K Number
K153033
Device Name
Digital Blood Pressure Monitor
Date Cleared
2016-06-24

(249 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
This device is intended to measure the blood pressure and pulse rate on upper arms of adults.
Device Description
The Digital Blood Pressure Monitor is Arm-type fully automatic Digital Blood Pressure Monitor and used the oscillometric method for non-invasive measurement of blood-pressure at home. The equipment is non-transit-operable, portable equipment, not used at the conditions of patient movement in normal use. The unit is powered by internal dry battery. Digital Blood Pressure Monitor is based on pressure vibration method. Blood pressure cuff use the air pump to inflate, then the arteries are extruded by the cuff with pressure. Pressure sensor collects the pressure in the cuff, and then converts it to digital signal to the CPU. Then the software calculates the systolic and diastolic blood pressure and pulse rate. Digital Blood Pressure Monitor, JDS-189, JDS-500A, JDS-500E, JDS-600, JDS-700, JDS-703, JDS-704, JDS-800, BM 20 in term of intended use measurement method, structure, and specifications are totally same, only the appearance, memory space has difference.
More Information

Not Found

No
The description details a standard oscillometric blood pressure monitor using a pressure sensor and CPU for calculation, with no mention of AI or ML algorithms.

No
The device is intended to measure blood pressure and pulse rate, which is a diagnostic function, not a therapeutic one. It monitors a condition rather than treating or curing it.

No

The device is intended to measure blood pressure and pulse rate, which are physiological parameters, not to diagnose a specific medical condition.

No

The device description explicitly details hardware components such as an air pump, pressure sensor, and cuff, and mentions being powered by an internal dry battery. It also describes the physical mechanism of measurement involving cuff inflation and pressure sensing.

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 on the upper arm. It does not analyze any biological samples taken from the body.
  • Intended Use: The intended use is to measure blood pressure and pulse rate on the upper arms of adults, which is a direct physiological measurement, not an analysis of a biological sample.

Therefore, based on the provided information, this Digital Blood Pressure Monitor is a non-invasive medical device for physiological measurement, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

This device is intended to measure the blood pressure and pulse rate on upper arms of adults.

Product codes

DXN

Device Description

The Digital Blood Pressure Monitor is Arm-type fully automatic Digital Blood Pressure Monitor and used the oscillometric method for non-invasive measurement of blood-pressure at home.

The equipment is non-transit-operable, portable equipment, not used at the conditions of patient movement in normal use. The unit is powered by internal dry battery.

Digital Blood Pressure Monitor is based on pressure vibration method. Blood pressure cuff use the air pump to inflate, then the arteries are extruded by the cuff with pressure. Pressure sensor collects the pressure in the cuff, and then converts it to digital signal to the CPU. Then the software calculates the systolic and diastolic blood pressure and pulse rate.

Digital Blood Pressure Monitor, JDS-189, JDS-500A, JDS-500E, JDS-600,
JDS-700, JDS-703, JDS-704, JDS-800, BM 20 in term of intended use measurement method, structure, and specifications are totally same, only the appearance, memory space has difference.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper arms

Indicated Patient Age Range

adults

Intended User / Care Setting

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)

Laboratory testing was conducted to validate and verify that Digital Blood Pressure Monitor met all requirements of related international standards, including electrical safety, EMC, biocompatibility, specification. Results of these tests demonstrate compliance to the requirements of the bellow consensus standards.

Clinical study has been evaluated according to ANSI/AAMI/ISO 81060-2.

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

Pressure: ± 3 mmHg
Pulse: ± 5% of the displayed value

Predicate Device(s)

K130325

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).

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Image /page/0/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the logo is an abstract symbol that resembles an eagle or bird with three human profiles incorporated into its design.

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

June 24, 2016

Suzhou Sunspiri Co., Ltd. % Long Yang Coo Shenzhen Hlongmed Biotech Company Limited R1508, East Building, Yihai Plaza, Chuangye Road, Nanshan District Shenzhen, 518054 CN

Re: K153033

Trade/Device Name: Digital Blood Pressure Monitor Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive Blood Pressure Measurement System Regulatory Class: Class II Product Code: DXN Dated: May 13, 2016 Received: May 19, 2016

Dear Long Yang:

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

1

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 (OS) 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,

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

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

510(k) Number (if known)

Device Name

Digital Blood Pressure Monitor

Models: JWS Series, including: JDS-189, JDS-500A, IDS-500E, JDS-600, JDS-700, IDS-703, IDS-704, JDS-800, BM20

Indications for Use (Describe)

This device is intended to measure the blood pressure and pulse rate on upper arms of adults.

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

| Prescription Use (Part 21 CFR 801 Subpart D)

X 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."

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510(k) Summary

Date Prepared: June 22, 2016

1. Submitter

SUZHOU SUNSPIRIT CO., LTD.

