K Number
K182166
Device Name
Wrist Blood Pressure Monitor Model BP4350
Date Cleared
2018-11-08

(90 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The device is a digital monitor intended for use in measuring blood pressure and pulse rate in adult patient population with wrist circumference ranging from 5.3 inches (13.5cm to 21.5cm). The device detects the appearance of irregular heartbeats during measurement and gives a warning signal with readings.
Device Description
The Wrist Blood Pressure Monitor Model BP4350 ("BP4350") is a battery-powered, automatic, noninvasive, wrist-worn blood pressure measuring system intended for over-the-counter (OTC) home use. BP4350 is designed for wrist circumference ranging from 5.3 inches to 8.5 inches (13.5cm to 21.5cm). The systolic and diastolic blood pressures are measured using the oscillometric method, where the cuff is inflated with an integral controllable Piezoelectric pump and deflates via an electric automatic rapid deflation valve. During inflation, the cuff pressure is monitored, and pulse waveform data is extracted. The extracted pulse waveform data is then further analyzed by software which determines pulse rate, as well as systolic and diastolic blood pressure. The cuff can measure pressure range from 0 to 299mmHg, and the pulse rate range from 40 to 180 beats/min. The device also detects the appearance of irregular heartbeats during the blood pressure measurement process, which is defined as the appearance of two (2) or more heartbeat intervals which differ by greater than 25% from the average heartbeat rhythm. Detection of such irregular rhythms would result in an "irregular heartbeat symbol" displayed along with the blood pressure and pulse rate readings. In addition, a "HIGH" indication appears if the blood pressure recorded is greater than 130/80 based on the AHA/ACC High Blood Pressure Clinical Practice Guideline criterion for Stage 1 Hypertension, published in 2017. In addition, the device includes an Advanced Positioning Sensor (APS) feature known as the Heart Zone Indicator, which aids the user in determining if the Wrist Cuff is at the correct height in relation to the heart. It makes this determination based on the reading of an accelerometer (integral to the device) to measure the angle of the arm in relation to the table. The APS feature is similar to the predicate device. The device displays the latest blood pressure reading, while up to 100 readings can be stored in memory. The operation of the device is intended for home use. Functions and other features that are controlled by the end user include applying the wrist cuff to the wrist, powering on/off the system, starting or stopping the blood pressure and pulse measurement cycle, and installing and changing the batteries as needed. As an optional feature, the user can also pair the BP4350 to a smartphone when employing the "Omron connect" app. This app is an optional feature and is only intended to display trend graphs of measured systolic and diastolic blood pressure, and pulse rate. This app does not provide any diagnostic or measurement functions and does not interpret or analyze the data for medical decision making. Unlimited readings can be stored in the app for archiving and review by the user. Aside from this optional app for smartphones, BP4350 does not connect with other collateral devices.
More Information

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and describes standard signal processing and rule-based logic for irregular heartbeat detection and positioning.

Yes.

The device is intended for measuring blood pressure and pulse rate, and it identifies irregular heartbeats and provides a warning if blood pressure is high, aligning with the definition of a therapeutic device as one used to treat, mitigate, or diagnose a condition.

No

Explanation: The device measures blood pressure and pulse rate and indicates potential irregularities or high readings, but it explicitly states the optional app "does not provide any diagnostic or measurement functions and does not interpret or analyze the data for medical decision making." This indicates the device provides data and warning signals, but it does not make a diagnosis itself, which is a key characteristic of a diagnostic device.

No

The device description explicitly states it is a "battery-powered, automatic, noninvasive, wrist-worn blood pressure measuring system" and includes hardware components like a cuff, pump, valve, and accelerometer. While it uses software for analysis, it is not solely software.

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 device described is a blood pressure monitor that measures blood pressure and pulse rate non-invasively from the wrist. It does not analyze any samples taken from the body.
  • Intended Use: The intended use is to measure blood pressure and pulse rate in adult patients, not to perform diagnostic tests on biological samples.

