K Number
K162915
Device Name
Fully Automatic Electronic Blood Pressure Monitor
Date Cleared
2017-02-08

(114 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
KD-7920 Fully Automatic Electronic Blood Pressure Monitor is for use by medical professionals or at home and is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive technique in which an inflatable cuff is wrapped around the wrist. The cuff circumference is limited to 14cm-25cm.
Device Description
KD-7920 Fully Automatic Electronic Blood Pressure Monitor is designed and manufactured according to IEC 80601-2-30. The operational principle is based on oscillometric and silicon integrates pressure sensor technology. It can calculate the systolic and diastolic blood pressure, and display the result on the LCD. The measurements results can also be classified by the function of blood pressure classification indicator. If any irregular heartbeat is detected, it can be shown to the user.
More Information

No
The description focuses on standard oscillometric blood pressure measurement and basic signal processing for pulse and irregular heartbeat detection, with no mention of AI or ML algorithms.

No.
The device measures blood pressure and pulse rate but does not provide any treatment or therapeutic intervention.

Yes

This device is intended to measure and classify blood pressure, and detect irregular heartbeats, which are all diagnostic functions indicating a patient's health status.

No

The device description explicitly mentions hardware components like an inflatable cuff, pressure sensor, and LCD display, indicating it is a physical device with integrated software, not a software-only device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The KD-7920 Fully Automatic Electronic Blood Pressure Monitor measures blood pressure and pulse rate by using a cuff wrapped around the wrist. This is a non-invasive measurement taken directly from the body, not from a sample taken from the body.

Therefore, based on the provided information, the KD-7920 is a non-invasive medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

KD-7920 Fully Automatic Electronic Blood Pressure Monitor is for use by medical professionals or at home and is a noninvasive blood pressure measurement system intended to measure the diastolic blood pressures and pulse rate of an adult individual by using a non-invasive technique in which an inflatable cuff is wrapped around the wrist. The cuff circumference is limited to 14cm-25cm.

Product codes

DXN

Device Description

KD-7920 Fully Automatic Electronic Blood Pressure Monitor is designed and manufactured according to IEC 80601-2-30.

The operational principle is based on oscillometric and silicon integrates pressure sensor technology. It can calculate the systolic and diastolic blood pressure, and display the result on the LCD. The measurements results can also be classified by the function of blood pressure classification indicator. If any irregular heartbeat is detected, it can be shown to the user.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

wrist

Indicated Patient Age Range

Adult

Intended User / Care Setting

medical professionals or at home

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Clinical Tests were done as follows:
Accuracy of the electronic blood pressure monitors was verified by meeting Criteria 1 and 2 of ISO 81060-2

Key Metrics

Not Found

Predicate Device(s)

K102906

Reference Device(s)

K092510

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1130 Noninvasive blood pressure measurement system.

(a)
Identification. A noninvasive blood pressure measurement system is a device that provides a signal from which systolic, diastolic, mean, or any combination of the three pressures can be derived through the use of tranducers placed on the surface of the body.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal features a stylized image of three human profiles facing right, stacked on top of each other. The profiles are connected and appear to be emerging from a single base. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the image.

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

February 17, 2017

Andon Health Co., Ltd. % Liu Yi President No. 3 Jinping Street, Ya An Road, Nankai District Tianjin, CN 300190 Tianjin

Re: K162915

Trade/Device Name: 7920 Fully Automatic Electronic Blood Pressure Monitor Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive blood pressure measurement system Regulatory Class: Class II Product Code: DXN Dated: December 23, 2016 Received: December 29, 2016

Dear Liu Yi:

This letter corrects our substantially equivalent letter of February 8, 2017.

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

1

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.

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) K162915

Device Name

7920 Fully Automatic Electronic Blood Pressure Monitor

Indications for Use (Describe)

KD-7920 Fully Automatic Electronic Blood Pressure Monitor is for use by medical professionals or at home and is a noninvasive blood pressure measurement system intended to measure the diastolic blood pressures and pulse rate of an adult individual by using a non-invasive technique in which an inflatable cuff is wrapped around the wrist. The cuff circumference is limited to 14cm-25cm.

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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510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirement of SMDA and 21 CFR 807.92.

1.0 submitter's information

Name:Andon Health Co., Ltd.
Address:No 3, Jinping Street Ya An Road, Nankai District, Tianjin,
P.R. China
Phone number:86-22-6052 6161
Fax number:86-22-6052 6162
Contact:Liu Yi
Date of Preparation:9/23/2016

2.0 Device information

Trade name:7920 Fully Automatic Electronic Blood Pressure Monitor
---------------------------------------------------------------------

Common name: Noninvasive blood pressure measurement system

Classification name: Noninvasive blood pressure measurement system

3.0 Classification

Production code: DXN- Noninvasive blood pressure measurement system. Regulation number: 870.1130 Classification: II Panel: Cardiovascular

4.0 Predicate device information

Primary Predicate:

Manufacturer: Andon Health Co., Ltd. Device: KD-7964 Fully Automatic Electronic Blood Pressure Monitor 510(k) number: K102906

Reference Predicate:

Manufacturer: Andon Health Co., Ltd. Device: KD-7901 Fully Automatic Electronic Blood Pressure Monitor 510(k) number: K092510

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5.0 Intended use

KD-7920 Fully Automatic Electronic Blood Pressure Monitor is for use by medical professionals or at home and is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive technique in which an inflatable cuff is wrapped around the wrist. The cuff circumference is limited to 14cm-25cm.

