K Number
K211632
Date Cleared
2022-01-14

(232 days)

Product Code
Regulation Number
870.2700
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The pulse oximeter is indicated for the noninvasive spot checking of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate (PR) for adult and pediatic (≥10Kg) patients during both no motion and for patients who are well or poorly perfused.

Pulse Oximeter is intended for hospitals, hospital-type facilities, home environments.

Device Description

The Pulse Oximeter is a small, lightweight, portable, digit pulse oximeter that displays numerical values for functional oxygen saturation of arterial hemoglobin (SpO₂), pulse rate (PR) and perfusion index (PI) by measuring the absorption of red and infrared light passing through perfused tissue. It indicated for adult and pediatric (≥10Kg) patients during both no motion and motion conditions, and for patients who are well or poorly perfused.

The device consists of probe, electronic circuits, OLED/LED display (differentiated by models) and plastic housing which powered by two alkaline AAA batteries.

AI/ML Overview

The provided text describes the regulatory clearance of a pulse oximeter and includes information about its performance testing. However, it does not contain the specific details required to answer all parts of your request, especially regarding a clinical study with a human-in-the-loop or standalone AI performance evaluation, expert qualifications, or ground truth establishment relevant to AI. This document is a 510(k) summary for a pulse oximeter, and as such, it focuses on demonstrating substantial equivalence to a predicate device, primarily through engineering and bench testing, and standard clinical trials for SpO2 accuracy.

Here's an attempt to answer your questions based only on the provided text, with clear indications where information is not available:


Acceptance Criteria and Device Performance for Pulse Oximeter (FRO-200, FRO-201, FRO-202, FRO-203, FRO-204, FRO-100, FRO-101, FRO-102, FRO-103, FRO-104)

This device is a pulse oximeter, and its performance is evaluated against the accuracy specifications defined by the ISO 80601-2-61 standard for pulse oximeter equipment.

1. Table of Acceptance Criteria and the Reported Device Performance

ParameterAcceptance Criteria (ISO 80601-2-61 Standard)Reported Device Performance (ARMS)
SpO2, No Motion70 – 100%, ≤ 2% ARMS*70 – 100%, 2% ARMS (adults/pediatrics)
SpO2, Motion70 – 100%, ≤ 3% ARMS*70 – 100%, 3% ARMS (adults/pediatrics)
SpO2, Low Perfusion70 – 100%, ≤ 2% ARMS*70 – 100%, 2% ARMS (adults/pediatrics)
Pulse Rate, No Motion25 – 250 BPM, ≤ 2 BPM ARMS*25 – 250 BPM, 2 BPM ARMS (adults/pediatrics)
Pulse Rate, Motion25 – 250 BPM, ≤ 4 BPM ARMS*25 – 250 BPM, 4 BPM ARMS (adults/pediatrics)
Pulse Rate, Low Perfusion25 – 250 BPM, ≤ 2 BPM ARMS*25 – 250 BPM, 2 BPM ARMS (adults/pediatrics)

*Note: The acceptance criteria are inferred from the reported performance, as they typically match the standard's requirements for a device to be compliant. The standard ISO 80601-2-61 is explicitly mentioned as the compliance standard for performance.

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

The document states that "Narigmed provided the results of clinical testing to demonstrate that pulse oximeter meets relevant consensus standards. ISO 80601-2-61:2017 Medical electrical equipment Part 2-61: Particular requirements for basic safety and essential performance of pulse oximeter equipment."

  • Sample size: Not specified.
  • Data provenance: Not specified (e.g., country of origin, retrospective or prospective). This type of clinical data for pulse oximeters typically involves healthy volunteers undergoing induced hypoxemia in a controlled lab setting, which is a prospective study design.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

  • Not Applicable / Not Available: For pulse oximeters, the "ground truth" for oxygen saturation is typically established using a co-oximeter directly measuring arterial blood samples, not by human experts. The concept of "experts" to establish ground truth is usually relevant for image-based diagnostic AI systems.

