K Number
K222887
Device Name
Arm Blood Pressure Monitor/Automatic Wireless Smart Blood Pressure Monitor
Date Cleared
2023-04-10

(199 days)

Product Code
Regulation Number
870.1130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Arm Blood Pressure Monitor/Automatic Wireless Smart Blood Pressure is intended to measure the blood pressure and pulse rate of adults and children at least 12 years of age, at household or medical center. with the left upper arm according to the instruction in the user's guide manual(Cuff size 220 ~ 420 mm).
Device Description
Arm Blood Pressure Monitor/Automatic Wireless Smart Blood Pressure Monitor (Model:FDBP-A7B、FDBP-A7BL、FDBP-A7BT、FDBP-A7BLT、FDBP-A8B、 FDBP-A8BL、FDBP-A8BT、FDBP-A8BLT、FDBP-A9B、FDBP-A9BL、FDBP-A9BT、 FDBP-A9BLT、FDBP-A10B、FDBP-A10BL、FDBP-A10BT、FDBP-A10BLT) includes utilize modular design method. It consists of nine main modules: power-on self-test module, system initialization module,sampling data processing and pressure, pulse rate calculation module, display processing module, power detection processing module, data storage module, key scanning processing module, sampling processing module, , wireless function module, and each module communicates through a message queue. The blood pressure monitor controls the pneumatic flow control module through singlechipped microcomputer to pressurize the cuff module in order to exceed the lower pressure of patients, the blood being pushed against the artery walls; Pneumatic Flow Control Module being directed to release the pressure, while the pressure detection module collect pulse pressure signal and amplify filter; amplified filter signal being read by single-chipped microcomputer for pressure and pulse signal,through unique algorithm to obtain the systolic and diastolic pressure with pulse; Single-chipped microcomputer will control the inflation/deflation module to release the pressure after receive measurements; in the meanwhile, display the measurements results then stored the values with memory module.
More Information

No
The description details standard blood pressure measurement technology using a microcomputer and a "unique algorithm" for calculating pressure and pulse, but there is no mention of AI or ML terms, training data, or complex learning processes.

No.
The device is intended to measure blood pressure and pulse rate, which are diagnostic/monitoring functions, not therapeutic interventions.

Yes

Explanation: The device is intended to measure blood pressure and pulse rate, which are physiological parameters used to diagnose various health conditions. The results of these measurements can inform a diagnosis.

No

The device description explicitly details hardware components such as a pneumatic flow control module, cuff module, pressure detection module, and single-chipped microcomputer, indicating it is not a software-only device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • This Device's Function: The provided description clearly states that this device is an "Arm Blood Pressure Monitor." Its intended use is to "measure the blood pressure and pulse rate of adults and children." This is a non-invasive measurement taken on the body, not a test performed on a specimen taken from the body.

The device description details how it measures blood pressure using a cuff and pneumatic system, which is a physical measurement, not a chemical or biological analysis of a sample.

N/A

Intended Use / Indications for Use

Arm Blood Pressure Monitor/Automatic Wireless Smart Blood Pressure is intended to measure the blood pressure and pulse rate of adults and children at least 12 years of age, at household or medical center. with the left upper arm according to the instruction in the user's guide manual(Cuff size 220 ~ 420 mm).

Product codes

DXN

Device Description

Arm Blood Pressure Monitor/Automatic Wireless Smart Blood Pressure Monitor(Model:FDBP-A7B、FDBP-A7BL、FDBP-A7BT、FDBP-A7BLT、FDBP-A8B、 FDBP-A8BL、FDBP-A8BT、FDBP-A8BLT、FDBP-A9B、FDBP-A9BL、FDBP-A9BT、 FDBP-A9BLT、FDBP-A10B、FDBP-A10BL、FDBP-A10BT、FDBP-A10BLT)includes utilize modular design method. It consists of nine main modules: power-on self-test module, system initialization module, sampling data processing and pressure, pulse rate calculation module, display processing module, power detection processing module, data storage module, key scanning processing module, sampling processing module, wireless function module, and each module communicates through a message queue. The blood pressure monitor controls the pneumatic flow control module through singlechipped microcomputer to pressurize the cuff module in order to exceed the lower pressure of patients, the blood being pushed against the artery walls; Pneumatic Flow Control Module being directed to release the pressure, while the pressure detection module collect pulse pressure signal and amplify filter; amplified filtersignal being read by single-chipped microcomputer for pressure and pulse signal, through unique algorithm to obtain the systolic and diastolic pressure with pulse; Single-chipped microcomputer will control the inflation/deflation module to release the pressure after receive measurements; in the meanwhile, display the measurements results then stored the values with memory module.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

