K Number
K160526
Manufacturer
Date Cleared
2016-06-09

(105 days)

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

The noninvasive Masimo O3 Regional Oximeter System and accessories are intended for use as an adjunct monitor of absolute and trended regional hemoglobin oxygen saturation of blood (tSO2) in the cerebral region under the sensors. The Masimo O3 Regional Oximeter System and accessories are indicated for use on adults ≥ 40 kg in healthcare environments.

Device Description

The Masimo Regional Oximetry System (O3 System) includes the O3 Sensors and the O3 Module. The O3 System measures hemoglobin under the sensor, allowing clinicians to continuously and accurately determine the absolute and trend measurements of regional blood oxygenation saturation in the tissue (rSO2). The O3 Sensors includes optical components that collect physiological signals. The O3 Module includes Masimo technology for processing those signals which resulted in regional oximetry (rSO2) measurements. In turn, these measurements are displayed on the Host/Backboard device.

The O3 Sensor is a single-patient use adhesive sensor and is supplied non-sterile. The O3 Sensor, comprising of an emitter and two detectors, is applied to the patient's forehead at one end. The other end of the sensor is connected to a patient cable which in turn connected to the 03 Module. Up to two 03 Sensors can be connected to each O3 Module and both sensors can be connected to a patient.

The O3 Module includes Near InfraRed Spectroscopy (NIRS) technology. The O3 Sensor uses multiple wavelengths in the range of near infrared wavelengths to measure light absorption in the tissue. The O3 Sensors and O3 Module make up the O3 System for the monitoring of absolute regional hemoglobin oxygen saturation of blood (rSO2) under the sensors. The O3 System does not have its own power. The O3 Module is powered by connecting to a Host/Backboard Device such as the Root Monitoring System (Root). Root in turn is powered by either AC power or internal rechargeable batteries.

The O3 System provides the following key measurements:

  • Regional Oxygenation (rSO2): Regional tissue oxygenation level in the deep o tissue local to the sensor site, including cerebral tissue
  • o Delta Baseline (Abase): Relative difference in rSO2 with respect to baseline rSO2
  • Area Under the Limit (AUL index): Index that quantifies the duration (amount of ● time the patient stays below rSO2 low alarm limit) and depth (refers to the gap between the patient's rSO2 level and the rSO2 low alarm limit) of patient's stay below the user-defined rSO2 low alarm limit (LAL)
  • o Delta SpO2 (dSpO2): The difference between SpO2 and rSO2. The source of SpO2 is from peripheral SpO2 measurement (using pulse oximeter).
AI/ML Overview

Here's a summary of the acceptance criteria and study information for the Masimo O3 Regional Oximeter System, based on the provided document:

1. Table of Acceptance Criteria and Reported Device Performance

FeatureAcceptance Criteria (Specification)Reported Device Performance
rSO2 (trending) Accuracy≤ 3% (RMS) for 45% to 85% SavO2Meets requirements (specific RMS value not provided, but stated to be within ≤3%)
rSO2 (absolute) Accuracy≤ 4% (RMS) for 45% to 85% SavO2Meets requirements (specific RMS value not provided, but stated to be within ≤4%)

Note on "SavO2": The document mentions "SavO2" in the context of the clinical study, stating accuracy against "30% arterial and 70% jugular venous blood oxygen saturations". This implies that SavO2 is a composite measure or target for regional oxygen saturation, often calculated based on arterial and venous contributions. The acceptance criteria for rSO2 accuracy are directly related to this measured range.

2. Sample Size Used for the Test Set and Data Provenance

  • Sample Size: "healthy adult male and female subjects with light to dark skin pigmentation." The specific number of subjects is not provided in the document.
  • Data Provenance: The study was a prospective clinical study. The country of origin is not explicitly stated, but given the FDA submission, it can be inferred to be from a region where clinical trials meet FDA standards, likely the USA.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

  • Number of Experts: This information is not applicable as the ground truth was established by direct physiological measurements, not expert review of images or data.
  • Qualifications of Experts: Not applicable.

4. Adjudication Method for the Test Set

  • Adjudication Method: Not applicable. The ground truth was established by direct physiological measurements using a laboratory CO-Oximeter.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

  • MRMC Study: No, a multi-reader multi-case (MRMC) comparative effectiveness study was not conducted. This device is a measurement device, not an imaging interpretation aid for human readers.

6. Standalone Performance Study

  • Standalone Performance: Yes, the clinical study explicitly evaluates the device's accuracy ("trending and absolute rSO2 accuracies were determined") against a laboratory standard, indicating a standalone performance study without human intervention in the primary measurement.

