K Number
K202173
Device Name
Pulse Oximeter
Date Cleared
2020-12-07

(126 days)

Product Code
Regulation Number
870.2700
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The pulse oximeter is a reusable device and intended for spot-checking of oxygen saturation and pulse rate for use with the finger of adult patients in healthcare environments. And it is not intended to be used under motion or low perfusion scenarios.
Device Description
The oximeter consists of probe, electronic circuits, and display and plastic enclosures. And one side of probe is designed to locate light emitting diodes and a light detector (called a photo-detector). Red and Infrared lights are shone through the tissues from one side of the probe to the other. Then parts of the light emitted absorbed by blood and tissues. The light absorbed by the blood varies with the oxygen saturation of haemoglobin. After that, the photo-detector detects the light volume transmitted through the tissues which depends on blood pulse, Hereafter, the microprocessor calculates a value for the oxygen saturation (SpO2). The subject device is a reusable device, and need to reprocess as suggested in the user manual after each use. And the device is intended to be used on the finger, and powered by 2*1.5V AAA battery.
More Information

Not Found

No
The description details standard pulse oximetry technology using light absorption and a microprocessor for calculation, with no mention of AI or ML algorithms.

No.
The device is for spot-checking oxygen saturation and pulse rate, which is a diagnostic function rather than a therapeutic one. It provides information but does not actively treat or alleviate a medical condition.

Yes

Explanation: The device is intended for "spot-checking of oxygen saturation and pulse rate" and calculates a "value for the oxygen saturation (SpO2)". This process of measuring a physiological parameter to gain information about the patient's health status is a diagnostic function.

No

The device description explicitly details hardware components such as a probe, electronic circuits, display, plastic enclosures, light emitting diodes, a light detector, and a microprocessor. It also mentions being powered by batteries.

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. They are used to examine these samples outside of the body.
  • Device Function: The description clearly states that the pulse oximeter measures oxygen saturation and pulse rate by shining light through the finger and detecting the transmitted light. This is a non-invasive measurement performed on the body, not on a sample taken from the body.
  • Intended Use: The intended use is for "spot-checking of oxygen saturation and pulse rate for use with the finger of adult patients." This aligns with a physiological measurement device, not an IVD.

Therefore, the device described is a physiological monitoring device, specifically a pulse oximeter, and does not fit the definition of an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The pulse oximeter is a reusable device and intended for spot-checking of oxygen saturation and pulse rate for use with the finger of adult patients in healthcare environments. And it is not intended to be used under motion or low perfusion scenarios.

Product codes

DQA

Device Description

The oximeter consists of probe, electronic circuits, and display and plastic enclosures. And one side of probe is designed to locate light emitting diodes and a light detector (called a photo-detector). Red and Infrared lights are shone through the tissues from one side of the probe to the other. Then parts of the light emitted absorbed by blood and tissues. The light absorbed by the blood varies with the oxygen saturation of haemoglobin. After that, the photo-detector detects the light volume transmitted through the tissues which depends on blood pulse, Hereafter, the microprocessor calculates a value for the oxygen saturation (SpO2). The subject device is a reusable device, and need to reprocess as suggested in the user manual after each use. And the device is intended to be used on the finger, and powered by 2*1.5V AAA battery.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

finger

Indicated Patient Age Range

adult patients

Intended User / Care Setting

healthcare environments.

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

Non-Clinical Testing:

  • Biocompatibility testing: Conducted in accordance with ISO 10993-1, including Cytotoxicity, Skin Sensitization, and Skin Irritation tests.
  • Electrical safety and electromagnetic compatibility (EMC): Complies with IEC 60601-1: 2005+CORR. 1 (2006)+CORR. 2 (2007)+AM1 (2012) and IEC 60601-1-2: 2007.
  • Bench Testing: Complies with ISO 80601-2-61: 2011, and Pulse Rate Accuracy meets the requirements defined in ISO 80601-2-61, Clause 201.12.1.104.
  • Software Verification and Validation Testing: Provided in accordance with FDA Guidance: Guidance for the Content of Premarket Submissions for Software in Medical Devices for software with a moderate level of concern.
  • Cleaning Validation: Conducted in accordance with FDA guidance "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling" issued March 17, 2015. Performance shows no degradation after repeated cleaning and disinfection.

Clinical data:
Clinical testing is conducted per Annex EE Guideline for evaluating and documenting SpO2 ACCURACY in human subjects of ISO 80601-2-61:2011 Medical electrical equipment - Part 2-61: Particular requirements for basic safety and essential performance of pulse oximeter equipment.

Key Metrics

SpO2 Range: 0100%
SpO2 Resolution: 1%
SpO2 Accuracy: 70
100%: ±2%, 0% to 69%: unspecified
Pulse Rate Range: 25 bpm ~ 250 bpm
Pulse Rate Accuracy: ±2 bpm
Pulse Rate Resolution: 1 bpm

Predicate Device(s)

K191430

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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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December 7, 2020

Shenzhen AOJ Medical Technology Co., Ltd. Wendy Lin Marketing Manager 601, 6th floor, B2 Building, An'le Industrial Park #172 Hangcheng Avenue Shenzhen, Guangdong 518126 China

Re: K202173

Trade/Device Name: Pulse Oximeter Regulation Number: 21 CFR 870.2700 Regulation Name: Oximeter Regulatory Class: Class II Product Code: DQA Dated: November 2, 2020 Received: November 9, 2020

Dear Wendy Lin:

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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Indications for Use

510(k) Number (if known) K202173

Device Name

Pulse Oximeter, models AOJ-70A, AOJ-70B, AOJ-70C, AOJ-70D and AOJ-70E

Indications for Use (Describe)

The pulse oximeter is a reusable device and intended for spot-checking of oxygen saturation and pulse rate for use with the finger of adult patients in healthcare environments. And it is not intended to be used under motion or low perfusion scenarios.

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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510(k) Summary

Prepared in accordance with the requirements of 21 CFR Part 807.92

K202173

    1. Submitter: Shenzhen AOJ Medical Technology Co., Ltd. 601, 6th floor, B2 Building, An'le Industrial Park, #172 Hangcheng Avenue, Hangcheng Street, Bao'an, Shenzhen, 518126 P.R. China Tel.: +86 13631601525 Contact Person: Wendy Lin Prepare date: 2020-07-25 2. Device name Device Name: Pulse Oximeter and classification Models: AOJ-70A, AOJ-70B, AOJ-70C, AOJ-70D and AOJ-70E Classification Name: 21 CFR 870.2700 Oximeter Product code: DQA Regulatory Class: Class II New Application. No prior submission associated with the current 3. Reason for Submission submission. 4. Predicate Shenzhen Yimi Life-Technology Co.,Ltd., YM101 Pulse Oximeter / K191430 Device(s) The oximeter consists of probe, electronic circuits, and display and plastic 5. Device Description enclosures. And one side of probe is designed to locate light emitting diodes and a light detector (called a photo-detector). Red and Infrared lights are shone through the tissues from one side of the probe to the other. Then parts of the light emitted absorbed by blood and tissues. The light absorbed by the blood varies with the oxygen saturation of haemoglobin. After that, the photo-detector detects the light volume transmitted through the tissues which depends on blood pulse, Hereafter, the microprocessor calculates a value for the oxygen saturation (SpO2). The subject device is a reusable device, and need to reprocess as suggested in the user manual after each use. And the device is intended to be used on the finger, and powered by 2*1.5V AAA battery. 6. Indications for The pulse oximeter is a reusable device and intended for spot-checking of Use oxygen saturation and pulse rate for use with the finger of adult patients in healthcare environments. And it is not intended to be used under motion or low perfusion scenarios.

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7. Predicate Device Comparison

Please refer to following table to find differences between the subject device and predicate device.