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

  • Not Applicable / Not Available: As mentioned above, ground truth for pulse oximetry is usually based on direct physiological measurements (co-oximetry blood gas analysis), not expert consensus requiring adjudication.

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

  • Not Applicable / Not Available: This device is a standalone pulse oximeter and does not involve AI assistance for human readers or interpretation of medical images. Therefore, an MRMC study related to AI assistance is not relevant or described.

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

  • Yes, in essence. The performance metrics listed (SpO2 and Pulse Rate accuracy) are measures of the device's (algorithm's) ability to accurately measure these physiological parameters independently. The "clinical data" mentioned refers to this standalone performance against reference measurements. The device itself is "algorithm only" in terms of its core measurement function; it doesn't provide interpreted results that then go through a human for validation, but rather directly displays the measured values.

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

  • The ground truth for pulse oximetry accuracy studies, as per ISO 80601-2-61, is established through concurrent direct measurements of arterial oxygen saturation using a co-oximeter from arterial blood samples. This is considered the gold standard for SpO2.

8. The sample size for the training set

  • Not Applicable / Not Available: The document does not describe "training" or "test" sets in the context of an AI model's development. For a pulse oximeter, its measurement algorithms are typically developed and refined through engineering, physics principles, and then validated in clinical studies against reference methods. There isn't a "training set" for a machine learning model, as would be the case for AI-driven diagnostic tools.

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

  • Not Applicable / Not Available: As above, the concept of a training set with established ground truth is not elaborated upon as this is not an AI diagnostic device. The device's underlying algorithms are validated through performance against established physiological standards and clinical reference measurements.

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January 14, 2022

Shenzhen Narig Bio-Medical Technology Co., Ltd. Fei Han General Manager 1106 Room, East Tower, Digital Culture Industry Base No.10128 Shennan Road, Nanshan District Shenzhen, Guangdong 518052 China

Re: K211632

Trade/Device Name: Pulse Oximeter (FRO-200, FRO-201, FRO-202, FRO-203, FRO-204, FRO-100, FRO-101, FRO-102, FRO-103, FRO-104) Regulation Number: 21 CFR 870.2700 Regulation Name: Oximeter Regulatory Class: Class II Product Code: DQA Dated: December 16, 2021 Received: December 16, 2021

Dear Fei Han:

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/cdrl/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 medical devices and radiation-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 Courtnev Assistant Director DHT1C: Division of 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) K211632

Device Name Pulse Oximeter (Include FRO-200. FRO-201. FRO-202. FRO-204. FRO-100. FRO-101. FRO-102. FRO-102. FRO-103. FRO-104)

Indications for Use (Describe)

The pulse oximeter is indicated for the noninvasive spot checking of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate (PR) for adult and pediatic (≥10Kg) patients during both no motion and for patients who are well or poorly perfused.

Pulse Oximeter is intended for hospitals, hospital-type facilities, home environments.

Type of Use (Select one or both, as applicable)
-------------------------------------------------
Prescription Use (Part 21 CFR 801 Subpart D)
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Over-The-Counter Use (21 CFR 801 Subpart C)
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In accordance with 21 CFR 807.92 the 510(k) Summary for the Narigmed pulse oximeters are provided below.

1. SUBMITTER

Applicant:Shenzhen Narig Bio-Medical Technology Co., Ltd.1106 Room, East Tower, Digital Culture Industry BaseNo.10128 Shennan Road, Nanshan District518052, Shenzhen, P.R. ChinaTel: +86 755-86566930
Contact:Contact Person: Fei HanTitle: General ManagerPhone: +86 158 2078 2640Tel: +86 755-86566930E-mail: Martial.Han@narigmed.com
Date Prepared:April 24, 2021
2.DEVICE
Device Trade Name:Pulse Oximeter (including FRO-200, FRO-201, FRO-202, FRO-203, FRO-204, FRO-100, FRO-101, FRO-102, FRO-103, FRO-104)
Classification Name:21 CFR 870.2700, Oximeter
Regulatory Class:Class II
Product Code, Panel:DQA, Anesthesiology
Reason for Submission:New Application. No prior submission associated withthe current submission.
Predicate Device:Masimo Corporation

DEVICE DESCRIPTION 3.