Therefore, the Wrist Blood Pressure Monitor Model BP4350 falls under the category of a non-invasive medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The device is a digital monitor intended for use in measuring blood pressure and pulse rate in adult patient population with wrist circumference ranging from 5.3 inches (13.5cm to 21.5cm). The device detects the appearance of irregular heartbeats during measurement and gives a warning signal with readings.

Product codes

DXN

Device Description

The Wrist Blood Pressure Monitor Model BP4350 ("BP4350") is a battery-powered, automatic, noninvasive, wrist-worn blood pressure measuring system intended for over-the-counter (OTC) home use. BP4350 is designed for wrist circumference ranging from 5.3 inches to 8.5 inches (13.5cm to 21.5cm). The systolic and diastolic blood pressures are measured using the oscillometric method, where the cuff is inflated with an integral controllable Piezoelectric pump and deflates via an electric automatic rapid deflation valve. During inflation, the cuff pressure is monitored, and pulse waveform data is extracted. The extracted pulse waveform data is then further analyzed by software which determines pulse rate, as well as systolic and diastolic blood pressure. The cuff can measure pressure range from 0 to 299mmHg, and the pulse rate range from 40 to 180 beats/min.

The device also detects the appearance of irregular heartbeats during the blood pressure measurement process, which is defined as the appearance of two (2) or more heartbeat intervals which differ by greater than 25% from the average heartbeat rhythm. Detection of such irregular rhythms would result in an "irregular heartbeat symbol" displayed along with the blood pressure and pulse rate readings. In addition, a "HIGH" indication appears if the blood pressure recorded is greater than 130/80 based on the AHA/ACC High Blood Pressure Clinical Practice Guideline criterion for Stage 1 Hypertension, published in 2017.

In addition, the device includes an Advanced Positioning Sensor (APS) feature known as the Heart Zone Indicator, which aids the user in determining if the Wrist Cuff is at the correct height in relation to the heart. It makes this determination based on the reading of an accelerometer (integral to the device) to measure the angle of the arm in relation to the table. The APS feature is similar to the predicate device.

The device displays the latest blood pressure reading, while up to 100 readings can be stored in memory. The operation of the device is intended for home use. Functions and other features that are controlled by the end user include applying the wrist cuff to the wrist, powering on/off the system, starting or stopping the blood pressure and pulse measurement cycle, and installing and changing the batteries as needed. As an optional feature, the user can also pair the BP4350 to a smartphone when employing the "Omron connect" app. This app is an optional feature and is only intended to display trend graphs of measured systolic and diastolic blood pressure, and pulse rate. This app does not provide any diagnostic or measurement functions and does not interpret or analyze the data for medical decision making. Unlimited readings can be stored in the app for archiving and review by the user. Aside from this optional app for smartphones, BP4350 does not connect with other collateral devices.

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

home use

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)

Nonclinical Testing Summary:
The nonclinical, bench testing included:

  • Comparative testing against the predicate BP652N
  • Performance verification testing to confirm acceptable performance of device features and functions
  • Cleaning verification testing to confirm device retains its performance when cuff is cleaned with household detergents as may be required in home use environment

Other nonclinical safety testing included:

  • Biocompatibility testing of patient-contacting materials per ISO 10993-1 requirements
  • Evaluation of relevant electrical safety, electromagnetic compatibility and electrostatic discharge requirements per IEC60601 and 80601 requirements and electrostatic discharge testing
  • Software verification and validation

The collective results of the nonclinical testing demonstrate that the materials chosen, the manufacturing processes, and design of the Wrist Blood Pressure Monitor Model BP4350 meet the established specifications necessary for consistent performance during its intended use. In addition, the collective bench testing demonstrates that the Wrist Blood Pressure Monitor Model BP4350 does not raise different questions of safety or effectiveness for measurement of blood pressure and pulse rate in a home use environment when compared to the predicate device.

