K Number
K160231
Date Cleared
2016-12-23

(326 days)

Product Code
Regulation Number
870.2700
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Model X-100C
Nonin's Model X-100C CO-Met™ Oximetry System is indicated for noninvasive measuring of functional oxygen saturation of arterial hemoglobin (%SpO2), carboxyhemoglobin saturation (%COHb), methemoglobin saturation (%MetHb), and pulse rate of adult and pediatric patients (>66 lbs / 30 kg) using the Model 8300AA sensor. The measurements may be multiple spot-checks to observe change and/or continuous monitoring. The X-100C system is indicated for use by trained personnel in clinical settings, including Emergency Medical Service (EMS). hospitals, medical facilities, and mobile environments. This device is not meant for sole use in clinical decision making; it must be used in conjunction with additional methods of assessing clinical signs and symptoms.

Model 8300AA
The Model 8300AA reusable finger clip sensor is intended for noninvasive measuring of function of arterial hemoglobin (%SpO2), carboxyhemoglobin saturation (%COHb), methemoglobin saturation (%MetHb), and pulse rate of adult and pediatric patients (> 66 lbs / 30 kg). The measurements may be multiple spot-checks to observe change and/or continuous monitoring. It is intended for use in Emergency Medical Service (EMS), hospitals, medical facilities, and mobile environments. This device is not meant for sole use in clinical decision making: it must be used in conjunction with additional methods of assessing clinical signs and symptoms.

Device Description

The Model X-100C CO-Met Oximetry System displays (COHb), methemoglobin (MetHb), pulse oxygen saturation (SpO2), and pulse rate (PR) data transmitted from one channel of data through a direct connection of the signal processor to the monitor. The monitor receives, displays, provide alarm management, and storage of COHb, MetHb, SpO2, and PR. The device is capable of running on battery power or on AC power via an external power supply. The device is equipped with patient alarms to alert the user to abnormal conditions and shall provide real time data output of COHb, MetHb, SpO2, and PR.

AI/ML Overview

The provided document describes the acceptance criteria and the study conducted for the Nonin Medical, Inc. Model X-100C CO-Met™ Oximetry System (K160231).

Here's a breakdown of the requested information:

1. Table of Acceptance Criteria and Reported Device Performance

The document references ISO 80601-2-61 for accuracy calculations (root-mean-squared, Arms value). While specific numerical acceptance criteria (e.g., maximum Arms value for each parameter) are not explicitly stated in a consolidated table, the performance is reported against these implicit criteria derived from the standard.

ParameterAcceptance Criteria (Implied by adherence to ISO 80601-2-61)Reported Device Performance
COHb AccuracyPer ISO 80601-2-61, accuracy calculated using Arms value."Accuracy data was calculated using the root-mean-squared (Arms value) for all subjects, per ISO 80601-2-61... The proposed Model X-100C CO-Met Oximetry System meets all acceptance criteria."
MetHb AccuracyPer ISO 80601-2-61, accuracy calculated using Arms value."Accuracy data was calculated using the root-mean-squared (Arms value) for all subjects, per ISO 80601-2-61... The proposed Model X-100C CO-Met Oximetry System meets all acceptance criteria."
SpO2 AccuracyPer ISO 80601-2-61, accuracy calculated using Arms value."Accuracy data was calculated using the root-mean-squared (Arms value) for all subjects, per ISO 80601-2-61... The proposed Model X-100C CO-Met Oximetry System meets all acceptance criteria."
SpO2 Accuracy in presence of COHb and MetHbPer ISO 80601-2-61, accuracy calculated using Arms value."Accuracy data was calculated using the root-mean-squared (Arms value) for all subjects, per ISO 80601-2-61... The proposed Model X-100C CO-Met Oximetry System meets all acceptance criteria."
Electrical SafetyIEC 60601-1Pass
Temperature and HumidityEN 1789, IEC 60601-1Pass
Atmospheric Pressure (Altitude)IEC 60601-1Pass
Electromagnetic Immunity and EmissionsIEC 60601-1-2Pass
Ingress ProtectionISO 80601-2-61Pass
Diaphoretic related ingressInternal performance characterizationPass
Mechanical DurabilityIEC 60601-1, ISO 80601-2-61, ISTA 2A ASTM D-4169Pass
BiocompatibilityISO 10993-1, ISO 10993-5, ISO 10993-10Biocompatible per Cytotoxicity, Sensitization and Irritation