No.72, Hengshan Rd., Suzhou New District, P. R. China, 215009 Establishment Registration Number: 3010271644 Tel: 0086-512-68238996 Fax: 0086-512-68234280

2. Submission Correspondent

  1. Ms. Jing Zhang (QA manager) SUZHOU SUNSPIRIT CO., LTD. No.72, Hengshan Rd., Suzhou New District, P. R. China, 215009 2) Mr. Long Yang (COO) Shenzhen Hlongmed Biotech Company Limited R1508, East Building, Yihai Plaza, Chuangye Road, Nanshan District,Shenzhen, P.R. China,518054

Tel: 0086-755-86664986

Fax: 0086-755-86664933

E-mail: yanglong@hlongmed.com

3. Proposed Device Information

Trade name: Digital Blood Pressure Monitor Model: JDS Series, including: JDS-189, JDS-500, JDS-500A, JDS-500E, JDS-600, JDS-700, JDS-703, JDS-704, JDS-800, BM20 Common name: Digital Blood Pressure Monitor Classification name: Noninvasive Blood Pressure Measurement System Review Panel: Cardiovascular System Devices Panel (74) Product Code: DXN Regulation Class: II Regulation Number: 870.1130

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4. Predicate Device Information

Company Name: Shenzhen Pump Medical System Co., Ltd. Device Name: Arm Automatic Blood Pressure Monitor, model BF1115 510(k) number: K130325

5. Device Description

The Digital Blood Pressure Monitor is Arm-type fully automatic Digital Blood Pressure Monitor and used the oscillometric method for non-invasive measurement of blood-pressure at home.

The equipment is non-transit-operable, portable equipment, not used at the conditions of patient movement in normal use. The unit is powered by internal dry battery.

Digital Blood Pressure Monitor is based on pressure vibration method. Blood pressure cuff use the air pump to inflate, then the arteries are extruded by the cuff with pressure. Pressure sensor collects the pressure in the cuff, and then converts it to digital signal to the CPU. Then the software calculates the systolic and diastolic blood pressure and pulse rate.

Digital Blood Pressure Monitor, JDS-189, JDS-500A, JDS-500E, JDS-600,

JDS-700, JDS-703, JDS-704, JDS-800, BM 20 in term of intended use measurement method, structure, and specifications are totally same, only the appearance, memory space has difference.

6. Intended use/Indications for use:

This device is intended to measure the blood pressure and pulse rate on upper arms of adults.

7. Testing data and clinical study

Laboratory testing was conducted to validate and verify that Digital Blood Pressure Monitor met all requirements of related international standards, including electrical safety, EMC, biocompatibility, specification. Results of these tests demonstrate compliance to the requirements of the bellow consensus standards.

Clinical study has been evaluated according to ANSI/AAMI/ISO 81060-2.

Applied Standard:

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  • Electrical Safety requirement: AAMI / ANSI ES 60601-1:2005
  • Performance requirement: IEC80601-2-30 ●
  • Electromagnetic Compatibility Requirements: IEC 60601-1-2 ●
  • Home-used medical equipment requirements: IEC 60601 -1 -11
  • Biocompatibility Evaluation for NIBP Cuff: ISO 10993-5, ISO 10993-10 ●
  • Clinical Evaluation: ANSI/AAMI/ISO 81060-2

8. Comparison to Predicate Device

Trade NameDigital Blood Pressure MonitorArm Automatic Blood Pressure Monitor
ModelJDS-189, JDS-500, JDS-500A, JDS-500E, JDS-600, JDS-700, JDS-703, JDS-704, JDS-800, BM 20BF1115
Indications for useThis device is intended to measure the blood pressure and pulse rate on upper arms of adults.It is intended for measuring adult blood pressure and pulse rate.
Target populationAdultAdult
Environment of useHomeHome
TechnologyOscillometric methodOscillometric method
Measurement MethodNon-invasiveNon-invasive
Measurement localizationUpper armUpper arm
Memory Space2×30(BM20, JDS-189, JDS-500, JDS-500A, JDS-500E, JDS-600) / 1×99(JDS-700)/ 2×60(JDS-703, JDS-704)/ 2×50(JDS-800)50 sets of measurement values( blood pressure and pulse rate) for each user( Memory 1 and Memory 2)
Measuring parametersblood pressure (systolic and diastolic) and heart rateblood pressure (systolic and diastolic) and heart rate

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| Measurement
range | Pressure: 0 – 300 mmHg
Pulse: 40 –180 beats/min | Pressure: 0 to 280 mmHg
Pulse: 40 to 180 pulses/min |
|-----------------------------|----------------------------------------------------------|----------------------------------------------------------|
| Measurement
accuracy | Pressure: ± 3 mmHg
Pulse: ± 5% of the displayed value | Pressure: ± 3 mmHg
Pulse: ± 5% of the displayed value |
| Inflation Mode | Automatic by Internal Pump | Automatic by Internal Pump |
| Deflation
Mode | Automatic by Valve | Automatic by Valve |
| Measurable
circumference | 22-32cm | 22-36cm |
| Display | LCD, digital display | LCD, digital display |
| Energy source | 4 AA Alkaline batteries | 4 AA Alkaline batteries or AC
adaptor(AC 100~ 240V) |
| Operating
environment | +10~+40 °C , ≤85% RH | +5~+40°C , ≤93%RH |
| Storage
environment | -5 ~ +50 °C, ≤85% RH | -25~+70°C,10~95%RH |

The subject device is Substantially Equivalent (SE) to the predicate device which is US legally market device.

9. Conclusion

Digital Blood Pressure Monitor has the same intended use, the same technological characteristics as the predicate device. Moreover, non-clinical testing & clinical testing contained in this submission demonstrated that any difference in their technological characteristics does not raise any new issues of safety and effectiveness.

In a word, Digital Blood Pressure Monitor is substantial equivalent to the predicate device.