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510(k) Data Aggregation

    K Number
    K041918
    Date Cleared
    2004-10-15

    (91 days)

    Product Code
    Regulation Number
    870.2300
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Philips Medical Systems Integrated Patient Monitoring System (IPMS) is intended to monitor the heart rhythm and other vital signs for a patient undergoing an MRI procedure and to provide signals for synchronization for the MRI scanner.

    Device Description

    The Philips Medical Systems Integrated Patient Monitoring System (IPMS) is a significant modification of the Invivo Research Omni-Trak™ 3150/3155 Series Patient Monitoring System. This device has been integrated into the Philips Physiotrak patient gurney used with the Philips MRI System. The Philips Medical Systems Integrated Patient Monitoring System is intended to monitor the heart rhythm and other vital signs for a patient undergoing an MRI procedure and to provide signals for synchronization for the MRI scanner. The IPMS works on DC (battery) power supplies and monitors ECG, non-invasive blood pressure, SPO2, respiration and temperature. This information can be displayed either at the monitor or remotely. The monitor sounds an alarm if any monitored parameter falls outside the range indicated by the alarm limits. The alarm limits is programmable either manually or programmally based on the current value of the parameter(s). This monitoring system is MRI-compatible. It utilizes technology from the Invivo Research Omni-Trak™ 3150/3155 Series Patient Monitoring System and the Invivo Research Millennia Patient Monitor. The IPMS consists of three major component parts; the MCB (Patient Connector Box), MEB (Monitoring Electronics Box), and MDCU (Monitoring Display and Control Unit) which are integrated into the Phillips Physiotrak patient gurney.

    AI/ML Overview

    The provided text describes the acceptance criteria and a summary of performance testing for the Philips Medical Systems Integrated Patient Monitoring System (IPMS). However, it does not include a detailed study description with information like sample sizes for test and training sets, data provenance, number or qualifications of experts, adjudication methods, or MRMC comparative effectiveness studies. This document is a 510(k) summary, which typically focuses on demonstrating substantial equivalence to a predicate device rather than providing full clinical study details.

    Here's the information that can be extracted from the provided text based on your request:

    1. Table of Acceptance Criteria and Reported Device Performance

    ParameterAcceptance Criteria / Specification (Stated)Reported Device Performance (Implied by "Validation and Verification Testing confirmed that this device operates as designed and intended")
    ELECTRICAL AND MECHANICAL CHARACTERISTICS
    Line Voltage115 VAC +/- 10%, 50/60 HzMeets specification
    Power Sources AvailableAC Power, or internal battery power with remote chargerMeets specification
    Power Consumption< 30 Volt-Amperes @ 120 VAC nominal (< 60 VA maximum during charging)Meets specification
    BatteryLead-Acid Gel Cell (x4), Capacity > 8 hours with 4 batteriesMeets specification
    Electrical SafetyPer EN 60601-1Meets specification
    Electromagnetic CompatibilityPer EN 60601-1-2Meets specification
    PERFORMANCE REQUIREMENTS
    Heart Rate Monitor
    Range/Resolution0 to 250 BPM / 1 BPMMeets specification
    Rate Accuracy0.5% of reading, +/- 1BPMMeets specification
    Defibrillator ProtectionAccepts and recovers from a defibrillator discharge up to 5 KVMeets specification
    Non-Invasive Blood Pressure Monitoring
    Auto Mode Set IntervalsOFF, 1, 2, 2.5, 3, 5, 10, 15, 20, 30, 45 Min, or 1,2, 4 HrsMeets specification
    Pop-Off Pressure Level270 +/- 14 mmHgMeets specification
    Cuff Inflation Time3 to 20 secondsMeets specification
    Pulse Oximetry
    Range0 to 100% saturationMeets specification
    Accuracy< 3.0% (60% to 100%)Meets specification
    Averaging Period3, 6, or 12 secondsMeets specification
    Respiration Monitoring
    Range4 to 150 RPMMeets specification
    Resolution1 RPMMeets specification
    Accuracy2% up to 60 RPM, 3.4% at 87 RPM, 5.6% at 142 RPMMeets specification
    Temperature
    Range20°C to 44°CMeets specification
    Accuracy0.3°C (32°C to 44°C)Meets specification
    Time Constant15 secondsMeets specification
    MRI COMPATIBILITY
    Maximum RF EmissionsMaximum -100dB RF noise at MRI Larmor FrequenciesMeets specification
    MRI In Bore Materials UsedAll materials are non- magnetic, and do not produce proton-signal emissions during MRIMeets specification

    2. Sample size used for the test set and the data provenance

    • Sample Size for Test Set: Not specified in the document. The document states "Validation and Verification Testing confirmed that this device operates as designed and intended," but does not provide details on the number of subjects or test cases.
    • Data Provenance (e.g., country of origin of the data, retrospective or prospective): Not specified.

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

    • Not applicable/Not specified. This device is a physiological patient monitor, and its performance is typically evaluated against calibrated reference instruments or simulated physiological signals, not human expert interpretation.

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

    • Not applicable/Not specified.

    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. This is not an AI-assisted diagnostic device. It's a physiological monitoring system.

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

    • Yes, performance testing as described in the "Summary of Performance Testing" table is inherently standalone device performance. The device's accuracy for various parameters (Heart Rate, NIBP, SpO2, Respiration, Temperature) is specified.

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

    • The ground truth would be based on calibrated reference standards and established physiological benchmarks. For example, heart rate accuracy would be compared against an ECG simulator or directly measured heart rate from a known source; blood pressure against a calibrated sphygmomanometer; SpO2 against a co-oximeter in controlled studies; temperature against a calibrated thermometer.

    8. The sample size for the training set

    • Not applicable/Not specified. This device is not described as utilizing a machine learning algorithm that requires a training set in the conventional sense. Its design and performance are based on engineering principles and established physiological measurement techniques.

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

    • Not applicable.
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