K Number
K160981
Device Name
Patient Monitor
Date Cleared
2016-12-22

(259 days)

Regulation Number
870.1025
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The monitors are intended to be used for monitoring, storing, and to generate alarms for, multiple physiological parameters of adults, pediatrics and neonates. The monitors are intended healthcare professionals in hospital environments.

The monitored physiological parameters include: ECG, respiration (RESP), temperature (TEMP), oxygen saturation of arterial blood (SpO2), pulse rate (PR), non-invasive blood pressure (NIBP), invasive blood pressure (IBP), carbon dioxide (CO2), cardiac output (C.O.), anesthetic gas (AG), bispectral index (BIS), respiration mechanics (RM) and impedance cardiography (ICG).

BIS is intended for use on adult and pediatric patients.

ICG monitoring is intended for use on adults only.

The arrhythmia detection and ST Segment analysis are intended for adult patients.

The monitors are additionally intended for use during patient transport inside hospitals.

The monitors are not intended for MRI environments.

Device Description

V series Patient Monitor including elite V5, elite V6 and elite V8 which can perform long-time continuous monitoring of multiple physiological parameters. Also, it is capable of storing, displaying, analyzing and controlling measurements, and it will indicate alarms in case of abnormity so that doctors and nurses can deal with them in time.
The V series Patient Monitor realize the monitoring of physiological parameters by configuration with different parameter modules which include SpO2 (pulse oxygen saturation, pulse rate and SpO2 plethysmogram) with EDAN SpO2 module or Nellcor SPO2 module, NIBP (systolic pressure, diastolic pressure, mean pressure and pulse rate), TEMP, ECG, RESP(respiration), CO2, IBP, C.O. and AG(anesthetic gas), RM(respiratory mechanics), BIS(bispectral index) and ICG(impedance cardiography).
The above is the maximum configuration for V series Patient Monitor, the user may select different monitoring parameters in according with their requirements.
elite V5 configures with 12.1-inch color TFT touch screen , elite V6 and elite V8 with same screen except different sizes 15-inch and 17-inch separately. Three models are all build-in Lithium-ion battery, support software upgrade online and networking.

AI/ML Overview

The provided document is a 510(k) Premarket Notification for the Edan Instruments, Inc. Patient Monitor (models elite V5, elite V6, and elite V8). It does not contain primary study data with reported performance metrics against specific acceptance criteria for most of the listed physiological parameters. Instead, it focuses on demonstrating substantial equivalence to predicate devices by comparing specifications and stating compliance with relevant standards.

However, based on the information provided, specifically in the "Comparison to Primary Predicate elite V8" and "Comparison to the predicate device BeneView T8" tables, we can extract the acceptance criteria (from the "Proposed device" column, implying these were the target specifications) and the "reported device performance" as being equivalent to these criteria where a "Same" or "Similar" justification is provided and no specific performance numbers are listed for the proposed device, or where identical specifications are listed for both proposed and predicate devices.

Here's an attempt to structure the information, focusing on the comparison tables as they implicitly define the acceptance criteria by stating the proposed device meets or is similar to the predicate's established performance:


1. Table of Acceptance Criteria and Reported Device Performance

Since the document is a 510(k) submission focused on substantial equivalence, specific "acceptance criteria" for performance are broadly defined by the specifications of the predicate devices and compliance with recognized standards. The "reported device performance" is then claimed to meet or be similar to these specifications. Below is a selection of parameters from the comparison tables, structured to reflect this.

Parameter (Module)Acceptance Criteria (from Predicate/Proposed Spec)Reported Device Performance (as per claim of similarity/equivalence)Justification/Notes
ECG Monitor
HR Measurement Range (Adult)15 to 300 bpm15 to 300 bpmSame as predicate.
HR Accuracy±1 bpm or ±1%, whichever is greater±1 bpm or ±1%, whichever is greaterSame as predicate.
ST Measurement Range-2.0 mV ~ +2.0 mV-2.0 mV ~ +2.0 mVSame as predicate.
ST Accuracy-0.8 mV to +0.8 mV: ±0.02 mV or 10%, whichever is greater. Beyond this range: not specified.-0.8 mV to +0.8 mV: ±0.02 mV or 10%, whichever is greater. Beyond this range: not specified.Same as predicate.
RESP Monitor
RR Measurement Range (Adult)0 to 120 rpm0 to 120 rpmSame as predicate.
RR Accuracy (Adult)6 to 120 rpm: ±2 rpm, 0 to 5 rpm: not specified (for elite V8 predicate) 7 to 150 rpm: ±2 rpm or ±2%, whichever is greater (for BeneView T8 predicate)Adult: 6 to 120 rpm: ±2 rpm, 0 to 5 rpm: not specified Similar to BeneView T8, implying within predicate's performance range.Claimed as "Same" or "Similar" to predicates. For BeneView T8 comparison, specific accuracy differs slightly but deemed "Similar." Proposed device claims better accuracy than one predicate.
Apnea Alarm10s, 15s, 20s, 25s, 30s, 35s, 40s10s, 15s, 20s, 25s, 30s, 35s, 40sSame as predicate.
NIBP Monitor
Overall AccuracyMax mean error: ±5 mmHg, Max standard deviation: 8 mmHgMax mean error: ±5 mmHg, Max standard deviation: 8 mmHgSame as predicate.
Overpressure Protection (Pediatric)240±3mmHg (from BeneView T8 predicate)245±3mmHg (proposed Edan device)Deemed "Similar". Slightly higher value for proposed device.
PR from NIBP Accuracy±3bpm or 3.5%, whichever is greater (from elite V8 predicate) ±3bpm or ±3%, whichever is greater (from BeneView T8 predicate)±3bpm or 3.5%, whichever is greater (proposed Edan device)Deemed "Same" or "Similar" to predicates. Ranges vary slightly between predicate types.
SpO2 Monitor (EDAN)
Accuracy (Adult/Pediatric, no motion)70 to 100%: ±2%70 to 100%: ±2%Same as predicate.
Accuracy (Neonates, no motion)70 to 100%: ±3%70 to 100%: ±3%Same as predicate.
PR Accuracy±2bpm (Elite V8 predicate) ±3 bpm (measured without motion), ±5 bpm (measured with motion) (BeneView T8 predicate)±2bpm (proposed Edan device)Deemed "Similar" between predicates, implying satisfactory performance.
Temperature Monitor
Accuracy±0.1°C (±0.2 °F)±0.1°C (±0.2 °F)Same as predicate.
IBP Monitor
Accuracy±2% or ±1 mmHg, whichever is greater (without sensor)±2% or ±1 mmHg, whichever is greater (without sensor)Same as predicate.
CO2 Monitor (Sidestream)
CO2 Measurement Range0 mmHg to 150 mmHg (proposed and elite V8 predicate) 0 to 99 mmHg (BeneView T8 predicate)0 mmHg to 150 mmHg (proposed Edan device)Deemed "Similar" to predicates. Proposed device range is better than BeneView T8.
AwRR AccuracyEDAN: Respiratory rate ≤60rpm: ± 2mmHg, 0mmHg to 40mmHg, ± 5% of reading, 41mmHg to 70mmHg, ± 8% of reading, 71mmHg to 100mmHg, ± 10% of reading, 101mmHg to 150mmHg, Respiratory rate >60rpm: ±12% or ± 4mmHg of reading, whichever is greater. Respironics: ± 2 mmHg, 0 to 40 mmHg, ± 5 % of reading, 41 to 70 mmHg, ± 8 % of reading, 71 to 100 mmHg, ± 10 % of reading, 101 to 150 mmHg, ± 12% of reading, RR is over 80 rpm (Proposed device in comparison to BeneView T8)This detailed accuracy is listed as the proposed device's performance. BeneView T8 predicate had a simpler accuracy spec (0 to 38 mmHg: ±2 mmHg, 39 to 99 mmHg: ±5% of the reading+0.08% of (the reading-38)).The proposed device offers specific accuracy tiers based on RR and CO2 levels, differing markedly from one predicate but is explicitly stated as the device's performance.
AG Monitor
Warm-up time< 20s for full accuracy mode (Phasein module) < 450s for full accuracy mode (Drager module) 10 min for BeneView T8 predicate< 20s (Phasein) / < 450s (Drager)Deemed "Similar". Proposed device's specific modules (Phasein, Drager) have better or comparable warm-up times.
ICG
C.O. Measurement Range0 L/min~30 L/min (proposed) 1.4 to 15 L/min (BeneView T8 predicate)0 L/min~30 L/minDeemed "Similar." Proposed device has a wider measurement range.
RM
Flow Accuracy (Adult)0.5 L/min or ± 3% of reading, whichever is greater (proposed) 1.5 L/min or ±10% of the reading, whichever is greater (BeneView T8 predicate)0.5 L/min or ± 3% of reading, whichever is greaterDeemed "Similar" but the proposed device indicates significantly better accuracy for Flow.
TVe/TVi Accuracy (Adult)± 10.0 mL or ± 5% of reading, whichever is greater (proposed) ±10% or 15 ml, whichever is greater (BeneView T8 predicate)± 10.0 mL or ± 5% of reading, whichever is greaterDeemed "Similar" but the proposed device indicates significantly better accuracy for Tidal Volume.

