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510(k) Data Aggregation
(30 days)
EXPRESSION INFORMATION PORTAL
The Expression Information Portal (Model IP5) is intended to monitor vital signs for patients undergoing MRI procedures. The Expression Information Portal (Model IP5) is intended for use by healthcare professionals.
The Expression Information Portal (Model IP5) is a secondary patient monitoring display intended for use outside the MR system room as a supplement or alternate for the cleared device's display. It is a "repeater" display and does not perform any data collection or processing as a stand-alone patient monitoring system. It relies upon the cleared device's processing unit, wireless modules, and patient applied parts to complete data collection and processing. The modified device consists of a color 19-inch LCD display with a touch screen, AC-DC power supply, and a radio module. Optional peripheral equipment includes a printer, wireless keyboard and mouse, wireless barcode scanner, uninterruptible power supply, desk stand, and wall mounting arm.
Here's a summary of the acceptance criteria and the study that proves the device meets the acceptance criteria for the Expression Information Portal (Model IP5), based on the provided text:
Important Note: The Expression Information Portal (Model IP5) is a repeater display for an existing patient monitoring system. Therefore, the core vital sign algorithms, measurement range, and accuracy are not evaluated in this 510(k) submission, as these are handled by the cleared predicate device's processing unit. This submission focuses on the safety and performance of the display unit itself and its modifications.
Acceptance Criteria and Reported Device Performance
The provided document primarily details modifications to a previously cleared device (MRI Patient Monitoring System, Model 865214) and demonstrates substantial equivalence. The acceptance criteria are therefore largely based on compliance with relevant national and international safety and performance standards for medical electrical equipment and specific patient monitoring functions, as well as verification of the modified features.
Table of Acceptance Criteria and Reported Device Performance:
Acceptance Criteria Category | Specific Acceptance Criteria (from referenced standards/claims) | Reported Device Performance and Compliance |
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General Safety | Compliance with IEC 60601-1 (General Safety), IEC 60601-1-1 (Safety for Medical Electrical Systems), IEC 60601-1-2 (Electromagnetic Compatibility), IEC 60601-1-4 (Programmable Electrical Medical Systems), IEC 60601-1-6 (Usability), and UL 60601-1. | Compliant. "The modified device and its peripheral equipment comply with the applicable requirements of these standards." (Evaluated by a third-party laboratory for IEC 60601-1, -1-1, -1-2, -1-4, -1-6, -1-8, and UL 60601-1). |
Alarm Systems | Compliance with IEC 60601-1-8 (Alarm Systems) for audible alarm tone, pulse, and burst characteristics of high priority alarms, and visual indications. Time for making alarm conditions available between processing and viewing at the display is identical to the cleared device (less than 2 seconds, based on cleared device spec). | Compliant. "Audible alarms consistent with IEC 60601-1-8 are also provided." (Page 2) Visual indications are identical to cleared device except for alarm light removal. "The time for making alarm conditions available between processing and viewing at the display is IDENTICAL TO THE CLEARED DEVICE." (Page 6) |
Display Power | AC Mains to AC-DC power converter; visual indicators of power status. | Compliant. "AC mains to AC-DC power converter" (Page 5). "The display provides visual indicators of power status IDENTICAL TO THE CLEARED DEVICE." (Page 5) |
Display Environmental Specifications | Operating Temperature: 15-35°C; Relative Humidity: 15-80% non-condensing; Storage Temperature: -20 – 60°C. Compliance with intended use in a climate-controlled clinical setting. | Compliant. "The modified environmental specifications are still compliant with the intended use in a climate-controlled clinical setting. Testing and risk assessment have verified that the modifications do not pose any new concerns regarding the safety and effectiveness of the device." (Page 5) "Test results demonstrate conformity to customer requirement specifications over the device use life." (Page 15) |
MR Conditions of Use | Device to be MR Unsafe. Intended for use outside the MR system room (i.e., within the MR control room, MR induction room, or MR recovery room). Barcode scanner evaluated for magnetically induced displacement force (compliance with ASTM F2503 and ASTM F2052). No evaluation needed for other components as they are MR Unsafe and outside the MR system room. | Compliant. "Device is MR Unsafe according to ASTM F2503." (Page 6) "Display is intended for use within the MR environment, outside the MR system room..." (Page 6). "Test results demonstrate that the Expression Information Portal (Model IP5) meets the MR conditions of use as defined in the modified device labeling." (Page 14). |
Wireless Communication Integrity | Bi-directional 2.4 GHz wireless communication identical to the cleared device. Same radio transceiver and antenna, operating in the same frequency band, with same FCC certification. Wireless communication status indicators function correctly. Communication status established within a few seconds upon power on. | Compliant. "The functionality, technology, and operating performance of the wireless communication are IDENTICAL TO THE CLEARED DEVICE." "Uses the same radio module with the same FCC approval as THE CLEARED DEVICE." "Integrity of the wireless communication between the modified device display and cleared processing unit was validated to operate as intended." (Page 15) |
Vital Sign Data Display | Displays all same patient vital sign information as cleared device. Time for making patient vital sign information available between processing and viewing at display is less than 1 second (identical to cleared device). | Compliant. "The modified device displays all of the same patient vital sign information..." (Page 4) "The time for making patient vital sign information available between processing viewing at the modified display is IDENTICAL TO THE CLEARED DEVICE." (Page 6) |
