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510(k) Data Aggregation

    K Number
    K172147
    Device Name
    STAR 65
    Date Cleared
    2018-05-25

    (312 days)

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

    Star 65 multi-parameter Patient Monitoring system is intended to monitor a single Adult. Pediatric or Neonatal patient's vital signs at the bedside or during intra-hospital transport with the appropriate accessories mentioned / supplied with the unit. Vital signs parameters include ECG (3 lead), SpO2, and Respiration, Temperature, Invasive Blood Pressure (Systolic, Diastolic and Mean), Non-invasive Blood Pressure (Systolic and Mean), Capnography (CO2), Cardiac Output (CO) & AGM module. It can display the numeric values of HR/PR, SpO2, RR, Non-Invasive Blood Pressure (Systolic, Diastolic and Mean), Invasive Blood Pressure (Systolic, Diastolic and Mean), Temperature, CO, EtCO2 and FiCO2, N2O, O2, EtAA and FiAA readings.

    The user, responsible to interpret the monitored data made available, will be a professional health care provider. The device permits patient monitoring with adjustable alarm limits as well as visible and audible alarm signals. The monitor is not intended for home use. It shall be used only by trained clinicians.

    In addition Star 65 got Arrhythmia and ST detection from 3L/5L ECG measurements. The Arrhythmia and ST analysis module is intended for use with Adult & Pediatric patients and is not intended for use with Neonatal patients(ST and Arrhythmia detection functionality is not available for U.S.A).

    Device Description

    Star 65 is a multi-parameter modular patient monitoring system for continuous monitoring of the physiological parameters like ECG (3/5 lead), Respiration, NIBP, Temperature, SpO2, CO2, Cardiac Output (CO). & Anesthesia Gas Monitoring (AGM) Module (Optional). The modular parameters are IBP, CO and CO2.

    Star 65 is a 8 channel monitor with 12.1" LED display with touch screen capable of displaying and monitoring ECG, Respiration, SpO2, CO2, IBP, and O2 digital values of HR/PR, SpO2, RR, Non-Invasive Blood Pressure (Systolic & Mean), Invasive Blood Pressure (Systolic, Diastolic & Mean), Temperature, EtCO2, FiCO2, IPI, CO, N2O, O2, EtAA, and FiAA readings.

    Star 65 has 240 Hours tabular and graphical vital trend. Star 65 has a NIBP trend of last 240 readings. Star 65 has Alarm Recall facility with last 48 'Patient Alarms' details.

    Star 65 has communication features like USB for Thumb drive, Printer, Bar code scanner interface, Ethernet for CNS & Bed to Bed connectivity, HDMI output for External monitor connectivity, External Port for AGM 55 interface, Wi-Fi for CNS, Bed to Bed & Network Printer connectivity. The device permits patient monitoring with adjustable alarm limits as well as visible and audible alarm signals, high priority alarms are indicated by red colour, medium priority alarms are indicated by yellow colour & low priority alarms are represented by blue colour.

    Star 65 has got Drug calculator software package to display drug dosage applied / to be applied for the standard Medicines.

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for the Skanray Technologies Pvt Ltd Star 65 patient monitoring system. It primarily focuses on demonstrating substantial equivalence to predicate devices rather than proving performance against specific acceptance criteria through a dedicated study.

    Therefore, it is important to note that the document does not present a standalone clinical study to prove the device meets acceptance criteria. Instead, it relies on demonstrating that the subject device's performance, as measured through non-clinical (bench) testing against recognized standards, is comparable to its predicate devices, which are already legally marketed.

    Here's an breakdown based on the request:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state "acceptance criteria" in the format of a clinical study outcome. Instead, it details the performance specifications of the Star 65 and compares them to predicate devices. The "reported device performance" is essentially the listed specifications for the Star 65, and "acceptance criteria" can be inferred as being equivalent to or meeting the performance of the predicate devices and relevant consensus standards.

    Since a strict "acceptance criteria" table from a dedicated study is not available, I will present the performance specifications of the Star 65 as its "reported performance," and the "acceptance criteria" is implied to be that these specifications are within acceptable ranges, similar to the predicate devices, and comply with the listed consensus standards.

