K Number
K172200
Date Cleared
2017-10-25

(96 days)

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

The IRadimed Corporation's 3880 MRI Patient Monitoring System is intended to monitor a single patient's vital signs for patients undergoing Magnetic Resonance Imaging (MRI) procedures.

The 3880 MRI Patient Monitoring System is intended for use by healthcare professionals.

The 3880 MRI Patient Monitoring System is intended for use in Adult and Pediatric, including Neonations, for monitoring of Electrocardiogram (ECG). Non-Invasive Blood Pressure (NIBP), and Temperature.

The 3880 MRI Patient Monitoring System is also intended for use in Adult and Pediatric. not including Neonatal populations, for monitoring of Pulse Oximetry (SpO2), Anesthetic Agents, Respiration, Capnography (CO2), and Oxygen (02).

The 3880 MRI Patient Monitoring System provides monitoring for three distinct patient types as defined below (Note: Pediatric group excludes Neonates):

Patient TypeAge
1 Adultgreater than 22 years
2 Pediatric(Includes: Infant, Child and Adolescent)
-Adolescentaged 12 through 21 (up to but not including the 22nd birthday)
-Child2 years to less than 12 years
-Infant29 days to less than 2 years
3 Neonatefrom birth through the first 28 days of life
Device Description

The 3880 MRI Patient Monitoring System, also referred to as the 3880, is a multi-parameter vital signs monitor designed for use in the Magnetic Resonance (MR) environment by trained healthcare professionals. The 3880 processes and displays multiple parameters, waveforms, measurement numeric values and alarms. The device is powered by either AC line power or its internal battery. It is light weight making it a practical intra-department patient transportation monitor for use within the MRI suite. The device can be carried by its handle, mounted to a wheeled cart/stand, or patient bed. The 3880 provides monitoring for the following parameters:

  • Electrocardiogram (ECG)
  • Heart rate (HR- ECG, SpO2, and NIBP derived)
  • Blood oxygen saturation/pulse oximetry (SpO2)
  • Non-invasive blood pressure (NIBP)
  • End-tidal and fractional inspired CO2 (EtCO2 and FiCO2)
  • Anesthetic agents (AGENT) (requires 3886 Multi-Gas Unit)
    • Desflurane (DES)
    • Enflurane (ENF)
    • Halothane (HAL)
    • Isoflurane (ISO)
    • Sevoflurane (SEV)
  • Fractional inspired O2 (FiO2), and end-tidal and fractional inspired N2O (EtN2O and FiN2O) (requires 3886 Multi-Gas Unit)
  • Temperature (TEMP)
  • Respiration rate (CO2-derived)

The 3880 MRI Patient Monitoring System can be ordered with the following configurations:

Standard Configuration:

3880 MRI Patient Monitor
ConfigurationECGSpO2NIBPCO2Temp
3880XXXXX

Optional Configuration (Requires 3880 and 3886):

3886 Multi-Gas Unit
ConfigurationAGENTSCO2O2
3886XXX

The 3880 consists of the following key components:

  • Patient monitor with buttons and touch screen display
  • Wireless ECG POD, "ePOD"
  • Wireless SpO2 POD, "oPOD"
  • Battery for patient monitor
  • Power supply and cables
  • Operation Manual

Accessories to the 3880 are offered to accommodate various patient sizes. Key standard and optional accessories include:

  • ECG cables and electrodes
  • SpO2 sensors and grips
  • NIBP cuffs and hoses
  • Temperature sensor
  • Cannulas
  • Remote monitoring tablet (3885-T)
  • Remote monitoring tablet docking base, including printer (3885-B)
  • Multi-Gas Unit (3886)
  • Mounting hardware and stand
AI/ML Overview

The provided text is a 510(k) summary for the IRadimed Corporation's 3880 MRI Patient Monitoring System. It focuses on demonstrating substantial equivalence to a predicate device, the MIPM Tesla M3 MRI Patient Monitoring System (K142032). The device performance is primarily established through non-clinical testing and conformance to recognized consensus standards, with limited clinical data for a specific function.