2. Sample size used for the test set and the data provenance

  • Sample Size: Not explicitly stated as a number of subjects. The clinical accuracy testing sections mention "healthy, male and female, non-smoking, light to dark-skinned subjects that were 18 years of age and older." They refer to "all subjects" in the accuracy calculation but do not provide a specific count.
  • Data Provenance: Retrospective or prospective is not explicitly stated. However, the description of "COHb accuracy testing was conducted at an independent research laboratory," "MetHb accuracy testing was conducted at an independent research laboratory," and "induced hypoxia studies" suggests a prospective study design where subjects were enrolled and data collected for the purpose of the study. The location is an "independent research laboratory." The country of origin is not specified but is implicitly within the scope of a U.S. FDA submission.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

Not applicable for this type of medical device. The ground truth for oximetry is established through a co-oximeter analyzing arterial blood samples, not through expert consensus on images or clinical assessments in this context.

4. Adjudication method for the test set

Not applicable. The ground truth is objective measurement from a co-oximeter analysing blood samples.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This device is a standalone oximetry system and does not involve human readers interpreting images with or without AI assistance.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

Yes, the primary performance evaluation described is for the standalone device (Model X-100C CO-Met™ Oximetry System with 8300AA sensors) without an explicit human-in-the-loop component for interpreting the raw measurements; the device generates direct readings. The accuracy studies directly compare the device's measurements to the co-oximeter's measurements of arterial blood.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

The ground truth for COHb, MetHb, and SpO2 measurements was established using laboratory co-oximetry analysis of simultaneous arterial blood samples.

8. The sample size for the training set

Not applicable. This refers to a medical device for direct measurement, not an AI/machine learning algorithm that requires a training set. The device's performance is based on its sensor technology and signal processing.

9. How the ground truth for the training set was established

Not applicable, as there is no training set for this type of device.

{0}------------------------------------------------

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which features three abstract human figures connected by flowing lines. 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

December 23, 2016

Nonin Medical, Inc. Kim Aves Principal Regulatory Affairs Specialist 13700 1st Avenue North Plymouth, Minnesota 55441

Re: K160231

Trade/Device Name: Model X-100C CO-Met™ Oximetry System Regulation Number: 21 CFR 870.2700 Regulation Name: Oximeter Regulatory Class: Class II Product Code: DQA Dated: November 28, 2016 Received: December 1, 2016

Dear Kim Aves:

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 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.

{1}------------------------------------------------

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,

Tejashri Purohit-Sheth, M.D.

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

Tina Kiang, Ph.D. Acting 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) K160231

Device Name

Model X-100C CO-Met™ Oximetry System

Indications for Use (Describe)

Model X-100C

Nonin's Model X-100C CO-Met™ Oximetry System is indicated for noninvasive measuring of functional oxygen saturation of arterial hemoglobin (%SpO2), carboxyhemoglobin saturation (%COHb), methemoglobin saturation (%MetHb), and pulse rate of adult and pediatric patients (>66 lbs / 30 kg) using the Model 8300AA sensor. The measurements may be multiple spot-checks to observe change and/or continuous monitoring. The X-100C system is indicated for use by trained personnel in clinical settings, including Emergency Medical Service (EMS). hospitals, medical facilities, and mobile environments. This device is not meant for sole use in clinical decision making; it must be used in conjunction with additional methods of assessing clinical signs and symptoms.

Model 8300AA

The Model 8300AA reusable finger clip sensor is intended for noninvasive measuring of function of arterial hemoglobin (%SpO2), carboxyhemoglobin saturation (%COHb), methemoglobin saturation (%MetHb), and pulse rate of adult and pediatric patients (> 66 lbs / 30 kg). The measurements may be multiple spot-checks to observe change and/or continuous monitoring. It is intended for use in Emergency Medical Service (EMS), hospitals, medical facilities, and mobile environments. This device is not meant for sole use in clinical decision making: it must be used in conjunction with additional methods of assessing clinical signs and symptoms.

