K Number
K152003
Device Name
iHealth BP3L Wireless Blood Pressure Monitor
Date Cleared
2015-09-24

(66 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
iHealth BP3L Wireless Blood Pressure Monitor is for use by medical professionals or at home and is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures 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 cuff circumference is limited to 22cm-48cm.
Device Description
iHealth BP3L Wireless Blood Pressure Monitors are designed and manufactured according to IEC 80601-2-30. The operational principle is based on oscillometric and silicon integrates pressure sensor technology. it can calculate the systolic and diastolic blood pressure, the measurements results can also be classified by the function of blood pressure classification indicator. If any irregular heartbeat is detected, it can be shown to the user. The new devices achieves its function by an iOS or Andriod devices.
More Information

Not Found

No
The description focuses on standard oscillometric blood pressure measurement technology and does not mention AI or ML.

No
The device is a diagnostic tool designed to measure blood pressure and pulse rate, not to treat a condition. While it provides information that can be used in a therapeutic plan, the monitor itself does not administer therapy.

Yes
Explanation: The device measures diastolic and systolic blood pressure and pulse rate, and can detect irregular heartbeats, which are all diagnostic indicators of a patient's health status.

No

The device description explicitly mentions an "inflatable cuff" and "silicon integrates pressure sensor technology," indicating hardware components are integral to its function.

Based on the provided information, this device is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs analyze samples taken from the body (like blood, urine, tissue) to provide information about a person's health.
  • This device measures blood pressure and pulse rate directly from the body using a cuff on the arm. It's a non-invasive measurement of a physiological parameter.

The description clearly states it's a "non-invasive blood pressure measurement system" and measures "diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive technique in which an inflatable cuff is wrapped around the upper arm." This aligns with the definition of a medical device that measures physiological signs, not an IVD.

N/A

Intended Use / Indications for Use

iHealth BP3L Wireless Blood Pressure Monitor is for use by medical professionals or at home and is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures 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 cuff circumference is limited to 22cm-48cm.

Product codes

DXN

Device Description

iHealth BP3L Wireless Blood Pressure Monitors are designed and manufactured according to IEC 80601-2-30.

The operational principle is based on oscillometric and silicon integrates pressure sensor technology. it can calculate the systolic and diastolic blood pressure, the measurements results can also be classified by the function of blood pressure classification indicator. If any irregular heartbeat is detected, it can be shown to the user. The new devices achieves its function by an iOS or Andriod devices.

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

adult

Intended User / Care Setting

medical professionals 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

Non-clinical Tests have been done as follows:

  • a. Electromagnetic compatibility test according to IEC 60601-1-2;
  • b. Electrical safety according test to IEC 60601-1;
    c. Safety and performance characteristics of the test according to IEC 80601-2-30
    None of the test demonstrates that BP3L and BP7S Wireless Blood Pressure Monitor bring new questions of safety and effectiveness.

Key Metrics

Not Found

Predicate Device(s)

K102939

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features the department's name encircling a symbol. The symbol is a stylized representation of three human profiles facing right, layered on top of each other.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

September 24, 2015

Andon Health Co., Ltd. Liu Yi President No. 3 Jin Ping Street, Ya An Road Nankai District Tianjin, China 300190

Re: K152003

Trade/Device Name: iHealth BP3L Wireless Blood Pressure Monitor Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive Blood Pressure Measurement System Regulatory Class: Class II Product Code: DXN Dated: August 25, 2015 Received: August 28, 2015

Dear Liu Yi:

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 vours.

M.A. Hillebrand

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

Enclosure

2

Statement of Indications for Use

510(k) Number :K152003
---------------------------------

iHealth BP3L Wireless Blood Pressure Monitor Device name:

Indications for use:

iHealth BP3L Wireless Blood Pressure Monitor is for use by medical professionals or at home and is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures 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 cuff circumference is limited to 22cm-48cm.

Prescription use _____________________________________________________________________________________________________________________________________________________________ AND/OR Over-The-Counter Use YES (21 CFR 807 Subpart C) (Part 21 CFR 801 Subpart D)

(PLEASE DO NOT WRITE BELOW THIS LINE-COUNTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of 1

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510(k) Summary

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

1.0 submitter's information

Name:Andon Health Co., Ltd.
Address:No 3, Jinping Street Ya An Road, Nankai District, Tianjin,
P.R. China
Phone number:86-22-6052 6161
Fax number:86-22-6052 6162
Contact:Liu Yi
Date of Preparation:07/14/2015

2.0 Device information

Trade name:iHealth BP3L Wireless Blood Pressure Monitor
-----------------------------------------------------------

Device name: Wireless Blood Pressure Monitor

Classification name: Noninvasive blood pressure measurement system

3.0 Classification_

Production code: DXN- Noninvasive blood pressure measurement system. Regulation number: 870.1130 Classification: II Panel: Cardiovascular

4.0 Predicate device information

Manufacturer: Andon Health Co., Ltd. iHealth BP3 Fully Automatic Arm Cuff Electronic Blood Device: Pressure Dock 510(k) number: K102939

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5.0 Intended use

iHealth BP3L Wireless Blood Pressure Monitor is for use by medical professionals or at home and is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures 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 cuff circumference is limited to 22cm-48cm.

The intended use and the indication for use of iHealth BP3L Wireless Blood Pressure Monitor, as described in its labeling are the same as the predicate device BP3 (K102939).

6.0 Device description

iHealth BP3L Wireless Blood Pressure Monitors are designed and manufactured according to IEC 80601-2-30.

The operational principle is based on oscillometric and silicon integrates pressure sensor technology. it can calculate the systolic and diastolic blood pressure, the measurements results can also be classified by the function of blood pressure classification indicator. If any irregular heartbeat is detected, it can be shown to the user. The new devices achieves its function by an iOS or Andriod devices. .

| Item | Predicate device
BP3 (K102939) | Subject device
BP3L(K152003) |
|----------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------|
| Intended use and
indication for use | For use by medical professionals or at home
and is a non-invasive blood pressure
measurement system intended to measure
the diastolic and systolic blood pressures 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
cuff circumference is limited to 22cm-48cm. | Same as predicate |
| Method of
measurement | Oscillometric | Same as predicate |
| Unit Weight | About 260g | About 240g |
| Average function | Yes | No |

7.0 Summary comparing technological characteristics with predicate device

5

Memory functionYesNo
Power Supply5V Li-ionSame as predicate
AccuracyPressure $\pm$ 3mmHg
Pulse $\pm$ 5%Same as predicate
Range of
measurementCuff pressure Range
0 ~ 295 mmHg

Determination Range
30 ~ 280 mmHg | Cuff pressure Range
0 ~ 300 mmHg

Determination Range
40 ~ 260 mmHg |
| Storage
Environment | -20~55°C