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510(k) Data Aggregation

    K Number
    K172894
    Date Cleared
    2018-05-17

    (237 days)

    Product Code
    Regulation Number
    880.2910
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Infrared Thermometer is intended to detect body temperature from the forehead or auditory canal in the population including infant (above 6 months), child, adolescent, and adult

    Device Description

    The proposed device, Infrared Thermometers IFR 600 is hand-held, reusable, battery powered device, which is intended to detect body temperature from forehead or auditory canal in the pediatric and adult population.

    IFR 600 infrared thermometer can measure human body temperature by both ear and forehead measurement.

    AI/ML Overview

    The provided document describes the acceptance criteria and a clinical study conducted for the Infrared Thermometer Model IFR 600 by Shenzhen Jiacom Technology Co., Ltd.

    Here's a breakdown of the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally based on compliance with specific international standards and the clinical accuracy of the device. The reported performance confirms this compliance.

    Acceptance Criteria for Infrared Thermometer Model IFR 600

    Acceptance Criteria CategorySpecific Criteria (Standard/Requirement)Reported Device Performance
    BiocompatibilityISO 10993-5:2009 (Tests for in vitro cytotoxicity)Complied with ISO 10993-5
    ISO 10993-10:2010 (Tests for irritation and skin sensitization)Complied with ISO 10993-10
    Electrical SafetyAAMI / ANSI ES60601-1:2005/(R) 2012 (General requirements for basic safety and essential performance)Complied with IEC 60601-1
    Electromagnetic Compatibility (EMC)IEC 60601-1-2:2014 (Requirements and Tests)Complied with IEC 60601-1-2
    Performance (Clinical Thermometers)ISO 80601-2-56:2009 (Particular Requirements for Basic Safety and Essential Performance of Clinical Thermometers)Complied with ISO 80601-2-56
    Performance (Infrared Thermometers)ASTM E1965-98 (R 2016) (Standard Specification for Infrared Thermometers for Intermittent Determination of Patient Temperature)Complied with ASTM E1965-98 (2003)
    Clinical Accuracy (Ear Mode)±0.2°C at 35.5°C-42.0°C; ±0.3°C at 32.0-35.0°C and 42.0°C-42.9°C (Aligned with ASTM E1965-98)Achieved; clinical accuracy not inferior to predicate device and complies with ASTM E1965-98.
    Clinical Accuracy (Forehead Mode)±0.2°C at 35.5°C-42.0°C; ±0.3°C at 34.0-35.4°C and 42.1°C-42.9°C (Aligned with ASTM E1965-98)Achieved; clinical accuracy not inferior to predicate device and complies with ASTM E1965-98.
    Clinical BiasNot explicitly stated as a numerical limit, but evaluation per ASTM E 1965-98(2003)Not inferior to predicate device.
    Clinical UncertaintyNot explicitly stated as a numerical limit, but evaluation per ASTM E 1965-98(2003)Not inferior to predicate device.
    Clinical RepeatabilityNot explicitly stated as a numerical limit, but evaluation per ASTM E 1965-98(2003)Not inferior to predicate device.

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size for Clinical Study (Test Set): "40 of each age range of subjects" were included. The document specifies the population as "infant (above 6 months), child, adolescent, and adult". It's unclear how many distinct age ranges were used, so the total exact sample size is not precisely specified but would be 40 multiplied by the number of age ranges. For example, if there were 4 age ranges (infant, child, adolescent, adult), the total would be 160.
    • Data Provenance: Not explicitly stated (e.g., country of origin). The study is described as "Controlled human clinical studies," suggesting it was prospective research.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    The document does not provide information on the number of experts used or their qualifications for establishing ground truth for the clinical study. It refers to "clinical validation for infrared thermometer" and compliance with ASTM E 1965-98 for evaluating clinical bias, uncertainty, and repeatability.

    4. Adjudication Method for the Test Set

    The document does not specify any adjudication method for the test set.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    A multi-reader multi-case (MRMC) comparative effectiveness study was not explicitly mentioned. The study compared the device's clinical accuracy, bias, uncertainty, and repeatability to that of a predicate device, but not in the context of human readers improving with or without AI assistance. The device itself is a standalone infrared thermometer, not an AI-assisted diagnostic tool for human readers.

    6. If a Standalone Study Was Done

    Yes, a standalone study was done. The clinical tests were performed to evaluate the performance of the Infrared Thermometer Model IFR 600 by itself, specifically its clinical accuracy, bias, uncertainty, and repeatability, in comparison to a predicate device and against the requirements of ASTM E 1965-98.

    7. The Type of Ground Truth Used

    The ground truth for the clinical study was established by comparison with established methods or references for body temperature measurement, implicitly defined by the clinical validation requirements of ASTM E 1965-98 (Standard Specification for Infrared Thermometers for Intermittent Determination of Patient Temperature). The document refers to evaluating "clinical bias, clinical uncertainty and clinical repeatability." The ASTM standard typically outlines how to establish reference body temperatures against which the infrared thermometer's readings are compared.

    8. The Sample Size for the Training Set

    This question is not applicable as the device is a medical device (infrared thermometer) and not an AI/Machine Learning algorithm that requires a "training set" in the conventional sense. The "training" here refers to product development and testing, where the device's design is refined to meet the performance standards.