7. Type of Ground Truth Used

  • Ground Truth Type: Physiological measurements: "30% arterial and 70% jugular venous blood oxygen saturations, measured by a laboratory CO-Oximeter." This is a direct, objective physiological measurement.

8. Sample Size for the Training Set

  • Sample Size: The document does not specify a separate training set or its sample size. For simple measurement devices like an oximeter, "training" often refers to the device's inherent calibration and algorithm development, which might not involve a distinct, large-scale "training set" in the same way machine learning models for image analysis do. The clinical study described appears to be the primary validation set.

9. How the Ground Truth for the Training Set Was Established

  • Ground Truth for Training: As no distinct training set is described, this information is not provided in the document. It's likely that the device's algorithms were developed and refined through engineering and calibration processes against established physiological principles and potentially internal studies, rather than a publicly reported "training set" with ground truth established through a formal process analogous to a clinical trial.

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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 circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized caduceus, a symbol often associated with medicine and healthcare.

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

June 9, 2016

Masimo Corporation Marguerite Thomlinson Sr. Director, Regulatory Affairs 52 Discovery Irvine, California 92618

Re: K160526

Trade/Device Name: Masimo O3 Regional Oximeter System Regulation Number: 21 CFR 870.2700 Regulation Name: Oximeter Regulatory Class: Class II Product Code: MUD Dated: May 10, 2016 Received: May 11, 2016

Dear Marguerite Thomlinson:

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.

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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. Shawn W. Forrest -S 2016.06.09 22:39:04 -04'00'

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

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Indications for Use

510(k) Number (if known) K160526

Device Name

Masimo O3 Regional Oximeter System

Indications for Use (Describe)

The noninvasive Masimo O3 Regional Oximeter System and accessories are intended for use as an adjunct monitor of absolute and trended regional hemoglobin oxygen saturation of blood (tSO2) in the cerebral region under the sensors. The Masimo O3 Regional Oximeter System and accessories are indicated for use on adults ≥ 40 kg in healthcare environments.

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)

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Image /page/3/Picture/0 description: The image shows the logo for Masimo Corporation. The logo consists of the Masimo symbol, which is a red circle with a white checkmark inside, followed by the word "Masimo" in black, bold letters. To the right of the logo is the text "MASIMO CORPORATION" in gray, followed by the address "52 Discovery, Irvine, CA 92618" also in gray.

Submitter and Address ofManufacturing Facility:Masimo Corporation52 DiscoveryIrvine, CA 92618Phone: (949) 297-7683FAX: (949) 297-7592
Date:May 09, 2016
Contact:Marguerite ThomlinsonSenior Director, Regulatory Affairs
Trade Name:Masimo O3 Regional Oximeter System
Common Name:Oximeter, Tissue Saturation
Regulation Number/ Name/Product Class21 CFR 870.2700, Class II/MUD
Establishment RegistrationNumber:2031172
Reason for PremarketNotification:New Device
Predicate Devices:K133879 – Fore-Sight Elite Absolute Tissue Oximeter
Performance StandardsNo performance standards for the above device have beenpromulgated pursuant to Section 514.

Device Description

The Masimo Regional Oximetry System (O3 System) includes the O3 Sensors and the O3 Module. The O3 System measures hemoglobin under the sensor, allowing clinicians to continuously and accurately determine the absolute and trend measurements of regional blood oxygenation saturation in the tissue (rSO2). The O3 Sensors includes optical components that collect physiological signals. The O3 Module includes Masimo technology for processing those signals which resulted in regional oximetry (rSO2) measurements. In turn, these measurements are displayed on the Host/Backboard device.

The O3 Sensor is a single-patient use adhesive sensor and is supplied non-sterile. The O3 Sensor, comprising of an emitter and two detectors, is applied to the patient's forehead at one end. The other end of the sensor is connected to a patient cable which in turn connected to the 03 Module. Up to two 03 Sensors can be connected to each O3 Module and both sensors can be connected to a patient.

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Image /page/4/Picture/0 description: The image shows the logo for Masimo Corporation. The logo consists of the word "Masimo" in bold, black letters, with a red circle containing a white checkmark to the left of the word. To the right of the word "Masimo" are the words "MASIMO CORPORATION" in smaller, gray letters, followed by the address "52 Discovery, Irvine, CA 92618".

