe as effective and performance as well as the predicate device.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

SpO2 Accuracy: 70%100%, ±2%; 069% no definition
PR Accuracy: 30bpm99bpm, ±2bpm; 100bpm250bpm, ±2%

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.

K140682

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).

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is often associated with healthcare. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the symbol.

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

August 28, 2015

Beijing Choice Electronic Technology Co., Ltd. Lei Chen Quality Director No. 9 Shuangyuan Road, Badachu Hi-tech Zone Shijingshan District Beijing, 100041 CHINA

Re: K151206

Trade/Device Name: Fingertip Pulse Oximeter MD300C208/MD300C198 Regulation Number: 21 CFR 870.2700 Regulation Name: Oximeter Regulatory Class: Class II Product Code: DQA Dated: July 17, 2015 Received: July 24, 2015

Dear Mr. Chen:

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 (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 yours,

Tejashri Purohit-Sheth, M.D.

Tejashri Purohit-Sheth, M.D. Clinical Deputy Director DAGRID/ODE/CDRH FOR

Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control. and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K151206

Device Name

Fingertip Pulse Oximeter MD300C208/MD300C198

Indications for Use (Describe)

The Fingertip Pulse Oximeter MD300C208/MD300C198 is a non-invasive device intended for spot-checking of oxygen saturation of arterial hemoglobin (SpO2) and pulse rate of adult, adolescent and child patients in hospitals and hospital facilities.

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.

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"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."

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Section III 510(k) Summary

This summary of 510(k) is being submitted in accordance with the requirements of 21 CFR 807.92.

The assigned 510(k) number is K151206 .

3.1 Submitter Information

● Manufacturer Name:

Establishment Registration Number: 3005569927 Beijing Choice Electronic Technology Co., Ltd. Room 4104,No.A12 Yuquan Road Haidian District 100143 Beijing, P.R.China

. Contact Person:

Mr.Lei Chen Beijing Choice Electronic Technology Co., Ltd. North Building 3F, No. 9 Shuangyuan Road, Badachu Hi-tech Zone, Shijingshan District Beijing China 100041 Phone: +86-10-88798300 Ext 6020 Fax:215-4052545 Email: cc@choicemmed.com

Date prepared: August 28, 2015 .

3.2 Proposed Device Information

Device Common Name: Pulse Oximeter Device Trade/Proprietary Name: Fingertip Pulse Oximeter Model: MD300C208, MD300C198 Classification Name: Oximeter Regulation Number: 870.2700 Product Code: DQA

Class: II

Panel: Anesthesiology

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3.3 Predicate Device

510(k) Number: K140682 Common Name: Pulse Oximeter Device Trade/Proprietary Name: Fingertip Pulse Oximeter Model: MD300C29-H Classification Name: Oximeter Product Code: DQA Regulation Number: 870.2700

Device Class: II

Panel: Anesthesiology

Manufacturer: Beijing Choice Electronic Technology Co., Ltd.

Intended Use: The Fingertip Pulse Oximeter MD300C29-H is a portable, non-invasive device intended for spot checking of oxygen saturation of arterial hemoglobin (SpO2) and pulse rate of adult, adolescent and child patient in hospital.

3.4 Device Description

The Fingertip Pulse Oximeter features low power consumption, convenient operation and portability. Place one fingertip into the photoelectric sensor for diagnosis and the pulse rate and oxygen saturation will appear on the display.

The proposed device consists of power supply module, detector and emitter LED, signal collection and processor module, display module, Bluetooth module, user interface and button control.

The pulse oximeter works by applying a sensor to a pulsating arteriolar vascular bed. The sensor contains a dual light source and photo detector. The one wavelength of light source is 660nm, which is red light; the other is 905nm, which is infrared-red light. Skin, bone, tissue and venous vessels normally absorb a constant amount of light over time. The photo detector in finger sensor collects and converts the light into electronic signal which is proportional to the light intensity. The arteriolar bed normally pulsates and absorbs variable amounts of light during systole and diastole, as blood volume increases and decreases. The ratio of light absorbed at systole and diastole is translated into an oxygen saturation measurement. This measurement is referred to as SpO2.

The proposed device is not for life-supporting or life-sustaining, not for implant.

The device is not sterile and the transducers are reusable and do not need sterilization and re-sterilization.

The device is for prescription.

The device does not contain drug or biological products.

5

The device is software-driven and the software validation is provided in software.