The Pulse Oximeter is a small, lightweight, portable, digit pulse oximeter that displays numerical values for functional oxygen saturation of arterial hemoglobin (SpO₂), pulse rate (PR) and perfusion index (PI) by measuring the absorption of red and infrared light passing through

MightySat™ Pulse Oximeter, K181956

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perfused tissue. It indicated for adult and pediatric (≥10Kg) patients during both no motion and motion conditions, and for patients who are well or poorly perfused.

The device consists of probe, electronic circuits, OLED/LED display (differentiated by models) and plastic housing which powered by two alkaline AAA batteries.

The function difference of models is listed as follows:

Function Difference of Models

Abbreviation description:

  • A sup: support function
  • A opt: optional function
  • n/a: disable/not support function A
FunctionFRO-200FRO-201FRO-202FRO-203FRO-204FRO-100FRO-101FRO-102FRO-103FRO-104
Display TypeOLEDOLEDOLEDOLEDOLEDLEDLEDLEDLEDLED
Key Functionsupsupsupsupsupsupsupsupsupsup
Automatic Shut-Downsupsupsupsupsupsupsupsupsupsup
Low Power Tipsupsupsupsupsupsupsupsupsupsup
Low Power Shut-Downsupsupsupsupsupsupsupsupsupsup
Display Light Intensityoptoptoptoptoptoptoptoptoptopt
Direction Rotationoptoptoptoptoptn/an/an/an/an/a
SpO2 Parametersupsupsupsupsupsupsupsupsupsup
Pulse Parametersupsupsupsupsupsupsupsupsupsup
Perfusion Parameteroptoptoptoptoptoptoptoptoptopt
Bargraphsupsupsupsupsupsupsupsupsupsup
Plethysmogramsupsupsupsupsupn/an/an/an/an/a
Battery Displaysupsupsupsupsupn/an/an/an/an/a
User Menu Setupoptoptoptoptoptn/an/an/an/an/a
Trend Graphoptoptoptoptoptn/an/an/an/an/a

INTENDED USE/INDICATIONS FOR USE 4.

The pulse oximeter is indicated for the noninvasive spot checking of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate (PR) for adult and pediatric (≥10Kg) patients during both no motion and motion conditions, and for patients who are well or poorly perfused.

Pulse Oximeter is intended for hospitals, hospital-type facilities, home environments.

ડ. SUBSTANTIAL EQUIVALENCE

Device Specification

The pulse oximeter specifications are as follows:

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FeatureSpecificationModels
DisplayOxygen Saturation (SpO2): 0-100%All models
Pulse Rate (PR): 25-250 beats per minute (BPM)All models
Perfusion Index (PI): 0.02-20%All models
PlethysmogramFRO-200/FRO-201/FRO-202/FRO-203/FRO-204
BargraphAll models
Display ResolutionSpO2: 1%All models
PR: 1 BPMAll models
Measurement Accuracy in Accordance with ISO80601-2-61
SpO2, No Motion70 – 100%, 2%, ARMS, adults/pediatricsAll models
SpO2, Motion70 – 100%, 3% ARMS, adults/pediatricsAll models
SpO2, Low Perfusion70 – 100%, 2%, ARMS, adults/pediatricsFRO-200/FRO-100
Pulse Rate, No Motion25 – 250 BPM, 2 BPM ARMS, adults/pediatricsAll models
Pulse Rate, Motion25 – 250 BPM, 4 BPM ARMS, adults/pediatricsAll models
Pulse Rate, Low Perfusion25 – 250 BPM, 2 BPM ARMS, adults/pediatricsFRO-200/FRO-100
Power
Internal batteryAlkaline “AAA” batteriesAll models
Mechanical
Enclosure MaterialPlasticAll models
Dimensions/Weight62mm × 35mm × 31mmAll models
WeightLess than 75g (contain battery)All models
Environmental
Operating Temperature0°C to +40°C, ambient humidityAll models
Storage Temperature-20°C to +60°C, ambient humidityAll models
Operating/Storage Humidity15% to 95%, non-condensingAll models
Atmospheric Pressure79.5kPa~107.4kPaAll models
Mode of Operation
Mode of OperationSpot CheckAll models

In conclusion, the minor differences of the models do not change the fundamental intended use of the pulse oximeter.