The O3 Module includes Near InfraRed Spectroscopy (NIRS) technology. The O3 Sensor uses multiple wavelengths in the range of near infrared wavelengths to measure light absorption in the tissue. The O3 Sensors and O3 Module make up the O3 System for the monitoring of absolute regional hemoglobin oxygen saturation of blood (rSO2) under the sensors. The O3 System does not have its own power. The O3 Module is powered by connecting to a Host/Backboard Device such as the Root Monitoring System (Root). Root in turn is powered by either AC power or internal rechargeable batteries.

The O3 System provides the following key measurements:

  • Regional Oxygenation (rSO2): Regional tissue oxygenation level in the deep o tissue local to the sensor site, including cerebral tissue
  • o Delta Baseline (Abase): Relative difference in rSO2 with respect to baseline rSO2
  • Area Under the Limit (AUL index): Index that quantifies the duration (amount of ● time the patient stays below rSO2 low alarm limit) and depth (refers to the gap between the patient's rSO2 level and the rSO2 low alarm limit) of patient's stay below the user-defined rSO2 low alarm limit (LAL)
  • o Delta SpO2 (dSpO2): The difference between SpO2 and rSO2. The source of SpO2 is from peripheral SpO2 measurement (using pulse oximeter).
TABLE 5a O3 System Specifications
FEATURESPECIFICATION
Display
Display RangeRegional Oxygen Saturation (rSO2): 0-99%ΔSpO2: 0-99%Δbase:0-99%
Display Resolution for Measurements1%
Measurement AccuracyrSO2 (trending): ≤ 3% (RMS)rSO2 (absolute): ≤ 4% (RMS)Difference between Regional and Baseline rSO2 (Δbase): 1%
General
Visual/audible alarmHost/Backboard Device (Root) is IEC60601-1-8 compliant per K140188
Storage/recordingRoot has trend/data storage per K140188
Electrical
AC PowerHost/Backboard Device (Root) provides AC power per K140188
Battery, RechargeableHost/Backboard Device (Root) provides internal battery power per K140188
Interface
O3 Module ConnectionMOC-9 interface with Host/Backboard device (Root, per

See the table below for the O3 System specifications.

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Image /page/5/Picture/0 description: The image shows the logo for Masimo Corporation. The logo consists of a red circle with a white lightning bolt inside, followed by the word "Masimo" in large, bold, black letters. To the right of the word "Masimo" is the text "MASIMO CORPORATION" in a smaller, gray font, followed by the address "52 Discovery, Irvine, CA 92618".

TABLE 5a O3 System Specifications
FEATURESPECIFICATION
K140188)
Mechanical
O3 Module: Dimensions/Weight145.2x1.8x0.6 inch (including cable length)/7 oz.5x1.8x0.6inch (without cable).
O3 Sensor: Dimensions/Weight44x1.5x0.64 inch (including max cable length)/1.3 oz.
Environmental
O3 Module
• Operating Temperature0°C to +40°C, ambient humidity
• Storage Temperature-40°C to +70°C, ambient humidity
• Operating/ Storage Humidity10% to 95%, non-condensing
• AltitudeUp to 12,000 feet (3700 meters)
O3 Sensor
• Operating Temperature+5°C to +40°C
• Storage Temperature-40°C to +60°C
• Humidity15% to 90% relative humidity

Intended Use

The O3 System consisting of the O3 Sensor and O3 Module are intended for noninvasive monitoring of regional oxygen saturation. The computed saturation values are displayed on a Host/Backboard monitor such as the Masimo Root Monitoring System. The 03 System is intended to be used in healthcare environments.

Indications For Use

The noninvasive Masimo O3 Regional Oximeter System and accessories are intended for use as an adjunct monitor of absolute and trended regional hemoglobin oxygen saturation of blood (rSO2) in the cerebral region under the sensors. The Masimo O3 Regional Oximeter System and accessories are indicated for use on adults ≥ 40 kg in healthcare environments.

Technological Characteristics

Principle of Operation

The O3 System's operating principle is based on multi-distance diffuse reflectance spectroscopy. The O3 System use light to examine a cross-section tissue microvasculature (a mixed bed of arterioles, capillaries and venules) and analyzes the

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Image /page/6/Picture/0 description: The image shows the logo for Masimo Corporation. The logo consists of the word "Masimo" in a bold, sans-serif font, with a stylized red checkmark symbol to the left of the word. To the right of the word "Masimo" are the words "MASIMO CORPORATION" in a smaller, sans-serif font, followed by the address "52 Discovery, Irvine, CA 92618".

light returned after having passed through the tissues. The spectroscopic analysis determines concentrations of hemoglobin in its oxygenated and deoxygenated states.