Usability/Operator Interface | Touch screen with optional USB connection for wireless keyboard/mouse. Screen layout with communication status indicators in bottom right, patient info bar at top, and setup functions collapsed under a single key. | Compliant. These are detailed modifications explicitly incorporated into the device (Page 2, Table 2-1 on page 6). "Results of the complete verification and validation indicate that the modified device operates as intended within the performance specifications." (Page 14) |
HIS Interface | Connection via standard Ethernet or RS232. Data output in HL7 format, compliant with HL7 Messaging Standard Version 2.6. No data input from HIS to display. | Compliant. "Data output is in HL7 format and output at a rate specified by the user. Data output is compliant to HL7 Messaging Standard Version 2.6." (Page 7) "No data is input from the HIS to the display (IDENTICAL TO THE CLEARED DEVICE)." (Page 7) |
Risk Management | Compliance with ISO 14971 (Application of risk management to medical devices). | Compliant. "Compliance of the modified device to ISO 14971 is demonstrated by risk assessment provided in Section 6.3." (Page 13) "The conclusion of all testing confirms that all identified risks have been mitigated..." (Page 15) |
Other Standards | Compliance with various specific standards for ECG, NIBP, IBP, pulse oximetry, respiratory gas monitors (e.g., IEC 60601-2-27, -2-30, -2-34, -2-49, ISO 9919, ISO 21647, ANSI/AAMI EC13, SP10, ASTM E1112) as they pertain to displays and printers. | Compliant. "Compliance of the modified device to [these standards] as they pertain to displays and printers was demonstrated through verification testing performed by Invivo Corporation." (Page 13) |
Study Information:
The provided document describes a non-clinical performance study to demonstrate substantial equivalence, rather than a clinical study involving human patients. The study focuses on verification and validation (V&V) testing of the modified device against applicable standards and internal specifications.
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Sample size used for the test set and the data provenance:
- Sample size: Not explicitly stated as a numerical patient or case count, as this was a non-clinical, bench-top V&V study. The "test set" consisted of the modified device (Expression Information Portal, Model IP5) and its peripheral equipment.
- Data provenance: Not directly applicable in the terms of patient data origin (country, etc.), as it's a non-clinical study. The data was generated through in-house verification testing by Invivo Corporation and third-party laboratory testing (e.g., for IEC 60601-1 series). The study is prospective in the sense that the testing was performed specifically for this 510(k) submission to demonstrate compliance of the modified device.
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Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
- Not applicable. The "ground truth" for this non-clinical study is established by adherence to engineering specifications, safety and performance standards, and the functional behavior of the cleared predicate device. There is no expert human assessment to establish a diagnostic ground truth for patient data or images. The "experts" involved would be the engineers, quality assurance personnel, and regulatory affairs specialists who designed, tested, and evaluated the device against the objective standards.
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Adjudication method (e.g., 2+1, 3+1, none) for the test set:
- Not applicable. Adjudication methods are typically used in clinical studies for resolving discrepancies in expert interpretations of data (e.g., medical images). This was a non-clinical V&V study where direct objective measurements, compliance with specified thresholds, and functional confirmations were the primary verification methods.
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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:
- No. An MRMC study was not conducted. This device is a display monitor, not an AI-powered diagnostic system. Its purpose is to display vital sign data provided by an existing patient monitoring system.
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If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:
- No. While the device itself is a "standalone" display unit, it functions solely as a display for data generated by a separate, already cleared patient monitoring system. The document explicitly states: "The modified device does not perform any data collection or processing as a stand-alone patient monitoring system." (Page 4). Therefore, no standalone algorithm performance (as in diagnostic AI) was performed or is relevant.
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The type of ground truth used (expert consensus, pathology, outcomes data, etc.):
- The "ground truth" for this device's performance is objective compliance with:
- International and national medical device standards (e.g., IEC 60601 series, ISO 14971, ASTM F2503, FCC Part 15).
- Functional specifications (e.g., display dimensions, resolution, interface type, alarm characteristics, wireless communication integrity).
- Equivalence to the predicate device's display capabilities (e.g., displaying the same vital signs, same time for data availability).
- The "ground truth" for this device's performance is objective compliance with:
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The sample size for the training set:
- Not applicable. This device does not employ machine learning or AI algorithms that require a "training set" of data.
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How the ground truth for the training set was established:
- Not applicable. As there is no training set for machine learning.
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