Clinical Testing Summary:
A clinical investigation was conducted with the objective of validating the accuracy of blood pressure measurements by BP4350 based on an oscillometric method as compared to an auscultation method using a calibrated sphygmomanometer by trained medical staff. This study was conducted in accordance with guideline per ANSI/AAMI/ISO 81060-2:2013 Noninvasive sphygmomanometers — Part 2: Clinical investigation of automated measurement type. The results demonstrated that BP4350 performed equivalently to the auscultation method and is in conformance with ANSI/AAMI/ISO 81060-2:2013.

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

Accuracy of Pressure Indicator: Within +3mmHg
Accuracy of Pulse Rate: Within ±5% of reading

Predicate Device(s)

K142917

Reference Device(s)

K061822, K131742

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

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November 8, 2018

Omron Healthcare, Inc. % Ron Warren Senior Director, Regulatory Affairs Experien Group 224 Airport Parkway, Suite 250 San Jose, California 95110

Re: K182166

Trade/Device Name: Wrist Blood Pressure Monitor Model BP4350 Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive Blood Pressure Measurement System Regulatory Class: Class II Product Code: DXN Dated: August 9, 2018 Received: August 10, 2018

Dear Ron Warren:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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 vou, 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

1

801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 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.

Image /page/1/Picture/7 description: The image shows the text "Shawn W. Forrest - A" in a simple, sans-serif font. The text is arranged vertically, with "Shawn W. Forrest -" on the first line and "A" on the second line. The background is plain white.

le. 0.9.2342.19200300.100.1.1=136

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

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K182166

Device Name

Wrist Blood Pressure Monitor Model BP4350

Indications for Use (Describe)

The device is a digital monitor intended for use in measuring blood pressure and pulse rate in adult patient population with wrist circumference ranging from 5.3 inches (13.5cm to 21.5cm). The device detects the appearance of irregular heartbeats during measurement and gives a warning signal with readings.

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.

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3

510(k) SUMMARY

510(k) Notification K

GENERAL INFORMATION [807.92(a)(1)]

Applicant:

Omron Healthcare, Inc. 1925 West Field Court Lake Forest, IL 60045 USA Phone: 847-247-5626 FAX: 847-680-6269

Contact Person:

Ronald S. Warren Senior Director, Regulatory Affairs Experien Group, LLC 224 Airport Parkway, Suite 250 San Jose, CA 95110 USA Phone: 408-505-3926 FAX: 408-400-0856

Date Prepared: August 8, 2018

DEVICE INFORMATION [807.92(a)(2)]

Trade Name:

Wrist Blood Pressure Monitor Model BP4350

Generic/Common Name:

Noninvasive blood pressure measurement system

Classification:

Class II per 21 CFR§870.1130

Product Code:

DXN

4

PREDICATE DEVICE(S) [807.92(a)(3)]

The Wrist Blood Pressure Monitor Model BP4350 is substantially equivalent to the Omron BP652N (HEM-6300-Z) with APS Noninvasive Blood Pressure Measurement System (K142917).

DEVICE DESCRIPTION [807.92(a)(4)]

The Wrist Blood Pressure Monitor Model BP4350 ("BP4350") is a battery-powered, automatic, noninvasive, wrist-worn blood pressure measuring system intended for over-the-counter (OTC) home use. BP4350 is designed for wrist circumference ranging from 5.3 inches to 8.5 inches (13.5cm to 21.5cm). The systolic and diastolic blood pressures are measured using the oscillometric method, where the cuff is inflated with an integral controllable Piezoelectric pump and deflates via an electric automatic rapid deflation valve. During inflation, the cuff pressure is monitored, and pulse waveform data is extracted. The extracted pulse waveform data is then further analyzed by software which determines pulse rate, as well as systolic and diastolic blood pressure. The cuff can measure pressure range from 0 to 299mmHg, and the pulse rate range from 40 to 180 beats/min.