left upper arm

Indicated Patient Age Range

adults and children at least 12 years of age

Intended User / Care Setting

household or medical center

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

Clinical testing is conducted per ISO 81060-2: 2018 Non-invasive sphygmomanometers - Part 2: Clinical investigation of intermittent automated measurement type.
In this clinical study, 85 patients(43 males) participated in the clinical study. Same arm sequentialmethod was adopted during the clinical study. The manual MercurySphygmomanometer was used as a reference sphygmomanometer. All the subjectswere volunter to take part in the clinical study, all the subjects completed theclinical study without any AE or side-effect. The results showed the accuracy of thesubject device is within acceptable scope specified in ISO 81060-2.

Key Metrics

Not Found

Predicate Device(s)

K210770

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). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters 'FDA' in a blue square, followed by the words 'U.S. FOOD & DRUG ADMINISTRATION' in blue text.

April 10, 2023

Famidoc Technology Company Limited Amos Zou Management Representative No. 212 Yilong Road, Hexi Industrial Zone Jinxia. Changan Town Dongguan, Guangdong 523853 China

Re: K222887

Trade/Device Name: Arm Blood Pressure Monitor/Automatic Wireless Smart Blood Pressure Monitor Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive Blood Pressure Measurement System Regulatory Class: Class II Product Code: DXN Dated: April 6, 2023 Received: April 7, 2023

Dear Amos Zou:

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.

Aneesh S. Deoras -S

for

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) K22887

Device Name

Arm Blood Pressure Monitor/Automatic Wireless Smart Blood Pressure Monitor

Indications for Use (Describe)

Arm Blood Pressure Monitor/Automatic Wireless Smart Blood Pressure is intended to measure the blood pressure and pulse rate of adults and children at least 12 years of age, at household or medical center. with the left upper arm according to the instruction in the user's guide manual(Cuff size 220 ~ 420 mm).

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)

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3

510(K) SUMMARY

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

1. Submitter of 510(K):

Date of Prepared:17/1/2023
Submitter's Name:Famidoc Technology Company Limited
Address:No.212 Yilong Road, Hexi Industrial Zone, Jinxia, Changan Town
Dongguan Guangdong 523853 CN
Contact person:Amos zou
TEL:+(86) -769-8927-2488
FAX:+(86) -769-8927-2498
E-mail:qa@famidoc.com

2.Proposed Device and code:

| Device Trade Name: | Arm Blood Pressure Monitor/Automatic Wireless Smart Blood
Pressure monitor
(Model:FDBP-A7B、FDBP-A7BL、FDBP-A7BT、FDBP-A7BLT、
FDBP-A8B、FDBP-A8BL、FDBP-A8BT、FDBP-A8BLT、
FDBP-A9B、FDBP-A9BL、FDBP-A9BT、FDBP-A9BLT、
FDBP-A10B、FDBP-A10BL、FDBP-A10BT、FDBP-A10BLT) |
|---------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Regulation Medical
Specialty | Noninvasive blood pressure measurement system. |
| Product Code: | DXN |
| Regulation number | 21 CRF 870.1130 |
| Device Class | 2 |

3. Predicate Device:

510(K)Trade or Proprietary or Model NameManufacturer
K210770Fully Automatic Electronic
Blood Pressure MonitorAndon Health Co,.Ltd.

4. Description of Proposed Device:

Arm Blood Pressure Monitor/Automatic Wireless Smart Blood Pressure Monitor(Model:FDBP-A7B、FDBP-A7BL、FDBP-A7BT、FDBP-A7BLT、FDBP-A8B、 FDBP-A8BL、FDBP-A8BT、FDBP-A8BLT、FDBP-A9B、FDBP-A9BL、FDBP-A9BT、

4

FDBP-A9BLT、FDBP-A10B、FDBP-A10BL、FDBP-A10BT、FDBP-A10BLT)includes utilize modular design method. It consists of nine main modules:

□ power-on self-test module, system initialization module,sampling data processing and pressure, pulse rate calculation module, display processing module, power detection processing module, data storage module, key scanning processing module, sampling processing module, , wireless function module, and each module communicates through a message queue.

