K Number
K171668
Device Name
Bluetooth blood pressure monitor
Manufacturer
Date Cleared
2018-02-26

(266 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
BW-BA1 Bluetooth Blood Pressure Monitor is intended to be used to measure systolic and diastolic blood pressure and heart rate from the upper arm with arm circumference ranging from 8.7 inches (approx.22 cm to 42 cm) using the oscillometric method. The device detects the appearance of irregular heartbeats during measurement and gives a "IHB" warning signal with readings. The intended patient population of the device is only adult population aged 18 or older at home, not applied to the other populations such as neonatal baby. It cannot be used while the arm has bleeding or wound to avoid the blood flowing from the wound in pressurizing. The device cannot be used by pregnant patients or patients suffering from pre-eclampsia.
Device Description
BW-BA1 Bluetooth Blood Pressure Monitor is a fully automatic non-invasive blood pressure monitor which measures systolic and diastolic blood pressure and heart rate of adult population using the oscillometric method during inflating @ 3~8mmHg/second from about 30mmHg by inflating a cuff on the upper arm. The device detects the appearance of irregular heartbeats during measurement and gives a warning signal with readings. An irregular heartbeat rhythm is defined as rhythm that is 25% less or 25% more than the average rhythm detected while the monitor is measuring the systolic and diastolic blood pressure. BW-BA1 Bluetooth Blood Pressure Monitor without any display component achieves its function by integrating the device with a collateral device iPhone, iPad with a specific mobile app to constitute a complete blood pressure measurement system. And the new device connects the mobile platform with the mobile app through Bluetooth 4.0. The operational principle is based on oscillometric and pressure sensor technology, it can calculate the systolic and diastolic blood pressure, and the measurement results can be classified by the function of blood pressure classification indicator according to the classification rule developed by WHO. The BW-BA1 is powered by a rechargeable Lithium battery. The device has an ON/START button for starting the measuring and stopping the measuring at any time when measuring.
More Information

Not Found

No
The description focuses on standard oscillometric blood pressure measurement and irregular heartbeat detection based on predefined rhythm variations, with no mention of AI or ML algorithms.

No
The device is intended for measuring blood pressure and heart rate, and detecting irregular heartbeats. It does not provide any therapy or treatment.

Yes.

Explanation: The device is intended to measure systolic and diastolic blood pressure and heart rate, and it also detects irregular heartbeats, providing "IHB" warning signals. These functions involve the collection of physiological data and the identification of potential health indicators based on those measurements, which are characteristic of diagnostic devices.

No

The device description explicitly states it is a "fully automatic non-invasive blood pressure monitor" that uses an inflatable cuff and pressure sensor technology. It also mentions being powered by a rechargeable Lithium battery and having an ON/START button. While it integrates with a mobile app, it is not solely software.

Based on the provided information, the BW-BA1 Bluetooth Blood Pressure Monitor is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • BW-BA1 Function: The BW-BA1 measures blood pressure and heart rate directly from the upper arm using the oscillometric method. It does not analyze any bodily fluids or tissues.
  • Intended Use: The intended use is to measure physiological parameters (blood pressure and heart rate) from the body, not to analyze samples taken from the body.

Therefore, the BW-BA1 falls under the category of a non-invasive medical device for physiological measurement, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

BW-BA1 Bluetooth Blood Pressure Monitor is intended to be used to measure systolic and diastolic blood pressure and heart rate from the upper arm with arm circumference ranging from 8.7 inches (approx.22 cm to 42 cm) using the oscillometric method. The device detects the appearance of irregular heartbeats during measurement and gives a "IHB" warning signal with readings. The intended patient population of the device is only adult population aged 18 or older at home, not applied to the other populations such as neonatal baby.

It cannot be used while the arm has bleeding or wound to avoid the blood flowing from the wound in pressurizing. The device cannot be used by pregnant patients or patients suffering from pre-eclampsia.

Product codes

DXN

Device Description

BW-BA1 Bluetooth Blood Pressure Monitor is a fully automatic non-invasive blood pressure monitor which measures systolic and diastolic blood pressure and heart rate of adult population using the oscillometric method during inflating @ 3~8mmHg/second from about 30mmHg by inflating a cuff on the upper arm. The device detects the appearance of irregular heartbeats during measurement and gives a warning signal with readings. An irregular heartbeat rhythm is defined as rhythm that is 25% less or 25% more than the average rhythm detected while the monitor is measuring the systolic and diastolic blood pressure.

BW-BA1 Bluetooth Blood Pressure Monitor without any display component achieves its function by integrating the device with a collateral device iPhone, iPad with a specific mobile app to constitute a complete blood pressure measurement system. And the new device connects the mobile platform with the mobile app through Bluetooth 4.0.

The operational principle is based on oscillometric and pressure sensor technology, it can calculate the systolic and diastolic blood pressure, and the measurement results can be classified by the function of blood pressure classification indicator according to the classification rule developed by WHO.

The BW-BA1 is powered by a rechargeable Lithium battery.