Technological Comparison

The table below compares the key technological feature of the subject devices to the predicate device (the Masimo's Pulse Oximeter, K181956).

ItemPredicate Devices(K181956)Subject DevicesComparison
Display
Display TypeOLED color displayOLED display (FRO-200, FRO-201, FRO-202, FRO-203, FRO-204)Different
Display Range
Oxygen Saturation (SpO2): 0-100%LED display (FRO-100, FRO-101, FRO-102, FRO-103, FRO-104)Oxygen Saturation (SpO2): 0-100%Same
Pulse Rate (PR): 25-240 beats per minute (BPM)Pulse Rate (PR): 25-250 beats per minute (BPM)Different
Perfusion Index (PI): 0.02-20%Perfusion Index (PI): 0.02-20%Same
Pleth Variability Index (PVI): 0-100%N/ADifferent
Respiration rate (RR): 4-70 respirations per minute (RPM)N/ASame
Display WaveformPlethysmogramPlethysmogram (FRO-200/FRO-201/FRO-202/FRO-203/FRO-204)Same
Signal IQBargraphDifferent
SpO2: 1%SpO2: 1%Same
Display ResolutionPR: 1 BPMPR: 1 BPMSame
RR: 1 RPMN/ADifferent
Measurement Accuracy in Accordance with ISO80601-2-61
SpO2, No Motion70 - 100%, 2%, ARMS, adults/pediatrics70 - 100%, 2%, ARMS, adults/pediatricsSame
SpO2, Motion70 - 100%, 3% ARMS, adults/pediatrics70 - 100%, 3% ARMS, adults/pediatricsSame
SpO2, Low Perfusion70 - 100%, 2%, ARMS, adults/pediatricsOnly for FRO-200 / FRO-10070 - 100%, 2%, ARMS, adults/pediatricsSame
Pulse Rate, No Motion25 - 240 BPM, 2 BPM ARMS, adults / pediatrics25 - 250 BPM, 2 BPM ARMS, adults / pediatricsDifferent
Pulse Rate, Motion25 - 240 BPM, 5 BPM ARMS, adults / pediatrics25 - 250 BPM, 4 BPM ARMS, adults / pediatricsDifferent
Pulse Rate, Low Perfusion25 - 240 BPM, 3 BPM ARMS, adults / pediatricsOnly for FRO-200/ FRO-10025 - 250 BPM, 2 BPM ARMS, adults / pediatricsDifferent
RRp4 - 70 RPM, 3 RPM ARMS, 1 RPM Mean Error, adultsN/ADifferent
Power
Internal batteryAlkaline "AAA" batteriesAlkaline "AAA" batteriesDifferent
Interface
WirelessBluetooth LEN/ADifferent
Mechanical
Enclosure MaterialPlasticPlasticSame
Dimensions/Weight2.9" ×1.6" ×1.2"(7.4cm×4.1cm×3.0cm)62mm × 35mm × 31mmDifferent
Weight0.16lbs (73g)Less than 75g(contain battery)Different
Environmental
Operating Temperature5°C to +40°C, ambient humidity0°C to +40°C, ambient humidityDifferent
Storage Temperature-40°C to +70°C, ambient humidity-20°C to +60°C, ambient humidityDifferent
Operating/Storage Humidity10% to 95%, non-condensing15% to 95%, non-condensingDifferent
Atmospheric Pressure540 mBar to 1060 mBar79.5kPa-107.4kPaDifferent
Mode of Operation
Mode of OperationSpot CheckSpot CheckDifferent
Compliance Standards
ISO 10993-1ISO 10993-1Same
Bio-compatibilityISO 109903-5ISO 109903-5
ISO 10993-10ISO 10993-10
Electrical SafetyIEC 60601-1IEC 60601-1-11IEC 60601-1IEC 60601-1-11Same
EMCIEC 60601-1-2IEC 60601-1-2Same
PerformanceISO 80601-2-61ISO 80601-2-61Same