□ The blood pressure monitor controls the pneumatic flow control module through singlechipped microcomputer to pressurize the cuff module in order to exceed the lower pressure of patients, the blood being pushed against the artery walls;

□ Pneumatic Flow Control Module being directed to release the pressure, while the pressure detection module collect pulse pressure signal and amplify filter;

[ amplified filtersignal being read by single-chipped microcomputer for pressure and pulse signal,through unique algorithm to obtain the systolic and diastolic pressure with pulse;

□ Single-chipped microcomputer will control the inflation/deflation module to release the pressure after receive measurements;

□ in the meanwhile, display the measurements results then stored the values with memory module.

5. Intended for Use

Arm Blood Pressure Monitor/Automatic Wireless Smart Blood Pressure is intended to measure the blood pressure and pulse rate of adults and children at least 12 years of age, at household or medical center. with the cuff around the left upper arm according to the instruction in the user's guide manual(Cuff size 220 ~ 420 mm).

6. Technical and Performance

The following table compares the device to the predicate device with basic technological characteristics.

5

7.Comparison of Technological Characteristics with Predicate Device

| Elements of
Comparison | Subject Devices | | | | Predicate Device | Comparison
Result |
|-----------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------|
| Device Name | Arm Blood Pressure Monitor/Automatic Wireless Smart Blood Pressure Monitor | | | | Fully Automatic Electronic
Blood Pressure Monitor | / |
| Device Model | FDBP-A7BL | FDBP-A7BT | FDBP-A10BL | FDBP-A10BT | KD-5810, KD5810B,
KD-5811, KD-5920TL,
KD-552 | / |
| 510 (k) Number | K222887 | K222887 | K222887 | K222887 | K210770 | / |
| Product Code | DXN | DXN | DXN | DXN | DXN | SE |
| Regulation No. | 870.1130 | 870.1130 | 870.1130 | 870.1130 | 870.1130 | SE |
| Classification | II | II | II | II | II | SE |
| Intended Use and indications for Use | | | | | | |
| Intended Use | Arm Blood Pressure
Monitor/Automatic
Wireless Smart Blood
Pressure is intended to
measure the blood
pressure and pulse rate of
adults and children at
least 12 years of age, at
household or medical
center. with the cuff
around the left upper arm
according to the
instruction in the user's
guide manual(Cuff size
220 ~ 420 mm). | Arm Blood Pressure
Monitor/Automatic
Wireless Smart Blood
Pressure is intended to
measure the blood
pressure and pulse rate of
adults and children at
least 12 years of age, at
household or medical
center. with the cuff
around the left upper arm
according to the
instruction in the user's
guide manual(Cuff size
220 ~ 420 mm). | Arm Blood Pressure
Monitor/Automatic
Wireless Smart Blood
Pressure is intended to
measure the blood
pressure and pulse rate of
adults and children at
least 12 years of age, at
household or medical
center. with the cuff
around the left upper arm
according to the
instruction in the user's
guide manual(Cuff size
220 ~ 420 mm). | Arm Blood Pressure
Monitor/Automatic
Wireless Smart Blood
Pressure is intended to
measure the blood
pressure and pulse rate of
adults and children at
least 12 years of age, at
household or medical
center. with the cuff
around the left upper arm
according to the
instruction in the user's
guide manual(Cuff size
220 ~ 420 mm). | Fully Automatic Electronic
Blood Pressure Monitor is
for use by medical
professionals
or at home and 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
technique in which an
inflatable cuff is wrapped | SE |
| upper arm. The cuff
circumference is limited to
22cm-48cm. | | | | | | |
| Performance Specification | | | | | | |
| Measuring
Method | Oscillometric Method | Oscillometric Method | Oscillometric Method | Oscillometric Method | Oscillometric Method | SE |
| Measuring
Range | Systolic: 60-250mmHg
Diastolic: 30-195mmHg
Pulse: 40-199beats/min | Systolic: 60-250mmHg
Diastolic: 30-195mmHg
Pulse: 40-199beats/min | Systolic: 60-250mmHg
Diastolic: 30-195mmHg
Pulse: 40-199beats/min | Systolic: 60-250mmHg
Diastolic: 30-195mmHg
Pulse: 40-199beats/min | Systolic: 60-260mmHg
Diastolic: 40-199mmHg
Pulse rate: 40-180
beats/min | Similar
Note 1 |
| Pressure
resolution | 1 mmHg or 0.1 kPa | 1 mmHg or 0.1 kPa | 1 mmHg or 0.1 kPa | 1 mmHg or 0.1 kPa | 1 mmHg or 0.1 kPa | SE |
| Accuracy | Pressure:
