K Number
K211532
Device Name
Arm Blood Pressure Monitor, model OB30, OB31, OB32, OB33
Date Cleared
2022-01-19

(246 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Arm Blood Pressure Monitor is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive oscillometric technique in which an inflatable cuff is wrapped around the arm of which the circumference includes 22 cm~36 cm.
Device Description
The Arm Blood Pressure Monitor is a battery powered automatic non-invasive pressure monitor, powered by 4 x1.5V AAA battery. It can automatically complete the inflation, deflation and measurement, which can measure systolic and diastolic blood pressure and pulse rate of the adult person at upper arm within its claimed range and accuracy via the oscillometric technique. User can select the unit of the measurement: mmHg or kPa. The device has the data storage function for data reviewing. The proposed Arm Blood Pressure Monitor share the same software, measurement principle and NIBP algorithm. The product is provided non-sterile, and not to be sterilized by the user prior to use.
More Information

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and describes a standard oscillometric blood pressure monitor without mentioning any AI/ML features.

No

The device is intended for measurement and monitoring of blood pressure, not for therapy or treatment.

No

The device measures blood pressure and pulse rate, which are physiological parameters. While these measurements can be used by a healthcare professional as part of a diagnostic process, the device itself does not provide a diagnosis of a disease or condition. It simply provides data points.

No

The device description explicitly states it is a "battery powered automatic non-invasive pressure monitor" and describes physical components like an inflatable cuff and batteries, indicating it is a hardware device with integrated software, not a software-only device.

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 description clearly states that this device is a "non-invasive blood pressure measurement system" that measures blood pressure and pulse rate by using an "oscillometric technique in which an inflatable cuff is wrapped around the arm."
  • No Sample Analysis: The device does not analyze any biological samples taken from the body. It measures a physiological parameter (blood pressure) directly from the body's surface.

Therefore, this device falls under the category of a non-invasive medical device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

Arm Blood Pressure Monitor is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive oscillometric technique in which an inflatable cuff is wrapped around the arm of which the circumference includes 22 cm~36 cm.

Product codes

DXN

Device Description

The Arm Blood Pressure Monitor is a battery powered automatic non-invasive pressure monitor, powered by 4 x1.5V AAA battery. It can automatically complete the inflation, deflation and measurement, which can measure systolic and diastolic blood pressure and pulse rate of the adult person at upper arm within its claimed range and accuracy via the oscillometric technique. User can select the unit of the measurement: mmHg or kPa. The device has the data storage function for data reviewing. The proposed Arm Blood Pressure Monitor share the same software, measurement principle and NIBP algorithm.
The product is provided non-sterile, and not to be sterilized by the user prior to use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Upper Arm

Indicated Patient Age Range

Adult individual; aged from 22 to 81

Intended User / Care Setting

Over-The-Counter Use; It is intended to be used in hospital environment or at home.

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Clinical performance testing was conducted on the Arm Blood Pressure Monitor (models: OB30, OB31, OB32, OB33) according to the ISO 81060-2. As this device is for adults only, the testing Included 85 subjects, aged from 22 to 81, 52.9% of participants are male and 47.1% are female, the limb size distribution of all subjects complied with clause 5.1.4 of ISO 81060-2.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Nonclinical tests:

  • Biocompatibility testing conducted in accordance with ISO 10993-1, ISO 10993-5 (Cytotoxicity) and ISO 10993-10 (Irritation and Sensitization). Results show the device is biocompatible.
  • Electrical safety and electromagnetic compatibility (EMC) testing: The device complies with IEC 60601-1, IEC 60601-1-11, IEC 80601-2-30 for safety and IEC 60601-1-2 for EMC.
  • Usability Testing: The device complies with IEC 62366-1 and IEC 60601-1-6.
  • Software Verification and Validation Testing: Documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff. Software was considered "moderate" level of concern.

Clinical performance testing:

  • Study type: Clinical performance testing according to ISO 81060-2.
  • Sample size: 85 subjects.
  • Key results: The results both meet criterion 1 and criterion 2 of ISO 81060-2. No adverse effects or complications occurred during testing.

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

  • Pressure accuracy: ±3mmHg (±0.4kPa)
  • Pulse accuracy: ±5%

Predicate Device(s)

K183058

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1130 Noninvasive blood pressure measurement system.

(a)
Identification. A noninvasive blood pressure measurement system is a device that provides a signal from which systolic, diastolic, mean, or any combination of the three pressures can be derived through the use of tranducers placed on the surface of the body.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image contains the 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 in blue, with the words "U.S. FOOD & DRUG" on top and "ADMINISTRATION" on the bottom.