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}------------------------------------------------

5. "510(k) Summary" as required by section 807.92(c)

Submitter:Nonin Medical, Inc.13700 1st Ave. NorthPlymouth, MN 55441-5443
Phone:763 577 3196
Fax:763 553 7807
Contact Person:Kim E. AvesPrincipal Regulatory Affairs Specialist
Date Prepared:January 29, 2016; Revised December 22, 2016
Trade Names:Model X-100C CO-Met™ Oximetry System
Common Name:Oximeter
Classification Name:Oximeter
Regulation Number:Class II, 21 CFR 870.2700 (Oximeter)
Product Code, Panel:DQA, Anesthesiology
Predicate Device(s):Masimo Rainbow SET Radical 7 Pulse CO-Oximeter, K061204
Device Description: The Masimo Rainbow SET® Radical 7 Pulse CO-Oximeter (Radical 7) with Rainbow technology allows for noninvasivemonitoring of arterial oxygen saturation (%SpO2), pulse rate,carboxyhemoglobin saturation (%SpCO), and/or methemoglobinsaturation (%SpMet). The Radical 7 features an LCD display thatcontinuously displays numeric values for %SPO2 and pulse rate. Otherinformation displayed by the Radical 7 include: %SpCO and/or %SpMet,Low Signal IQ (Low SIQ), Perfusion Index (PI), alarm status, alarmsilence, battery life, sensor status, trends, and pleth waveform. TheRadical 7 has output interfaces including SatShare connection to multi-

The Radical 7 is intended to be used with Masimo LNOP series of oximetry sensors, LNCS series of oximetry sensors, and patient cables. The Radical 7 is also intended to be used with Masimo Rainbow (SpCO/SpMet) sensors and Rainbow patient cables, cleared under K061204 (July 27, 2006.)

parameter monitors, Nurse Call analog output, and RS-232 serial output.

Radical 7 Indications for Use (as cleared under K061204)

The Masimo SET® Radical 7 Pulse CO-Oximeter and accessories are indicated for the continuous noninvasive monitoring of functional oxygen saturation of arterial hemoglobin (SP02), pulse rate (measured by an SP0 2 sensor), carboxyhemoglobin (measured by an SpCO/SpMet sensor), and/or methemoglobin saturation (measured by an SpCO/SpMet sensor). The Masimo SET® Radical 7 Pulse CO-Oximeter and accessories are indicated for use with adult, pediatric, and neonatal patients during both

{4}------------------------------------------------

no motion and motion conditions, and for patients who are well or poorly perfused in hospitals. hospital-tvpe facilities, mobile, and home environments. In addition, the Masimo SET® Radical 7 Pulse CO-Oximeter and accessories is indicated to provide the continuous noninvasive monitoring data obtained from the Masimo SET® Radical 7 Pulse CO-Oximeter and accessories of functional oxygen saturation of arterial hemoglobin (Sp0-) and pulse rate (measured by an Sp0- sensor) to multiparameter devices for the display of those devices.

Device Description: The Model X-100C CO-Met Oximetry System displays (COHb), methemoglobin (MetHb), pulse oxygen saturation (SpO2), and pulse rate (PR) data transmitted from one channel of data through a direct connection of the signal processor to the monitor. The monitor receives, displays, provide alarm management, and storage of COHb, MetHb, SpO2, and PR. The device is capable of running on battery power or on AC power via an external power supply. The device is equipped with patient alarms to alert the user to abnormal conditions and shall provide real time data output of COHb, MetHb, SpO2, and PR.

Intended Use: Model X-100C

Nonin's Model X-100C CO-Met™ Oximetry System is indicated for noninvasive measuring of functional oxygen saturation of arterial hemoglobin (%SpO2), carboxyhemoglobin saturation (%COHb), methemoglobin saturation (%MetHb), and pulse rate of adult and pediatric patients (>66 lbs / 30 kg) using the Model 8300AA sensor. The measurements may be multiple spot-checks to observe change and/or continuous monitoring. The X-100C system is indicated for use by trained personnel in clinical and non-clinical settings, including Emergency Medical Service (EMS), hospitals, medical facilities, and mobile environments. This device is not meant for sole use in clinical decision making; it must be used in conjunction with additional methods of assessing clinical signs and symptoms.