    9. How the Ground Truth for the Training Set Was Established

    This question is not applicable for the same reason as point 8. The "ground truth" for the device's performance was established through compliance with recognized standards (ISO, ASTM) and clinical validation against these standards.

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    K Number
    K172896
    Date Cleared
    2018-01-26

    (126 days)

    Product Code
    Regulation Number
    870.1130
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Arm Type Automatic Blood Pressure Monitor is a digital monitor intended for use in measuring blood pressure and pulse rate in adult patient population via non-invasive oscillometric technique in which an inflatable cuff is wrapped around the arm. It can be used at medical facilities or at home. The intended arm circumference is 22-32 cm.

    Device Description

    The proposed device, Arm Type Automatic Blood Pressure Monitor, is a battery driven automatic non-invasive blood pressure monitor. It can automatically complete the inflation 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 in order for data reviewing, including the systolic pressure, diastolic pressure, pulse rate and measurement time. It has a bar indicating function, which can indicate the WHO (World Health Organization) Blood Pressure Classification of the measured blood pressure by referencing Diastolic Blood Pressure issued at Journal of Hypertension 1999. Vol 17, No.2.

    The proposed device is intended to be used in medical facilities or at home. And it is provided non-sterile, and not to be sterilized by the user prior to use.

    The proposed blood pressure monitor includes 9 models, which are BP310A, BP351A, BP362A, BP366A, BP369A, BP380A, BP389A, and BP-JC312. All models follow the same software, measurement principle and NIBP algorithm. The main differences are product appearance and key numbers.

    AI/ML Overview

    The provided document describes the acceptance criteria and a clinical study conducted for the Arm Type Automatic Blood Pressure Monitor to demonstrate its substantial equivalence to a predicate device.

    Here's the breakdown of the information requested:

    1. Table of Acceptance Criteria and Reported Device Performance

    The clinical accuracy of the device was evaluated according to the standard ISO 81060-2:2013, "Non-Invasive Sphygmomanometers - Part 2: Clinical Validation Of Automated Measurement Type." While the document states the device complies with the standard requirements, it does not explicitly list the detailed acceptance criteria and reported device performance from the ISO 81060-2:2013 standard within the provided text.

    However, based on the general information provided for blood pressure monitors, the key performance metrics and their accuracies are stated:

    Acceptance Criteria / Performance MetricReported Device Performance
    Blood Pressure Accuracy± 3 mmHg
    Pulse Rate Accuracy± 5%

    2. Sample Size Used for the Test Set and Data Provenance

    The document states that a clinical investigation was conducted according to ISO 81060-2:2013. The ISO 81060-2 standard specifies a minimum of 85 subjects for clinical validation. Although the exact number used in this specific study is not explicitly mentioned, it can be inferred that at least 85 subjects were used to comply with the standard.

    • Sample Size for Test Set: Not explicitly stated, but ISO 81060-2:2013 requires a minimum of 85 subjects.
    • Data Provenance: Not specified (e.g., country of origin, retrospective or prospective). The document only states "clinical investigation... has been conducted."

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications

    The ISO 81060-2 standard requires that the simultaneous auscultation method, performed by human observers, serves as the reference standard (ground truth). This typically involves multiple trained observers.

    • Number of Experts: Not explicitly stated in the document, but ISO 81060-2:2013 generally requires at least two experts (trained observers) for simultaneous auscultation.
    • Qualifications of Experts: Not explicitly stated. For ISO 81060-2, the observers must be trained and validated against a mercury sphygmomanometer.

    4. Adjudication Method for the Test Set

    The ISO 81060-2 standard (which this study followed) uses a simultaneous auscultation method where mercury sphygmomanometers are used in conjunction with the test device. This involves multiple observers (typically two) taking measurements simultaneously and independently. If there's a significant discrepancy between their readings, a third observer might be involved or the measurement discarded.

    • Adjudication Method: Implicitly, the method follows the procedures outlined in ISO 81060-2 for simultaneous auscultation, which includes specific rules for reconciling or handling differences between observers' readings to establish the reference blood pressure. This could be considered akin to a 2-observer consensus (or 2+1 if required) process for establishing ground truth.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done

    No, an MRMC comparative effectiveness study was not done. This type of study is more common for diagnostic imaging AI systems where human readers interpret medical images with and without AI assistance. This document describes the validation of a non-invasive blood pressure monitor, which is a standalone measurement device, not an AI-assisted interpretation tool for human readers.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was Done

    Yes, a standalone performance evaluation was done. The clinical investigation directly assessed the accuracy of the automated blood pressure monitor against the reference standard (human auscultation) without human interpretation of the device's output influencing the measurement. The device's "algorithm only" performance (the oscillometric technique's ability to measure blood pressure) is what was validated.

    7. The Type of Ground Truth Used

    The ground truth used for the clinical validation was expert consensus (or reference) measurements obtained via simultaneous auscultation using mercury sphygmomanometers, as mandated by the ISO 81060-2 standard.

    8. The Sample Size for the Training Set

    The document does not provide information about a specific training set or its sample size. This type of blood pressure monitor relies on a pre-defined oscillometric algorithm. While the algorithm itself would have been developed and potentially refined using a dataset, information on this "training set" is not part of this medical device submission document, which focuses on the validation of the final product.

    9. How the Ground Truth for the Training Set Was Established

    As no information is provided about a training set, the method for establishing its ground truth is also not available in this document.

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