6

3.5 Comparison list of the technological characteristics

Comparison ElementsProposed DevicePredicate Device
Product NameFingertip Pulse OximeterFingertip Pulse Oximeter
ModelMD300C208MD300C29-H
Regulation No.21 CFR 870.270021 CFR 870.2700
ClassificationIIII
Classification NameOximeterOximeter
Product CodeDQADQA
Indications for UseThe Fingertip Pulse Oximeter MD300C208 is a
non-invasive device intended for spot-checking
of oxygen saturation of arterial hemoglobin
(SpO2) and pulse rate of adult, adolescent and
child patients in hospitals and hospital
facilities.The Fingertip Pulse Oximeter MD300C29-H is a
portable, non-invasive device intended for spot
checking of oxygen saturation of arterial
hemoglobin (SpO2) and pulse rate of adult,
adolescent and child patient in hospital.
Comparison StatementThe proposed device and the predicated device have the same intended use and classification
ComponentsPower supply module, detector and emitter LED,
signal collection and processor module, display
module, Bluetooth module, user interface and
button control.detector and emitter LED, signal amplify unit,
CPU, data display unit and power unit
Design PrincipleThe pulse oximeter works by applying a sensor to a pulsating arteriolar vascular bed. The sensor contains a dual light source and photo detector. The one wavelength of light source is 660nm, which is red light; the other is 905nm, which is infrared-red light. Skin, bone, tissue and venous vessels normally absorb a constant amount of light over time. The photo detector in finger sensor collects and converts the light into electronic signal which is proportional to the light intensity. The arteriolar bed normally pulsates and absorbs variable amounts of light during systole and diastole, as blood volume increases and decreases. The ratio of light absorbed at systole and diastole is translated into an oxygen saturation measurement. This measurement is referred to as SpO2.The pulse oximeter works by applying a sensor to a pulsating arteriolar vascular bed. The sensor contains a dual light source and photo detector. The one wavelength of light source is 660nm, which is red light; the other is 905nm, which is infrared-red light. Skin, bone, tissue and venous vessels normally absorb a constant amount of light over time. The photo detector in finger sensor collects and converts the light into electronic signal which is proportional to the light intensity. The arteriolar bed normally pulsates and absorbs variable amounts of light during systole and diastole, as blood volume increases and decreases. The ratio of light absorbed at systole and diastole is translated into an oxygen saturation measurement. This measurement is referred to as SpO2.
Measurement
WavelengthRed$660\pm3nm$$660\pm3nm$
Infrared$905\pm8nm$$905\pm8nm$
Comparison StatementThe proposed device and the predicate device have the same design principle and similar measurement wavelength. The only difference is that the proposed device adds the Bluetooth module in the product components, and we can verify which will not affect the basic safety and essential performance of the proposed device.
Display TypeOLEDOLED
Performance SpecificationWorking TimeApproximately 28 hours of continuous monitoringApproximately 25 hours of continuous monitoring
User Interface2 display directions and 2 displayed parameters6 directions for display
Power supply2*AAA alkaline batteries2*AAA alkaline batteries
Display DataSpO2, PR, Pulse AmplitudeSpO2 ,PR
SpO2 Display Range35%~100%35%~100%
SpO2 Measurement Range70%~100%70%~100%
SpO2 Accuracy70%~100%, ±2%;
0~69% no definition70%~100%, ±2%;
0~69% no definition
SpO2 Resolution1%1%
PR Display Range30bpm~250bpm30bpm~250bpm
PR Measurement Range30bpm~250bpm30bpm~250bpm
PR Accuracy30bpm~99bpm, ±2bpm;
100bpm~250bpm, ±2%30bpm~99bpm, ±2bpm;
100bpm~250bpm, ±2%
PR Resolution1%1%
Operating Temperature5°C~40°C5°C~40°C
Relative Humidity≤80% no condensation in operation;
≤93% no condensation in storage≤80% no condensation in operation;
≤93% no condensation in storage
Atmosphere Pressure86kPa~106kpa86kPa~106kpa
Comparison StatementThe proposed device has similar product specification as predicate device.
ContactingBattery CoverABSABS
MaterialEnclosure
Fingertip Cushion
Power ButtonLaser Etching Medical Silicone GelLaser Etching Medical Silicone Gel
CoatingInksInks
Comparison StatementThe contacting materials of the proposed device are same to those of the predicate device.
Laboratory TestingThe laboratory tests include SpO2 and PR
accuracy Test, Weak Perfusion Test, High and
Low Temperature and Humidity Test,
Performance Test After Cleaning and
ISO80601-2-61Meet the requirements of FDA Guidance
Performance Testing
and
EMC
Electrical SafeElectromagnetic CompatibilityConformed to IEC60601-1-2
Conformed to FCC certificationConformed to IEC60601-1-2
SoftwareModerate level of concern
Compliance with FDA Guidance for the content
of Premarket Submissions for Software
Contained in Medical DevicesModerate level of concern
Compliance with FDA Guidance for the
content of Premarket Submissions for Software
Contained in Medical Devices
Risk Management in Compliance with
ISO14971:2007Risk Management in Compliance with
ISO14971:2007
Label and LabelingCompliance with the Guidance of pulse
oximeter-premarket notification issued on March
4.2013Compliance with FDA guidance