Model 8300AA

The Model 8300AA reusable finger clip sensor is intended for noninvasive measuring of functional oxygen saturation of arterial hemoglobin (%SpO2), carboxyhemoglobin saturation (%COHb), methemoglobin saturation (%MetHb), and pulse rate of adult and pediatric patients (> 66 lbs / 30 kg). The measurements may be multiple spot-checks to observe change and/or continuous monitoring. It is intended for use in Emergency Medical Service (EMS), hospitals, medical facilities, and mobile environments. This device is not meant for sole use in clinical decision making; it must be used in conjunction with additional methods of assessing clinical signs and symptoms.

{5}------------------------------------------------

Comparison of Intended Use (Indications for Use)

Radical 7X-100CComment
Continuous monitoringMultiple spot-checks to observe change and/or continuous monitoringMultiple spot-checks to observe change is a form of monitoring.
Adult, pediatric and neonatal patientsAdult and pediatricNonin is not seeking clearance for X-100C in the neonate population. The Radical 7 applied part labeling indicates neonate use for SpO2 and pulse rate only.
Intended use does not specify patient size, weight or ageNonin specifies patient population based on weight (>66 lbs./30kg)The X-100C clarifies the use population regarding appropriate fit of the applied part, to ensure accuracy of measurements.
Does not specify user qualificationsFor use by trained personnelThe X-100C is meant to be used by trained healthcare professionals to ensure proper use of the device and understanding of the display values. The X-100C is meant to be used in conjunction with additional methods of assessing clinical signs and symptoms.
Motion and no motion conditionsNonin is not seeking motion claims for any parametersThe Radical 7 labeling indicates motion and no motion specific to SpO2 and pulse rate only. The X-100C is meant to be used in conjunction with additional methods of assessing clinical signs and symptoms.
Poorly perfused patientsNonin is not seeking low perfusion claimsThe Radical 7 labeling indicates poor perfusion specific to SpO2 and pulse rate only. The X-100C is meant to be used in conjunction with additional methods of assessing clinical signs and symptoms.
Hospitals, hospital-type facilities, mobile, and home environments.Emergency Medical Service (EMS), hospitals, medical facilities, and mobile environments.The X-100C is intended for use by trained healthcare professionals, not the lay or home user who are not trained in the proper use of the device and/or understanding of the display values.

{6}------------------------------------------------

Testing: The Nonin Model X-100C and 8300AA sensors are supported by electrical and mechanical safety, electromagnetic compatibility, device performance, and clinical testing to ensure appropriate functionality and to demonstrate substantial equivalence to the predicate devices. The devices were tested with the Model X-100 system. Table 1 summarizes the technological characteristics of the proposed device and the predicate device.