The device also detects the appearance of irregular heartbeats during the blood pressure measurement process, which is defined as the appearance of two (2) or more heartbeat intervals which differ by greater than 25% from the average heartbeat rhythm. Detection of such irregular rhythms would result in an "irregular heartbeat symbol" displayed along with the blood pressure and pulse rate readings. In addition, a "HIGH" indication appears if the blood pressure recorded is greater than 130/80 based on the AHA/ACC High Blood Pressure Clinical Practice Guideline criterion for Stage 1 Hypertension, published in 2017.

In addition, the device includes an Advanced Positioning Sensor (APS) feature known as the Heart Zone Indicator, which aids the user in determining if the Wrist Cuff is at the correct height in relation to the heart. It makes this determination based on the reading of an accelerometer (integral to the device) to measure the angle of the arm in relation to the table. The APS feature is similar to the predicate device.

The device displays the latest blood pressure reading, while up to 100 readings can be stored in memory. The operation of the device is intended for home use. Functions and other features that are controlled by the end user include applying the wrist cuff to the wrist, powering on/off the system, starting or stopping the blood pressure and pulse measurement cycle, and installing and changing the batteries as needed. As an optional feature, the user can also pair the BP4350 to a smartphone when employing the "Omron connect" app. This app is an optional feature and is only intended to display trend graphs of measured systolic and diastolic blood pressure, and pulse rate. This app does not provide any diagnostic or measurement functions and does not interpret or analyze the data for medical decision making. Unlimited readings can be stored in the app for archiving and review by the user. Aside from this optional app for smartphones, BP4350 does not connect with other collateral devices.

5

INDICATIONS FOR USE [807.92(a)(5)]

The device is a digital monitor intended for use in measuring blood pressure and pulse rate in adult patient population with wrist circumference ranging from 5.3 inches to 8.5 inches (13.5cm to 21.5cm). The device detects the appearance of irregular heartbeats during measurement and gives a warning signal with readings.

COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICES [807.92(a)(6)]

The proposed BP4350 has similar technological characteristics as compared to the predicate BP652N device. Both devices are intended for home use and employ the oscillometric method for measuring blood pressure and pulse rate. Both devices have the same cuff pressure range of 0 to 299mmHg and pulse rate range of 40 to 180 beats/min. Both devices are intended for a wrist circumference range of 5.24 - 8.5 inches (13.5 -21.5cm). The accuracy of pressure reading is ±3mmHg for both devices, and accuracy of pulse rate is ±5% in both devices. There are minor differences between BP4350 and BP652N in functional features, such as new hypertension threshold (per new AHA guideline) for the hypertension indicator function, the Morning Averages feature, and the Cuff Wrap Guide. However, these last two features are included on previously cleared Omron blood pressure monitors, Model HEM-780N3 and HEM-6131, and these two devices are identified as reference devices in the Substantial Equivalence summary table below.

SUBSTANTIAL EQUIVALENCE

The proposed Indications for Use for BP4350 is substantially equivalent to the Indications for Use for the predicate device. Comparative testing demonstrated that the proposed device is equivalent to the predicate device with regard to measurement reproducibility of blood pressure and pulse rate in a pulse wave generator test. Minor differences in technological features relate to convenience considerations for home use but do not impact safety or performance of blood pressure or pulse rate measurements. In addition, the differences in the technological characteristics between the devices do not raise different questions of safety or effectiveness. Thus, BP4350 is substantially equivalent to the predicate BP652N device as described in the Substantial Equivalence Summary, Table 5.1.