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

The document explicitly states "Clinical data: Not applicable." This indicates that the substantial equivalence determination was based entirely on non-clinical data, primarily engineering tests and comparisons to predicate device specifications. Therefore, there is no specific test set sample size or data provenance (country of origin, retrospective/prospective) derived from clinical studies presented in this 510(k) summary. The verification and validation testing mentioned would have been internal engineering and laboratory tests, not human subject clinical trials.

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

Given the statement "Clinical data: Not applicable," no clinical test sets with ground truth established by medical experts are detailed in this 510(k) summary. The ground truth for engineering and laboratory verification would be established by controlled test conditions and reference equipment, not clinical experts.

4. Adjudication Method for the Test Set

As there were no clinical test sets for which ground truth was established by experts, no adjudication method is applicable or described in this document.

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

No MRMC study was performed or described. The submission focuses on device specifications and compliance with standards rather than human reader performance with or without AI assistance.

6. Standalone (Algorithm Only) Performance Study

The document does not describe a standalone algorithm-only performance study. The device is a patient monitor, implying an integrated system with sensors and display. Its performance is assessed against recognized standards for medical electrical equipment and comparison to predicate devices, not as a standalone algorithm in isolation.

7. Type of Ground Truth Used

For the non-clinical testing (biocompatibility, electrical safety, EMC, software V&V), the "ground truth" would be defined by recognized industry standards (e.g., ISO, IEC) and the specifications of the predicate devices. Compliance with these standards and equivalence to predicate performance constitutes the basis for the substantial equivalence claim. There is no mention of pathology, expert consensus (in a clinical sense), or outcomes data used as ground truth for this submission.

8. Sample Size for the Training Set

No training set is mentioned as this is a medical device (patient monitor) focusing on hardware and integrated software for physiological parameter measurement, not an AI/machine learning model that typically requires a large training set for development. The software verification and validation are for the device's operational software, not an AI component that learns from data.

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

Since no training set is mentioned or applicable in the context of this traditional medical device submission, the question of how its ground truth was established is not relevant here.

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

December 22, 2016

Edan Instruments, Inc. % Doug Worth Edan Medical 1200 Crossman Ave. Suite 200 Sunnyvale, California 94089

Re: K160981 Trade/Device Name: Patient Monitor, models elite V5, elite V6 and elite V8 Regulation Number: 21 CFR 870.1025 Regulation Name: Arrhythmia Detector and Alarm (Including ST-Segment Measurement and Alarm) Regulatory Class: Class II Product Code: MHX, DSI, DRT, CBQ, DXN, DSK, CBR, DQA, NHO, CBS, NHQ, NHP, CCK, DSB, CCL, BZQ, BZK, DPS, FLL, DRG, MLD Dated: November 30, 2016 Received: November 30, 2016

Dear Doug Worth:

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

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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.

Mude Jellm
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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Indications for Use

510(k) Number (if known) K160981

Device Name

Patient Monitor, models elite V5, elite V6 and elite V8

Indications for Use (Describe)

The monitors are intended to be used for monitoring, storing, and to generate alarms for, multiple physiological parameters of adults, pediatrics and neonates. The monitors are intended healthcare professionals in hospital environments.

The monitored physiological parameters include: ECG, respiration (RESP), temperature (TEMP), oxygen saturation of arterial blood (SpO2), pulse rate (PR), non-invasive blood pressure (NIBP), invasive blood pressure (IBP), carbon dioxide (CO2), cardiac output (C.O.), anesthetic gas (AG), bispectral index (BIS), respiration mechanics (RM) and impedance cardiography (ICG).

BIS is intended for use on adult and pediatric patients.

ICG monitoring is intended for use on adults only.

The arrhythmia detection and ST Segment analysis are intended for adult patients.

The monitors are additionally intended for use during patient transport inside hospitals.

The monitors are not intended for MRI environments.

Type of Use (Select one or both, as applicable)
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X Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

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510 (K) Summary

Prepared in accordance with the content and format regulatory requirements of 21 CFR Part 807.92

1. Submitter:Edan Instruments, Inc3/F - B, Nanshan MedicalEquipments Park, Nanhai Rd 1019#,Shekou, Nanshan Shenzhen,518067 P.R. ChinaTel: +86(0755) 26858736Fax: +1 (408) 418-4059
Contact person:Queena Chen
Preparing date:March 30, 2016
2. Device name andclassification:Device Name: Patient MonitorModel: elite V5, elite V6, elite V8Classification Name/ Product code:870.1025 monitor, physiological, patient(with arrhythmiadetection or alarms)/ MHX870.1025 Detector and Alarm, Arrhythmia/ DSI870.1025 Monitor, ST Segment with Alarm/ MLD870.2300 Cardiac monitor (including cardiotachometer and ratealarm)/ DRT870.1130 Non-Invasive blood pressure/ DXN870.1110 Blood pressure computer/ DSK880.2910 Clinical Electronic Thermometers-TemperatureMonitor with Probe/ FLL870.2700 Oximeter, Pulse/ DQA868.1400 Carbon Dioxide Gas Analyzer/ CCK868.1500 Analyzer, Gas, Enflurane, Gaseous-Phase (AnestheticConcentration)/ CBQ868.1500 Analyzer, Gas, Desflurane, Gaseous-Phase(Anesthetic Concentration)/NHO868.1500 Analyzer, Gas, Isoflurane, Gaseous-Phase (AnestheticConcentration)/NHQ868.1500 Analyzer, Gas, Sevoflurane, Gaseous-Phase(Anesthetic Concentration)/NHP868.1620 Halothane gas analyzer/ CBS868.1700 Nitrous Oxide gas analyzer/ CBR868.1720 Oxygen gas analyzer/ CCL

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3.Premarket Notification Class III Certification and Summary870.2770 Impedance plethysmograph/ DSB868.1850 Monitoring spirometer/ BZK868.2375 Monitor, Breathing Frequency/BZQ870.2340 Electrocardiograph/DPS870.2910 Radiofrequency physiological signal transmitter and receiver/ DRGRegulatory Class: Class IINot applicable, the subject device is Class II.
4. Predicate Device(s):1) Edan Instruments, Inc. / Patient Monitor Model elite V8/ K1201732) Shenzhen Mindray Bio-Medical Electronics Co., Ltd/ BeneView T8 /K092449.3) Edan Instruments, Inc. / iM70/ K131971
5. Reason for SubmissionModification for previous product elite V8 and introduce two new models elite V5 and elite V6.
6. Pre-Submission, IDENot applicable, there is no prior submission.
7. Device Description:V series Patient Monitor including elite V5, elite V6 and elite V8 which can perform long-time continuous monitoring of multiple physiological parameters. Also, it is capable of storing, displaying, analyzing and controlling measurements, and it will indicate alarms in case of abnormity so that doctors and nurses can deal with them in time.The V series Patient Monitor realize the monitoring of physiological parameters by configuration with different parameter modules which include SpO2 (pulse oxygen saturation, pulse rate and SpO2 plethysmogram) with EDAN SpO2 module or Nellcor SPO2 module, NIBP (systolic pressure, diastolic pressure, mean pressure and pulse rate), TEMP, ECG, RESP(respiration), CO2, IBP, C.O. and AG(anesthetic gas), RM(respiratory mechanics), BIS(bispectral index) and ICG(impedance cardiography).The above is the maximum configuration for V series Patient Monitor, the user may select different monitoring parameters in according with their requirements.elite V5 configures with 12.1-inch color TFT touch screen , elite V6 and elite V8 with same screen except different sizes

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15-inch and 17-inch separately. Three models are all build-in Lithium-ion battery, support software upgrade online and networking.