    ParameterAcceptance Criteria (Implied: Meets Predicate Performance & Standards)Reported Device Performance (Star 65)
    ECG Heart Rate Range20-350 BPM20-350 BPM
    ECG Accuracy2bpm or 2% whichever is greater2bpm or 2% whichever is greater
    Respiration Rate Range0-150 breaths/min0-150 breaths/min
    Respiration AccuracyUp to 30: +/- 1bpm; 30-60: +/- 2bpm; >60: +/- 4bpmUp to 30: +/- 1bpm; 30-60: +/- 2bpm; >60: +/- 4bpm
    Temperature Range0°C - 50°C0°C - 50°C
    Temperature Accuracy±0.2°C or ±0.4°F±0.2°C or ±0.4°F
    NIBP Range20 - 250 mmHg20 - 250 mmHg
    NIBP Accuracy+/- 5mmHg with a standard deviation greater than 8 mmHg+/- 5mmHg with a standard deviation greater than 8 mmHg
    SpO2 Range1-100%1-100%
    SpO2 Accuracy (Adults/Pediatric)70-100% +/- 3 digits; 1-69% unspecified70-100% +/- 3 digits; 1-69% unspecified
    SpO2 Accuracy (Neonates)70-100% +/- 4 digits; 1-69% unspecified70-100% +/- 4 digits; 1-69% unspecified
    IBP Accuracy2 mmHg or 2% whichever is greater2 mmHg or 2% whichever is greater
    EtCO2 Range0-100mmHg0-100mmHg
    FiCO2 Range0-20mmHg0-20mmHg
    CO2 Accuracy (0-20mins, 0-38mmHg)+/- 4mmHg+/- 4mmHg
    CO2 Accuracy (0-20mins, 39-99mmHg)+/- 12% of reading+/- 12% of reading
    Cardiac Output Range0.1 liter/min to 20 liter/min0.1 liter/min to 20 liter/min
    Cardiac Output Accuracy+5%+5%
    AGM RR AccuracyUp to 60 - +/- 1bpm; >60 unspecifiedUp to 60 - +/- 1bpm; >60 unspecified

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

    The document does not specify a "test set" in the context of a patient-based study. The testing performed was non-clinical (bench testing), as stated in Section VII. "NON-CLINICAL STUDY." It refers to "Electrical, mechanical environmental safety and performance testing according to the following consensus standards" and "Performance testing- Accuracy, Environment cycling, Temperature Rise Test, wireless co-existence were performed according to Design Requirement specification and Validation plans."

    Therefore, there is no patient sample size for a test set described. The data provenance is from bench testing results, not human data. The document does not specify the country of origin for the testing itself, but the device manufacturer (Skanray Technologies Pvt Ltd) is based in India.

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

    This section is not applicable. Since no patient-based clinical test set was used, there was no ground truth establishment by experts in that context. The "ground truth" for the non-clinical performance validation was the specifications and performance outlined in the relevant consensus standards (e.g., IEC, ISO standards).

    4. Adjudication method for the test set

    This section is not applicable. No patient-based test set requiring expert adjudication was conducted.

    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

    There is no mention of a multi-reader multi-case (MRMC) comparative effectiveness study, nor any AI assistance in the provided document. The device is a patient monitoring system, not an AI-driven diagnostic tool that would typically involve human readers interpreting results with or without AI.

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

    This section is not applicable in the sense of an "algorithm only" performance for a diagnostic task. The "standalone" performance shown is the inherent performance of the integrated hardware and software system (Star 65) measuring physiological parameters, as assessed through bench testing against standards.

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

    For the non-clinical performance testing, the "ground truth" was defined by the technical specifications and accuracy requirements set forth in the international consensus standards (e.g., IEC 60601 series, ISO 80601 series) to which the device was tested for compliance. For example, for NIBP accuracy, the ground truth standard is +/-5mmHg with a standard deviation greater than 8 mmHg.

    8. The sample size for the training set

    This section is not applicable. The document does not describe the use of machine learning or AI models that would require a "training set." The device is a traditional multi-parameter patient monitoring system.

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

    This section is not applicable, as there was no training set mentioned in the document.

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