The device has an ON/START button for starting the measuring and stopping the measuring at any time when measuring.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper arm

Indicated Patient Age Range

adult population aged 18 or older

Intended User / Care Setting

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)

Performance Testing - Bench

Testing information demonstrating safety and effectiveness of BW-BA1 Bluetooth Blood Pressure Monitor in the intended environment of use is supported by testing that was conducted.

The following testing was conducted to prove safety and effectiveness as well as substantial equivalence to the predicate devices.

The following National and International Standards were utilized for testing the subject device.

a. EMC Test:

  • IEC 60601-1-2:2014 General Requirements For Basic Safety And Essential Performance - Collateral Standard: Electromagnetic Disturbances - Requirements And Tests

b. Safety Test:
-IEC 60601-1:2005+A1:2012, Medical electrical equipment - Part 1: General requirements for basic safety and essential performance
-IEC 60601-1-11:2010, Medical electrical equipment-Part 1-11: General Requirement for basic safety and essential performance- Collateral Standard: Requirements for medical electrical systems used in the home healthcare Environment
-IEC 62133:2012, Secondary cells and batteries containing alkaline or other non-acid electrolytes - Safety requirements for portable sealed secondary cells, and for batteries made from them, for use in portable applications

c. Reliability Test:
-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, 2013
-EN 1060-3: 1995+A2:2009 Non-invasive sphygmomanometers Part 3: Supplementary requirements for electro-mechanical blood pressure measuring systems

d. Radio Frequency Wireless Test:
-EN 300 328, Electromagnetic compatibility and Radio spectrum Matters (ERM); Wideband transmission systems; Data transmission equipment operating in the 2.4 GHz ISM band and using wide band modulation techniques; Harmonized EN covering the essential requirements of article 3.2 of the R&TTE Directive
-EN 301 489-1, Electromagnetic compatibility and Radio spectrum Matters (ERM); Electromagnetic Compatibility (EMC) standard for radio equipment and services; Part 1: Common technical requirements
-EN 301 489-17, Electromagnetic compatibility and Radio spectrum Matters (ERM); Electro Magnetic Compatibility (EMC) standard for radio equipment; Part 17: Specific conditions for Broadband Data Transmission Systems

d. FCC Test:
FCC 47 CFR Part 15, Subpart B & FCC 47 CFR Part 15, Subpart C

e. Biocompatibility Test:
-ISO 10993-1:2009, Biological evaluation of medical devices- Part 1: Evaluation and testing within a risk management process
-ISO 10993-5:2009. Biological evaluation of medical devices-Part 5: Tests for In Vitro cytotoxicity
-ISO 10993-10:2010, Third Edition Biological evaluation of medical devices-Part 10: Tests for irritation and skin sensitization

f. Software Verification and Validation:

  • Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices Document issued on: May 11, 2005

g. Usability Engineering:
-IEC 62366-1:2015 Medical devices - Part 1: Application of usability engineering to medical devices
-IEC 60601-1-6: 2010 +A1:2013 Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability

None of the testing demonstrated any design characteristics that violated the requirements of the Reviewer Guidance or resulted in any safety hazards. It was our conclusion that BW-BA1 Bluetooth Blood Pressure Monitor tested met all relevant requirements of the aforementioned tests.

Performance Testing - Clinical
Clinical validation concerning the compliance of ISO 81060-2 has been performed that the device BW-BA1 is the same as the predicate except IHB adding for our device. And the fundamental scientific technology of the device is identical with the predicate and IHB adding does not raise new questions of safety and effectiveness. Therefore the performance of the device in terms of blood pressure measurement would be identical with performance of the predicate.

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

Accuracy:
Pressure: ± 3mmHg
Pulse: ± 5% reading value

Predicate Device(s)

K133125

Reference Device(s)

Not Found

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).

0

Image /page/0/Picture/0 description: The image contains the logos of the Department of Health & Human Services and the U.S. Food & Drug Administration (FDA). The Department of Health & Human Services logo is on the left, featuring a stylized emblem. To the right is the FDA logo, with the letters 'FDA' in a blue square, followed by 'U.S. FOOD & DRUG' and 'ADMINISTRATION' in blue text.

February 26, 2018

Visiomed Group SA % Dacheng Gong General Manager Shenzhen Kingyield Technology Co., Ltd. Section C2, Fuhai Industrial Zone Fuyong Town, Baoan District Shenzhen, 518000 China

Re: K171668

Trade/Device Name: BW-BA1 Bluetooth Blood Pressure Monitor Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive Blood Pressure Measurement System Regulatory Class: Class II Product Code: DXN Dated: January 18, 2018 Received: January 23, 2018

Dear Dacheng Gong:

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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820);

1

Page 2 - Dacheng Gong

and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

M.A. Willemann
for

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

Enclosure

2

Indications for Use

510(k) Number (if known) K171668

Device Name BW-BA1 Bluetooth blood pressure monitor

Indications for Use (Describe)

BW-BA1 Bluetooth Blood Pressure Monitor is intended to be used to measure systolic and diastolic blood pressure and heart rate from the upper arm with arm circumference ranging from 8.7 inches (approx.22 cm to 42 cm) using the oscillometric method. The device detects the appearance of irregular heartbeats during measurement and gives a "IHB" warning signal with readings. The intended patient population of the device is only adult population aged 18 or older at home, not applied to the other populations such as neonatal baby.

