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510(k) Data Aggregation
(188 days)
Patient Monitor (CX10, CX12, CX15, UX10, UX12, UX15)
The monitors are intended to be used for monitoring, storing, recording, and reviewing of, and to generate alarms for, multiple physiological parameters of adults and pediatrics (including neonates). The monitors are intended for use by trained healthcare professionals in hospital environments.
The monitored physiological parameters include: ECG, respiration (RESP), temperature (TEMP), functional oxygen saturation of arterial hemoglobin (SpO₂), pulse rate (PR), non-invasive blood pressure (NIBP), invasive blood pressure (IBP), carbon dioxide (CO2), and cardiac output (C.O.).
The arrhythmia detection and ST Segment analysis are intended for adult patients.
The NIBP monitoring supports iCUFS algorithm and iFAST algorithm. The iCUFS algorithm is intended for adult, pediatric and neonatal patients. The iFAST algorithm is intended for adult and pediatric patients (≥3 years of age). Both measurement algorithms are also intended for use with pregnant women, including pre-eclamptic patients. NIBP MAP is not applicable to pregnant women.
The Spot Temp with T2A module can only measure temperature of adult and pediatric (> 1 year of age) patients.
The monitors are not intended for MRI environments.
The cardiac output (C.O.) is only intended for adult patients.
The CX&UX series Patient Monitor including CX10/CX12/CX15/UX10/UX12/UX15 can perform long-time continuous monitoring of multiple physiological parameters. Also, it is capable of storing, displaying, analyzing and controlling measurements, and it will indicate alarms in case of abnormalities so that doctors and nurses can respond to the patient's situation as appropriate.
Minor differences from the predicate device are limited to some modifications of monitoring parameter specifications. These updates do not change the fundamental scientific technology of the cleared predicate device and thus do not raise any questions about the safety and effectiveness of the subject device.
The provided FDA 510(k) clearance letter details the device's technical specifications and comparisons to predicate devices, along with the non-clinical performance data and adherence to various IEC and ISO standards. However, it explicitly states: "Clinical data: The subject device did not require new clinical studies to support substantial equivalence."
This means that the submission for this Patient Monitor device (CX10, CX12, CX15, UX10, UX12, UX15) relies on demonstrating substantial equivalence to a legally marketed predicate device (Edan Instruments, Inc., Patient Monitor Model iX10, iX12, iX15, K232962) through non-clinical performance testing and software verification/validation, rather than new clinical trials or studies involving human patients.
Therefore, the requested information regarding acceptance criteria and studies that prove the device meets acceptance criteria through clinical performance (e.g., sample size for test set, expert involvement, MRMC studies, ground truth establishment for test/training sets, effect size of human reader improvement with AI) cannot be extracted from this document, as such clinical studies were explicitly not required for this 510(k) submission.
The document focuses on demonstrating that the new device's technical specifications and performance are similar to the predicate device, and that it complies with relevant safety and performance standards through bench testing.
Here's what can be extracted from the provided text regarding acceptance criteria and the type of study performed, specifically focusing on the non-clinical aspects:
Device: Patient Monitor (CX10, CX12, CX15, UX10, UX12, UX15)
The acceptance criteria for this device are implicitly tied to its performance meeting the standards and accuracy specifications of the predicate device and relevant international standards. Since no new clinical studies were conducted, the "proof" comes from non-clinical bench testing and software validation.
1. Table of Acceptance Criteria and Reported Device Performance (Non-Clinical/Bench Testing)
Parameter/Acceptance Criteria Type | Details of Acceptance Criteria (Implicit from Standards Compliance & Predicate Equivalence) | Reported Device Performance (as demonstrated by compliance) |
---|---|---|
Electrical Safety | Compliance with IEC 60601-1 Edition 3.2 2020-08 | Complies with IEC 60601-1 Edition 3.2 2020-08 |
Electromagnetic Compatibility (EMC) | Compliance with IEC 60601-1-2:2014 (Fourth Edition) | Complies with IEC 60601-1-2:2014 (Fourth Edition) |
Alarm Systems | Compliance with IEC 60601-1-8:2020 (General requirements, tests, and guidance for alarm systems) | Complies with IEC 60601-1-8:2020 |
ECG Monitoring Equipment Performance | Compliance with IEC 60601-2-27:2011 (Basic safety and essential performance of electrocardiographic monitoring equipment) | Complies with IEC 60601-2-27:2011 |
Invasive Blood Pressure Monitoring Performance | Compliance with IEC 60601-2-34:2011 (Basic safety, including essential performance, of invasive blood pressure monitoring equipment) | Complies with IEC 60601-2-34:2011 |
Automated Non-Invasive Sphygmomanometers Performance | Compliance with IEC 80601-2-30:2018 (Basic safety and essential performance of automated non-invasive sphygmomanometers) | Complies with IEC 80601-2-30:2018 |
Multifunction Patient Monitoring Performance | Compliance with IEC 80601-2-49:2018 (Basic safety and essential performance of multifunction patient monitoring equipment) | Complies with IEC 80601-2-49:2018 |