  1. Intended Use: The monitors are intended to be used for monitoring, storing, and reviewing of, and to generate alarms for, multiple physiological parameters of adults, pediatrics and neonates. The monitors are intended for use by trained healthcare professionals in hospital environments.

The monitored physiological parameters include: ECG, respiration (RESP), temperature (TEMP), oxygen saturation of arterial blood (SpO2), pulse rate (PR), non-invasive blood pressure (NIBP), invasive blood pressure (IBP), carbon dioxide (CO2), cardiac output (C.O.), anesthetic gas (AG), bispectral index (BIS), respiration mechanics (RM) and impedance cardiography (ICG).

BIS is intended for use on adult and pediatric patients.

ICG monitoring is intended for use on adults only.

The arrhythmia detection and ST Segment analysis are intended for adult patients.

The monitors are additionally intended for use during patient transport inside hospitals.

The monitors are not intended for MRI environments.

9. Predicate Device Comparison

The subject devices share the same characteristics in all items with the predicate device, concluding from using the same technology and principle. All the technological differences existed between the subject and predicate devices are only some performance parameters improvement, for example accuracy for RESP Module is better, minor differences on NIBP module, different measurement range, accuracy and Sample flow rate for CO2 module and different Warm-up time, Sample flow rate, measurement range, accuracy for AG module. Please refer to the following tables for details.

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Comparison to Primary Predicate elite V8