CATEGORYIdentical/Similar/DifferentModel X-100C System(Subject)Radical-7™ K061204(Predicate)
Standalone• AC PowerRequirements• Powerconsumption• FusesDifferent100-240 VAC, 50-60 Hz100-240 VAC, 47-63 Hz55 VA1 Amp, Fast Acting, Metric,(5x20mm), 250V
Batteries• Type• Capacity• Charging TimeDifferent7.2 volt Li-ion battery pack, 2.4 Ahwhen chargedNiMH (Handheld and dockingstation)
6 hours14 hours2 (Handheld)10 hours3 (Docking station)3 hours (Handheld)6 hours (Docking station)
2.5 hours
EnvironmentalOperatingTemperatureSimilar32 °F to 104 °F (0 °C to 40 °C)41 °F to 104 °F (5 °C to 40 °C)
Storage/TransportTemperatureSimilar-22 °F to 158 °F (-30 ºC to 70 ºC)-40 °F to 158 °F (-40 °C to 70 °C)
Operating HumiditySimilar15% to 93%, noncondensing5% to 95%, noncondensing
Storage/TransportHumidityDifferentUp to 93%, noncondensingNot specified
Operating AltitudeDifferent0 to 4,000 meters (0 to 13,124 feet)-304 to 5,486 meters (-1,000 to18,000 feet)
Physical CharacteristicsDimensionsDifferentX-100MM• 305 mm W x 180 mm H x 130mm D (12.0" W x 7.2" H x 5.0"D) X-100SPMM• 21.4 mm H x 21.7 mm W x 72.7mm L (including strain relief)with 0.75 m cable (0.84" H x0.85" W x 3.1" L (includingstrain relief) with 2.5 ft cable)Handheld• 8.9" x 3.3' x 2.1" (22.6 cm x8.4 cm x 5.3 cm)Standalone• 3.5" x 10.5" x 7.7" (8.9 cm x26.7 cm x 19.6 cm)
CATEGORYIdentical/Similar/DifferentModel X-100C System(Subiect)Radical-7 ™ K061204(Predicate)
WeightDifferentX-100MM• Approximately 900 grams (2 pounds)X-100SPMM• 40 grams (1.4 ounces)Handheld: 1.3 lbs. (0.59 kg)Docking station (RDS-1, RDS-2, RDS-3):• 2.5 lbs. (1.14 kg)Docking station (RDS-1B)• 4.11 lbs. (1.86 kg)Standalone (RDS-1, RDS-2, RDS-3)• 3.8 lbs. (1.73 kg)Standalone (RDS-1B)• 5.4 lbs. (2.45 kg)
TrendingDifferentNot specified72 hours of trending at 2 secondresolution, up to 18 days oftrending at 10 second resolution,output to serial printer or otherserial devices.
SpO2 AveragingSimilar6 seconds2, 4, 8, 10, 12, 14, or 16 seconds4
Display/IndicatorsSimilar%SpO₂, %COHb, %MetHb, pulserate, pleth waveform, alarm status,status messages, , sensor fault, poorsignal indicator, signal processorcommunication error, visual alarmindicator, alarm silence, Bluetooth,battery indicator and date and time.%SpO2, %SpCO, %SpMet,pulserate, pleth waveform,alarm status, trends, statusmessages,battery status, visualalarm indicator, Signal IQ,perfusion index, pleth variabilityindex, APOD and FastSat.
Display UpdateRateSimilar2-5 seconds, typically < 2 seconds1 second
Response TimeSimilar<10 second delay< 20 second delay
Display colorSimilarBlackBlue
Display TypeIdenticalBacklit LCDBacklit LCD
PixelsSimilar800 x 600480 x 160 dots
Output InterfaceSimilarBluetoothSerial RS-232Nurse Call/Analog OutputSatShare (RDS-1)Serial RS-232 (RDS-1, RDS-1B,RDS-3)Nurse Call/Analog Output (RDS-1,RDS-1B, RDS-3)Phillips Vuelink, SpacelabsUniversal Flexport, RadNet,RadLink (RDS-1, RDS-1B, RDS-3)
Compliance
EMC ComplianceIdenticalIEC 60601-1-2, Class BEN60601-1-2, Class B
EquipmentClassificationSimilarIEC 60601-1 /CAN/CSA-C22.2 No.601.1 / UL 60601-1,IEC 60601-1 / UL 60601-1
Type of ProtectionSimilarInternally powered (onbatterypower). Class II with ACClass 1 (on AC power), Internallypowered (on battery power)
Degree ofProtectionSimilarPatient Cable: Type BF-Applied PartPatient Cable: Type BF-AppliedPartSatShare Cable: Type BF-AppliedPart
Mode of OperationIdenticalContinuousContinuous
Enclosure Degreeof IngressProtectionDifferentIP32Not Specified

Table 1

4 Fully charged battery and screen at default brightness

2 Fully charged battery with the backlight at minimum and Power save mode on

3 Fully charged battery with the backlight at minimum and Power save mode on

{7}------------------------------------------------

4 With FastSat the averaging time is dependent on the 2 and 4 second settings the averaging time may range from 2-4 and 4-6 seconds respectively.

{8}------------------------------------------------

Functional, Electrical and

Mechanical Safety Testing: The results of the testing demonstrate equivalency with the predicate 2 summarizes test results for the proposed devices, which met the relevant requirements of the applicable recognized standards.