January 19, 2022

Yibin Junxin Electronics Technology Co., Ltd. % Cassie Lee, Manager Share Info (Guangzhou) Medical Consultant Ltd. No. 1919-1920, Building D3. Minjie Plaza, Shuixi Road Huangpu District Guangzhou, Guangdong 510700 China

Re: K211532

Trade/Device Name: Arm Blood Pressure Monitor, model OB30, OB31, OB33, OB33 Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive Blood Pressure Measurement System Regulatory Class: Class II Product Code: DXN Dated: December 3, 2021 Received: December 22, 2021

Dear Cassie Lee:

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.

1

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.

for

LCDR Stephen Browning Assistant Director Division of Cardiac Electrophysiology, Diagnostics, and Monitoring Devices Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K211532

Device Name Arm Blood Pressure Monitor

Indications for Use (Describe)

Arm Blood Pressure Monitor is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive oscillometric technique in which an inflatable cuff is wrapped around the arm of which the circumference includes 22 cm~36 cm.

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

Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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

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

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

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

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

3

510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirement of 21 CFR 807.92.

Submitter's Information 1.

Name: Yibin Junxin Electronics Technology Co., Ltd. Establishment Registration Number: Applying Address: No. 136, Xinggang Road, Lingang Zone, Yibin City, SiChuan, China Postal Code: 644000 Tel: +86 0831-3602202 Contact Person (including title): Guan Chaoze E-mail: peter@tablet-china.com

Application Correspondent:

Contact Person: Cassie Lee Share Info (Guangzhou) Medical Consultant Ltd. Address: No. 1919-1920, Building D3, Minjie Plaza, Shuixi Road, Huangpu District, Guangzhou, China Tel: +86 20 8200 6973 Email: regulatory@share-info.com

2. Date of the summary prepared: December 3, 2021

3. Subject Device Information

Type of 510(k): Traditional Common Name: Systems, measurement, blood pressure, Non-invasive Classification Name: System, Measurement, Blood-Pressure, Non-Invasive Trade Name: Arm Blood Pressure Monitor Model Name: OB30, OB31, OB32, OB33 Review Panel: Cardiovascular Product Code: DXN Regulation Number: 870.1130 Regulatory Class: II

4. Predicate Device Information

Sponsor: Shenzhen BSX Technology Electronics Co., Ltd. Trade Name: Arm-type Electronic Blood Pressure Monitor Classification Name: System, Measurement, Blood-Pressure, Non-Invasive Common Name: Noninvasive Blood Pressure Measurement System 510(K) Number: K183058 Product Code: DXN Regulation Number: 870.1130 Requlation Class: II

Device Description 5.

The Arm Blood Pressure Monitor is a battery powered automatic non-invasive pressure monitor, powered by 4 x1.5V AAA battery.

4

It can automatically complete the inflation, deflation and measurement, which can measure systolic and diastolic blood pressure and pulse rate of the adult person at upper arm within its claimed range and accuracy via the oscillometric technique. User can select the unit of the measurement: mmHg or kPa. The device has the data storage function for data reviewing. The proposed Arm Blood Pressure Monitor share the same software, measurement principle and NIBP algorithm.

The product is provided non-sterile, and not to be sterilized by the user prior to use.

6. Intended Use / Indications for Use

Arm Blood Pressure Monitor is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive oscillometric technique in which an inflatable cuff is wrapped around the arm of which the circumference includes 22 cm~36 cm.

7. Comparison to predicate device

The technological characteristics, features, specifications, mode of operation, and intended use of Arm Blood Pressure Monitor is substantially equivalent to the predicate devices quoted above. The differences between the subject device and predicate devices do not raise new issues of safety or effectiveness.

| Elements of

ComparisonSubject DevicePredicate Device 1Remark
CompanyYibin Junxin Electronic Technology
Co., Ltd.Shenzhen BSX Technology
Electronics Co., Ltd.--
Product NameArm Blood Pressure MonitorArm-type Electronic Blood
Pressure Monitor--
Model NameOB30, OB31, OB32, OB33BSX516, BSX523,
BSX525, BSX583, BSX593 and
BSX595--
Classification
NameSystems,Measurement,Blood
Pressure,Non-invasiveSystems,Measurement,Blood
Pressure,Non-invasiveSame
510(k) NumberApplyingK183058--
Product CodeDXNDXNSame
Intended Use and Indications for Use
Intended Use /
Indications for
UseArm Blood Pressure Monitor is a
non-invasive blood pressure
measurement system intended to
measure the diastolic and systolic
blood pressures and pulse rate of
an adult individual by using a non-
invasive oscillometric technique in
which an inflatable cuff is wrapped
around the arm of which the
circumference includes 22 cm~36
cm.The blood pressure monitor is a
non-invasive blood pressure
measurement system intended
to measure the diastolic and
systolic blood pressures and
pulse rate of an adult individual
by using a non-invasive
oscillometric technique in which
an inflatable CUFF is wrapped
around the arm of which the
circumference includes 22
cm~32 cm. It is intended to be
used in hospital environment or
at home.Same
Electrical requirement