Here's an analysis based on your requested information:

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

The document does not explicitly present a table of "acceptance criteria" for overall device performance in the way one might expect for a diagnostic AI device (e.g., predefined sensitivity/specificity thresholds). Instead, the acceptance criteria are implicitly tied to conformance with various recognized consensus standards (largely related to safety, essential performance, and electromagnetic compatibility) and functional equivalence to the predicate device. For the NIBP function specifically, the acceptance criterion was meeting the requirements of ISO 81060-2.

Here's a summary derived from the "SUMMARY OF NON-CLINICAL PERFORMANCE DATA" and "SUMMARY OF CLINICAL PERFORMANCE DATA" sections within the provided text:

Performance Metric/StandardAcceptance Criteria (Implicit from Compliance)Reported Device Performance
Overall DevicePerformance, functionality, usability, and reliability characteristics established through verification, validation, and testing activities, adhering to specifications cleared for the predicate device and the 3880 MRI Patient Monitoring System, and requirements from FDA Recognized Consensus Standards."Verification, validation, and testing activities establish the performance, functionality, usability and reliability characteristics of the device with respect to the predicate. Testing involved system level tests, biocompatibility, performance, and safety testing from hazard analysis. Pass/Fail criteria were based on the specifications cleared for the predicate device and the specifications of the 3880 MRI Patient Monitoring System as well as the requirements from FDA Recognized Consensus Standards... Results of the non-clinical testing demonstrate that the device operates as intended within its performance specifications and is substantially equivalent to the predicate device."
Safety and Essential PerformanceCompliance with IEC 60601-1 (General Requirements for Basic Safety and Essential Performance)Pass
Electromagnetic Compatibility (EMC)Compliance with IEC 60601-1-2 (EMC Requirements)Pass
Alarm SystemsCompliance with IEC 60601-1-8 (Alarm Systems)Pass
ECG MonitoringCompliance with IEC 60601-2-27 (Electrocardiographic Monitoring Equipment)Pass
Non-Invasive Blood Pressure (NIBP)Compliance with ISO 81060-2 (Clinical Validation Of Automated Measurement Type) and operating as intended within performance specifications."Non-invasive Blood Pressure (NIBP) clinical performance data provided in Section 20 demonstrates that the device meets the requirements of ISO 81060-2 (2013) 'Non-Invasive Sphygmomanometers - Part 2: Clinical Validation Of Automated Measurement Type', operates as intended within the performance specifications and is safe and effective for clinical use."
Respiratory Gas MonitorsCompliance with IEC 80601-2-55 (Respiratory Gas Monitors)Pass
Clinical ThermometersCompliance with IEC 80601-2-56 (Clinical Thermometers for Body Temperature Measurement)Pass
Pulse OximetersCompliance with IEC 80601-2-61 (Pulse Oximeter Equipment)Pass
Risk ManagementCompliance with ISO 14971 (Application of Risk Management to Medical Devices)Pass
BiocompatibilityCompliance with ISO 10993-1, 10993-5, 10993-10 (Biological Evaluation of Medical Devices)Pass
MRI Environment TestingCompliance with ASTM F2052-15 (Magnetically Induced Displacement Force), ASTM F2503-13 (Marking Medical Devices), ASTM F2213-11 (Magnetically Induced Torque)Pass
BatteriesCompliance with IEC 62133 (Secondary Cells and Batteries)Pass

2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document mentions "clinical performance data provided in Section 20" for NIBP. However, Section 20 is not included in the provided text. Therefore, details regarding the sample size, data provenance (country of origin, retrospective/prospective nature) for the NIBP clinical test set are not available in this document.
For the non-clinical performance data, the "test set" would refer to the physical devices and simulated conditions used for testing against the consensus standards. No sample sizes are specified for these tests. Their provenance is implied to be IRadimed Corporation's testing facilities.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This section is not applicable in the context of this 510(k) submission. The 3880 MRI Patient Monitoring System is a vital signs monitor, not a diagnostic imaging AI device. Its performance is evaluated against physiological measurement accuracy standards and safety/performance standards, not against expert consensus on images. For the NIBP clinical data, the "ground truth" would be established by a reference NIBP measurement method, not human experts evaluating images.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