Table 2

TestReferenceResult
Electrical SafetyIEC 60601-1Pass
Temperature and HumidityEN 1789IEC 60601-1Pass
Atmospheric Pressure (Altitude)IEC 60601-1Pass
Electromagnetic Immunity andEmissionsIEC 60601-1-2Pass
PerformanceISO 80601-2-61IEC 60601-1IEC 60601-1-6IEC 60601-1-12IEC 62304ANSI/AAMI EC13ISO 14155Pass
Ingress ProtectionISO 80601-2-61Pass
Diaphoretic related ingressInternal performancecharacterizationPass
Mechanical DurabilityIEC 60601-1ISO 80601-2-61ISTA 2A ASTMD-4169Pass
BiocompatibilityISO 10993-1ISO 10993-5ISO 10993-10Biocompatibleper CytotoxicitySensitization andIrritation

Accuracy (clinical) testing:

COHb Accuracy Testing

COHb accuracy testing was conducted at an independent research laboratory on healthy, male and female, non-smoking, light to darkskinned subjects that were 18 years of age and older.

The measured carboxyhemoglobin value (%COHb) of the sensors was compared to simultaneous arterial blood samples as assessed by cooximetry. The accuracy of the sensors in comparison to the co-oximeter samples measured over the COHb range of 0-15% with 95 - 100% SaO2. Accuracy data was calculated using the root-mean-squared (Arms value) for all subjects, per ISO 80601-2-61, Medical Electrical Equipment- Particular requirements for basic safety and essential performance of pulse oximeter equipment.

{9}------------------------------------------------

MetHb Accuracy Testing

MetHb accuracy testing was conducted at an independent research laboratory on healthy, male and female, non-smoking, light to darkskinned subjects that were 18 years of age and older.

The measured methemoglobin value (%MetHb) of the sensors was compared to simultaneous arterial blood samples as assessed by cooximetry. The accuracy of the sensors in comparison to the co-oximeter samples measured over the MetHb range of 0 – 15% with 95 – 100% SaO2.

Accuracy data was calculated using the root-mean-squared (Arms value) for all subjects, per ISO 80601-2-61, Medical Electrical Equipment- Particular requirements for basic safety and essential performance of pulse oximeter equipment.

SpO2 Accuracy Testing

During no-motion conditions at an independent research laboratory, SpO2 accuracy testing was conducted during induced hypoxia studies on healthy, male and female, non-smoking, light- to dark-skinned subjects that were 18 years of age and older. The measured arterial hemoglobin saturation value (SpO2) of the sensors was compared to arterial hemoglobin oxygen (SaO2) value, determined from blood samples witha laboratory co-oximeter. The accuracy of the sensors in comparison tothe co-oximeter samples measured over the SpO2 range of 70 - 100%. Accuracy data was calculated using the root-mean-squared (Arms value) for all subjects, per ISO 80601-2-61, Medical Electrical Equipment— Particular requirements for basic safety and essential performance of pulse oximeter equipment.

SpO2 Accuracy Testing in Presence of COHb and MetHb

During no-motion conditions at an independent research laboratory, SpO2 accuracy testing in the presence of COHb and MetHb was conducted during induced hypoxia studies on healthy, male and female, non-smoking, light- to dark-skinned subjects that were 18 years of age and older.

The measured arterial hemoglobin saturation value (SpO2) of the sensors was compared to arterial hemoglobin oxygen (SaO2) value, determined from blood samples with a laboratory co-oximeter.

The accuracy of the sensors in comparison to the co-oximeter samples measured over the SpO2 range of 80 - 100%, range 0 - 15% COHb and SpO2 range of 80 – 100%, range 0 – 15% MetHb.

Accuracy data was calculated using the root-mean-squared (Arms value) for all subjects, per ISO 80601-2-61, Medical Electrical Equipment— Particular requirements for basic safety and essential performance of pulse oximeter equipment.

{10}------------------------------------------------

Testing conclusion: the proposed Model X-100C CO-Met Oximetry Systemmeets all acceptance criteria. Based on test results, analysis and comparisonto the legally marketed predicates, the Model X-100C CO- Met OximetrySystem performance is substantially equivalent to the predicate device for itsintended use.
Summary ofSubstantialEquivalence:The Model X-100C CO-Met Oximetry System has the following similarities tothe predicate devices:Similar indications for use Similar intended use environments Similar patient population Same primary mode of operation Perform equivalently to the same specifications
Conclusion:No new questions of safety and effectiveness were raised. Based on theresults of clinical, environmental, safety, performance and usability testing,and risk management assessment, Nonin Medical has determined that theproposed Model X-100C CO-Met Oximetry System is substantially equivalentto the predicate Masimo Radical 7 CO-Oximetry System for its intended use.

§ 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).