±3 mmHg (±0.4kPa)
Pulse:±5% | Pressure:
±3 mmHg (±0.4kPa)
Pulse:±5% | Pressure:
±3 mmHg (±0.4kPa)
Pulse:±5% | Pressure:
±3 mmHg (±0.4kPa)
Pulse:±5% | Pressure: ±3mmHg
Pulse rate:
Less than 60: ±3bpm
More than 60 (incl.) : ±5% | Similar
Note 2 |
| Patient
Population | Adult | Adult | Adult | Adult | Adult | SE |
| Measurement
Site of Body | Upper Arm | Upper Arm | Upper Arm | Upper Arm | Upper Arm | SE |
| Inflation and
Deflation | Automatic | Automatic | Automatic | Automatic | Automatic | SE |
| Memory Size | 2x60 sets record | 2x60 sets record | 2x60 sets record | 2x60 sets record | 4×60 times with time and
date stamp | Similar
Note 3 |
| Indicators | Blood Pressure (Systolic
and Diastolic), Pulse,
Date, Time, WHO BP
Classification Indicating
Bar, Low Battery Icon,
Heart Icon, Memory | Blood Pressure (Systolic
and Diastolic), Pulse,
Date, Time, WHO BP
Classification Indicating
Bar, Low Battery Icon,
Heart Icon, Memory | Blood Pressure (Systolic
and Diastolic), Pulse,
Date, Time, WHO BP
Classification Indicating
Bar, Low Battery Icon,
Heart Icon, Memory | Blood Pressure (Systolic
and Diastolic), Pulse,
Date, Time, WHO BP
Classification Indicating
Bar, Low Battery Icon,
Heart Icon, Memory | Blood Pressure (Systolic
and Diastolic), Pulse,
Date, Time, WHO BP
Classification Indicating
Bar, Low Battery Icon,
Heart Icon, Memory | SE |
| | | | | K222887 510(k) Summary | | |
| | Record
Number,Bluetooth
symbol | Record
Number,Bluetooth
symbol | Record
Number,Bluetooth
symbol | Record Number,Bluetooth
symbol | Record Number,Bluetooth
symbol | |
| Cuff
Circumference | 220mm 420mm | 220mm 420mm | 220mm 420mm | 220mm 420mm | 22cm-30cm,
30cm-42cm(Optional),
42cm-48cm(Optional),
22cm-42cm (Optional) | Similar
Note 4 |
| Power Battery | 3.7V lithium battery or
USB 5V adapter | 4xAAA 1.5V alkaline
batteries or USB 5V
adapter | 3.7V lithium battery or
USB 5V adapter | 4xAAA 1.5V alkaline
batteries or USB 5V
adapter | 4xAA 1.5V alkaline
batteries or DC 6V
adapter | Similar
Note 5 |
| Display | LED Digital Display | LED Digital Display | LCD Digital Display | LCD Digital Display | LCD Digital Display | Similar
Note 6 |
| | OPERATING&STORAGE CONDITIONS | | | | | |
| Operating
Environment | Temperature: 5°C
40°C
Humidity: 15% RH
90%
RH, No condensation
Atmospheric pressure:
70kPa
106kPa | Temperature: 5°C
40°C
Humidity: 15% RH90%
RH, No condensation
Atmospheric pressure:
70kPa
106kPa | Temperature: 5°C40°C
Humidity: 15% RH
90%
RH, No condensation
Atmospheric pressure:
70kPa106kPa | Temperature: 5°C40°C
Humidity: 15% RH90%
RH, No condensation
Atmospheric pressure:
70kPa
106kPa | Temperature: 10°C40°C
Humidity: ≤85%RH
Atmospheric pressure:
80kPa
105kPa | Similar
Note 7 |
| Storage
Environment | Temperature: -25°C55°C
Humidity: 15% RH
95%
RH, No condensation
Atmospheric pressure:
70kPa106kPa | Temperature: -25°C55°C
Humidity: 15% RH95%
RH, No condensation
Atmospheric pressure:
70kPa
106kPa | Temperature: -25°C55°C
Humidity: 15% RH
95%
RH, No condensation
Atmospheric pressure:
70kPa106kPa | Temperature: -25°C55°C
Humidity: 15% RH95%
RH, No condensation
Atmospheric pressure:
70kPa
106kPa | Temperature: -20°C50°C
Humidity: ≤85%RH
Atmospheric pressure:
80kPa
105kPa | Similar
Note 8 |
| | COMPLIANCE STANDARDS | | | | | |
| Electrical Safety | IEC 60601-1 | IEC 60601-1 | IEC 60601-1 | IEC 60601-1 | IEC 60601-1 | Safety Engineering |
| EMC | IEC 60601-1-2 | IEC 60601-1-2 | IEC 60601-1-2 | IEC 60601-1-2 | IEC 60601-1-2 | Safety Engineering |
| Home Use | IEC 60601-1-11 | IEC 60601-1-11 | IEC 60601-1-11 | IEC 60601-1-11 | IEC 60601-1-11 | Safety Engineering |
| Performance | IEC 80601-2-30 | IEC 80601-2-30 | IEC 80601-2-30 | IEC 80601-2-30 | IEC 80601-2-30 | Safety Engineering |
| Biocompatibility | All the patient | All the patient | All the patient | All the patient | All the patient | Safety Engineering |
| contracting materials
are evaluated by the
biocompatibility
standard ISO
10993 -5, -10. | contracting materials
are evaluated by the
biocompatibility
standard ISO
10993 -5, -10. | contracting materials
are evaluated by the
biocompatibility
standard ISO
10993 -5, -10. | contracting materials
are evaluated by the
biocompatibility
standard ISO
10993 -5, -10. | contracting materials
are evaluated by the
biocompatibility
standard ISO
10993 -5, -10. | | |
| Performance | ANSI/AAMI/ISO
81060-2 | ANSI/AAMI/ISO
81060-2 | ANSI/AAMI/ISO
81060-2 | ANSI/AAMI/ISO
81060-2 | ANSI/AAMI/ISO
81060-2 | SE |