Table 3-1 Performance Specification Comparison Table between the Proposed Device (MD300C208) and Predicate Device

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Table 3-2 Performance Specification Comparison Table between the Proposed Device (MD300C198) and Predicate Device

Comparison ElementsProposed DevicePredicate Device
Product NameFingertip Pulse OximeterFingertip Pulse Oximeter
ModelMD300C198MD300C29-H
Regulation No.21 CFR 870.270021 CFR 870.2700
ClassificationIIII
Classification NameOximeterOximeter
Product CodeDQADQA
Indications for UseThe Fingertip Pulse Oximeter MD300C198 is a
non-invasive device intended for spot-checking
of oxygen saturation of arterial hemoglobin
(SpO2) and pulse rate of adult, adolescent and
child patients in hospitals and hospital
facilities.The Fingertip Pulse Oximeter MD300C29-H
is a portable, non-invasive device intended for
spot checking of oxygen saturation of arterial
hemoglobin (SpO2) and pulse rate of adult,
adolescent and child patient in hospital.
Comparison StatementThe proposed device and the predicated device have the same intended use and
classification
Componentsdetector and emitter LED, signal amplify unit,
CPU, data display unit and power unit,
Bluetooth moduledetector and emitter LED, signal amplify
unit, CPU, data display unit and power unit
Design PrincipleThe pulse oximeter works by applying a sensor
to a pulsating arteriolar vascular bed. The sensor
contains a dual light source and photo detector.
The one wavelength of light source is 660nm,
which is red light; the other is 905nm, which is
infrared-red light. Skin, bone, tissue and venous
vessels normally absorb a constant amount of
light over time. The photo detector in finger
sensor collects and converts the light into
electronic signal which is proportional to the
light intensity. The arteriolar bed normally
pulsates and absorbs variable amounts of light
during systole and diastole, as blood volume
increases and decreases.The pulse oximeter works by applying a
sensor to a pulsating arteriolar vascular bed.
The sensor contains a dual light source and
photo detector. The one wavelength of light
source is 660nm, which is red light; the other
is 905nm, which is infrared-red light. Skin,
bone, tissue and venous vessels normally
absorb a constant amount of light over time.
The photo detector in finger sensor collects
and converts the light into electronic signal
which is proportional to the light intensity.
The arteriolar bed normally pulsates and
absorbs variable amounts of light during
systole and diastole, as blood volume
absorbed at systole and diastole is translated
into an oxygen saturation measurement. This
measurement is referred to as SpO2.increases and decreases. The ratio of light
absorbed at systole and diastole is translated
into an oxygen saturation measurement. This
measurement is referred to as SpO2.
Measurement
WavelengthRed$660 \pm 3$ nm$660 \pm 3$ nm
Infrared$905 \pm 8$ nm$905 \pm 8$ nm
Comparison StatementThe proposed device and the predicate device have the same design principle and similar
measurement wavelength. The only difference is that the proposed device adds the
Bluetooth module in the product components, and we can verify which will not affect the
basic safety and essential performance of the proposed device.
Performance SpecificationDisplay TypeLEDOLED
Working TimeApproximately 24 hours of continuous
monitoringApproximately 25 hours of continuous
monitoring
User Interface2 directions for display6 directions for display
Power supply2*AAA alkaline batteries2*AAA alkaline batteries
Display DataSpO2, PRSpO2, PR
SpO2 Display Range35%~99%35%~100%
SpO2 Measurement
Range70%~99%70%~100%
SpO2 Accuracy70%99%, $\pm 2$ %; 069% no definition70%100%, $\pm 2$ %; 069% no definition
SpO2 Resolution1%1%
PR Display Range30bpm~250bpm30bpm~250bpm
PR Measurement
Range30bpm~250bpm30bpm~250bpm
PR Accuracy30bpm~99bpm, $\pm$ 2bpm;
100bpm~250bpm, $\pm$ 2%30bpm~99bpm, $\pm$ 2bpm;
100bpm~250bpm, $\pm$ 2%
PR Resolution1%1%
Operating
Temperature5°C~40°C5°C~40°C
Relative Humidity≤80% no condensation in operation;
≤93% no condensation in storage≤80% no condensation in operation;
≤93% no condensation in storage
Atmosphere Pressure86kPa~106kPa86kPa~106kPa
Comparison Statement
The proposed device has similar product specification as predicate device.
Contacting
MaterialBattery Cover
EnclosureABSABS
Fingertip Cushion
Power ButtonLaser Etching Medical Silicone GelLaser Etching Medical Silicone Gel
CoatingInksInks
Comparison Statement
The contacting materials of the proposed device are same to those of the predicate device.
Performance TestingLaboratory TestingThe laboratory tests include SpO2 and PR
accuracy Test, Weak Perfusion Test, High and
Low Temperature and Humidity Test,
Performance Test After Cleaning and
ISO80601-2-61Meet the requirements of FDA Guidance
Electrical SafetyConformed to IEC60601-1Conformed to IEC60601-1
EMC and
Electrical SafeElectromagnetic CompatibilityConformed to IEC60601-1-2
Conformed to FCC certificationConformed to IEC60601-1-2
Moderate level of concern
SoftwareCompliance with FDA Guidance for the content
of Premarket Submissions for Software
Contained in Medical DevicesCompliance with FDA Guidance for the
content of Premarket Submissions for
Software Contained in Medical Devices
Risk Management in Compliance with
ISO14971:2007Risk Management in Compliance with
ISO14971:2007