ItemProposed device(elite V5, elite V6, elite V8)Predicate device(elite V8)Justification
K#Current SubmissionK120173
Intended use
DescriptionThe monitors are intended to be used formonitoring, storing, and reviewing of,and to generate alarms for, multiplephysiological parameters of adults,pediatrics and neonates. The monitorsare intended for use by trainedhealthcare professionals in hospitalenvironments.The monitored physiological parametersinclude: ECG, respiration (RESP),temperature (TEMP), oxygen saturationof arterial blood (SpO2), pulse rate (PR),non-invasive blood pressure (NIBP),invasive blood pressure (IBP), carbondioxide (CO2), cardiac output (C.O.),anesthetic gas (AG), bispectral index(BIS), respiration mechanics (RM) andimpedance cardiography (ICG).BIS is intended for use on adult andpediatric patients.ICG monitoring is intended for use onadults only.The arrhythmia detection and STSegment analysis are intended for adultpatients.The monitors are additionally intendedfor use during patient transport insidehospitals.The monitors are not intended for MRIenvironments.The monitor monitors parameterssuch as ECG (3-lead, 5-leadselectable), Respiration (RESP),Functional arterial oxygen saturation(SpO2), Invasive or noninvasiveblood pressure (dual-IBP, NIBP),Temperature (dual-TEMP), ExpiredCO2.The monitor is equipped with alarmsthat indicate system faults (such asloose or defective electrodes).physiologic parameters that haveexceeded the limits set by theoperator, or both.The arrhythmia detection and STSegment analysis are not intended forneonatal patients.Similar
Intended patientpopulationadult, pediatric and neonatal patientsadult, pediatric and neonatal patientsSame
IntendedapplicationenvironmentHospital environment.Hospital environment.Similar
ECG monitor
Lead Mode3-Lead: I, II, III5-Leads: I, II, III, aVR, aVL, aVF, V12-leads: I, II, III, aVR, aVL, aVF, V1 toV63-Lead: I, II, III5-Leads: I, II, III, aVR, aVL, aVF, V12-leads: I, II, III, aVR, aVL, aVF,V1 to V6Same
Lead NamingStyleAHA, IECAHA, IECSame
DisplaySensitivity1.25mm/mV (×0.125), 2.5mm/mV(×0.25), 5mm/mV (×0.5), 10mm/mV(×1), 20mm/mV (×2), 40mm/mV (×4),AUTO gain1.25 mm/mV (X0.125), 2.5 mm/mV(X0.25), 5 mm/mV (X0.5),10 mm/mV (X1), 20 mm/mV (X2),40 mm/mV (X4), AutoSame
Sweep6.25mm/s, 12.5mm/s, 25mm/s, 50mm/s6.25 mm/s, 12.5 mm/s, 25 mm/s, 50mm/sSame
MeasurementRangeNeonate: 15 to 350 bpmPediatric: 15 to 350 bpmAdult: 15 to 300 bpmNeonate: 15 to 350 bpmPediatric: 15 to 350 bpmAdult: 15 to 300 bpmSame
CMRR(Common ModeRejection Ratio)Diagnosis: >95dBMonitor: >105dBSurgery: >105dBDiagnosis: >95dB (the Notch filter isoff)Monitor: >105dB (the Notch filter ison)Surgery: >105dB (the Notch filter ison)Similar
Accuracy±1 bpm or ±1%, whichever isgreater±1 bpm or ±1%, whichever isgreaterSame
Resolution1 bpm1 bpmSame
Sensibility200μV200µV (lead II)Same
Differential InputImpedance>5MΩ≥5 MΩSame
Leakage Currentof Patient<10μΑ<10 μΑSame
ST value
MeasurementRange-2.0 mV ~ +2.0 mV-2.0 mV ~ +2.0 mVSame
Accuracy-0.8 mV to +0.8 mV: ±0.02 mV or 10%,whichever is greater.Beyond this range: not specified.-0.8 to 0.8 mV: Beyond thisrange:±0.02 mV or ±10%, whicheveris greater. Not specified.Same
Pace
Pulse IndicatorAmplitude: ±2 mV to ±700 mVWidth: 0.1 ms to2.0 msAscending time: 10 µs to 100 µsAmplitude: ±2 to ±700 mVWidth: 0.1 to 2 msRise time: 10 to 100 µsSame
Pulse RejectionAmplitude: ±2 mV to ±700 mVWidth: 0.1 ms to 2.0 msAscending time: 10 µs to 100 µsAmplitude: ±2 to ±700 mVWidth: 0.1 to 2 msRise time: 10 to 100 µsSame
HR
Measurement rangeNeonate: 15 to 350 bpmPediatric: 15 to 350 bpmAdult: 15 to 300 bpmNeonate: 15 to 350 bpmPediatric: 15 to 350 bpmAdult: 15 to 300 bpmSame
Accuracy±1% or 1 bpm, whichever is greater±1 bpm or ±1%, whichever is greaterSame
Resolution1 bpm1 bpmSame
RESP monitor
Principle of OperationThoracic impedanceTrans-thoracic impedanceSame
Measurement RangeAdult: 0 to 120 rpmPediatric/neonate: 0 rpm to 150rpmAdult: 0 to 120 rpmPediatric/neonate: 0 to 150 rpmSame
AccuracyAdult: 6 to 120 rpm: ±2 rpm, 0 to 5 rpm: not specifiedPediatric/neonate: 6 to 150 rpm: ±2 rpm, 0 to 5 rpm: not specifiedAdult: 6 to 120 rpm: ±2 rpm, 0 to 5 rpm: not specifiedPediatric/neonate: 6 to 150 rpm: ±2 rpm, 0 to 5 rpm: not specifiedSame
Resolution1 rpm1 rpmSame
Waveform bandwidth0.2Hz to 2.5Hz (-3dB)0.2Hz to 2.5Hz (-3dB)Same
Apnea Alarm10s, 15s, 20s, 25s, 30s, 35s, 40s;10 s, 15 s, 20 s, 25 s, 30 s, 35 s, 40 sSame
NIBP monitor(EDAN Module)
oscillationoscillationSame
AdultAdultSimilar
Systolic 40 to 270 mmHgDiastolic 10 to 215 mmHgMean 20 to 235 mmHgSystolic 40 to 270 mmHgDiastolic 10 to 215 mmHgMean 20 to 235 mmHg
PediatricPediatric
Measurement Range(mmHg)Systolic 40 to 230 mmHgDiastolic 10 to180 mmHgMean 20 to 195 mmHgSystolic 40 to 200 mmHgDiastolic 10 to150 mmHgMean 20 to 165 mmHg
NeonateNeonate
Systolic 40 to 135 mmHgDiastolic 10 to 100 mmHgMean 20 to 110 mmHgSystolic 40 to 135 mmHgDiastolic 10 to 100 mmHgMean 20 to 110 mmHg
AccuracyMax mean error: ±5 mmHg, Maxstandard deviation: 8 mmHgMax mean error: ±5 mmHgMax standard deviation: 8 mmHgSame
Resolution1mmHg1mmHgSame
Adult297+3mmHg297+3mmHgSame
Overpressure protectionPediatric245+3mmHg240+3mmHgSimilar
Pediatric147+3mmHg147+3mmHgSame
ModeManual, Auto, ContinuousManual, Auto, ContinuousSame
interval in AUTOmin0 min
Mode
PR from NIBP
Measurementrange40 bpm to 240bpm40 to 240 bpm
Accuracy±3bpm or 3.5%, whichever isgreater(EDAN);±3bpm or 3.5%, whichever isgreater
SpO2 monitor(EDAN)
MeasurementRange0-100%0-100%Same
Accuracy70 to 100%: ±2% (measured withoutmotion in adult/pediatricmode)70 to 100%: ±3% (measured withoutmotion in neonate mode)0% to 69%: Not specified.70 to 100%: ±2% (measured withoutmotion in adult/pediatricmode)70 to 100%: ±3% (measured withoutmotion in neonate mode)0% to 69%: Not specified.Same
Resolution1 %1%Same
PR
MeasurementRange25 bpm to 300 bpm25 bpm to 300 bpm
Accuracy±2bpm±2bpm
Resolution1 bpm1 bpmSame
SpO2 monitor(Nellcor)
ModuleNellcor ModuleNellcor ModuleSame
Temperature monitor
TechniqueThermal resistanceThermal resistanceSame
Number ofchannels22Same
MeasurementRange0 to 50°C0 to 50℃Same
Accuracy±0.1ºC (±0.2 ºF)±0.1ºC (±0.2 ºF)Same
Resolution0.1°C0.1 °CSame
C.O. Temperature
MeasurementmethodThermodilution methodThermodilution methodSame
MeasurementrangeC.O.: 0.1 to 20L/minTB: 23 to 43 ℃TI: -1 to 27°CC.O.: 0.1 to 20L/minTB: 23 to 43 ℃TI: -1 to 27°CSame
AccuracyC.O .: ±5% or ±0.2L/min, which isC.O .: ±5% or ±0.2L/min, which isSame
greatergreater
TB,TI: ±0.1°C(without sensor)TB,TI: ±0.1°C(without sensor)
ResolutionC.O.: 0.1L/minTB,TI:0.1 °CC.O.: 0.1L/minTB,TI:0.1 °CSame
IBP monitor
TechniqueDirect invasive measurementDirect invasive measurementSame
MeasurementRange-50~300mmHg-50~300mmHgSame
Accuracy±2% or ±1 mmHg, whichever is greater(without sensor)±2% or ±1 mmHg, whichever isgreater (without sensor)Same
Resolution1mmHg1mmHgSame
5 (μV/V/mmHg)5 (μV/V/mmHg)
Transducer200 to 3000 Ω300 to 3000 ΩSame
CO2 Monitor(Respironics)
CO2 ModuleRespironics CAPNOSTAT 5 LoFloCO2(Sidestream)Respironics CAPNOSTAT 5 LoFloCO2(Sidestream)Same
MeasureParametersRespironics CAPNOSTAT 5 CO2( Mainstream CO2 )Respironics CAPNOSTAT 5 CO2( Mainstream CO2 )Same
AG Monitor (Phasein)
TechniquePhasein AGPhasein AGSame
JustificationofdifferenceProposed devices and the predicate device use the same module, so has the same specification.
Safety Classifications
Type ofprotectionagainst electricshockClass IClass ISame
IngressProtectionIPX1IPX1Same
The degree of RFGroup 1, Class AGroup 1, Class ASame
The degree of protection against electric shock
ECG, RESP,TEMP, IBP, C.O.CFCFSame
ICG, NIBP,SpO2,BFCFSame
CO2, AG, BIS,RM, ICGBFBFSame
Electrical & Mechanical safety & Thermal safety Standards
General StandardsIEC 60601-1:2005IEC 60601-1:Similar
EMC StandardsIEC 60601-1-2:20071988+A1:1991+A2:1995IEC60601-1-2: 2001+A1:2004
Alarm StandardsIEC 60601-1-8:2006IEC60601-1-8:2003
BiocompatibilityStandardsISO 10993-1:2009ISO 10993-1:2003
Software StandardsIEC 62304:2006IEC 62304:2006
Special Standards
basic safety andessential performancefor patient monitorIEC 60601-2-49: 2011IEC 60601-2-49: 2001Similar
ECGIEC 60601-2-27: 2011IEC 60601-2-25: 2011IEC 60601-2-27:2005IEC 60601-2-25: 1999SP10
NIBPIEC 80601-2-30: 2009ISO 81060-2IEC60601-2-30:2000
IBPIEC 60601-2-34: 2011IEC60601-2-34:2000
AG, CO2ISO 80601-2-55ISO21647 :2004
TEMPISO 80601-2-56EN12470-4:2000EN12470-4:2000
Power supply
AC power
Requirement100-240V, 50/60Hz100-240V, 50/60 HzSame
Battery
RechargeableBatteryYesYesSame
Operation characteristic
Installation and usePortable EquipmentFix Equipment (when the system isinstalled on Wall MountingBracket)Portable EquipmentFix Equipment (when the system isinstalled on Wall Mounting Bracket)Same
Working SystemContinuous operationContinuous operationSame
Physical Characteristics
Weightelite V5 : <6.2kgelite V6: <7.5kgelite V8: <14kg<14kgSimilar
Dimensionselite V5 : 333±2 mm (L) × 289±2mm (H)× 211±2mm (W)elite V6: 384±2 mm (L) × 320±2mm (H)× 213±2mm (W)425 mm (L) × 245 mm (W)× 382mm (H)
(W)× 382 mm (H)
LCDelite V5: 12.1 inches LCDelite V6: 15 inches LCDelite V8: 17 inches LCD17inch LCD
LCD Resolutionelite V5: 800x600elite V6: 1024*768elite V8: 1280 *10241280×1024 pixels
Environmental Specifications
Temperature
Working+0°C to +40°C+5°C to +40°CSimilar
Transport andStorage-20°C to +55°C-20°C to +55°CSimilar
Humidity
Working15% to 95% (non-condensing)25% ~ 80% (no coagulate)Similar
Transport andStorage15% to 95% (non-condensing)25% ~ 93% (no coagulate)Similar
Altitude
Working860hPa to 1060hPa860hPa to 1060hPaSame
Transport andStorage700hPa to 1060hPa700hPa to 1060hPaSame
Other function
Indicators
Alarm indicator3(red/yellow/blue)3(red/yellow/blue)Same
AC power indicator1(green)1(green)Same
Battery indicator1(green)1(green/ yellow)Same
SpeakerYesYesSame
RecorderYesYesSame
Data StorageTrend, NIBP Measurement Review,Alarm Review ,Arrhythmia Review,12-Lead Diagnosis Review,Full-disclosure waveformsTrend, NIBP Measurement Review,Alarm Review ,Arrhythmia Review,12-Lead Diagnosis Review,Full-disclosure waveformsSame
InterfaceUSB/VGA/Network/Nursecall/DefibrillatorSynchronization/AnalogOutput/SD/PAM/DVI/RS232 portUSB/VGA/Network/Nursecall/DefibrillatorSynchronization/AnalogOutput/SD/PAM/DVI/RS232 portSame

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K160981

{12}------------------------------------------------

Comparison to the predicate device BeneView T8

ItemProposed device(elite V5, elite V6, elite V8)Predicate device(BeneView T8)Justification
-----------------------------------------------------------------------------------------------------------