This is not applicable for this device type and evaluation. Adjudication methods like 2+1 or 3+1 are typically used in studies involving human readers of diagnostic images where consensus among experts is needed to establish ground truth for ambiguous cases. This device measures physiological parameters.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

This is not applicable. The 3880 MRI Patient Monitoring System is a vital signs monitor and does not involve AI assistance for human readers of diagnostic images. Therefore, an MRMC comparative effectiveness study is not relevant to its regulatory submission.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

The device itself is a standalone vital signs monitor. Its performance in measuring vital signs (ECG, NIBP, SpO2, Temperature, CO2, Anesthetic Agents, O2) is assessed as an algorithm/device-only performance in relation to established physiological measurement standards. The non-clinical testing referenced demonstrates this standalone performance. The NIBP clinical study also evaluates the device's standalone accuracy against a reference.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

For the non-clinical performance testing (conformance to IEC/ISO standards), the "ground truth" is effectively the defined specifications and measurement accuracy requirements within those standards. These are objective, measurable criteria.
For the NIBP clinical validation, the ground truth would be established by a reference method for blood pressure measurement, as per ISO 81060-2. This standard specifies how clinical validation should be performed and what constitutes an accurate reference measurement.

8. The sample size for the training set

This information is not applicable. The 3880 MRI Patient Monitoring System is a traditional medical device (vital signs monitor) and not an AI/Machine Learning device that undergoes a "training" phase with a dataset in the conventional sense. Its design and performance are based on engineering principles and compliance with established standards, not on learning from a large dataset.

9. How the ground truth for the training set was established

This information is not applicable for the same reason as point 8.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which consists of a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG" in blue, and the word "ADMINISTRATION" in a smaller font size below that.

October 25, 2017

Iradimed Corporation Francis Casey Vice-President, QA & Regulatory Affairs 1025 Willa Springs Drive Winter Springs, Florida 32708

Re: K172200

Trade/Device Name: 3880 MRI Patient Monitoring System Regulation Number: 21 CFR 870.2300 Regulation Name: Cardiac Monitor (Including Cardiotachometer And Rate Alarm) Regulatory Class: Class II Product Code: MWI Dated: September 26, 2017 Received: September 27, 2017

Dear Francis Casey:

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 (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.

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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 (DICE) at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevicesforYou/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 (DICE) 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. Wilhelm

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) K172200

Device Name 3880 MRI Patient Monitoring System

The IRadimed Corporation's 3880 MRI Patient Monitoring System is intended to monitor a single patient's vital signs for patients undergoing Magnetic Resonance Imaging (MRI) procedures.

The 3880 MRI Patient Monitoring System is intended for use by healthcare professionals.

The 3880 MRI Patient Monitoring System is intended for use in Adult and Pediatric, including Neonations, for monitoring of Electrocardiogram (ECG). Non-Invasive Blood Pressure (NIBP), and Temperature.

The 3880 MRI Patient Monitoring System is also intended for use in Adult and Pediatric. not including Neonatal populations, for monitoring of Pulse Oximetry (SpO2), Anesthetic Agents, Respiration, Capnography (CO2), and Oxygen (02).