6

K222887 510(k) Summary

7

K222887 510(k) Summary

8

K222887 510(k) Summary

Note 1 and 2

The Measuring Range and Accuracy of proposed device are different But the difference is very slight.it will not affect the main function and the intended use of the device. and Measuring Range and Acuracy of proposed device they are both compliance with IEC 8001 -2-30 Standard Therefore, this difference will not result in any safety and effectiveness issue of the proposed device.

Note 3

The Menory Size of proposed device and predication is clearly indicated in user manual and outer carton. Therefore, this officence will not result in any safety and effectiveness issue of the proposed device.

Note 4

The Cuti Circumference of proposed device is complance with EC 8060 -2-30 Standard,this difference will not result in any safety and effectivers issue of the proposed device.

Note 5 and Note 6

The Power Battery and Display of proposed device are compliance with IEC 60601-2-30 Standard.these difference will not realt in any safety and effectiveness issue of the proposed device.

Note 7 and Note 8

The Temperature, Relative Humidty and Atmospheric pressure of Operation and storage environment of subject devices is difference with predicate

9

device,and they are both compliance with IEC 60601-1-11 standard,it will not raise any safety or effectiveness issue.

10

8.Subject Devices Different Table

modelFDBP-A7BLFDBP-A8BLFDBP-A7BFDBP-A8B
Power
sourceRechargeable 3.7V lithium
battery/USB 5VRechargeable 3.7V lithium
battery/USB 5V4* AAA battery
/USB 5V4* AAA battery
/USB 5V
Number of keysThreeThreeThreeThree
Display moduleLED (No backlight)LED (No backlight)LED (No backlight)LED (No backlight)
Intended Use and
indications for UseSee chapter 7SameSameSame
Performance SpecificationSee chapter 7SameSameSame
OPERATING&STORANE
CONDITIONSSee chapter 7SameSameSame
Measuring
MethodSee chapter 7SameSameSame
COMPLIANCE
STANDARDSSee chapter 7SameSameSame

FDBP-Axyy

"x"= 7, 8, 9, 10"yy"=L, B, BL, T, LT,BT, BLT or blank.