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K160981 p.11/28

K#Current SubmissionK092449p.11/28
Intended use
DescriptionThe monitors are intended to be usedfor monitoring, storing, and reviewingof, and to generate alarms for, multiplephysiological parameters of adults,pediatrics and neonates. The monitorsare intended for use by trainedhealthcare professionals in hospitalenvironments.The monitored physiologicalparameters include: ECG, respiration(RESP), temperature (TEMP), oxygensaturation of arterial blood (SpO2),pulse rate (PR), non-invasive bloodpressure (NIBP), invasive bloodpressure (IBP), carbon dioxide (CO2),cardiac output (C.O.), anesthetic gas(AG), bispectral index (BIS),respiration mechanics (RM) andimpedance cardiography (ICG).BIS is intended for use on adult andpediatric patients.ICG monitoring is intended for use onadults only.The arrhythmia detection and STSegment analysis are intended for adultpatients.The monitors are additionally intendedfor use during patient transport insidehospitals.The monitors are not intended for MRIenvironments.This patient monitor is intendedto be used for monitoring,displaying, reviewing, storingandtransferring of multiplephysiological parametersincluding ECG, heart rate (HR),respiration(Resp), temperature (Temp),SpO2, pulse rate (PR),non-invasive blood pressure(NIBP),invasive blood pressure (IBP),cardiac output (C.O.), carbondioxide (CO2), oxygen (O2),anesthetic gas (AG), impedancecardiograph (ICG), bispectralindex (BIS) and respirationmechanics (RM) of single adult,pediatric and neonatal patients.Interpretation of resting 12-leadECG and C.O. monitoring arerestricted to adult patients only.The ICG is only for use on adultpatients who meet the followingrequirements: height: 122to 229 cm, weight: 30 to 159 kg.The arrhythmia detection,ST-segment, BIS and RMmonitor are not intended forneonatal patients.This monitor is to be used inhealthcare facilities by clinicalprofessionals or under theirdirection. It is not intended forhelicopter transport, hospitalambulance, or home use.Similar
Intendedpatientpopulationadult, pediatric and neonatal patientsadult, pediatric and neonatalpatientsSame
IntendedapplicationenvironmentHospital environment.It is not intended for helicoptertransport, hospital ambulance, orhome use.Similar
ECG monitor
Lead Mode3-Lead: I, II, III5-Leads: I, II, III, aVR, aVL, aVF, V12-leads: I, II, III, aVR, aVL, aVF, V1to V63-Lead: I, II, III5-Leads: I, II, III, aVR, aVL,aVF, V12-leads: I, II, III, aVR, aVL,aVF, V1 to V6Same
Lead NamingStyleAHA, IECAHA, IECSame
DisplaySensitivity1.25mm/mV (×0.125), 2.5mm/mV(×0.25), 5mm/mV (×0.5), 10mm/mV(×1), 20mm/mV (×2), 40mm/mV (×4),AUTO gain1.25 mm/mV (X0.125), 2.5mm/mV (X0.25), 5 mm/mV(X0.5),10 mm/mV (X1), 20 mm/mV(X2), 40 mm/mV (X4), AutoSame
Sweep6.25mm/s, 12.5mm/s, 25mm/s, 50mm/s6.25 mm/s, 12.5 mm/s, 25 mm/s,50 mm/sSame
MeasurementRangeNeonate: 15 to 350 bpmPediatric: 15 to 350 bpmAdult: 15 to 300 bpmNeonate: 15 to 350 bpmPediatric: 15 to 350 bpmAdult: 15 to 300 bpmSame
CMRR(CommonModeRejectionRatio)Diagnosis: >95dBMonitor: >105dBSurgery: >105dBDiagnostic mode: ≥90 dB theNotch filter is offMonitor mode: ≥105 dB theNotch filter is offSurgical mode: ≥105 dB theNotch filter is offSimilar
Accuracy±1 bpm or ±1%, whichever isgreater±1 bpm or ±1%, whicheveris greaterSame
Resolution1 bpm1 bpmSame
Sensibility200μV200μV (lead II)Same
DifferentialInputImpedance>5MΩ≥5 ΜΩSame
LeakageCurrent ofPatient<10μΑ<10 μΑSame
ST value
MeasurementRange-2.0 mV ~ +2.0 mV-2.0 mV ~ +2.0 mVSame
Accuracy-0.8 mV to +0.8 mV: ±0.02 mV or 10%,whichever is greater.Beyond this range: not specified.-0.8 to 0.8 mV: Beyond thisrange:±0.02 mV or ±10%,whichever is greater. NotSame

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K160981 p.12/28

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specified.
Pace
PulseIndicatorAmplitude: ±2 mV to +700 mVWidth: 0.1 ms to2.0 msAscending time: 10 µs to 100 µsAmplitude: ±2 to +700 mVWidth: 0.1 to 2 msRise time: 10 to 100 µsSame
PulseRejectionAmplitude: ±2 mV to +700 mVWidth: 0.1 ms to 2.0 msAscending time: 10 µs to 100 µsAmplitude: ±2 to ±700 mVWidth: 0.1 to 2 msRise time: 10 to 100 µsSame
HR
MeasurementrangeNeonate: 15 to 350 bpmPediatric: 15 to 350 bpmAdult: 15 to 300 bpmNeonate: 15 to 350 bpmPediatric: 15 to 350 bpmAdult: 15 to 300 bpmSame
Accuracy±1% or 1 bpm, whichever is greater±1 bpm or ±1%, whichever is greaterSame
Resolution1 bpm1 bpmSame
RESP monitor
Principle ofOperationThoracic impedanceTrans-thoracic impedanceSame
MeasurementRangeAdult: 0 to 120 rpmPediatric/neonate: 0 rpm to 150rpmAdult: 0 to 120 rpmPediatric/neonate: 0 to 150 rpmSame
AccuracyAdult: 6 to 120 rpm: ±2 rpm, 0 to 5rpm: not specifiedPediatric/neonate: 6 to 150 rpm: ±2rpm, 0 to 5 rpm: not specified7 to 150 rpm: ±2 rpm or ±2%,whichever is greater0 to 6 rpm: Not specified.Similar
Resolution1 rpm1 rpmSame
Waveformbandwidth0.2Hz to 2.5Hz (-3dB)0.2 to 2 Hz (-3 dB)Similar
Apnea Alarm10s, 15s, 20s, 25s, 30s, 35s, 40s;10 s, 15 s, 20 s, 25 s, 30 s, 35 s,40 sSame
NIBP monitor
Principle ofOperationoscillation (EDAN, M3600, SunTechNIBP )oscillationSame
MeasurementRange(mm Hg)AdultSystolicEDAN NIBPM3600SunTechNIBP40 mmHgto 270mmHg60 mmHgto 250mmHg60 mmHg ~250 mmHg40 to 270Similar
icto 215mmHg
M360040 mmHgto 200mmHg
SunTechNIBP30 mmHg ~190 mmHg
MeanEDAN NIBP20 mmHgto 235mmHg20 to 230
M360045 mmHgto 235mmHg
SunTechNIBP40 mmHg ~210 mmHg
Pediatric
SystoliccEDAN NIBP40 mmHgto 230mmHg40 to 200
M360060 mmHgto 250mmHg
SunTechNIBP40 mmHg ~230 mmHg
DiastolicEDAN NIBP10 mmHgto 180mmHg10 to 150
M360040 mmHgto 200mmHg
SunTechNIBP20 mmHg ~160 mmHg
MeanEDAN NIBP20 mmHgto 195mmHg20 to 165
M360045 mmHgto 235mmHg
SunTechNIBP30 mmHg ~175 mmHg
Neonate
SystoliccEDANNIBP40 mmHg to135 mmHg40 to 135
M360040 mmHg to
120 mmHg
SunTech40 mmHg ~
NIBP130 mmHg
DiastolicEDAN10 mmHg to10 to 100
NIBP100 mmHg
M360020 mmHg to90 mmHg
SunTech20 mmHg ~ 90 mmHg
EDAN20 mmHg to
NIBP110 mmHg
M360030 mmHg to100 mmHg20 to 110
MeanSunTech30 mmHg ~100 mmHg
AccuracyMax mean error: ±5 mmHg,Maxstandard deviation: 8mmHg(EDAN,M3600, SunTech);Max mean error: ±5 mmHgMax standard deviation: 8 mmHgSame
Resolution1mmHg(EDAN, M3600, SunTech);1mmHgSame
OverpressureprotectionAdult297±3mmHg(EDAN)<300mmHg(M3600,SunTech)297±3mmHgSimilar
Pediatric245±3mmHg(EDAN)<300mmHg(M3600,SunTech)240±3mmHg
Pediatric147±3mmHg(EDAN)<150mmHg(M3600,SunTech)147±3mmHg
ModeManual, Auto, ContinuousManual, Auto and STATSimilar
Measuringinterval inAUTO Mode1/2/3/4/5/10/15/30/60/90/120/240/480 min(EDAN)1/2/3/4/5/10/15/30/60/90 min, 2/4/8h(M3600)1/2/3/4/5/10/15/30/60/90/120/240/480 min(SunTech)1, 2, 2.5, 3, 5, 10, 15, 20, 30, 60, 90, 120, 180, 240 or 480 minSimilar
PR from NIBP
Measurementrange40 bpm to 240bpm(EDAN);Adult/ Pediatric mode: 40bpm to 200bpm,Neonatal mode: 40 bpm to 240bpm (M3600);30 bpm ~220bpm(SunTech)40 to 240 bpmSimilar
Accuracy±3bpm or 3.5%, whichever is greater(EDAN);±3bpm or ±3%, whichever is greaterSimilar