The 3880 MRI Patient Monitoring System provides monitoring for three distinct patient types as defined below (Note: Pediatric group excludes Neonates):

Patient TypeAge
1 Adultgreater than 22 years
2 Pediatric(Includes: Infant, Child and Adolescent)
-Adolescentaged 12 through 21 (up to but not including the 22nd birthday)
-Child2 years to less than 12 years
-Infant29 days to less than 2 years
3 Neonatefrom birth through the first 28 days of life

Type of Use (Select one or both, as applicable)

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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1025 Willa Springs Drive Winter Springs, FL 32708 PH: 407-677-9022 FX: 407-677-5037

05 510(k) Summary

SUBMITTER INFORMATION:

Establishment Name:IRadimed Corporation
Establishment Address:1025 Willa Springs DriveWinter Springs, FL 32708
Contact Name:Mr. Francis Casey
Contact E-mail:fcasey@iradimed.com
Contact Phone:407-677-8022 x106
Contact Fax:407-677-5037

September 25th, 2017 Date Prepared:

DEVICE IDENTIFICATION:

Trade name:3880 MRI Patient Monitoring System
Common name:MRI multi-parameter patient monitoring system
Classification name:Monitor, Physiological, Patient (Without Arrhythmia Detection or Alarms)
Regulation number:21 CFR 870.2300
Regulatory class:2
Product code:MWI

PRIMARY LEGALLY MARKETED PREDICATE DEVICE TO WHICH EQUIVALENCE CLAIMED:

Predicate device:Tesla M3 MRI Patient Monitoring System
Manufacturer:MIPM (Mammendorfer Institut für Physik und Medizin)
510(k) #:K142032
Clearance date:May 7th, 2015

DEVICE DESCRIPTION:

The 3880 MRI Patient Monitoring System, also referred to as the 3880, is a multi-parameter vital signs monitor designed for use in the Magnetic Resonance (MR) environment by trained healthcare professionals. The 3880 processes and displays multiple parameters, waveforms, measurement numeric values and alarms. The device is powered by either AC line power or its internal battery. It is light weight making it a practical intra-department patient transportation monitor for use within the MRI suite. The device can be carried by its handle, mounted to a wheeled cart/stand, or patient bed. The 3880 provides monitoring for the following parameters:

  • Electrocardiogram (ECG)
  • Heart rate (HR- ECG, SpO2, and NIBP derived)

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  • Blood oxygen saturation/pulse oximetry (SpO2) ●
  • Non-invasive blood pressure (NIBP)
  • End-tidal and fractional inspired CO2 (EtCO2 and FiCO2)
  • Anesthetic agents (AGENT) (requires 3886 Multi-Gas Unit) ●
    • o Desflurane (DES)
    • Enflurane (ENF) O
    • Halothane (HAL) O
    • o Isoflurane (ISO)
    • Sevoflurane (SEV) O
  • Fractional inspired O2 (FiO2), and end-tidal and fractional inspired N2O (EtN2O and FiN2O) (requires 3886 Multi-Gas Unit)
  • . Temperature (TEMP)
  • Respiration rate (CO2-derived)

The 3880 MRI Patient Monitoring System can be ordered with the following configurations:

Standard Configuration:

3880 MRI Patient Monitor
ConfigurationECGSpO2NIBPCO2Temp
3880XXXXX

Optional Configuration (Requires 3880 and 3886):

3886 Multi-Gas Unit
ConfigurationAGENTSCO2O2
3886XXX

The 3880 consists of the following key components:

  • Patient monitor with buttons and touch screen display
  • Wireless ECG POD, "ePOD" ●
  • Wireless SpO2 POD, "oPOD"
  • Battery for patient monitor ●
  • Power supply and cables
  • . Operation Manual

Accessories to the 3880 are offered to accommodate various patient sizes. Key standard and optional accessories include:

  • ECG cables and electrodes ●
  • SpO2 sensors and grips ●
  • NIBP cuffs and hoses
  • Temperature sensor ●
  • Cannulas
  • Remote monitoring tablet (3885-T) ●
  • Remote monitoring tablet docking base, including printer (3885-B) ●
  • Multi-Gas Unit (3886)
  • Mounting hardware and stand

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INDICATIONS FOR USE:

The IRadimed Corporation's 3880 MRI Patient Monitoring System is intended to monitor a single patient's vital signs for patients undergoing Magnetic Resonance Imaging (MRI) procedures.