6

Y
SUMMAR
510(k)
Table 5.1: Substantial Equivalence Summary Table
Proposed DevicePrimary Predicate DeviceReference DeviceReference DeviceSE Assessment to Predicate Device
Model NumberBP4350
(HEM-6232T-Z)BP652N
(HEM-6300-Z)HEM-780N3HEM-6131--
K number--K142917K061822K131742--
CFR Classification§870.1130§870.1130§870.1130§870.1130Identical
Class I/II/IIIIIIIIIIIIdentical
Product CodeDXNDXNDXNDXNIdentical
Indications for UseThe device is a digital monitor
intended for use in measuring
blood pressure and pulse rate in
adult patient population with wrist
circumference ranging from
5.3 inches to 8.5 inches (13.5cm to
21.5cm).
The device detects the appearance
of irregular heartbeats during
measurement and gives a warning
signal with readings.The device is a digital monitor
intended for use in measuring
blood pressure and pulse rate in
adult patient population with wrist
circumference ranging from
5 1/4 inches to 8 1/2 inches (13.5cm
to 21.5cm).
The device detects the appearance
of irregular heartbeats during
measurement and gives a warning
signal with readings.The device is a digital monitor
intended for use in measuring
blood pressure and pulse rate in
adult patient population with arm
circumference ranging from
9 inches to 17 inches (22cm to
42cm).
The device detects the appearance
of irregular heartbeats during
measurement and gives a warning
signal with readings.The device is a digital monitor
intended for use in measuring
blood pressure and pulse rate in
adult patient population with wrist
circumference ranging from
5 1/4 inches to 8 1/2 inches (13.5cm
to 21.5cm).
The device detects the appearance
of irregular heartbeats during
measurement and gives a warning
signal with readings.Identical
Environment of UseHomeHomeHomeHomeIdentical
Patient PopulationAdultsAdultsAdultsAdultsK182166
Identical
Specifications
Measurement Method /
Principal of OperationCuff oscillometric method.
Identical to both predicatesCuff oscillometric method.
Identical to both predicatesCuff oscillometric methodCuff oscillometric methodIdentical
Measurement RangeCuff pressure range 0 to 299mmHg
Pulse Rate: 40 to 180 beats/min.Pressure: 0 to 299mmHg
Pulse Rate: 40 to 180 beats/min.Cuff pressure range 0 to 294mmHg
Pulse Rate: 40 to 180 beats/min.Cuff pressure range 0 to 299mmHg
Pulse Rate: 40 to 180 beats/min.Identical
Pressure SensorSemiconductor pressure sensor.Semiconductor pressure sensor.Capacitive pressure sensorSemiconductor pressure sensor.Identical
Applicable Cuff
(Wrist Circumference)13.5-21.5cm13.5-21.5cm22-42cm13.5 - 21.5cmIdentical
Accuracy of Pressure
IndicatorWithin +3mmHgWithin +3mmHg or 2% of readingWithin +3mmHg or 2% of readingWithin +3mmHg or 2% of readingIdentical
Accuracy of Pulse RateWithin ±5% of readingWithin ±5% of readingWithin ±5% of readingWithin ±5% of readingIdentical
Inflation MethodAutomatic inflation with
piezoelectric pumpAutomatic inflation with
piezoelectric pumpAutomatic inflation with
piezoelectric pumpAutomatic inflation with
piezoelectric pumpIdentical
Deflation MethodAutomatic rapid deflation valveAutomatic rapid deflation valveAutomatic rapid deflation valveAutomatic rapid deflation valveIdentical
DisplayLCD digital displayLCD digital displayLCD digital displayLCD digital displayIdentical
Power Source2 "AAA" batteries2 "AAA" batteries4 "AA" batteries2 "AAA" batteriesIdentical
Operating Conditions10 to 40°C (50 to 104°F) 15 to
90% RH (non-condensing) 800 to
1060hPa10 to 40°C (50 to 104°F) 15 to
85%RH10 to 40°C (50 to 104°F)
30 to 85% RH10 to 40°C (50 to 104°F)
30 to 85%RHSimilar
(Slightly changed
to comply with
IEC60601 1)
Table 5.1: Substantial Equivalence Table – Regulatory Information (cont.)
Storage Conditions-20 to 60°C (-4 to 140°F)
10 to 90% RH (non-condensing)-20 to 60°C
10 to 95%RH-20 to 60°C (-4 to 140°F)
10 to 90% RH (non-condensing)-20 to 60°C (-4 to 140°F)
10 to 95%RH (non-condensing)
Dimensions (mm)91mm (W) x 13.4mm (D) ×
63.4mm (H)89mm (W) x 13mm (D) × 61mm
(H)131mm (W) x 155mm (D) x 84mm
(H)Approx. 78mm (W) x 21mm (D) x
60mm (H) (without the wrist cuff)Similar
(Slightly changed
to comply with
IEC60601-1)
WeightApprox. 90g (3.2 oz) (not including
battery)Approx. 80g (2 7/8 oz) (not
including battery)Approx. 420g (14.9 oz) (not
including battery)Approx. 101g (not including
battery)Similar, with
proposed device
having slightly
larger
dimensions
FeaturesSimilar
Irregular Heart Beat
DetectionYesYesYesYesIdentical
Body Movement
DetectionYesYesYesYesIdentical
Heart Zone IndicatorYesYes
(Cleared with the name Advanced
Positioning System)NoYesIdentical
(Exactly same
specification for
predicate is used
for new device
Hypertension IndicatorYes
(Use 130/80 with "High" symbol
based on published 2017 AHA
guideline)Yes
(Used 135/85 standard with blood
pressure level indicator)NoYes
(Used 135/85 standard with blood
pressure level indicator)Similar
(Only threshold
is changed)
Morning AveragesYesNoYesNoCleared under
K061822 (Exactly
same
specification for
K061822 is used
for new device)
Cuff Wrap GuideYesNoNoYesCleared under
K131742
(HEM-6131)
(Specification is
identical with
K131742)