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{18}------------------------------------------------

± 2 bpm or 2% of the readings(M3600);±3bpm or ±2%, whichever isgreater(SunTech);
SpO2 monitor(EDAN)
Measurement Range0-100%0-100%Same
Accuracy70 to 100%: ±2% (measured withoutmotion in adult/pediatricmode)70 to 100%: ±3% (measured withoutmotion in neonate mode)0% to 69%: Not specified.70 to 100%: ±2% (measuredwithout motion in adult/pediatricmode)70 to 100%: ±3% (measuredwithout motion in neonatemode)70 to 100%: ±3% (measuredwith motion)0% to 69%: Not specified.Same
Resolution1 %1%Same
PR
Measurement Range25 bpm to 300 bpm20 to 254 bpmSimilar
Accuracy±2bpm±3 bpm (measured withoutmotion)±5 bpm (measured with motion)Similar
Resolution1 bpm1 bpmSame
SpO2 monitor(Nellcor)
ModuleNellcor ModuleNellcor ModuleSame
Temperature monitor
TechniqueThermal resistanceThermal resistanceSame
Number of channels22Same
Measurement Range0 to 50°C0 to 50°CSame
Accuracy±0.1°C (±0.2 °F)±0.1 °C or ±0.2 °F (withoutprobe)Same
Resolution0.1°C0.1°CSame
C.O. Temperature
Measurement methodThermodilution methodThermodilution methodSame
Measurement rangeC.O.: 0.1 to 20L/minTB: 23 to 43°CTI: -1 to 27°CC.O.: 0.1 to 20L/minTB: 23 to 43°CTI: 0 to 27°CSimilar
AccuracyC.O.: ±5% or ±0.2L/min, which is greaterTB,TI: ±0.1°C(without sensor)C.O.: ±5% or ±0.1L/min, which is greaterTB,TI: ±0.1°C(without sensor)Same
ResolutionC.O.: 0.1L/minTB.TI:0.1°CC.O.: 0.1L/minTB.TI:0.1°CSame

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IBP monitor

TechniqueDirect invasive measurementDirect invasive measurementSame
MeasurementRange-50~300mmHg-50~300mmHgSame
Accuracy±2% or ±1 mmHg, whichever is greater(without sensor)±2% or ±1 mmHg, whichever is greater (without sensor)Same
Resolution1 mmHg1 mmHgSame
Transducer5 (μV/V/mmHg)200 to 3000 Ω5 (μV/V/mmHg)300 to 3000 ΩSame

CO2 Monitor(EDAD CO2 Module(Sidestream), Respironics

CAPNOSTAT 5 LoFlo CO2(Sidestream))

TechniqueInfra-red Absorption TechniqueInfra-red Absorption TechniqueSame
MeasureParametersEtCO2, FiCO2, AwRREtCO2, FiCO2, AwRRSame
CO2Measurementrange0 mmHg to 150 mmHg0 to 99 mmHgSimilar
AwRRMeasurementrange2 rpm to 150 rpm0 to 150 rpmSimilar
AccuracyEDAN:Respiratory rate ≤60rpm: ± 2mmHg,0mmHg to 40mmHg, ± 5% ofreading, 41mmHg to 70mmHg, ± 8%of reading, 71mmHg to 100mmHg, ±10% of reading, 101mmHg to150mmHg,Respiratory rate >60rpm: ±12% or ±4mmHg of reading, whichever isgreaterRespironics:± 2 mmHg, 0 to 40 mmHg, ± 5 % ofreading, 41 to 70 mmHg, ± 8 % ofreading, 71 to 100 mmHg, ± 10 % ofreading, 101 to 150 mmHg, ± 12% ofreading, RR is over 80 rpm0 to 38 mmHg: ±2 mmHg39 to 99 mmHg: ±5% of thereading+0.08% of (thereading-38)Similar

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Resolution1 mmHg1 mmHgSame
Sample flow rateEDAN:70ml/min or 100ml/min, optional (±15ml/min)Respironics :50 ±10 ml/min$50_{-7.5}^{+15}$ ml/minSimilar
Apnea Alarm Delay10s, 15s, 20s, 25s, 30s, 35s, 40s;10 s, 15 s, 20 s, 25 s, 30 s, 35 s, 40 sSame

CO2 Monitor ( Respironics CAPNOSTAT 5 CO2 ( Mainstream CO2 )

MeasureParametersEtCO2, FiCO2, AwRREtCO2, FiCO2, AwRRSame
CO2Measurementrange0 mmHg to 150 mmHg0 to 150 mmHgSame
AwRRmeasurementrange0 rpm to 150 rpm0 to 150 rpmSame
Accuracy± 2 mmHg, 0 to 40 mmHg, ± 5 % ofreading, 41 to 70 mmHg, ± 8 % ofreading, 71 to 100 mmHg, ± 10 % ofreading, 101 to 150 mmHg0 to 40 mmHg: ±2 mmHg41 to 70 mmHg: ±5% of thereading71 to 100 mmHg: ±8% of thereading101 to 150 mmHg: ±10% of thereadingSimilar
Resolution1 mmHg1 mmHgSame
awRRmeasurementaccuracy± 1 rpm1 rpmSame

AG Monitor(Phasein and Drager)

TechniqueInfrared absorptionInfrared absorptionSame
Warm-up timeFull accuracy mode: $< 20s$ (Phasein)Full accuracy mode: $< 450 s$ (Drager)Full accuracy mode: 10 minSimilar
Sample flow rate$50\pm10$ ml/min(Phasein)$200$ mL/min $\pm20$ mL/min(Drager)Adult, pediatric: 120, 150, 200 ml/minNeonate: 70, 90, 120 ml/minAccuracy: $\pm10$ ml/min or $\pm10$ %, whichever is greaterSimilar
MeasurementRange andAccuracyPhaseinRange(%REL)Accuracy(%ABS)Range (%REL)Accuracy(%ABS)Similar
COPhaseinSidest0 to 15 vol%$\pm$ (0.2 vol% + 2% of0 to 11 to 5$\pm$ 0.1$\pm$ 0.2Similar

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K160981 p.19/28

2ream15 to 25vol%±(0.3 vol% +reading)5 to 7±0.3
Unspecified7 to 10±0.5
Mainstream0 to 10vol%±(0.2 vol% +2% ofreading)>10Notspecified
10 to15vol%±(0.3 vol% +2% ofreading)
15 to 25vol%±(0.3 vol% +2% ofreading)
Unspecified
Drager0 to13.6Vol%±(0.43 Vol% +8% rel.)
O2Phasein(Sidestream)0 to 100vol %±(1 vol% +2% ofreading)0 to 2525 to 8080 to 100±1±2±3
Drager0 to 100Vol%±(2.5 Vol% +2.5% rel.)
N2OPhasein(Sidestream&Mainstream)0 to 100vol%±(2 vol% +2% ofreading)0 to 2020 to 100±2±3
Drager0 to 100Vol%±(2 Vol% +8% rel.)
DesPhasein(Sidestream&Mainstream)0 to 22vol %±(0.15 vol% +5% ofreading)0 to 11 to 55 to 1010 to 15±0.15±0.2±0.4±0.6
22 to 25vol %Unspecified
Drager0 to 20Vol%±(0.2 Vol% +15% rel.)15 to 18>18±1Notspecified
SevPhasein(Sidestream&Mainstream)0 to 10vol %±(0.15 vol% +5% ofreading)0 to 11 to 55 to 8>8±0.15±0.2±0.4Notspecified
Drager0 to 10Vol%±(0.2 Vol% +15% rel.)
EnfPhasein(Sidestream&Mainstream)0 to 8vol %±(0.15 vol% +5% ofreading)0 to 11 to 5>5±0.15±0.2Notspecified
Drager0 to 10±(0.2 Vol% +