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As seen in the comparison tables, the subject and predicate devices have same design principle, similar design features and performance specifications. In conclusion, the different technological characteristics between the subject and predicate devices will not impact the substantial equivalence.

PERFORMANCE DATA 6.

To establish the substantial equivalence of the pulse oximeter. Narigmed conducted functional and system level testing on the subject device. The testing provided an evaluation of the performance of the device relevant to each of the differences between the subject device and the predicate device. The functional and system level testing showed that the devices continue to meet specifications and the performance of the device is equivalent to the predicate.

Narigmed has conducted testing to ensure the subject device meets relevant consensus standards.

Biocompatibility Testing

Testing of the pulse oximeter has been completed per FDA's "Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process" guidance document and the requirements of ISO 10993-1:2018.

Software Verification and Validation Testing

Software verification and validation testing was 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." Verification of the pulse oximeter was conducted to ensure that the product works as designed. Validation was conducted to check the design and performance of the product.

Electromagnetic Compatibility and Electrical Safety

The pulse oximeter was assessed for conformity with the relevant requirements of the following standards and found to comply:

  • . ANSI/AAMI ES 60601-1:2005/(R) 2012 and A1:2012, C1:2009/(R) 2012 and A2:2010/R) 2012 Medical electrical equipment - Part 1 : General requirements for basic safety and essential performance.
  • IEC 60601-1-2:2014 (Fourth Edition) Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: electromagnetic disturbances - Requirements and tests.
  • IEC 60601-1-11:2015 Medical electrical equipment - Part 1-11: General requirements for basic safety and essential performance – Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment.
  • IEC 62471: 2006 Photobiological Safety of Lamps and Lamp Systems.

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Bench Testing

To establish the substantial equivalence of the pulse oximeter, Narigmed conducted functional and system level testing to validate the performance of the devices. The results of the bench testing show that the subject device meets its accuracy specification, and is substantially equivalent to the predicate device.

In addition, Narigmed has conducted testing to ensure the subject devices meet relevant consensus standards.

  • IEC 60601-1-6:2010. AMD1:2013 Medical electrical equipment-part 1-6: general requirements for basic safety and essential performance- collateral standard: usability.
  • IEC 62366-1:2015 Medical devices Part 1: Application of usability engineering to medical ● devices.
  • ISO 80601-2-61:2011 Medical electrical equipment - part 2-61: particular requirements for basic safety and essential performance of pulse oximeter equipment.
  • EN ISO 15223-1:2016 Medical devices. Symbols to be used with medical device labels. ● labelling and information to be supplied. General requirements.

Cleaning Validation

Cleaning and disinfection validation testing was conducted and documentation was provided as recommended by FDA 's Guidance for Industry and FDA Staff, "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling".

Clinical Data

Narigmed provided the results of clinical testing to demonstrate that pulse ox imeter meets relevant consensus standards.

  • ISO 80601-2-61:2017 Medical electrical equipment Part 2-61: Particular requirements for ● basic safety and essential performance of pulse oximeter equipment.

CONCLUSION 7.

Based on the detailed comparison of specifications for each of the modifications to the previously cleared devices (K181956), the performance testing and conformance with applicable standards, the pulse oximeter (including FRO-200, FRO-201, FRO-203, FRO-204, FRO-100, FRO-101, FRO-102, FRO-103, FRO-104) can be found substantially equivalent to the predicate devices.

§ 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).