Mechanism of Action for Achieving the Intended Effect

The O3 Sensor is noninvasively applied to the patient on one end. The other end of the O3 Sensor connects to the O3 Module. In turn, the O3 Module connects to a Host/Backboard device. The O3 Sensor collects patient physiological signals which are processed by the O3 Module. The processed signal which resulted in rSO2 measurements are displayed on the Host/Backboard device.

Summary of Technological Characteristics of Subject Device Compared to Predicate Device

The subject device. O3 System, and the predicate device, Casmed Fore-Sight Elite Oximeter (K133879), have the following key similarities:

  • Both devices include near infrared technology (using LEDs) for rSO2 ● measurements;
  • o Both devices have the same intended use;
  • Both devices have the same measurement site;
  • Both devices are intended for the same subject populations of individuals 0 weighing > 40 kg;
  • o Both devices include single-use adhesive sensors.

The subject device, O3 System, and the predicate device, Casmed Fore-Sight Elite Oximeter (K133879), have the following key difference:

In the subject device, the regional measurement technology is in the 03 Module. Whereas, in the predicate device, the regional measurement technology is distributed in the module and the host device. This is simply a choice of where the technology hardware is placed in the housings.

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Image /page/7/Picture/0 description: The image shows the logo for Masimo Corporation. The logo consists of the word "Masimo" in a bold, sans-serif font, with a stylized red symbol to the left of the word. To the right of the logo is the text "MASIMO CORPORATION" followed by the address "52 Discovery, Irvine, CA 92618".

Table 5b Substantial Equivalence Table- Comparison Between Predicate and Subject Device
FeatureFore-Sight Elite AbsoluteTissue OximeterO3 Regional OximeterSystem (03 Sensor andO3 Module)Differences and Similaritiesbetween Subject & PredicateDevice
510(k) NumberK133879 (Predicate)Pending (Subject Device)
GeneralInformation
ParametermonitoredRegional hemoglobinoxygen saturation of blood inthe microvasculature oftissueRegional hemoglobinoxygen saturation of bloodin the microvasculature ofbrain tissueSame
Patient populationAdults and transitionaladolescents ≥ 40 kg.Adults ≥ 40 kgSame
Sensor TypeDisposable adhesive sensorwith biocompatible patientcontact materialsDisposable adhesive sensorwith biocompatible patientcontact materialsSame
PerformanceaccuracyCerebral: 45% to 95%±3.05% to 1 standarddeviation with large sensors.Cerebral: 45% to 85% ±3%to 1 standard deviation withlarge sensors (trending)Cerebral: 45% to 85% ±4%to 1 standard deviation withlarge sensors (absolute)SimilarThe proposed device is seekingapproval for a subset of therange already cleared in thepredicate device.
DeviceRegulationdescriptionOximeter, Tissue SaturationOximeter, Tissue SaturationSame
Regulation medicalspecialtyCardiovascularCardiovascularSame
Review panelCardiovascularCardiovascularSame
Product codeMUDMUDSame
Regulation number870.2700870.2700Same
Device class22Same
Indications for Use
Table 5bSubstantial Equivalence Table- Comparison Between Predicate and Subject Device
FeatureFore-Sight Elite AbsoluteTissue Oximeter03 Regional OximeterSystem (03 Sensor andO3 Module)Differences and Similaritiesbetween Subject & PredicateDevice
510(k) NumberK133879 (Predicate)Pending (Subject Device)
The noninvasive Fore-SightElite Absolute TissueOximeter is intended for useas an adjunct monitor ofabsolute regionalhemoglobin oxygensaturation of blood under thesensors in individuals at riskfor reduced flow or no-flowischemic states and isindicated as follows:When used with largesensors, the Fore-Sight EliteOximeter is indicated for useon adults and transitionaladolescents ≥ 40 kg.The noninvasive Masimo03 Regional OximeterSystem is intended for useas an adjunct monitor ofabsolute and trendedregional hemoglobinoxygen saturation of blood(rSO2) in the cerebralregion under the sensors, inindividuals at risk forreduced flow or no-flowischemic states and isindicated as follows:The Masimo O3 RegionalOximeter System andaccessories are indicated foruse on adults ≥ 40 kg inhealthcare environments.SamePredicate device specifiesabsolute accuracy; subjectdevice specifies absolute andtrended accuracy, which is aproperty of absolute accuracy.
Principle of operation
The Fore-Sight Elite'soperating principle is basedon multi-distance diffusereflectance spectroscopy.The monitor use light toexamine a cross-sectiontissue microvasculature (amixed bed of arterioles,capillaries and venules) andanalyzes the light returnedafter having passed throughthe tissues. Thespectroscopic analysisdetermines concentrations ofhemoglobin in itsoxygenated anddeoxygenated states.The O3 System's operating Sameprinciple is based on multi-distance diffuse reflectancespectroscopy. The O3System use light to examinea cross-section tissuemicrovasculature (a mixedbed of arterioles, capillariesand venules) and analyzesthe light returned afterhaving passed through thetissues. The spectroscopicanalysis determinesconcentrations ofhemoglobin in itsoxygenated anddeoxygenated states.Same
Device display
Display typeTouchscreenTouchscreenSame
DisplayLCDLCDSame
Trend displayYesYesSame
Measurement
Method(Technology)Near Infrared Spectroscopy(NIRS)Near Infrared Spectroscopy(NIRS)Same
Table 5b Substantial Equivalence Table- Comparison Between Predicate and Subject Device
FeatureFore-Sight Elite Absolute Tissue OximeterO3 Regional Oximeter System (O3 Sensor and O3 Module)Differences and Similarities between Subject & Predicate Device
510(k) NumberK133879 (Predicate)Pending (Subject Device)
Sensor placement siteRight and Left ForeheadRight and Left ForeheadSame
Anatomical measurement siteBrain (via forehead) non-invasiveBrain (via forehead) non-invasiveSame
Mode of operationContinuous monitoringContinuous monitoringSame
Sensor Information
TechnologyNoninvasive LED-based technology(incoherent light)Noninvasive LED-based technology(incoherent light)Same
Materials
BiocompatibilityPatient contact materials are biocompatible per ISO10993-1Patient contact materials are biocompatible per ISO10993-1Same
Power
External AC power100 to 240 VAC, 50/60 Hz100-240 VAC, 47-63 HzSame
Internal batteryRechargeable internal batteryRechargeable internal batterySame
Visual Comparison
System componentsMonitor, Module and SensorHost/Backboard (Monitor) Device, Module and SensorSame