The 3880 MRI Patient Monitoring System is intended for use by healthcare professionals.

The 3880 MRI Patient Monitoring System is intended for use in Adult and Pediatric, including Neonatal populations, for monitoring of Electrocardiogram (ECG), Non-Invasive Blood Pressure (NIBP), and Temperature.

The 3880 MRI Patient Monitoring System is also intended for use in Adult and Pediatric, not including Neonatal populations, for monitoring of Pulse Oximetry (SpO2), Anesthetic Agents, Respiration, Capnography (CO2), and Oxygen (O2).

The 3880 MRI Patient Monitoring System provides monitoring for three distinct patient types as defined below (Note: Pediatric group excludes Neonates):

Patient TypeAge
1AdultGreater than 22 years
2Pediatric(Includes: Infant, Child and Adolescent)
Adolescentaged 12 through 21 (up to but not including the 22nd birthday)
Child2 years to less than 12 years
Infant29 days to less than 2 years
3Neonatefrom birth through the first 28 days of life

TECHNOLOGICAL CHARACTERISTICS:

IRadimed Corporation's 3880 MRI Patient Monitoring System is equivalent to its primary predicate, MIPM Tesla M3, in both functionality and technology. See table 5-1 below for details:

Table 5-1, Technological Characteristics Comparison Table:

TechnologicalCharacteristicPredicate Device:Proposed Device:Comparison
MIPM'sIRadimed Corporation's(see Section 12 fordetailed discussion ofSubstantial Equivalence)
Tesla M3 MRI Patient Monitoring System3880 MRI Patient Monitoring System
(K142032)(Pending 510(k))
MONITOR
Intended UseThe MRI Patient Monitoring SystemTesla M3 is intended for monitoring ofvital signs during MRI examinations(MRI procedures) of patients.The Tesla M3 is intended for use in theThe IRadimed Corporation's 3880 MRIPatient Monitoring System is intended tomonitor a single patient's vital signs forpatients undergoing MagneticResonance Imaging (MRI) procedures.Substantiallyequivalent
Predicate Device:Proposed Device:Comparison
TechnologicalCharacteristicMIPM'sTesla M3 MRI Patient Monitoring System(K142032)IRadimed Corporation's3880 MRI Patient Monitoring System(Pending 510(k))(see Section 12 fordetailed discussion ofSubstantial Equivalence)
Adult, Pediatric and Neonatalpopulations for the continuousmonitoring of Electrocardiogram (ECG),Non-Invasive Blood Pressure (NIBP),Invasive Blood Pressure (IBP),Temperature, Respiration, Capnography(etCO2), Oxygen and Anesthetic Agents.The IRadimed Corporation's 3880 MRIPatient Monitoring System is intended tomonitor a single patient's vital signs forpatients undergoing MagneticResonance Imaging (MRI) procedures.
The Tesla M3 is intended for use in theAdult and Pediatric populations for thecontinuous monitoring of PulseOximetry (SpO2).The 3880 MRI Patient MonitoringSystem is intended for use by healthcareprofessionals.
The Tesla M3 is intended for use byhealth care professionals.The 3880 MRI Patient MonitoringSystem is intended for use in Adult andPediatric, including Neonatalpopulations, for monitoring ofElectrocardiogram (ECG), Non-InvasiveBlood Pressure (NIBP), andTemperature.
The 3880 MRI Patient MonitoringSystem is also intended for use in Adultand Pediatric, not including Neonatalpopulations, for monitoring of PulseOximetry (SpO2), Anesthetic Agents,Respiration, Capnography (CO2), andOxygen (O2).
The 3880 MRI Patient MonitoringSystem provides monitoring for threedistinct patient types as defined below(Note: Pediatric group excludesNeonates):
Patient Types/Ages:1_Adult/ Greater than 22 years2_Pediatric/ (Includes: Infant, Child andAdolescent)- Adolescent/ aged 12 through 21 (up tobut not including the 22nd birthday)- Child/ 2 years to less than 12 years- Infant/ 29 days to less than 2 years3_Neonate/ from birth through the first28 days of life
Monitor MaterialsHousing mainly coated aluminum,antimagnetic stainless steel, plasticsHousing mainly coated aluminum,antimagnetic stainless steel, plasticsSubstantiallyequivalent
DisplayPermanently installed on wheeled cart,TouchscreenNo cart required, (optional mountingaccessory for attachment to wheeledstand or patient bed), TouchscreenSubstantiallyequivalent
Predicate Device:Proposed Device:Comparison
MIPM'sIRadimed Corporation's(see Section 12 for
TechnologicalTesla M3 MRI Patient Monitoring System3880 MRI Patient Monitoring Systemdetailed discussion of
Characteristic(K142032)(Pending 510(k))Substantial Equivalence)
RemoteDesktop use only, must be plugged intoAC mains powerRemote Monitoring Tablet (3885-T),operates on battery power, can bedocked for charging and desktop use inthe Base Station (3885-B) which isplugged into AC mains powerSubstantiallyequivalent
Monitoringcapabilities(optional for both)
MRI Conditionsof UseMonitor: < 200 gaussWireless modules: < 30,000 gaussMulti-Gas Module: < 200 gaussSecondary Display (single piece):MR UnsafeMonitor: < 30,000 gaussWireless PODS: < 30,000 gaussMulti-Gas Unit: < 600 gaussSecondary Display (two pieces):• Tablet < 15,000 gauss, exceptduring the course of an MRIscan• Base Station: MR UnsafeSubstantiallyequivalent
PrinterIntegrated into secondary displayIntegrated into secondary display- BaseStation (3885-B)Substantiallyequivalent
Energy SourceExternal power supply connected to ACmains power or lithium ion internalbattery powerExternal power supply connected to ACmains power or lithium polymer internalbattery powerSubstantiallyequivalent