| ITEM | Predicate Device
YM series Pulse Oximeter
K191430 | Proposed Device
AOJ-70A, AOJ-70B,
AOJ-70C, AOJ-70D and
AOJ-70E | Comparison
Result |
|-----------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------|
| Manufacture | Shenzhen Yimi
Life Technology Co., Ltd. | Shenzhen AOJ Medical
Technology Co., Ltd. | --- |
| Indications for
Use | The pulse oximeter is
intended for measure
oxygen saturation and pulse
rate of adult patients in
healthcare environments.
And it is not intended to be
used under motion or low
perfusion scenarios. | The pulse oximeter is
intended for measure oxygen
saturation and pulse rate of
adult patients in healthcare
environments.
And it is not intended to be
used under motion or low
perfusion scenarios. | Same |
| Operational Specifications | | | |
| Intended patient
population | Adult | Adult | Same |
| Intended
application site | Finger | Finger | Same |
| use under motion
and low perfusion
conditions | No | No | Same |
| Measurement
Principles | 2-wavelength Relative
Optical Absorption | 2-wavelength Relative
Optical Absorption | Same |
| Signal Detection
Method | Photodetector | Photodetector | Same |
| SpO2 Range | 0100% | 0100% | Same |
| SpO2 Resolution | 1% | 1% | Same |
| SpO2 Accuracy | 70100%: ±2%
0% to 69%: unspecified | 70
100%: ±2%
0% to 69%: unspecified | Same |
| Pulse Rate
Range | 25 bpm ~ 250 bpm | 25 bpm ~ 250 bpm | Same |
| Pulse Rate
Accuracy | ±2 bpm | ±2 bpm | Same |
| Pulse
Rate Resolution | 1 bpm | 1 bpm | Same |
| Shipped Sterile | No | No | Same |
| Power supplier | 21.5V AAA alkaline battery | 21.5V AAA alkaline battery | Same |
| Storage and
Transport
Environment | Temperature: -20°Cto 60°C
Atmospheric Pressure: 50
kPa to 107.4 kPa
Relative Humidity:
10%-95% (no
condensation) | Temperature: -20°Cto 60°C
Atmospheric Pressure: 50
kPa to 107.4 kPa
Relative Humidity: 10%-95%
(no condensation) | Same |
| Operating
Environment | Temperature: 15°Cto 40°C
Atmospheric Pressure: 70 kPa to 106 kPa
Relative Humidity:
15%-95% (no
condensation) | Temperature: 15°Cto 40°C
Atmospheric Pressure: 70 kPa to 106 kPa
Relative Humidity: 15%-95%
(no condensation) | |
| Compliance Standards | | | |
| Bio-compatibility | ISO 10993-1
ISO 109903-5
ISO 10993-10 | ISO 10993-1
ISO 109903-5
ISO 10993-10 | Same |
| Electrical Safety | IEC 60601-1
IEC 60601-1-11 | IEC 60601-1
IEC 60601-1-11 | |
| EMC | IEC 60601-1-2 | IEC 60601-1-2 | |
| Performance | ISO 80601-2-61 | ISO 80601-2-61 | |
| Physical Specifications | | | |
| Dimension
(WidthHeightDepth) | 57mm×30mm×30 mm | 63mm×36mm×34mm | Different |

Table 1 Comparison between the predicate YM101 and the subject device

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As seen in the comparison tables, the subject and predicate devices have same design principle, design features and performance specifications. The different physical size between the subject and predicate devices will not raise different questions of safety or effectiveness.

8. Performance Testing

Performance data includes "Non-Clinical Data", brief description of which are shown as below.

Non-Clinical Testing:

The following performance data were provided in support of the substantial equivalence determination.

Biocompatibility testing

The biocompatibility evaluation for the Pulse Oximeter was conducted in accordance with the International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process," as recognized by FDA. The worst case of the whole system is considered tissue contacting for duration of less than 24 hours. And the testing included the following tests, results of which demonstrate the biocompatibility of the subject device:

  • Cytotoxicity
  • Skin Sensitization
  • Skin Irritation

Electrical safety and electromagnetic compatibility (EMC)

Electrical safety and EMC testing were conducted, and the results show that the subject device complies with the IEC 60601-1: 2005+CORR. 1 (2006)+CORR. 2 (2007)+AM1 (2012) Medical electrical equipment Part 1: General requirements for basic safety and essential performance for safety and the IEC 60601-1-2: 2007 Medical electrical equipment -Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests standard for EMC.

Bench Testing

Bench testing was conducted and the results show that the subject device complies with the ISO 80601-2-61: 2011 Medical electrical equipment — Part 2-61: Particular requirements for

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basic safety and essential performance of Pulse Oximeter Equipment standard. And Pulse Rate Accuracy meets the requirements defined in ISO 80601-2-61, Clause 201.12.1.104.

Software Verification and Validation Testing

Software documentation including verification & validation was provided in accordance with FDA Guidance: Guidance for the Content of Premarket Submissions for Software in Medical Devices for software with a moderate level of concern.

Cleaning Validation

Cleaning and disinfection validation testing was conducted in accordance with FDA guidance "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling" issued March 17,2015. Moreover, the performance of the subject device shows no degradation after repeated cleaning and disinfection as suggested in the manual.

Clinical data:

Clinical testing is conducted per Annex EE Guideline for evaluating and documenting SpO2 ACCURACY in human subjects of ISO 80601-2-61:2011 Medical electrical equipment - Part 2-61: Particular requirements for basic safety and essential performance of pulse oximeter equipment.

9. Conclusion

Verification and validation testing was conducted on the subject device Pulse Oximeter and all testing passed pre-specified criteria. The subject device and the predicate device have the same intended use and the differences in technological features do not raise different questions of safety and effectiveness. This premarket notification submission demonstrates that the subject device is substantially equivalent to the predicate device.