(280 days)
TL10 Tensymeter Blood Pressure Monitoring System (K020537)
Not Found
No
The summary mentions "proprietary algorithms" but does not explicitly mention or provide details about AI, ML, or related concepts like neural networks, deep learning, or training/test sets for such models. The clinical study description focuses on traditional statistical metrics for validation.
No
The device is a monitor used for diagnosis and management, not for treatment.
No.
The device is a continuous blood pressure monitor, which is used for monitoring physiological parameters rather than diagnosing a disease or condition.
No
The device description explicitly states it utilizes a reusable mobile tablet electronic interface and a single-use non-invasive sensor band, indicating the presence of hardware components beyond just software.
Based on the provided information, the Boppli Infant Blood Pressure Monitor is an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use clearly states that the device is used to "continuously monitor diastolic, systolic, and mean arterial blood pressures of neonates and infants". While blood pressure monitoring is typically considered a physiological measurement, the context of "monitoring" in a clinical setting for diagnostic purposes (assessing the patient's condition) aligns with the definition of an IVD.
- Device Description: The device measures and displays physiological parameters (blood pressure and pulse rate) and a waveform, which are used by medically trained personnel to assess the patient's health status.
- Clinical Study: The clinical study compares the device's measurements to an "invasive arterial reference," which is a standard method for obtaining diagnostic information about blood pressure. The study's goal is to validate the device's accuracy in providing this diagnostic information.
- Predicate Device: The predicate device listed (K020537 TL10 Tensymeter Blood Pressure Monitoring System) is also a blood pressure monitoring system, and such devices are generally regulated as IVDs.
While the device doesn't process images or use AI/ML, and the input is not an imaging modality, the core function of measuring and providing physiological data for diagnostic purposes in a clinical setting strongly indicates that it falls under the category of an In Vitro Diagnostic device.
N/A
Intended Use / Indications for Use
The Boppli Infant Blood Pressure Monitor is indicated for use by medically trained personnel in clinical settings, such as the NICU, PICU, CVICU, and emergency or operating room, to continuously monitor diastolic, systolic, and mean arterial blood pressures of neonates and infants, under 5 kilograms in weight, who have a palpable pulse.
Product codes (comma separated list FDA assigned to the subject device)
QYF
Device Description
The Boppli Infant Blood Pressure Monitor, or Boppli Device, is a non-invasive blood pressure monitor that utilizes a reusable mobile tablet electronic interface (Boppli Bedside) with a single-use non-invasive sensor band (Boppli Band) that is placed on the arm or leg of an infant over a palpable pulse point, such as the radial or dorsalis pedis artery, respectively. The device uses proprietary algorithms to derive the arterial pressure and display systolic (SBP) and diastolic blood pressure (DBP), mean arterial pressure (MAP), pulse rate (PR), and a continuous pressure waveform. The device allows healthcare providers to monitor a neonate's blood pressure in clinical settings.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
arm or leg of an infant over a palpable pulse point, such as the radial or dorsalis pedis artery
Indicated Patient Age Range
neonates and infants, under 5 kilograms in weight
Intended User / Care Setting
medically trained personnel in clinical settings, such as the NICU, PICU, CVICU, and emergency or operating room
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 (study type, sample size, AUC, MRMC, standalone performance, key results)
A prospective, multi-center clinical study was performed to validate the effectiveness of the Boppli Infant Blood Pressure Monitor as compared to an invasive arterial reference in neonates and infants under 5 kg in weight who required invasive blood pressure monitoring. The study included 79 subjects representing the intended patient population and was validated in the blood pressure range applicable to the intended patient population. The study evaluated the accuracy, precision, and stability of the Boppli System for continuous non-invasive blood pressure monitoring by comparing SBP, DBP, MAP, and pulse waveform against the reference methodology. The stability was performed over the intended use life of 72 hours. The accuracy of the stability was evaluated for each 6-hour period.
The primary endpoint was the mean average error (MAE) and standard deviation (SD) of the difference of the paired measurements between the device and the intraarterial line (IAL) reference for SBP, DBP, and MAP, assessed separately. The primary endpoint goal was the MAE
§ 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 shows the logo of the U.S. Food & Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.
September 29, 2023
PyrAmes Inc. Isabella Schmitt Director of Regulatory Affairs 2450 Holcombe Blvd Houston, Texas 77021
Re: K223873
Trade/Device Name: Boppli Infant Blood Pressure Monitor Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive blood pressure measurement system Regulatory Class: Class II Product Code: QYF Dated: December 23, 2022 Received: December 23, 2022
Dear Isabella Schmitt:
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.
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
1
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,
Stephen C. Browning -S
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) K223873
Device Name Boppli Infant Blood Pressure Monitor
Indications for Use (Describe)
The Boppli Infant Blood Pressure Monitor is indicated for use by medically trained personnel in clinical settings, such as the NICU, PICU, CVICU, and emergency or operating room, to continuously monitor diastolic, systolic, and mean arterial blood pressures of neonates and infants, under 5 kilograms in weight, who have a palpable pulse.
Type of Use (Select one or both, as applicable)
| Prescription Use (Part 21 CFR 801 Subpart D) | ☒ |
|---|---|
| Over-The-Counter Use (21 CFR 801 Subpart C) | ☐ |
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
| 510(k) Owner: | PyrAmes, Inc.
21730 Stevens Creek Blvd, Suite 201A
Cupertino, CA 95014 |
|------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Official Contact: | Xina Quan, PhD
Telephone: +1-408-569-5215
E-mail: xquan@pyrameshealth.com |
| Representative Consultant Contact: | Isabella Schmitt, RAC, MBA
Proxima Clinical Research, Inc.