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Vol%15% rel.)
IsoPhasein(Sidestream&Mainstream)0 to 8 vol %8 to 25 vol %±(0.15 vol% +5% ofreading)Unspecified0 to 11 to 5>5±0.15±0.2Notspecified
HalPhasein(Sidestream&Mainstream)0 to 8 vol %8 to 25 vol %±(0.15 vol% +5% ofreading)Unspecified0 to 11 to 5>5±0.15±0.2Notspecified
Drager0 to 8.5 Vol%±(0.2 Vol% +15% rel.)
Drager0 to 8.5 Vol%±(0.2 Vol% +15% rel.)
ICG
TechniqueThoracic electrical bioimpedanceThoracic electricalbioimpedance (TEB)Same
MeasurementrangeSV: 0 ml/beat250 ml/beatHR: 40 bpm250bpmC.O.: 0 L/min~30 L/minSV: 5 to 250 ml/beatHR: 44 to 185 bpmC.O.: 1.4 to 15 L/minSimilar
AccuracySV: UndefinedHR: ±2bpmC.O.: UndefinedSV: Not specified.HR: ±2 bpmC.O.: Not specified.Same
BIS
TechniqueBispectral indexBispectral indexSame
MeasuredparametersEEGBIS: 0 to 100EEGBIS: 0 to 100Same
Impedancerange0 to 999 kΩ0 to 999 kΩSame
Sweep speed6.25mm/s,50mm/s12.5mm/s,25mm/s,6.25 mm/s, 12.5 mm/s, 25 mm/sor 50 mm/sSame
Noise (EEGWaveform)<0.3 $\mu$ V (0.25Hz~50Hz)<0.3 $\mu$ V (0.25Hz~50Hz)Same
EEGbandwidth0.25Hz~50Hz0.25 to 100 HzSame
RM
Frequencyresponse>10Hz≥30 HzSimilar
Flow

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Measurement
MeasurementrangeAdult: 2.0 L/min to 180 L/minPediatric: 0.75 L/min to 100 L/minNeonatal: 0.25 L/min to 30 L/minAdult/pediatric*: ± (2 to 120) L/minInfant: ± (0.5 to 30) L/minSimilar
AccuracyAdult: 0.5 L/min or ± 3% of reading,whichever is greaterPediatric: 0.25 L/min or ± 3% ofreading, whichever is greaterNeonatal: 0.125 L/min or ± 3% ofreading, whichever is greaterAdult/pediatric*: 1.5 L/min or±10% of the reading, whicheveris greaterInfant: 0.5 L/min or ±10% of thereading, whichever is greater
Resolution1.0 L/min0.1 L/min
Paw(or Airway Pressure)
Measurementrange-120 cmH2O to 120 cmH2O-20 to 120 cmH2OSimilar
Accuracy0.5 cmH2O or ± 2% of reading,whichever is greater±3%
Resolution1 cmH2O0.1 cmH2O
MVe/MVi
MeasurementrangeAdult: 1 L/min to 30.00 L/minPediatric: 0.3 L/min to 20 L/minNeonatal: 0.1 L/min to 3 L/minAdult/Pediatric*: 2 to 60 L/minInfant: 0.5 to 15 L/minSimilar
AccuracyAdult: 0.1 L/minPediatric: 0.1 L/minNeonatal: 0.1 L/min±10%×reading
TVe/TVi
MeasurementrangeAdult: 40 mL to 2500 mLPediatric: 6 mL to 750 mLNeonatal: 2 mL to 100 mLAdult/Pediatric*: 100 to 1500mlInfant: 20 to 500 mlSimilar
Resolution1.0 mL1 ml
AccuracyAdult: ± 10.0 mL or ± 5% of reading,whichever is greaterPediatric: ± 3.0 mL or ± 5% ofreading, whichever is greaterNeonatal: ± 1.0 mL or ± 5% ofreading, whichever is greaterAdult/pediatric*: ±10% or 15ml, whichever is greaterInfant: ±10% or 6 ml, whicheveris greater
RR (RM)
Measurementrange2 rpm to 150 rpm4 to 120 rpmSimilar
Accuracy± 1 rpm4 to 99 rpm ±1 rpm100 to 120 rpm ±2 rpm
Safety Classifications

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Type ofprotectionagainst electricshockClass IClass ISame
IngressProtectionIPX1IPX1Same
The degree ofRFGroup 1, Class AGroup 1, Class ASame
The degree of protection against electric shock
ECG, RESP,TEMP, IBP,C.O.CFCFSame
ICG, NIBP,SpO2,BFCFSimilar
CO2, AG, BIS,RM, ICGBFBFSame
Electrical & Mechanical safety & Thermal safety Standards
GeneralStandardsIEC 60601-1:2005IEC 60601-1:1988+A1:1991+A2:1995Similar
EMCStandardsIEC 60601-1-2:2007IEC60601-1-2: 2001+A1:2004
AlarmStandardsIEC 60601-1-8:2006IEC60601-1-8:2003
Biocompatibility StandardsISO 10993-1:2009ISO 10993-1:2003
SoftwareStandardsIEC 62304:2006IEC 62304:2006
Special Standards
basic safetyand essentialperformancefor patientmonitorIEC 60601-2-49: 2011IEC 60601-2-49: 2001Similar
ECGIEC 60601-2-27: 2011IEC 60601-2-25: 2011IEC 60601-2-27:2005IEC 60601-2-25: 1999
NIBPIEC 80601-2-30: 2009ISO 81060-2IEC60601-2-30:2000
IBPIEC 60601-2-34: 2011IEC60601-2-34:2000
AG, CO2, RMISO 80601-2-55ISO21647:2004
TEMPISO 80601-2-56EN12470-4:2000EN12470-4:2000
Power supply
AC power
Requirement100-240V, 50/60Hz100-240V, 50/60 HzSame
Battery
Rechargeable BatteryYesYesSame
Operation characteristic
Installation and usePortable EquipmentFix Equipment (when the system isinstalled on Wall Mounting Bracket)Portable EquipmentFix Equipment (when thesystem is installed on WallMounting Bracket)Same
Working SystemContinuous operationContinuous operationSame
Physical Characteristics
Weightelite V5 : <6.2kgelite V6: <7.5kgelite V8: <14kg<14.5 kgSimilar
Dimensionselite V5 : 333±2 mm (L) × 289±2 mm(H)× 211±2mm (W)elite V6: 384±2 mm (L) × 320±2 mm(H)× 213±2mm (W)elite V8: 425 mm (L) × 245 mm (W)×382 mm (H)400×370×193 mm
LCDelite V5: 12.1 inches LCDelite V6: 15 inches LCDelite V8: 17 inches LCD17inch LCD
LCD Resolutionelite V5: 800x600elite V6: 1024*768elite V8: 1280 *10241280×1024 pixels
Environmental Specifications
Temperature
Working+0°C to +40°C5 to 40Similar
Transport and Storage-20°C to +55°C20 to 60
Humidity
Working15% to 95% (non-condensing)15% to 95% (non-condensing)Same
Transport and Storage15% to 95% (non-condensing)10% to 95%(non-condensing)Similar
Altitude
Working860hPa to 1060hPa425 to 809mmHgSimilar
Transport and700hPa to 1060hPa120 to 809mmHg

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{26}------------------------------------------------

Storage
Other function
Indicators
Alarmindicator3(red/yellow/blue)3(red/yellow/blue)Same
AC powerindicator1(green)1(green)Same
Batteryindicator1(green)1(green/ yellow)Same
SpeakerYesYesSame
RecorderYesYesSame
Data StorageTrend, NIBP Measurement Review,Alarm Review ,Arrhythmia Review,12-Lead Diagnosis Review,Full-disclosure waveformsTrends, Parameter alarms, Arrh.events, NIBP measurements,Interpretation of resting12-lead ECG results,Full-disclosure waveformsSimilar
InterfaceUSB/VGA/Network/Nursecall/DefibrillatorSynchronization/AnalogOutput/SD/PAM/DVI/RS232 portUSB/Network/Nursecall/Micro-Dt/Network/CIS/SMR/CF/DVI portSimilar