"x" 7, 9 are identical except the display, "x" 8, 10 are identical except the display.

"x" 7, 8 use the LED display, "x" 9, 10 use the LCD display.

"tyy" had "L" mean the device use the lithium battery to offer the power. If not, mean use the internal circuit no charging carcuit.

"yy" had "B" mean the device had Bluetooth and Wifi function. If not, mean no this function.

"yy" had "T" mean no setting button, only memory and start/stop button. If not, mean had an extra settingsbutton.

  • All models can use USB cable to power. If it is a lithing batter the power provided by the USB cable can only charge the lithing battle one one one one one over will not work properly during the charging process. If tis a 4* A A battery devided by the USB cable will power the device and the device and the never an work nomally.
ModelFDBP-A7BTFDBP-A8BTFDBP-A8BLTFDBP-A7BLT
Power4*AAA battery4*AAA batteryRechargeable 3.7V lithiumRechargeable 3.7V lithium
source/USB 5V/USB 5Vbattery/USB 5Vbattery/USB 5V
Number of keysTwoTwoTwoTwo

11

K222887 510(k) Summary

Display moduleLED (No backlight)LED (No backlight)LED (No backlight)LED (No backlight)
Intended Use and
indications for UseSee chapter 7SameSameSame
Performance SpecificationSee chapter 7SameSame
OPERATING&STORANE
CONDITIONSSee chapter 7SameSameSame
Measuring
MethodSee chapter 7SameSame
COMPLIANCE
STANDARDSSee chapter 7SameSame

FDBP-Axyy

"x"= 7, 8, 9, 10"yy"=L, B, BL, T, LT,BT, BLT or blank.

"x" 7, 9 are identical except the display, "x" 8, 10 are identical except the display.

"x" 7, 8 use the LED display, "x" 9, 10 use the LCD display.

"tyy" had "L" mean the device use the lithium battery to offer the power. If not, mean use the internal circuit no charging circuit.

"yy" had "B" mean the device had Bluetooth and Wifi function. If not, mean no this function.

"yy" had "T" mean no setting button, only memory and start/stop button. If not, mean had an extra settingsbutton.

  • All models can use USB cable to power. If it is a lithing battery device, the USB cable can only charge the lithing battle covice will not work properly during the charging process. If tis a 4* AA battery devided by the USB cable will power the device and the device and the never an work nomally.
ModelFDBP-A10BLFDBP-A9BLFDBP-A9BFDBP-A10B
Power
sourceRechargeable 3.7V lithium
battery/USB 5VRechargeable 3.7V lithium
battery/USB 5V4*AAA battery
/USB 5V4*AAA battery
/USB 5V
Number of keysThreeThreeThreeThree
Display moduleLCD (backlight)LCD (backlight)LCD (backlight)LCD (backlight)
Intended Use and
indications for UseSee chapter 7SameSameSame

12

Performance SpecificationSee chapter 7SameSameSame
OPERATING&STORANE
CONDITIONSSee chapter 7SameSameSame
Measuring
MethodSee chapter 7SameSameSame
COMPLIANCE
STANDARDSSee chapter 7SameSameSame

FDBP-Axyy

"x"= 7, 8, 9, 10"yy"=L, B, BL, T, LT,BT, BLT or blank.

"x" 7, 9 are identical except the display, "x" 8, 10 are identical except the display.

"x" 7, 8 use the LED display, "x" 9, 10 use the LCD display.

"tyy" had "L" mean the device use the lithium battery to offer the power. If not, mean use the internal circuit no charging circuit

"yy" had "B" mean the device had Bluetooth and Wifi function. If not, mean no this function.

"yy" had "T" mean no setting button, only memory and start/stop button. If not, mean had an extra settingsbutton.