5

| Power Supply | 4x1.5V AAA Alkaline Battery | 4x1.5V AAA Alkaline Battery
(BSX516, BSX525, BSX583,
BSX593 and BSX595)
3.7V 400mAh Li-ion Battery
(BSX523) | Same |
|----------------------------------|----------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------|
| Performance specification | | | |
| Measurement Site | Upper Arm | Upper Arm | Same |
| Measuring scope | Pressure: 0mmHg260 mmHg;
Pulse: 40 bpm
199 bpm | Pressure: 0mmHg299 mmHg
Pulse: 40 bpm 180 bpm | Similar
Note 1 |
| Pressure
resolution | 1 mmHg or 0.1kPa | 1 mmHg or 0.1kPa | Same |
| Measuring
accuracy | Pressure: ±3mmHg (±0.4kPa)
Pulse: ±5% | Pressure: ± 3mmHg
Pulse: ±5% | Same |
| Cuff
Circumference | 22
36cm | 22
32cm | Similar
Note |
| Inflation and
Deflation | Automatic | Automatic | Same |
| Measuring
Method | Non-invasive Oscillometric | Non-invasive Oscillometric | Same |
| Patient Population | Adult | Adult | Same |
| Display | LCD | LCD | Same |
| Operation
condition | Temperature: +5 to +40 °C,
Humidity: 15 to 80%
Atmospheric Pressure: 80 kPa105
kPa | Temperature: +5 to +40 °C,
Humidity: 15 to 85%
Atmospheric Pressure: 80
kPa
106 kPa | Similar
Note 1 |
| Transport/storage
environment | Temperature: -20°C ~ +50°C,
Humidity: 15%93%
Atmospheric Pressure: 80 kPa
105
kPa | Temperature: -20°C~+55 °C,
Humidity: 10 to 93%
Atmospheric Pressure: 70
kPa~106 kPa | Similar
Note 1 |
| Safety | IEC 60601-1
IEC 60601-1-11
IEC 80601-2-30 | IEC 60601-1
IEC 60601-1-11
IEC 80601-2-30 | Same |
| EMC | IEC 60601-1-2 | IEC 60601-1-2 | Same |
| Biocompatibility | ISO 10993 | ISO 10993 | Same |

Note1:

Although "Power Supply", "Measuring scope", "Cuff circumference", "Operation condition and "Transport/storage environment" of the subject device are a little different from the predicate devices, but the difference of subject device is very similar to the K183058. So, these parameters' differences will not raise any safety or effectiveness issues.

8. Performance Data and Test Summary

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

8.1 Nonclinical test performed

Biocompatibility testing 1)

The biocompatibility evaluation for the Arm Blood Pressure Monitor was conducted in accordance with the FDA Blue Book Memorandum #G95-1 "Use of International Standard ISO-10993, 'Biological Evaluation of

6

Medical Devices Part 1: Evaluation and Testing," May 1, 1995, and 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 biocompatibility testing included the following tests:

  • . Cytotoxicity
  • . Sensitization
  • . Irritation

According to the test results, the subject device is biocompatible for its intended use. And it is complied with biocompatibility standards ISO 10993-5 (Cytotoxicity) and ISO 10993-10 (Irritation and Sensitization).

Electrical safety and electromagnetic compatibility (EMC) 2)

Electrical safety and EMC testing were conducted on the Arm Blood Pressure Monitor (models: OB30, OB31, OB32, OB33), the device complies with the IEC 60601-1, IEC 60601-1-11, and IEC 80601-2-30 standards for safety and the IEC 60601-1-2 standard for EMC.

3) Usability Testing

Usability testing were conducted on the Arm Blood Pressure Monitor (models: OB30, OB31, OB32, OB33), the device complies with IEC 62366-1 and IEC 60601-1-6.

Software Verification and Validation Testing 4)

Software verification and validation testing were conducted and documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a "moderate" level of concern, since a malfunction of, or a latent design flaw in, the Software Device lead s to an erroneous diagnosis or a delay in delivery of appropriate medical care that would likely lead to Minor Injury.

8.2 Clinical performance testing performed

Clinical performance testing was conducted on the Arm Blood Pressure Monitor (models: OB30, OB31, OB32, OB33) according to the ISO 81060-2.

As this device is for adults only, the testing Included 85 subjects, aged from 22 to 81, 52.9% of participants are male and 47.1% are female, the limb size distribution of all subjects complied with clause 5.1.4 of ISO 81060-2.

The subject devices use the oscillometric method to measure blood pressure, the accuracy of determination depends on the sensor, race and ethnicity differences do not have an effect on the measuring result in the specified measuring scope.

During the testing, there were no adverse effects and complications occurred, and the results both meet criterion 1 and criterion 2 of ISO 81060-2.

9. Final Conclusion:

The conclusions drawn from the nonclinical and clinical tests that the device is as safe, as effective, and performs as well as or better than the leqally marketed device K183058.