It cannot be used while the arm has bleeding or wound to avoid the blood flowing from the wound in pressurizing. The device cannot be used by pregnant patients or patients suffering from pre-eclampsia.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

BW-BA1 Premarket Notification 510(k)

510(k) Summary

Administrative Information I.

1.1 Submitter/Owner

Visiomed Group SA

Address: 112 Av. Kleber Paris, FRANCE 75116 Establishment Registration Number: 3012440774

1.2 Contact person

Authorized Contact Person: Dacheng Gong who works for the manufacturer Shenzhen Kingyield Technology Co., Ltd who manufactures BW-BA1 for Visiomed Group SA

Position: General Manager

Address: Section C2, Fuhai Industrial Zone, Fuyong Town, Baoan District, Shenzhen, 518103, China

Tel: 86 755 2737 1997 Fax: 86 755 2733 1856 Email: kingyield@kingyield.com

II. PROPOSED DEVICE

Device type by its common name: BW-BA1 Bluetooth Blood pressure monitor Regulation Number: 21CFR 870.1130 Regulation Name: Noninvasive Blood Pressure Measurement System Regulatory Class: II Panel: Cardiovascular Product Code: DXN

III. PREDICATE DEVICE

Device Name: Withings Blood Pressure Monitor, Upper Arm Type BP-801 Common/Usual Name: Blood Pressure Monitor, Upper Arm Type BP-801 510(k) Number: K133125 510(k) submitter/holder: Withings (VA HORNG Electronic Co., Ltd.)

IV. DEVICE DESCRIPTION

BW-BA1 Bluetooth Blood Pressure Monitor is a fully automatic non-invasive blood pressure monitor which measures systolic and diastolic blood pressure and heart rate of adult population using the oscillometric method during inflating @ 3~8mmHg/second from about 30mmHg by inflating a cuff on the upper arm. The device detects the appearance of irregular heartbeats during measurement and gives a warning signal with readings. An irregular heartbeat rhythm is defined as rhythm that is 25% less or 25% more than the average rhythm detected while the monitor is measuring the systolic and diastolic blood

4

BW-BA1 Premarket Notification 510(k)

pressure.

BW-BA1 Bluetooth Blood Pressure Monitor without any display component achieves its function by integrating the device with a collateral device iPhone, iPad with a specific mobile app to constitute a complete blood pressure measurement system. And the new device connects the mobile platform with the mobile app through Bluetooth 4.0.

The operational principle is based on oscillometric and pressure sensor technology, it can calculate the systolic and diastolic blood pressure, and the measurement results can be classified by the function of blood pressure classification indicator according to the classification rule developed by WHO.

The BW-BA1 is powered by a rechargeable Lithium battery.

The device has an ON/START button for starting the measuring and stopping the measuring at any time when measuring.

V. INDICATIONS FOR USE

BW-BA1 Bluetooth Blood Pressure Monitor is intended to be used to measure systolic and diastolic blood pressure and heart rate from the upper arm with arm circumference ranging from 8.7 inches to 16.5 inches (approx.22 cm) using the oscillometric method. The device detects the appearance of irregular heartbeats during measurement and gives a "IHB" warning signal with readings. The intended patient population of the device is only adult population aged 18 or older at home, not applied to the other populations such as neonatal baby.

lt cannot be used while the arm has bleeding or wound to avoid the blood flowing from the wound in pressurizing. The device cannot be used by pregnant patients or patients suffering from pre-eclampsia.

Comparison itemProposed devicePredicate device
ApplicantShenzhen Kingyield technologyWithings (VA HORNG Electronic Co.,
Co., Ltd.Ltd.)
ModelBW-BA1 Bluetooth bloodWithings Blood Pressure Monitor,
pressure monitorUpper Arm Type BP-801
510k numberK133125
Collateral deviceSameThe Withings BP-801 is a blood
The collateral device is iPhone,pressure monitor achieves its
iPad, but USB connection isfunction by integrate the device
deleted.with an iPhone 4S. As it does not
include a LCD or other display
components, it is necessary for the
new device to connect to an
iPhone 4S containing a support
software to constitute a complete
blood pressure measurement
system. And the new device
connects iPhone 4S through
Bluetooth or USB cable.
Intended useSameIntended to measure the systolic
and diastolic blood pressures and
pulse rate of an adult individual,
over age 18, at home by using a
noninvasive technique in which an
inflatable cuff is wrapped around
the upper arm. The cuff
circumference is limited to be 9 to
17 inches (22cm-42cm) for Upper
Arm type.
Measuring methodSameOscillometric
IHBRhythm that is 25% less or 25%
more than the average rhythm
detected while the monitor is
measuring the systolic and
diastolic blood pressureNo IHB function
Measuring rangeCuff pressure: 0~299 mmHg
Pulse: 40~180 beat/minCuff pressure: 0~285 mmHg
Pulse : 40~180 beat/min
AccuracyPressure: ± 3mmHg
Pulse: ± 5% reading valuePressure: