K Number
K171121
Manufacturer
Date Cleared
2017-11-17

(214 days)

Regulation Number
870.2300
Panel
CV
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Masimo Root Monitoring System and Accessories are indicated for use by healthcare professionals for the monitoring of multiple physiological parameters in healthcare environments. The Root Monitoring System, when used with the optional ISA module, is not intended to be used in road ambulances.

The Masimo Root Monitoring System and Accessories can communicate with network systems for supplemental remote viewing and alarming (e.g., at a central station).

The optional Masimo Radical-7 Pulse CO-Oximeter and Accessories are indicated for the continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2), pulse rate, carboxyhemoglobin saturation (SpCO), methemoglobin saturation (SpMet), total hemoglobin concentration (SpHb), and/or respiratory rate (RRa). The Masimo Radical-7 Pulse CO-Oximeter and accessories are indicated for use with adult, pediatric, and neonatal patients during both no motion and motion conditions, and for patients who are well or poorly perfused in hospitals, hospital-type facilities, mobile, and home environments. In addition, the Masimo Radical-7 Pulse CO-Oximeter and accessories are indicated to provide the continuous non-invasive monitoring data obtained from the Masimo Radical-7 Pulse CO-Oximeter and accessories of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate to multiparameter devices for the display of those devices.

The optional Masimo Radius-7 Wearable Pulse CO-Oximeter and Accessories are indicated for the continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2), pulse rate, carboxyhemoglobin saturation (SpCO), methemoglobin saturation (SpMet), total hemoglobin concentration (SpHb), and/or respiratory rate (RRa). The Masimo Radius-7 Wearable Pulse CO-Oximeter and accessories are indicated for use with adult and pediatric patients during both no motion and motion conditions, and for patients who are well or poorly perfused in hospitals and hospital-type facilities.

The optional ISA product family consists of three types of sidestream gas analyzers (ISA CO2, ISA AX+ and ISA OR+) and accessories including Nomoline, intended to be connected to other medical backboard devices for monitoring of breath rate and the following breathing gases:

ISA CO2: CO2

ISA AX+: CO2, N2O, Halothane, Isoflurane, Enflurane, Sevoflurane and Desflurane

ISA OR+: CO2, O2, N2O, Halothane, Isoflurane, Enflurane, Sevoflurane and Desflurane

ISA CO2, ISA AX+ and ISA OR+ are intended to be connected to a patient breathing circuit for monitoring of inspired/expired gases during anesthesia, recovery and respiratory care. The intended environment is the operating suite, intensive care unit and patient room. ISA CO2 is also intended to be used in road ambulances. The intended patient population is adult, pediatric, infant, and neonatal patients.

The optional SEDLine Sedation Monitor is indicated for use in the operating room (OR), intensive care unit (ICU), and clinical research laboratory. It is intended to monitor the state of the brain by real-time data acquisition and processing of EEG signals. The system includes the Patient State Index (PSI), a proprietary computed EEG variable that is related to the effect of anesthetic agents.

The optional temperature module is indicated to measure temperature (oral, adult axillary, pediatric axillary, and rectal) of adult and pediatric patients. The device is intended to be used by clinicians and medically qualified personnel. It is available for sale only upon the order of a physician or licensed health care provider.

The optional non-invasive blood pressure (NIBP) module is indicated for the noninvasive measurement of arterial blood pressure in healthcare environments. The NIBP module is designed to measure blood pressure for patient population described in the following table:

Patient PopulationApproximate Age Range
Newborn (neonate)Birth to 1 month of age
Infant1 month to 2 years of age
Child2 to 12 years of age
Adolescent12-21 years of age
Adult21 years of age and older
Device Description

The Masimo Root Monitoring System and Accessories (Root) is a multifunctional device that monitors vital signs for neonatal to adult patients. Parameters monitored by Root are from cleared measurement modules and their corresponding accessories, consisting of:

  • . Masimo Radical-7 and Radius-7 Pulse CO-Oximeter measurement modules and accessories (i.e. RD SET disposable sensors, RD Rainbow sensors, RAS-45 or RRa sensors) with technologies for the monitoring of non-invasive functional oxygen saturation of arterial hemoglobin (SpO2), pulse rate, carboxyhemoglobin saturation (SpCO), methemoglobin saturation (SpMet), total hemoglobin concentration (SpHb), and respiratory rate (RRa);
  • Masimo Sweden ISA-Infrared Sidestream Gas Analyzer measurement modules (ISA) and accessories (Nomoline product family) with technologies for breathing gases and respiratory rate monitoring, including inspired/expired gases during anesthesia, recovery and respiratory care;
  • Masimo Sedline Sedation Monitor measurement module and accessories (i.e. RD . Sedline EEG sensor) with technologies for state of the brain by real-time data acquisition and processing of EEG signals and Patient State Index (PSI) which is an EEG variable that is related to the effect of anesthetic agents;
  • Temperature measurement module and accessories (i.e. temperature probe) with technologies for oral/axillary body temperature measurements; and
  • . Non-invasive blood pressure measurement module and accessories (i.e. reuse and disposable pressure cuffs) with technologies for systolic, diastolic and mean arterial pressure (MAP) measurements.

Root is intended to be used as a user interface to facilitate access control and monitoring device functions. Root displays patient monitoring information from the connected modules. Visual alarms are shown on the Root display and audible alarms are generated through the Root internal speaker. The user accesses the wired or wirelessly connected modules' monitoring functions, using the Root display. When the module is disconnected from Root, the monitoring information from the module is no longer displayed on Root. Data from connected modules, including patient monitoring data, can be communicated to network systems such as the Patient SafetyNet (K071047) and hospital EMR. Root also functions as a pass-through means for communicating information between connected devices and network systems.

The Root under K151644 consists of various measurement modules, including the ISA product family (ISA) and corresponding accessories, Nomoline product family (Nomoline).

AI/ML Overview

The provided text describes a 510(k) premarket notification for the Masimo Root Monitoring System and Accessories. It outlines the device's indications for use, technological characteristics, and a comparison to predicate devices, focusing on the ISA and Nomoline components.

No clinical studies are mentioned for the subject device to support acceptance criteria within this document. The document explicitly states: "Clinical testing was not performed with the subject device, Root with ISA and Nomoline, to support substantial equivalence."

Therefore, I can only provide information based on the non-clinical testing and general specifications mentioned.

Here's a breakdown of the requested information based solely on the provided text:

1. A table of acceptance criteria and the reported device performance

The document provides "Specifications" for the Root system and the ISA module, which can be interpreted as acceptance criteria for the non-clinical tests conducted. The "reported device performance" is implicitly that the device met these specifications, as the conclusion states the non-clinical testing "demonstrates that the subject device...is substantially equivalent to its predicate."

Feature/ParameterAcceptance Criteria (Specification)Reported Device Performance (Implied)
Root (General)
DisplayColor LCD touchscreenMet specification
Measurement modulesRadical-7; Radius-7; ISA; Sedline; temperature; NIBPMet specification
Visual/audible alarmIEC-60601-1-8 compliantMet specification
Storage/recordingTrend/data storageMet specification
PowerAC power 100-240 volt, 47-63 Hz; Rechargeable batteryMet specification
InterfaceWired/wireless; MOC-9; Iris; Nurse call; USB; SD card; temperature probe port; NIBP portMet specification
Network connectivityEthernet; Wi-Fi, 802.11 a/b/g; Bluetooth 2.0Met specification
Dimensions/Weight11 x 10.5 x 5.5 inch (27.9 x 26.7 x 14 cm)/ 3.37 kgMet specification
Operating temperature50 to 104°F (10 to 40°C)Met specification
Storage temperature-4 to 122°F (-20 to 50°C)Met specification
Humidity15 to 95% non-condensing humidityMet specification
Electrical safetyIEC-60601 compliantMet specification
EMCIEC-60601 compliantMet specification
Mode of operationContinuousMet specification
ISA (Gas Analyzer)
Patient populationAdult, pediatric, infant and neonate patientsMet specification
Sampling flow rate50 ± 10 ml/minMet specification
Respiration rate0 to 150 ± 10 breaths/minMet specification
Rise time (CO2)≤ 250 msMet specification
Rise time (N2O)≤ 350 msMet specification
Rise time (O2)≤ 450 msMet specification
Rise time (HAL, ISO, ENF, SEV, DES)≤ 350 msMet specification
Accuracy (CO2)0-15 vol%; ±0.2 vol% + 2 % of readingMet specification
Accuracy (O2)0-100 vol %; ±1 vol% + 2 % of readingMet specification
Accuracy (N2O)0-100 vol%; ±(2 vol% + 2 % of reading)Met specification
Accuracy (HAL/ISO/ENF)0-8 vol%; ±0.15 vol% + 5 % of readingMet specification
Accuracy (SEV)0-10 vol%; ±0.15 vol% + 5 % of readingMet specification
Accuracy (DES)0-22 vol%; ±0.15 vol% + 5 % of readingMet specification
Agent identification threshold0.15 vol%Met specification
Mixture agent threshold (secondary)0.2 vol% + 10% of total agent concentrationMet specification
InterfaceMOC-9 or RS-232Met specification
Dimensions/Weight (ISA CO2/AX+)1.3 x 3.1 x 1.9 inch (33 x 78 x 49 mm)/ 130 gMet specification
Dimensions/Weight (ISA OR+)1.9 x 3.5 x 3.9 inch (49 x 90 x 100 mm)/ 420 gMet specification
Operating temperature (ISA CO2)32 to 122°F (0 to 50°C)Met specification
Operating temperature (ISA AX+/OR+)41 to 122°F (5 to 50°C)Met specification
Storage temperature (ISA)-40 to 158°F (-40 to 70°C)Met specification
Operating humidity (ISA)

§ 870.2300 Cardiac monitor (including cardiotachometer and rate alarm).

(a)
Identification. A cardiac monitor (including cardiotachometer and rate alarm) is a device used to measure the heart rate from an analog signal produced by an electrocardiograph, vectorcardiograph, or blood pressure monitor. This device may sound an alarm when the heart rate falls outside preset upper and lower limits.(b)
Classification. Class II (performance standards).