K Number
K163276
Device Name
Fully Automatic Electronic Blood Pressure Monitor
Date Cleared
2017-05-11

(171 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
KD-721 and KD-723 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-721 and KD-723 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 summary describes a standard oscillometric blood pressure monitor using a fixed algorithm (BPM-WAU V2.0-201109) and does not mention any AI/ML components or training/test data.

No.
The device is a diagnostic tool for measuring blood pressure and pulse rate, not a device intended for treating a disease or condition.

Yes

Explanation: The device measures blood pressure and pulse rate, providing physiological information that can be used to monitor a patient's health and potentially identify abnormalities (like irregular heartbeat). Though not diagnosing a specific condition, it provides data essential for medical assessment, fitting the definition of a diagnostic device.

No

The device description explicitly states it is a "Fully Automatic Electronic Blood Pressure Monitor" and describes hardware components like an inflatable cuff, pressure sensor technology, and an LCD display. It also mentions testing according to standards for electrical safety and electromagnetic compatibility, which are relevant to hardware.

Based on the provided information, 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-721 and KD-723 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 performed directly on the body, not on a sample taken from the body.
  • Intended Use: The intended use clearly states it's a "non-invasive blood pressure measurement system."

Therefore, this device falls under the category of a medical device, but not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

KD-721 and KD-723 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.

Product codes

DXN

Device Description

KD-721 and KD-723 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 (study type, sample size, AUC, MRMC, standalone performance, key results)

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

None of the test demonstrates that KD-721 and KD-723 Fully Automatic Electronic Blood Pressure Monitor bring new questions of safety and effectiveness.

Clinical Tests discussion:
KD-721/723 and KD-972 (cleared in 2012 as K121470) are blood pressure monitors based on oscillometric and silicon integrates pressure sensor technology, when inflating the cuff, systolic and diastolic signal will be collected, using the algorithm to get final value and record. The algorithm version of both the new device and KD-972 is: BPM-WAU V2.0-201109, and the cuff size used is exactly the same, so the clinical test report of KD-972 (that conformed to ANSI/AAMI/ISO 81060-2:2009 & 2013) can be used for evaluating KD-721/723.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K152379

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K121470

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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).

0

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Public Health Service

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

May 11, 2017

Andon Health Co.,ltd Liu Yi President No 3, Jin Ping St, Ya An Rd Nankai District Tianjin, 300190 CN

Re: K163276

Trade/Device Name: KD-721 and KD-723 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: April 6, 2017 Received: April 10, 2017

Dear Liu Yi:

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

1

Part 807); labeling (21 CFR Part 801); medical device reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in 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,

M.A. Hillemann

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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K163276

Device Name

KD-721 and KD-723 Fully Automatic Electronic Blood Pressure Monitor

Indications for Use (Describe)

KD-721 and KD-723 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.

Type of Use (Select one or both, as applicable)
-------------------------------------------------
Prescription Use (Part 21 CFR 801 Subpart D)Over-the-Counter Use
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

ver-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:11/15/2016

2.0 Device information

Tradename:KD-721andKD-723FullyAutomatic
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

Manufacturer: Andon Health Co., Ltd. Device: iHealth View BP7S Wireless Blood Pressure Wrist Monitor 510(k) number: K152379

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5.0 Intended use

KD-721 and KD-723 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-721 and KD-723, as described in its labeling are the same as the predicate device BP7S (K152379).

6.0 Device description

KD-721 and KD-723 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

Technological CharacteristicsComparison result
Design principleIdentical
AppearanceSimilar
Patients contact MaterialsSimilar
PerformanceSimilar
BiocompatibilityIdentical
Mechanical safetyIdentical
Standards metIdentical
Electrical safetyIdentical
EMCIdentical
FunctionSimilar

5

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

None of the test demonstrates that KD-721 and KD-723 Fully Automatic Electronic Blood Pressure Monitor bring new questions of safety and effectiveness.

Clinical Tests discussion

KD-721/723 and KD-972(cleared in 2012 as K121470) are blood pressure monitors based on oscillometric and silicon integrates pressure sensor technology, when inflating the cuff, systolic and diastolic signal will be collected, using the algorithm to get final value and record. The algorithm version of both the new device and KD-972 is: BPM-WAU V2.0-201109, and the cuff size used is exactly the same, so the clinical test report of KD-972(that conformed to ANSI/AAMI/ISO 81060-2:2009 & 2013) can be used for evaluating KD-721/723.

9.0 Performance summary

KD-721 and KD-723 Fully Automatic Electronic Blood Pressure Monitor conforms to the following standards:

  • IEC 60601-1:2005/(R)2012 And 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 60601-1-2:2014.Medical Electrical Equipment -- Part 1-2: General 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

10.0 Comparison to the predicate device and the conclusion

6

Our device KD-721 and KD-723 Fully Automatic Electronic are substantially equivalent to iHealth BP7S Wireless Blood Pressure Wrist Monitor whose 510(k) number is K152379.