The intended use and the indication for use of KD-7920, as described in its labeling are the same as the predicate device KD-7964(K102906).

6.0 Device description

KD-7920 Fully Automatic Electronic Blood Pressure Monitor is designed and manufactured according to IEC 80601-2-30.

The operational principle is based on oscillometric and silicon integrates pressure sensor technology. It can calculate the systolic and diastolic blood pressure, and display the result on the LCD. The measurements results can also be classified by the function of blood pressure classification indicator. If any irregular heartbeat is detected, it can be shown to the user.

7.0 Summary comparing technological characteristics with predicate device

ItemSubject Device (K162915)Predicate Device (K102906)Conclusion
ModelsKD-7920KD-7964
PopulationAdultAdultSame
Cuff locationWristWristSame
Indications
for UseKD-7920 Fully Automatic
Electronic Blood Pressure
Monitor is for use by
medical professionals or
at home and is a
non-invasive blood
pressure measurement
system intended to
measure the diastolic and
systolic blood pressures
and pulse rate of an adult
individual by using aKD-7964 Fully Automatic
Electronic Blood Pressure
Monitor is for use by
medical professionals or
at home and is a
non-invasive blood
pressure measurement
system intended to
measure the diastolic and
systolic blood pressures
and pulse rate of an adult
individual by using aSame
non-invasive technique in
which an inflatable cuff is
wrapped around the wrist.
The cuff circumference is
limited to 14cm-25cm.non-invasive technique in
which an inflatable cuff is
wrapped around the wrist.
The cuff circumference is
limited to 14cm-25cm.
RX or OTCOTCOTCSame
Physical attributes
Weight69.5g133g (w/o batteries)The appearance of
the new
device is changed,
so the weight
and dimension are
also changed,
the electrical
safety test report
and
the EMC test
report confirm that
all
the new device is
as safe and
effective as the
predicate device
Dimensions (mm)80 x 60 x 3190 x 68 x 30
Memory4 x 30 times2 x 60 timesThe memory times
of the new
devices is
changed, but the
software validation
documentation
confirms that all
the new device is
the same effective
and safe as the
predicate device
Displayed and
calculated
parametersSystolic, Diastolic, Pulse,
Irregular heartbeatSystolic, Diastolic, Pulse,
Irregular heartbeatSame
DisplayLCDLCDSame
Electrical
Power rating3VDC3VDCSame
Battery2 x 1.5 VDC AAA size2 x 1.5 VDC AAA sizeSame
Performance

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7920 Fully Automatic Electronic Blood Pressure Monitor FDA 510(k) Files

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7920 Fully Automatic Electronic Blood Pressure Monitor FDA 510(k) Files

Pulse rate40 – 180 times/min40 – 180 times/minSame
Pulse rate accuracy±5%±5%Same
BP monitoring methodOscillometricOscillometricSame
Measurement processTaken during deflationTaken during deflationSame
Systolic range60 – 260 mmHg60 – 260 mmHgSame
Diastolic range40 – 199 mmHg40 – 199 mmHgSame
Overpressure limit300 mmHg300 mmHgSame
AlgorithmAmplitude (Same as K092510)Amplitude (same as K092510)Same

8.0 Discussion of non-clinical and clinical test performed

Non-clinical Tests have been done as follows:

a. Electromagnetic compatibility test according to IEC 60601-1-2;

  • b. Electrical safety according test to IEC 60601-1;
    c. Safety and performance characteristics of the test according to IEC 80601-2-30

Clinical Tests were done as follows:

Accuracy of the electronic blood pressure monitors was verified by meeting Criteria 1 and 2 of ISO 81060-2

None of the test demonstrates that KD-7920 Fully Automatic Electronic Blood Pressure Monitor bring new questions of safety and effectiveness.

9.0 Performance summary

KD-7920 Fully Automatic Electronic Blood Pressure Monitor conforms to the following standards:

  • IEC 60601-1:2005/(R)2012 A1:2012,C1:2009/(R)2012 And A2:2010/(R)2012 (Consolidated Text) Medical Electrical Equipment - Part 1: General Requirements For Basic Safety And Essential Performance (IEC 60601-1:2005, MOD)
  • IEC 60601-1-2:2007, Medical Electrical Equipment -- Part 1-2: General

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Requirements For Basic Safety And Essential Performance -- Collateral Standard: Electromagnetic Disturbances -- Requirements And Tests

  • IEC 80601-2-30:2009 & A1:2013,Medical Electrical Equipment Part 2-30: Particular Requirements For The Basic Safety And Essential Performance Of Automated Noninvasive Sphygmomanometers
  • · ISO 81060-2: Non-invasive sphygmomanometers -- Part 2: Clinical investigation of automated measurement type

10.0 Comparison to the predicate device and the conclusion

Our device KD-7920 Fully Automatic Electronic Blood Pressure Monitor are substantially equivalent to the predicate device KD-7964 Fully Automatic Electronic Blood Pressure Monitor.

KD-7920 is very similar with its predicate device in the intended use, the design principle, the data transmission mode, the material, the performance and the applicable standards. Only their appearance, the memory capacity, the average function, the power and the MCU are different.

However, the test in this submission provides demonstrates that these small differences do not raise any new questions of safety and effectiveness.

KD-7920 uses the same design principle, blood pressure cuff and same algorithm as the KD-7901 blood pressure monitor. KD-7901 is also manufactured by Andon Health Co., Ltd and has been cleared by FDA with 510K number of K092510.