Comparison to the predicate iM70

ItemProposed deviceselite V5, elite V6, elite V8Predicate deviceiM70Justification
K#Current SubmissionK131971
RESP
PatientAdult pediatric neonateAdult pediatric neonateSame
MethodImpedance betweenRA-LL, RA-LAImpedance betweenRA-LL, RA-LASame
MeasurementleadOptions are lead I and II.The default is lead II.Options are lead I and II.The default is lead II.Same
CalculationTypeManual, AutomaticManual, AutomaticSame
BaselineImpedanceRange200 Ω to 2500 Ω (withECG cables of 1 K Ωresistance)200 Ω to 2500 Ω (withECG cables of 1 K Ωresistance)Same
MeasuringSensitivityWithin the baselineimpedance range: 0.3 ΩWithin the baselineimpedance range: 0.3 ΩSame

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WaveformBandwidth0.2 Hz to 2.5 Hz (-3 dB)0.2 Hz to 2.5 Hz (-3 dB)Same
RespirationExcitationWaveformSinusoid, 62.8 kHz( ±10%), <500 μ ASinusoid, 62.8 kHz( ±10%), <500 μ ASame
RR Measuring Range
Adult0 rpm to120 rpm0 rpm to120 rpmSame
Neo/Ped0 rpm to150 rpm0 rpm to150 rpmSame
Resolutionl rpm1 rpmSame
Accuracy
Adult6 to 120 rpm: 土2 rpm0 to 5 rpm: not specified6 to 120 rpm: 土2 rpm0 to 5 rpm: not specifiedSame
Neo/Ped6 to 150 rpm: 土2 rpm0 to 5 rpm: not specified6 to 150 rpm: 土2 rpm0 to 5 rpm: not specifiedSame
GainSelectionx0.25, x0.5, x1, x2, x3, x4,૪૨x0.25, x0.5, x1, x2, x3, x4,૪૨Same
Sweep6.25 mm/s, 12.5 mm/s, 25mm/s, 50 mm/s6.25 mm/s, 12.5 mm/s, 25mm/s, 50 mm/sSame
Apnea AlarmTime Setup10 s, 15 s, 20 s, 25 s, 30 s,35 s, 40 s; default value is20 s.10 s, 15 s, 20 s, 25 s, 30 s,35 s, 40 s; default value is20 s.Same
WI-FI
IEEE802.11b/g/n802.11b/g/nSame
FrequencyBand2.4GHz ISM band2.4GHz ISM bandSame
ModulationOFDM with BPSK, QPSK,16-QAM, and 64-QAM802.11b with CCK and DSSSOFDM with BPSK, QPSK,16-QAM, and 64-QAM802.11b with CCK and DSSSSame
TypicalTransmitPower (±2dBm)17 dBm for 802.11b DSSS17 dBm for 802.11b CCK15 dBm for 802.11g/n OFDM17 dBm for 802.11b DSSS17 dBm for 802.11b CCK15 dBm for 802.11g/n OFDMSame

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Care and Cleaning
Recommended cleaning agentsMild neutral detergentEthanol (75%)Isopropanol (70%)Mild neutral detergentEthanol (75%)Isopropanol (70%)Same
Recommended types of disinfecting agentsEthanol (75%)Isopropanol (70%)Cidex OPA (High level disinfection of intracavitary temperature probe only)Ethanol (75%)Isopropanol (70%)Cidex OPA (High level disinfection of intracavitary temperature probe only)Same
Cleaningsurface-clean the monitor witha soft cloth dampened withthe cleaning solutionsurface-clean the monitor witha soft cloth dampened withthe cleaning solutionSame
DisinfectingFollowing hospital's policyFollowing hospital's policySame

All the differences don't affect the safety and effectiveness which is concluded after all the required testing, so no safety and effectiveness issues relating to the patient monitor come into conclusion.

10. Performance Data:

Non-clinical data:

The following performance data were provided in support of the substantial equivalence determination.

Biocompatibility testing

The biocompatibility evaluation for the elite V5, elite V6 and elite V8 Patient Monitor were conducted in accordance with the International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process," as recognized by FDA. The worst case of the whole system is considered tissue contacting for a duration of less than 24 hours. And the battery of testing included the following tests:

  • Cytotoxicity
  • Skin Sensitization
  • Skin Irritation

Electrical safety and electromagnetic compatibility (EMC)

Electrical safety and EMC testing were conducted on the elite V5, elite V6 and elite V8 Patient Monitor device, consisting of all the modules and accessories in the system. The system complies with the IEC 60601-1:2005/A1: 2012, IEC 60601-1-8: 2006, IEC 60601-2-25: 2011, IEC 60601-2-27: 2011, ANSI/AAMI EC57: 2012, IEC 80601-2-30: 2009, IEC 60601-2-34: 2011 , IEC 60601-2-49: 2011, ISO 80601-2-55: 2011, ISO

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80601-2-56: 2009, ISO 80601-2-61: 2011 and ISO 81060-2: 2013 standards for safety and the IEC 60601-1-2:2007 standard for EMC.

standardsconclusion
IEC60601-1-8 - Medical electrical equipment - Part 1-8: Generalrequirements for basic safety and essential performance - CollateralStandard: General requirements, tests and guidance for alarm systems inmedical electrical equipment and medical electrical systems- Test reportof elite V series (2006).Pass
IEC 60601-2-25 Medical electrical equipment - Part 2-25: Particularrequirements for the basic safety and essential performance ofelectrocardiographs - Test Report of elite V series (2011 )Pass
· IEC 60601-2-27 Medical electrical equipment - Part 2-27: Particularrequirements for the basic safety and essential performance ofelectrocardiographic monitoring equipment - Test Report of elite V series(2011)Pass
IEC 60601-2-34 - Medical electrical equipment - Part 2-34: Particularrequirements for the basic safety, including essential performance, ofinvasive blood pressure monitoring equipment - Test Report of elite Vseries (2011Pass
IEC60601-2-49 - Medical electrical equipment Part 2-49: Particularrequirements for the basic safety and essential performance ofmultifunction patient monitoring equipment - Test Report of elite Vseries(2011) - (This standard is not recognized by FDA)Pass
IEC 80601-2-30 - Medical electrical equipment - Part 2-30: Particularrequirements for the basic safety and essential performance of automatednon-invasive sphygmomanometers - Test Report of elite V seriesPass
ISO 80601-2-55 - Medical electrical equipment - Part 2-55: Particularrequirements for the basic safety and essential performance of respiratorygas monitors - Test Report of elite V seriesPass
ISO 80601-2-56 - Medical electrical equipment - Part 2-56: Particularrequirements for basic safety and essential performance of clinicalthermometers for body temperature measurement - Test Report of elite Vseries.Pass
ISO 80601-2-61 - Medical electrical equipment - Part 2-61: Particularrequirements for basic safety and essential performance of pulse oximeterequipment - Test Report of elite V seriesPass
IEC62366 - Medical devices - Application of usability engineering toPass

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medical devices - Test Report of elite V Series

Software Verification and Validation Testing

Software verification and validation testing were conducted and documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a "major" level of concern, since a failure or latent flaw in the software could directly result in serious injury or death to the patient or operator.

Clinical data:

Not applicable.

Summary

Based on the non-clinical and clinical performance as documented in the system development, the subject devices were found to have a safety and effectiveness profile that is similar to the predicate device.

11. Conclusion

The non-clinical data support the safety of the device and the hardware and software verification and validation demonstrate that the elite V5, elite V6 and elite V8 Patient Monitor device should perform as intended in the specified use conditions. The clinical data demonstrate that the subject devices perform comparably to the predicate device that is currently marketed for the same intended use. In other words, the subject the elite V5, elite V6 and elite V8 Patient Monitor devices are substantially equivalent to the predicate devices.

§ 870.1025 Arrhythmia detector and alarm (including ST-segment measurement and alarm).

(a)
Identification. The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to produce a visible or audible signal or alarm when atrial or ventricular arrhythmia, such as premature contraction or ventricular fibrillation, occurs.(b)
Classification. Class II (special controls). The guidance document entitled “Class II Special Controls Guidance Document: Arrhythmia Detector and Alarm” will serve as the special control. See § 870.1 for the availability of this guidance document.