WirelessCommunicationECG and SpO2 patient modules link tothe Monitor via wireless 2.4 GHz link.ECG and SpO2 patient PODS link to theMonitor via wireless 2.4 GHz link.Substantiallyequivalent
Alarms CapabilityAudible and Visual Alarms on monitorand remote display, Compliant to IEC60601-1-8Audible and Visual Alarms on monitorand remote display, Compliant to IEC60601-1-8Substantiallyequivalent
BiocompatibilityComplies with ISO 10993-1Complies with ISO 10993-1, 10993-5,10993-10Substantiallyequivalent
SterilityNot ApplicableNot ApplicableSubstantiallyequivalent
ECG
Wireless ECGMaterialsPlastic housing with enclosed battery,ECG Lead Wires and ElectrodesPlastic housing with enclosed battery,ECG Lead Wires and ElectrodesSubstantiallyequivalent
Module EnergySourceLithium ion batteryLithium polymer batterySubstantiallyequivalent
ECG InformationDisplayedWaveform and NumericWaveform and NumericSubstantiallyequivalent
ECG Accuracyduring MRI ScanAffected by MRI gradientsAffected by MRI gradientsSubstantiallyequivalent
SpO2
Wireless SpO2MaterialsModule is enclosed in a plastic housingwith enclosed battery, SpO2 sensorcable and grip(s)Module is enclosed in a plastic housingwith enclosed battery, SpO2 sensor cableand grip(s)Substantiallyequivalent
OperatingPrincipleRed & Infrared Light AbsorptionRed & Infrared Light AbsorptionSubstantiallyequivalent
Module EnergySourceLithium ion batteryLithium polymer batterySubstantiallyequivalent
SPO2 InformationDisplayedWaveform and NumericWaveform and NumericSubstantiallyequivalent
Predicate Device:Proposed Device:Comparison
MIPM'sIRadimed Corporation's(see Section 12 for
TechnologicalCharacteristicTesla M3 MRI Patient Monitoring System(K142032)3880 MRI Patient Monitoring System(Pending 510(k))detailed discussion ofSubstantial Equivalence)
NIBP
NIBP MaterialsNIBP Hose- Medical Grade, Class IVPVC (non-latex)NIBP Hose- Medical Grade, Class IVPVC (non-latex)Substantiallyequivalent
NIBP Cuffs for Adults and pediatricpatients- medical grade urethaneNIBP Cuffs for Adults and pediatricpatients- medical grade urethane
NIBP Cuffs for neonatal patients-medical grade soft fabricNIBP Cuffs for neonatal patients-medical grade soft fabric
OperatingPrincipleOscillometric technology (with aninflatable cuff) determines systolic,diastolic and mean arterial pressuresOscillometric technology (with aninflatable cuff) determines systolic, anddiastolic pressuresSubstantiallyequivalent
NIBP InformationDisplayedNumericNumericSubstantiallyequivalent
CO2
MaterialsVarious sized nasal and oral cannulas fordifferent patient types- Medical GradePVCVarious sized nasal and oral cannulas fordifferent patient types- Medical GradePVCSubstantiallyequivalent
OperatingPrincipleSide stream, NDIR (non-dispersiveinfrared absorption) technique.Side stream, NDIR (non-dispersiveinfrared absorption) technique.Substantiallyequivalent
CO2 InformationDisplayedWaveform and NumericWaveform and NumericSubstantiallyequivalent
ANESTHETIC AGENTS, O2
MaterialsScavenge Hose- Medical Grade PVCScavenge Hose- Medical Grade PVCSubstantiallyequivalent
O2 Oxygen Cell- ParamagneticO2 Oxygen Cell- Paramagnetic
Co-Extruded Sample LineCo-Extruded Sample Line
OperatingPrincipleSide Stream, non-dispersive infrared(NDIR) absorption techniqueSide Stream, non-dispersive infrared(NDIR) absorption techniqueSubstantiallyequivalent
Anesthetic AgentsMonitoredDesflurane (DES)Desflurane (DES)Substantiallyequivalent
Enflurane (ENF)Enflurane (ENF)
Halothane (HAL)Halothane (HAL)
Isoflurane (ISO)Isoflurane (ISO)
Sevoflurane (SEV)Sevoflurane (SEV)
Nitrous Oxide (N2O)Nitrous Oxide (N2O)
Anesthetic AgentsInformationDisplayedWaveform and NumericWaveform and NumericSubstantiallyequivalent
TEMP
MaterialsFiber-optic Temperature Sensor,Medical Grade PVCFiber-optic Temperature Sensor,Medical Grade PVCSubstantiallyequivalent
OperatingPrincipleFiber-optic TechnologyFiber-optic TechnologySubstantiallyequivalent
TEMPInformationDisplayedNumeric, Celsius (°C) onlyNumeric, Celsius (°C) or Fahrenheit (°F)Substantiallyequivalent