ItemPredicate DeviceSubject DeviceDeviceComparison
Name and
modeBP7S Wireless
Blood
Pressure Wrist
MonitorKD-721 Wireless
Blood
Pressure Wrist
MonitorKD-723 Wireless
Blood
Pressure Wrist
MonitorThe name is different
because the model is
different.
Intended UseMonitor and
display diastolic,
systolic blood
pressure and pulse
rateMonitor and
display diastolic,
systolic blood
pressure and pulse
rateMonitor and
display diastolic,
systolic blood
pressure and
pulse rateSame
Rx or OTCOTCOTCOTCSame
PopulationAdultAdultAdultSame
Cuff LocationWristWristWristSame
Physical Attributes
WeightAbout 114g
(include cuff)About 67g
(exclude batteries)About 69g
(exclude
batteries)The weight and is
different, because the
appearance is changed.
Dimensions72mmX74mmX17.
6mm78mm×60mm
×28mm80mm×60mm
×22mmBut the test conform that
this does not impact
safety and effectiveness.
MemoryNA2×60 times2×60 timesAlthough the memory
function is changed, there
is no impact on safety and
effectiveness for this
change.
Displayed
Calculated
ParametersSYS
DIA
Pulse
IHBSYS
DIA
Pulse
IHBSYS
DIA
Pulse
IHBSame
Display
component1 LCD
2 Display on Smart
Phone1 LCD
2 Display on Smart
Phone1 LCD
2 Display on
Smart PhoneSame
Average
functionNo average
functionaverage value of
all the results
measured from 5
o'clock to 9 o'clock
in last 7 daysAveraging all the
resultsAlthough the average
function is changed , this
will not impact on safety
and effectiveness.
Other
DisplayedDate
TimeDate
TimeDate
TimeSame
Information
Memory
Battery usage
Bluetooth symbol
charge symbol
sync symbol
(Displayed on
device)Memory
Battery usage
Bluetooth symbol
Blood pressure
classification
(Displayed on
device)Memory
Battery usage
Bluetooth symbol
Blood pressure
classification
(Displayed on
device)
Other
FeaturesTransmit data to
smart phone via
Bluetooth
WHO classificationTransmit data to
smart phone via
Bluetooth
JNC classificationTransmit data to
smart phone via
Bluetooth
WHO
classificationSame data transmission
The classification of
KD-721 is different, but
this change will not affect
safety and effectiveness.
Apps on smart phone
Function on
appStorage test result/
Read memories in
App/Delete
memories in app/
Draw table and
graph/Set alarm in
app/Set the
personal
information in app/
Share history data
in appStorage and
display test results
onlyStorage and
display test
results onlyThe new device can only
store test results and
display, but this change
will not affect safety and
effectiveness
Electrical Power
Battery1*3.7V Li-ion
400mAh2x1.5V SIZE AAA2x1.5V SIZE AAAThe battery is changed, t
but this will not affect
safety and effectiveness.
Environmental Operation
Temperature10~40°C10~40°C10~40°CSame
Humidity≤85%≤85%≤85%Same
Environmental Storage
Temperature-20~55°C-20~50°C-20~50°CAlthough the storage
temperature of KD-721
and KD-723 is changed,
this will not affect safety
and effectiveness
Humidity≤85%≤85%≤85%Same
PerformanceNIBP
Pulse Rate40 ---40 ---40 ---Same
Range180times/min180times/min180times/minSame
Pulse Rate
AccuracyWithin ±5%Within ±5%Within ±5%Same

5- 4

7

K163276

8

K163276

KD-721 and 723 Fully Automatic Electronic Blood Pressure Monitor FDA 510(k) Files
-----------------------------------------------------------------------------------
Technique/MethodOscillometricOscillometricOscillometricSame
Measure processMeasure during inflatingMeasure during inflatingMeasure during inflatingSame
Systolic Range60-260mmHg60-260mmHg60-260mmHgSame
Diastolic Range40-199mmHg40-199mmHg40-199mmHgSame
Pressure AccuracyWithin ±3mmHgWithin ±3mmHgWithin ±3mmHgSame
Cuff Pressure Range0-300mmHg0-300mmHg0-300mmHgSame
Overpressure Limit300mmHg300mmHg300mmHgSame
Microprocess orMB9AFB44NцPD78F0485цPD78F0485Although the MCU is different, this change will not affect safety and effectiveness
AlgorithmAmplitudeAmplitudeAmplitudeSame

KD-721 and KD-723 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.