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Image /page/8/Picture/0 description: The image shows the logo for Masimo Corporation. The logo consists of a red circle with a white line running through it, followed by the word "Masimo" in black letters. To the right of the logo is the text "MASIMO CORPORATION" and the address "52 Discovery, Irvine, CA 92618".

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Image /page/9/Picture/0 description: The image shows the logo for Masimo Corporation. The logo consists of a red circle with a white line running through it, followed by the word "Masimo" in black, bold letters. To the right of the logo, the text "MASIMO CORPORATION" is displayed, followed by the address "52 Discovery, Irvine, CA 92618".

Non-clinical Testing

The following tests, as applicable, were performed for the qualification of the subject devices, O3 System, in accordance with the requirements of the design control regulations and established quality assurance processes to demonstrate substantial equivalence with the predicate device:

  • Electrical safety testing per IEC-60601-1 ●
  • EMC testing per IEC-60601-1-2 ●
  • Alarm testing per IEC-60601-1-8
  • Optical safety testing per IEC-62471
  • Biocompatibility testing per ISO-10993
  • Usability testing per FDA Human Factors and Usability Draft Guidance ●
  • Software verification per FDA Software Guidance ●
  • o Mechanical and environmental testing

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Image /page/10/Picture/0 description: The image shows the logo for Masimo Corporation. The logo consists of a red circle with a white checkmark inside, followed by the word "Masimo" in black, bold letters. To the right of the logo is the text "MASIMO CORPORATION" in gray, followed by the address "52 Discovery, Irvine, CA 92618" also in gray.

The results demonstrate that all requirements and performance specifications were satisfied, and that the subject device is substantially equivalent to the predicate device.

Clinical Testing

The clinical study was done on healthy adult male and female subjects with light to dark skin pigmentation. The trending and absolute rSO2 accuracies were determined by testing in the range of 45% to 85% SavO2 against 30% arterial and 70% jugular venous blood oxygen saturations, measured by a laboratory CO-Oximeter. The study confirms that the O3 System measurements meet the requirements.

Conclusion

The clinical evaluation, non-clinical testing including safety testing, as included in this 510(k) submission, demonstrate that the subject device, 03 System, is substantially equivalent to its predicate with respect to safety and effectiveness.

§ 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).