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14

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Premarket Notification 510(k) Submission—Section III 510(k) Summary
Label and LabelingCompliance with the Guidance of pulse
oximeter-premarket notification issued on
March 4,2013Compliance with FDA guidance

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3.6 Intended use

The Fingertip Pulse Oximeter MD300C208/MD300C198 is a non-invasive device intended for spot-checking of oxygen saturation of arterial hemoglobin (SpO2) and pulse rate of adult, adolescent and child patients in hospitals and hospital facilities.

3.7 Testing

The Fingertip Pulse Oximeter MD300C208 and MD300C198 were supported by both laboratory and clinical accuracy testing in order to ensure that they were appropriate performance and functional features to fully comply with recognized standards and is substantially equivalent to the predicate device.

Non-clinical Test

The Fingertip Pulse Oximeter MD300C208/MD300C198 is designed and tested and will be manufactured in accordance with both mandatory and voluntary standards, including:

IEC60601-1: 2005 Medical Electrical Equipment-Part 1: General Requirements for Safety.

IEC60601-1-2:2007 Medical Electrical Equipment-Part1-2: General requirements for safety, Collateral standard: Electromagnetic compatibility -Requirements and tests.

ISO 80601-2-61:2011 Medical Electrical Equipment- Part 2-61: Particular requirements for basic safety and essential performance of pulse oximeter equipment.

All clauses are assessed to comply with the requirement of ISO 80601-2-61:2011(First Edition) for use with IEC60601-1:2005 (Third Edition) +CERR.1(2005)+CORR.2(2007). Excluded the following clauses:

The following clauses/collaterals were excluded from this testing:

201.7.9.2.14.101c) biocompatibility

201.10 Protection against unwanted and excessive radiation HAZARDS

201.12 ACCURACY of controls and instruments and protection against hazardous outputs

201.15.3.5.101.2 Shock and vibration for professional transport

202 EMC

208 Alarm

We have also conducted other performance test including SpO2 and PR Accuracy Test, Device Output Time and Finger Out Time Test, Device Response Time Test, Weak Perfusion Test, High and Low Temperature & Humidity Test Per Guidance for Industry and FDA Staff: Pulse Oximeter-Premarket Notification submission [510(k)s].

17

The Software Validation is in compliance with FDA Guidance to Compliance with FDA

Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices.

No.Test Name
1System Performance Test
2Performance Test according to ISO 80601-2-61
3Electromagnetic Compatibility Test According to IEC 60601-1-2
4Electrical Safety Test According to IEC 60601-1
5Bluetooth Wireless Test according to FCC Part 15B and Part 15C

The list of non-clinical test performed on the proposed devices.

The test results indicate that the safety and effectiveness of the proposed device is identical to that of the predicate device.

3.8 Determination of substantial equivalence

The proposed device of Fingertip Pulse Oximeter MD300C208/MD300C198 has the same classification information, similar intended use, same design principle, similar product design and specifications, and the same performance as the predicated device. The main differences are the proposed devices have function of Bluetooth and MD300C208 can display Pulse Amplitude while the predicate device does not have these function. The differences are slight and do not influence the effectiveness and safety of the device. According to the test results, the proposed device is as safe as effective and performance as well as the predicate device. So the proposed device is Substantially Equivalent (SE) to the predicate device which is US legally market device.