  • All models can use USB cable to power. If it is a lithing batter the power provided by the USB cable can only charge the lithing battle one one one one one over will not work properly during the charging process. If t is a 4* AA battery devided by the USB cable will power the device and the device and work nomally.
ModelFDBP-A10BTFDBP-A98TFDBP-A9BLTFDBP-A10BLT
Power
source4*AAA battery
/USB 5V4* AAA battery
/USB 5VRechargeable 3.7V lithium
battery/USB 5VRechargeable 3.7V lithium
battery/USB 5V
Number of keysTwoTwoTwoTwo
Display moduleLCD (backlight)LCD (backlight)LCD (backlight)LCD (backlight)
Intended Use and
indications for UseSee chapter 7SameSameSame
Performance SpecificationSee chapter 7SameSameSame
OPERATING&STORANE
CONDITIONSSee chapter 7SameSameSame

13

| Measuring

MethodSee chapter 7SameSameSame
COMPLIANCE
STANDARDSSee chapter 7SameSameSame

FDBP-Axyy

"x"= 7, 8, 9, 10"yy"=L, B, BL, T, LT,BT, BLT or blank.

"x" 7, 9 are identical except the display, "x" 8, 10 are identical except the display.

"x" 7, 8 use the LED display, "x" 9, 10 use the LCD display.

"tyy" had "L" mean the device use the lithium battery to offer the power. If not, mean use the internal circuit no charging circuit.

"yy" had "B" mean the device had Bluetooth and Wifi function. If not, mean no this function.

"yy" had "T" mean no setting button, only memory and start/stop button. If not, mean had an extra settingsbutton.

  • All models can use USB cable to pover. It is a lithing battery device, the power provided by the USB cable can only charge the lithing battlery, and the device will not work properly during the charging process. If ti s a 4* A A battery devided by the USB cable will power the device and the device and the device and work nomally.

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9. Performance

Testing:

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

9.1 Non-Clinical Data:

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

9.2 Biocompatibility testing

The biocompatibility evaluation for the FDBP A series Upper arm Blood Pressure Monitor and the NIBP CUFF were 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:

  • □ Cytotoxicity
  • □ Skin Sensitization
  • □ Skin Irritation

9.3 Electrical safety and electromagnetic compatibility (EMC)

Electrical safety and EMC testing were conducted on the FDBP A series Upper arm Blood Pressure Monitor, consisting of all the modules and accessories in the system. The system complies with the IEC 60601-1 : 2012 Medical electrical equipment Part 1: General requirements for basic safety and essential performance for safety and the IEC 60601-1-2: 2014 Medical electrical equipment -Part 1-2: General requirements for basic safety and essential performance - Collateral Standard:Electromagnetic disturbances - Requirements and tests standard for EMC.

9.4 Bench Testing

Bench testing was conducted on the FDBP A series Upper arm Blood Pressure Monitor,consisting of all the accessories in the system. The system complies with the 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 80601-2-30: 2018 Medical electrical equipment — Part 2-30: Particular requirements for basic safety and essential performance of automated non-invasive sphygmomanometers standards for performance effectiveness.

9.5 Software Verification and Validation Testing

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.

9.6 Usability Testing

Usability testing according to following FDA Guidance 1757, Applying Human Factors and Usability Engineering to Optimize Medical Device Design, was conducted.

9.7 Clinical data:

Clinical testing is conducted per ISO 81060-2: 2018 Non-invasive sphygmomanometers - Part 2: Clinical investigation of intermittent automated measurement type.

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K222887 510(k) Summary

Based on the same product principle, and the clinical validation data on the FDBP-A7BL can cover all the models included in this submission.

In this clinical study, 85 patients(43 males) participated in the clinical study. Same arm sequentialmethod was adopted during the clinical study. The manual MercurySphygmomanometer was used as a reference sphygmomanometer. All the subjectswere volunter to take part in the clinical study, all the subjects completed theclinical study without any AE or side-effect. The results showed the accuracy of thesubject device is within acceptable scope specified in ISO 81060-2.

9.8 Summary

Based on the non-clinical and clinical performance as documented in the device devices were found to have a safety and effectiveness profile that is similar to the predicate device.

10. Conclusions:

The proposed device has the same intended use and similar characteristics as the predicate device, AGE Automatic Upper Arm Blood Pressure Monitor with Models KD-5810, KD5811, KD-5920TL and KD-552(K210770) Meanwhile, performance testing, bench testing, and safety report documentation supplied in this submission demonstrates that any differences in their technological characteristics do not raise any new questions of safety or effectiveness. Based on performance testing, the proposed device is Substantially Equivalent (SE) to the predicate device