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SUMMARY OF NON-CLINICAL PERFORMANCE DATA:

Verification, validation, and testing activities establish the performance, functionality, usability and reliability characteristics of the device with respect to the predicate. Testing involved system level tests, biocompatibility, performance, and safety testing from hazard analysis. Pass/Fail criteria were based on the specifications cleared for the predicate device and the specifications of the 3880 MRI Patient Monitoring System as well as the requirements from FDA Recognized Consensus Standards (see Table 5-2 below for a list of the FDA Recognized Consensus Standards the device claims conformance to including a summary of the results of testing). Section 18 of this submission includes a complete list of all testing performed to demonstrate substantial equivalence to the predicate device). Results of the non-clinical testing demonstrate that the device operates as intended within its performance specifications and is substantially equivalent to the predicate device. The results do not raise issues regarding the safety and effectiveness of the device.

FDARecognition#Standard #Title of StandardRevision/YearResults
19-460601-1Medical Electrical Equipment - Part 1: General Requirements for Basic Safetyand Essential PerformanceEdition 3.12005/(R)2012And A1:2012Pass
19-560601-1-2Medical Electrical Equipment - Part 1-2: General Requirements for Basic Safetyand Essential Performance - Collateral Standard: Electromagnetic Compatibility- Requirements and TestsEdition 3: 2007Pass
5-7660601-1-8Medical Electrical Equipment - Part 1-8: General Requirements For Basic SafetyAnd Essential Performance - Collateral Standard: General Requirements, TestsAnd Guidance For Alarm Systems In Medical Electrical Equipment And MedicalElectrical SystemsEdition 2.1 2012Pass
3-12660601-2-27Medical Electrical Equipment - Part 2-27: Particular Requirements For The BasicSafety And Essential Performance Of Electrocardiographic MonitoringEquipment [Including: Corrigendum 1 (2012)]Edition 3.0 2011Pass
3-12380601-2-30Medical Electrical Equipment - Part 2-30: Particular Requirements For The BasicSafety And Essential Performance Of Automated Non-InvasiveSphygmomanometersEdition 1.1 2013Pass
1-9680601-2-55Medical Electrical Equipment - Part 2-55: Particular Requirements For The BasicSafety And Essential Performance Of Respiratory Gas MonitorsEdition 1.0 2011Pass
6-23280601-2-56Medical Electrical Equipment - Part 2-56: Particular Requirements For BasicSafety And Essential Performance Of Clinical Thermometers For BodyTemperature MeasurementEdition 1.0 2009Pass
1-8580601-2-61Medical Electrical Equipment - Part 2-61: Particular Requirements For BasicSafety And Essential Performance Of Pulse Oximeter EquipmentEdition 1.0 2011Pass
5-4014971Medical Devices – Application Of Risk Management To Medical DevicesEdition 2.0 2007Pass
2-22010993-1Biological Evaluation Of Medical Devices - Part 1: Evaluation And TestingWithin A Risk Management ProcessEdition 4.0 2009Pass
2-24510993-5Biological Evaluation Of Medical Devices - Part 5: Tests For In VitroCytotoxicityEdition 3.0 2009Pass
2-17410993-10Biological Evaluation Of Medical Devices – Part 10: Tests For Irritation AndSkin SensitizationEdition 3.0 2010Pass
8-422F2052-15Standard Test Method for Measurement of Magnetically Induced DisplacementForce on Medical Device in MR Environment2015Pass
3-349F2503-13Standard Practice for Marking Medical Devices and Other Items for Safety in theMagnetic Resonance Environment2013Pass
8-128F2213-11Standard Test Method For Measurement Of Magnetically Induced Torque OnMedical Devices In The Magnetic Resonance Environment2011Pass
19-1362133Secondary Cells And Batteries Containing Alkaline Or Other Non-AcidElectrolytes - Safety Requirements For Portable Sealed Secondary Cells, And ForBatteries Made From Them, For Use In Portable Applications [Including:Corrigendum 1 (2013)]Edition 2.0 2012Pass

Table 5-2, FDA Recognized Consensus Standards Summary Table:

{10}------------------------------------------------

SUMMARY OF CLINICAL PERFORMANCE DATA:

Non-invasive Blood Pressure (NIBP) clinical performance data provided in Section 20 demonstrates that the device meets the requirements of ISO 81060-2 (2013) "Non-Invasive Sphygmomanometers - Part 2: Clinical Validation Of Automated Measurement Type", operates as intended within the performance specifications and is safe and effective for clinical use. The results do not raise issues regarding the safety and effectiveness of the device.

STATEMENT OF SUBSTANTIAL EQUIVALENCE:

IRadimed Corporation's 3880 MRI Patient Monitoring System, described in this submission is substantially equivalent to the cleared device, the Tesla M3 MRI Patient Monitoring System (K142032).

§ 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).