Respiratory Gas Monitors Performance | Compliance with ISO 80601-2-55:2018 (Basic safety and essential performance of respiratory gas monitors) | Complies with ISO 80601-2-55:2018 |
Clinical Thermometers Performance | Compliance with ISO 80601-2-56:2017+A1:2018 (Basic safety and essential performance of clinical thermometers) | Complies with ISO 80601-2-56:2017+A1:2018 |
Pulse Oximeter Equipment Performance | Compliance with ISO 80601-2-61:2017 (Basic safety and essential performance of pulse oximeter equipment) | Complies with ISO 80601-2-61:2017 |
Wireless Coexistence | Compliance with IEEE ANSI USEMCSC C63.27 (Evaluation of Wireless Coexistence) | Complies with IEEE ANSI USEMCSC C63.27 |
Software Functionality | Compliance with FDA Guidance "Content of Premarket Submissions for Device Software Functions" | Software verification and validation testing conducted and documentation provided as recommended. |
Accuracy Specifications (Example: RESP) | 6 rpm to 200 rpm: ±2 rpm | Reported as meeting this accuracy specification. |
Accuracy Specifications (Example: IBP) | ±2% or ±1 mmHg, whichever is greater (excluding sensor error) | Reported as meeting this accuracy specification. |
2. Sample Size Used for the Test Set and Data Provenance:
- Sample Size: Not applicable in terms of human subjects or patient data test sets, as "new clinical studies" were not required. The "test set" refers to bench testing and functional system-level validation. The specific number of test cycles or a detailed breakdown of test cases for bench testing is not provided in this summary.
- Data Provenance: The data primarily originates from Edan Instruments Inc. (Shenzhen, Guangdong, China) through internal engineering and quality assurance processes for non-clinical bench testing and software validation. It is not patient data, so concepts like "retrospective or prospective" do not apply.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications:
- Not applicable for clinical ground truth: Since no clinical studies were performed requiring human interpretation or diagnosis for a test set, no medical experts (e.g., radiologists) were used to establish ground truth in this context.
- Internal experts: Bench testing and software validation would have involved engineers and quality assurance professionals, whose qualifications are implicit in the quality system (21 CFR Part 820) but not specified in detail here.
4. Adjudication Method for the Test Set:
- Not applicable: Adjudication methods (e.g., 2+1, 3+1) are relevant for clinical studies involving multiple readers. This was not a clinical study. Bench testing relies on established technical specifications and standard compliance.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done:
- No: No MRMC study was performed as no new clinical studies were required or conducted. Therefore, there's no effect size of human readers improving with AI assistance. The device is a patient monitor, not an AI-assisted diagnostic tool.
6. If a Standalone (i.e. algorithm only without human-in-the loop performance) was Done:
- Yes (for the technical components): The "performance testing-Bench" effectively represents a standalone evaluation of the device's functional components (ECG, NIBP, SpO2, etc.) and software against defined technical specifications and standards. The "software verification and validation testing" also represents a standalone evaluation of the algorithm and software functions. The specific algorithms (e.g., iCUFS, iFAST for NIBP, arrhythmia analysis logic) are tested independently for their accuracy against known inputs or reference standards as part of bench testing.
7. The Type of Ground Truth Used:
- Technical/Reference Standards: For the bench testing, the "ground truth" would be derived from:
- Reference standards/simulators: Calibrated medical equipment, physiological simulators, and test signals (e.g., known ECG waveforms, simulated blood pressure readings, temperature standards) are used to provide the "true" values against which the device's measurements are compared.
- Defined specifications: The device's internal design specifications and the requirements of the referenced IEC/ISO standards serve as the "ground truth" for compliance testing.
- Not clinical ground truth: No expert consensus, pathology, or outcomes data from real patients were used for establishing ground truth for this submission.
8. The Sample Size for the Training Set:
- Not applicable: The device is a patient monitor, not a machine learning/AI algorithm that typically undergoes a distinct "training" phase with a large dataset. Its functionality is based on established physiological measurement principles and programmed algorithms. Any internal calibration or algorithm refinement would be part of the product development process, not a dedicated "training set" in the AI/ML sense.
9. How the Ground Truth for the Training Set Was Established:
- Not applicable: As there was no "training set" in the context of an AI/ML model, the concept of establishing ground truth for it does not apply to this 510(k) submission.
In summary, this 510(k) clearance relies on demonstrating that the new Patient Monitor is substantially equivalent to a previously cleared predicate device, primarily through robust non-clinical bench testing and software validation, proving compliance with established medical device standards and functional specifications. No new clinical studies with patient data were required or conducted for this specific submission.
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