K Number
K153251
Date Cleared
2016-04-14

(156 days)

Product Code
Regulation Number
870.1120
Panel
CV
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Tenso TS-101S and TS-101D disposable blood pressure cuff is an accessory used in conjunction with noninvasive blood pressure measurement systems. The cuff is non-sterile and for single-patient use. It is available in infant, pediatric and adult sizes. They are used in hospital settings.

Device Description

"Tenso TS-101S and TS-101D Disposable Blood Pressure Cuffs" are an accessory used in conjunction with noninvasive blood pressure measurement systems. They incorporate an inflatable nondistensible bladder, sized to encircle a patient's limb. This allows air to flow in and out of the cuff for inflation and deflation, for the purpose of occlusion of an artery. "Tenso TS-101S and TS-101D Disposable Blood Pressure Cuffs" have a structure which contains Cuff with bladder and Air Hose. Air hose has either single tube or double tubes." The device is secured by hook and loop closure onto the patient limb. It has two variations: TS-101S" is the variant that has single tube structure, while "TS-101D" is the variant that has double-tube structure. The cuff is made from non-woven fabrics, the air hose and tubes are made from polyvinyl chloride. Therefore, the non-woven fabric (cuff) is the material used to contacting with the patient. "Tenso TS-101S and TS-101D Disposable Blood Pressure Cuffs" are single use device and are provided as non-sterile. They are available in infant, pediatric and adult sizes. "Tenso TS-101S Disposable Blood Pressure Cuffs" (single tube model) have 6 models with different size for different population with different arm size. "TS-101D Disposable Blood Pressure Cuffs" (double tube model) also have 6 models with different size for different population with different arm size.

AI/ML Overview

Acceptance Criteria and Study for Tenso TS-101S and TS-101D Disposable Blood Pressure Cuff

This document describes the acceptance criteria and the study performed to demonstrate that the Tenso TS-101S and TS-101D Disposable Blood Pressure Cuffs meet these criteria.

1. Table of Acceptance Criteria and Reported Device Performance

CharacteristicSpecification (Acceptance Criteria)Reported Device Performance (Results)
Mechanical StrengthAble to withstand 300 mm HgMeet
Fatigue StrengthAble to withstand inflation (to 300 mm Hg) and deflation for at least 300 timesMeet
Leakage RateLeakage rate

§ 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).