7

510(k) SUMMARY

8

PERFORMANCE DATA [807.92(b)]

All necessary bench and clinical testing was conducted on the Wrist Blood Pressure Monitor Model BP4350 to support a determination of substantial equivalence to the predicate device.

Nonclinical Testing Summary [807.92(b)(1)]:

The nonclinical, bench testing included:

  • . Comparative testing against the predicate BP652N
  • . Performance verification testing to confirm acceptable performance of device features and functions
  • Cleaning verification testing to confirm device retains its performance when cuff is cleaned with household detergents as may be required in home use environment

Other nonclinical safety testing included:

  • Biocompatibility testing of patient-contacting materials per ISO 10993-1 ● requirements
  • Evaluation of relevant electrical safety, electromagnetic compatibility and ● electrostatic discharge requirements per IEC60601 and 80601 requirements and electrostatic discharge testing
  • . Software verification and validation

The collective results of the nonclinical testing demonstrate that the materials chosen, the manufacturing processes, and design of the Wrist Blood Pressure Monitor Model BP4350 meet the established specifications necessary for consistent performance during its intended use. In addition, the collective bench testing demonstrates that the Wrist Blood Pressure Monitor Model BP4350 does not raise different questions of safety or effectiveness for measurement of blood pressure and pulse rate in a home use environment when compared to the predicate device.

Clinical Testing Summary [807.92(b)(2)]:

A clinical investigation was conducted with the objective of validating the accuracy of blood pressure measurements by BP4350 based on an oscillometric method as compared to an auscultation method using a calibrated sphygmomanometer by trained medical staff. This study was conducted in accordance with guideline per

ANSI/AAMI/ISO 81060-2:2013 Noninvasive sphygmomanometers — Part 2: Clinical investigation of automated measurement type. The results demonstrated that BP4350 performed equivalently to the auscultation method and is in conformance with ANSI/AAMI/ISO 81060-2:2013.

CONCLUSIONS [807.92(b)(3)]

Based on the results from the nonclinical and clinical tests performed in support of BP4350, it is concluded that the proposed device is safe and effective, and performs as safely and effectively as the legally marketed BP652N predicate device.

9

510(k) SUMMARY

SUMMARY

BP4350 and BP652N are designed for the measurement of blood pressure, pulse rate and detection of irregular pulses in adult population for home use. These devices have the same Indications for Use and the performance characteristics related to blood pressure measurement and pulse rate are comparable between the two devices. The minor differences in labeling and technological characteristics between the proposed device and the predicate device have been evaluated and determined to not raise different questions of safety or effectiveness. As such, the proposed BP4350 is substantially equivalent to the predicate device.