2450 Holcombe Blvd, Suite J
Houston, TX 77021
Telephone: +1-832-463-1409
E-mail: Isabella@ProximaCRO.com |
| Date Summary Prepared: | 28 September 2023 |
| Trade Name: | Boppli Infant Blood Pressure Monitor |
| Common Name: | System, Measurement, Blood-Pressure
Non-Invasive |
| Classification: | Class II |
| Classification Number: | 21 CFR 870.1130 |
| Product Code(s): | QYF |
| Classification Advisory Committee: | Cardiovascular |
4
Predicate Device(s):
TL10 Tensymeter Blood Pressure Monitoring System (K020537)
Device Description:
The Boppli Infant Blood Pressure Monitor, or Boppli Device, is a non-invasive blood pressure monitor that utilizes a reusable mobile tablet electronic interface (Boppli Bedside) with a single-use non-invasive sensor band (Boppli Band) that is placed on the arm or leg of an infant over a palpable pulse point, such as the radial or dorsalis pedis artery, respectively. The device uses proprietary algorithms to derive the arterial pressure and display systolic (SBP) and diastolic blood pressure (DBP), mean arterial pressure (MAP), pulse rate (PR), and a continuous pressure waveform. The device allows healthcare providers to monitor a neonate's blood pressure in clinical settings.
Indications for Use:
The Boppli Infant Blood Pressure Monitor is indicated for use by medically trained personnel in clinical settings, such as the NICU, PICU, CVICU, and emergency or operating room, to continuously monitor diastolic, and mean arterial blood pressures of neonates and infants, under 5 kilograms in weight, who have a palpable pulse.
Technological Characteristics:
The technological characteristics of the Boppli Infant Blood Pressure Monitor are substantially equivalent to the technological characteristics of the predicate device. Both devices are considered NIBP monitors based on the principle of tonometry, which is applied to the patient's artery to measure changes in pressure. The sensor technology differs, in that the predicate device uses a single semiconductor pressure-sending element worn on the wrist while the Boppli employs a capacitance-based sensor placed on the leg or the wrist. However, the devices operate on the same underlying principles in which proprietary algorithms use the sensor data to derive a pressure waveform and resulting blood pressure values, including SBP, DBP, and MAP, for review and interpretation by a healthcare provider. Both devices operate without external calibration, and while the predicate utilizes an algorithm to define an optimum pressure sensing position over the artery. Boppli uses a sensor array and a quality metric to ensure data of sufficient quality are analyzed and presented to users. There is a difference in intended patient population between the Boppli device and the predicate; however, the Boppli intended patient population is under supervision and SpO2 monitoring. As such, any differences in technological characteristics between Boppli and the predicate device do not raise new and different questions of safety and effectiveness, and device performance has been verified through both clinical and nonclinical testing.
5
Biocompatibility Testing:
Cytotoxicity, sensitization, and irritation testing was performed on the patient-contacting components of the device per FDA-recognized standard ISO 10993-1:2018 and the FDA Guidance for Industry and FDA Staff, "Use of International Standard ISO 10993-1, 'Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process." There were no cytotoxicity, sensitization, or irritation concerns associated with the Boppli Sensor Band.
Electrical Safety and EMC Testing:
The Electrical Safety (ES) and Electromagnetic Compatibility (EMC) testing conformed to ANSI AAMI ES60601-1:2005/(R)2012 and A1:2012, C1:2009 / (R)2012 and A2:2010 / (R)2012, IEC 60601-1-2 Edition 4.0 2014-02, IEC 60601-1-6 Edition 3.1 2013-10, IEC 60601-1-8 Edition 2.1 2012-11, and FCC Part 15 Subpart B. All acceptance criteria were met for the Boppli Sensor Band and Bedside Device.
Software Testing:
The software used in the Boppli Infant Blood Pressure Monitor has been determined to be a moderate level of concern. Software verification and validation testing were conducted, and documentation has been provided in accordance with FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices."
Bench Performance Testing:
Bench performance testing verified that the Boppli Sensor Band and Bedside Device met the specified requirements for signal processing and data transmission, accelerometer data acquisition, battery runtime, device deployment time, BLE range, channel selection and quality verification, operating systems, and hardware platforms.
Human Factors / Usability Engineering Testing:
Through usability testing, the Boppli was found to be substantially equivalent for the intended users, uses, and use environments. Furthermore, any further modifications to the user interface, including the device and labeling, would not further reduce risk, are not possible, or are not practicable, and the remaining residual use-related risks are outweighed by the benefits derived from the used of the device.
Animal Testing:
Animal testing was not performed for this device.
6
Clinical Testing:
A prospective, multi-center clinical study was performed to validate the effectiveness of the Boppli Infant Blood Pressure Monitor as compared to an invasive arterial reference in neonates and infants under 5 kg in weight who required invasive blood pressure monitoring. The study included 79 subjects representing the intended patient population and was validated in the blood pressure range applicable to the intended patient population. The study evaluated the accuracy, precision, and stability of the Boppli System for continuous non-invasive blood pressure monitoring by comparing SBP, DBP, MAP, and pulse waveform against the reference methodology. The stability was performed over the intended use life of 72 hours. The accuracy of the stability was evaluated for each 6-hour period.
The primary endpoint was the mean average error (MAE) and standard deviation (SD) of the difference of the paired measurements between the device and the intraarterial line (IAL) reference for SBP, DBP, and MAP, assessed separately. The primary endpoint goal was the MAE