K Number
K191279
Device Name
Disposable SpO2 Sensor
Date Cleared
2019-12-06

(207 days)

Product Code
Regulation Number
870.2700
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Caremed Disposable SpO2 Sensors are indicated for continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate (PR) for adult, pediatric and infant patient populations.
Device Description
The proposed device, Disposable SpO2 Sensors are accessories to the patient monitors, which are intended for continuous non-invasive monitoring of functional arterial oxygen saturation and pulse rate. The compatible patient monitor is Nihon Kohden BSM-5135A. The sensor shall be connected to its corresponding monitor through Caremed adapter cable model SZ30-36. Oxygenation of blood is measured by detecting the infrared and red-light absorption characteristics of deoxygenated hemoglobin and oxygenated hemoglobin, which consists of a probe attached to the patient's finger. The sensor is connected to a data acquisition system which is used to calculate and display oxygen saturation levels and heart rate conditions. Each sensor has two LEDs, emitting both red and infrared light, and a photodiode. Red and infrared light lit alternately according to certain sequence, when the fingertips of capillary repeatedly with the heart pumps blood congestion, light emitting diode after blood vessels and projected onto a photodiode, photodiode can be induced to change with pulse light intensity, the electrical signals in the form of change. Then the received signal is forwarded to the corresponding oximeter that amplifies the signal and an algorithm that calculates the ratio. By measuring the wave crest of the pulse wave and the absorbance of the trough, SpO2 is calculated to obtain the correct oxygen saturation value. The saturation value is determined by the percentage ratio of the oxygenated hemoglobin (HbO2) to the total amount of hemoglobin (Hb).
More Information

Not Found

No
The device description details a standard pulse oximetry mechanism based on light absorption and an algorithm to calculate the ratio. There is no mention of AI or ML in the description, performance studies, or key metrics.

No.
The device is indicated for continuous non-invasive monitoring of functional oxygen saturation and pulse rate, which is a diagnostic function, not a therapeutic one.

Yes

The device is a diagnostic device because it monitors functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate (PR), which are physiological parameters used to assess a patient's health status. The information gathered by the device aids in the diagnosis and management of conditions related to oxygen saturation and heart rate.

No

The device description clearly outlines hardware components (LEDs, photodiode, adapter cable, sensor probe) and their physical interaction with the patient to acquire data. It is an accessory to a patient monitor, which is also a hardware device.

Based on the provided information, this device is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs are used to examine specimens from the human body. The description clearly states that the Caremed Disposable SpO2 Sensors are used for "continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate (PR)" by attaching a probe to the patient's finger. This is a direct measurement on the patient, not an analysis of a specimen taken from the patient.
  • The mechanism of action involves light absorption through tissue. The device measures light absorption characteristics of hemoglobin in the blood vessels of the finger. This is a physical measurement taken in vivo, not a chemical or biological analysis of a sample in vitro (outside the body).

Therefore, the Caremed Disposable SpO2 Sensors are considered a medical device used for patient monitoring, but they do not fit the definition of an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

Caremed Disposable SpO2 Sensors are indicated for continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate (PR) for adult, pediatric and infant patient populations.

Product codes (comma separated list FDA assigned to the subject device)

DQA

Device Description

The proposed device, Disposable SpO2 Sensors are accessories to the patient monitors, which are intended for continuous non-invasive monitoring of functional arterial oxygen saturation and pulse rate. The compatible patient monitor is Nihon Kohden BSM-5135A. The sensor shall be connected to its corresponding monitor through Caremed adapter cable model SZ30-36. Oxygenation of blood is measured by detecting the infrared and red-light absorption characteristics of deoxygenated hemoglobin and oxygenated hemoglobin, which consists of a probe attached to the patient's finger. The sensor is connected to a data acquisition system which is used to calculate and display oxygen saturation levels and heart rate conditions. Each sensor has two LEDs, emitting both red and infrared light, and a photodiode. Red and infrared light lit alternately according to certain sequence, when the fingertips of capillary repeatedly with the heart pumps blood congestion, light emitting diode after blood vessels and projected onto a photodiode, photodiode can be induced to change with pulse light intensity, the electrical signals in the form of change. Then the received signal is forwarded to the corresponding oximeter that amplifies the signal and an algorithm that calculates the ratio. By measuring the wave crest of the pulse wave and the absorbance of the trough, SpO2 is calculated to obtain the correct oxygen saturation value. The saturation value is determined by the percentage ratio of the oxygenated hemoglobin (HbO2) to the total amount of hemoglobin (Hb).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Fingers or toes

Indicated Patient Age Range

adult, pediatric and infant patient populations.
Adult (>40 kg)
Pediatric (10 kg

§ 870.2700 Oximeter.

(a)
Identification. An oximeter is a device used to transmit radiation at a known wavelength(s) through blood and to measure the blood oxygen saturation based on the amount of reflected or scattered radiation. It may be used alone or in conjunction with a fiberoptic oximeter catheter.(b)
Classification. Class II (performance standards).

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Shenzhen Caremed Medical Technology Co., Ltd. % Kevin Wang Consultant Chonconn Medical Device Consulting Co., Ltd. No. A415, Block A, NanShan Medical Devices Industrial Park Nanshan District Shenzhen. 518067 Cn

Re: K191279

Trade/Device Name: Disposable SpO2 Sensor Regulation Number: 21 CFR 870.2700 Regulation Name: Oximeter Regulatory Class: Class II Product Code: DQA Dated: November 8, 2019 Received: November 8, 2019

Dear Kevin Wang:

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 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.

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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Todd Courtney Assistant Director DHT1C: Division of ENT, Sleep Disordered Breathing, Respiratory and Anesthesia Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

Device Name Disposable SpO2 Sensors

Indications for Use (Describe)

Caremed Disposable SpO2 Sensors are indicated for continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate (PR) for adult, pediatric and infant patient populations.

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)

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510(K) Summary

Prepared in accordance with the requirements of 21 CFR Part 807.92

Prepared Date: 2019/11/25

Submission sponsor 1.

Name: Shenzhen Caremed Medical Technology Co., Ltd. Address: East Side, 3/F, C Building, Kelunte Low-Carbon Industries, Gaofeng Community, Dalang Office, Longhua District, Shenzhen, Guangdong, China Contact person: Alan Xie Title: Quality Manager E-mail: cm003@szcaremed.com Tel: +86-755-36560977-889

2. Submission correspondent

Name: Chonconn Medical Device Consulting Co., Ltd.

Address: No. A415, Block A, NanShan Medical devices Industrial Park Nanshan District, Shenzhen, Guangdong, P.R. China 518067

Contact person: Kevin Wang

E-mail: kevin@chonconn.com

Tel: +86-755 33941160

Trade/Device NameDisposable SpO2 Sensor
ModelC543-16, C533-16, C523-16, C503-16
Common NameOximeter (Accessory-sensor)
Regulatory ClassClass II
Classification21CFR 870.2700 / Oximeter / DQA
Submission typeTraditional 510(K)

3. Subiect Device Information

4. Predicate Device

By submission of the Traditional 510(k), Shenzhen Caremed Medical Technology Co., Ltd. is requesting clearance for Disposable SpO2 Sensor. It is comparable to the following legally marketed system:

    1. UNIMED MEDICAL SUPPLIES INC. Unimed Disposable and Reusable SpO2Sensors under K142832.

5. Device Description

The proposed device, Disposable SpO2 Sensors are accessories to the patient monitors, which are intended for continuous non-invasive monitoring of functional arterial oxygen saturation and pulse rate. The compatible patient monitor is Nihon Kohden BSM-5135A.

4

The sensor shall be connected to its corresponding monitor through Caremed adapter cable model SZ30-36. Oxygenation of blood is measured by detecting the infrared and red-light absorption characteristics of deoxygenated hemoglobin and oxygenated hemoglobin, which consists of a probe attached to the patient's finger. The sensor is connected to a data acquisition system which is used to calculate and display oxygen saturation levels and heart rate conditions.

Each sensor has two LEDs, emitting both red and infrared light, and a photodiode. Red and infrared light lit alternately according to certain sequence, when the fingertips of capillary repeatedly with the heart pumps blood congestion, light emitting diode after blood vessels and projected onto a photodiode, photodiode can be induced to change with pulse light intensity, the electrical signals in the form of change. Then the received signal is forwarded to the corresponding oximeter that amplifies the signal and an algorithm that calculates the ratio. By measuring the wave crest of the pulse wave and the absorbance of the trough, SpO2 is calculated to obtain the correct oxygen saturation value. The saturation value is determined by the percentage ratio of the oxygenated hemoglobin (HbO2) to the total amount of hemoglobin (Hb).

ModelMeasurement siteIntended population
C503-16FingersAdult (>40 kg)
C523-16FingersPediatric (10 kg 40 kg)

6. Intended use & Indication for use

Caremed Disposable SpO2 Sensors are indicated for continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate (PR) for adult, pediatric and infant patient populations.

FeaturesSubject DevicePredicate Device K142832Comparison
Caremed Disposable SpO2Unimed Disposable and
SensorsReusable SpO2 Sensors
ApplicantShenzhen Caremed Medical
Technology Co., Ltd.Unimed Medical Supplies Inc./
Classification
Regulation21CRF 870.270021CRF 870.2700Same
Classification
and CodeClass II, DQAClass II, DQASame
Common
nameOximeter (Accessory-sensor)Oximeter (Accessory-sensor)Same
FeaturesSubject Device
Caremed Disposable SpO2
SensorsPredicate Device K142832
Unimed Disposable and
Reusable SpO2 SensorsComparison
Intended useCaremed Disposable SpO2
Sensors are indicated for
continuous non-invasive
monitoring of functional oxygen
saturation of arterial hemoglobin
(SpO2) and pulse rate (PR) for
adult, pediatric and infant patient
populations.Unimed Disposable and Reusable
SPO2 Sensors are indicated for
continuous non-invasive
monitoring of functional oxygen
saturation of arterial hemoglobin
(SpO2) and pulse rate (PR) for
adult patients weighing greater
than40kg, pediatric patients
weighing 10 -50 kg, and neonatal
patients weighing no less than 3
Kg.Different (1)
Principle of
operation2-wavelength Relative Optical
Absorption2-wavelength Relative Optical
AbsorptionSame
Light EmittingRed: 660-666nm
Infrared: 880-950nmRed: 660-666nm
Infrared: 880-950nmSame
Signal
Detection
MethodPhotodetectorPhotodetectorSame
SpO2 Range70%-100%70%-100%Same
SpO2
Accuracy$\pm$ 3%$\pm$ 3%Same
PR Range30 bmp - 250 bmp30 bmp - 250 bmpSame
PR Accuracy$\pm$ 3$\pm$ 3Same
SterileNoNoSame
Application
siteFinger or toesFinger or toesSame
Patient
contacting
MaterialsNon-wovenSilica gel, Foam, 3M TextileDifferent (2)
Cable length900 $\pm$ 50 mmFinger clip: 1100 $\pm$ 100 mmDifferent (3)
Patient end
designTextile Adhesivefinger clip, soft tip, Textile
Adhesive, and Non-AdhesiveSame
Connector
designDB9M ConnectorDB9M Connector
Masimo 6p Connector
Hypertronic 7pin ConnectorSame
UsageDisposableDisposable, reusableSame
Electrical
SafetyComplied with IEC 60601-1Complied with IEC 60601-1Same
FeaturesSubject Device
Caremed Disposable SpO2
SensorsPredicate Device K142832
Unimed Disposable and
Reusable SpO2 SensorsComparison
EMCComplied with IEC 60601-1-2Complied with IEC 60601-1-2Same
PerformanceComplied with ISO 80601-2-61Complied with ISO 80601-2-61Same
Biocompatibility
CytotoxicityComplied with ISO 10993-5Complied with ISO 10993-5Same
Skin IrritationComplied with ISO 10993-10Complied with ISO 10993-10Same
SensitizationComplied with ISO 10993-10Complied with ISO 10993-10Same

7. Comparison to the Predicate Device

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Justifications for differences between proposed device and the predicate device are shown as below:

Different (1): The intended population between proposed device and predicate device is different. The difference is the addition of infant (3 kg