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510(k) Data Aggregation

    K Number
    K191272
    Date Cleared
    2019-07-12

    (60 days)

    Product Code
    Regulation Number
    870.2300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Wearable Device, Wearable Package

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Current Wearable Health Monitoring System is intended for reusable bedside, mobile and central multi-parameter, physiologic patient monitoring of adult patients in professional healthcare facilities, such as hospitals or skilled nursing facilities, or their own home. It is intended for monitoring of patients by trained healthcare professionals.

    The Current Wearable Health Monitoring System is intended to provide visual and audible physiologic multi-parameter alarms. The Current Wearable Health Monitoring System is intended for temperature monitoring where monitoring temperature at the upper arm is clinically indicated.

    The Current Wearable Health Monitoring System is intended for continuous monitoring of the following parameters in adults:

    • · Pulse rate
    • · Oxygen saturation
    • · Temperature
    • · Movement

    The Current Wearable Health Monitoring System is intermittent or spot-check monitoring, in adults, of.

    • · Respiration rate
    • · Non-invasive blood pressure
    • · Lung function & spirometry
    • · Weight

    The Current Wearable Health Monitoring System is not intended for use in high-acuity environments, such as ICU or operating rooms.

    The Current Wearable Health Monitoring System is not intended for use on acutely ill cardiac patients with the potential to develop life threatening arrhythmias e.g. very fast atrial fibrillation. For these patients, they should be monitored using a device with continuous ECG. The Current Wearable Health Monitoring System is not a substitute for an ECG monitor.

    The Current Wearable Health Monitoring System is not intended for SpO2 monitoring in conditions of high motion or low perfusion.

    Device Description

    The Current Wearable Health Monitoring System consists of a single monitoring device worn on the upper arm, a software platform (containing an alarming system) and a user interface to allow presentation of vital signs data both on mobile devices and a central station. The Current Wearable Health Monitoring System is also integrated with devices for monitoring of blood pressure, spirometry & lung function, and weight.

    The system is intended to continuously monitor adult patient vital signs in professional healthcare facilities, such as hospitals or skilled nursing facilities, or their own home. It is intended for monitoring of patients by trained healthcare professionals. It is intended to continuously monitor pulse rate (PR), oxygen saturation (SpO2), temperature (TEMP) and movement (MOVEMENT). Current is intended for intermittent or spot-checking monitoring of respiration rate (RESP), blood pressure (BP), spirometry & lung function, and weight (WEIGHT).

    While the wearable device monitors skin temperature, an additional adhesive axillary sensor can be used to monitor axillary temperature.

    In the home environment, the patient will have responsibility for applying the device to their arm, charging the device and plugging in the Homehub to mains power. However, the data will still be made directly available to healthcare professionals. These healthcare professionals will be at a remote location e.g. an office or within the hospital or could be with the patient in their own home.

    AI/ML Overview

    The provided document does not contain detailed acceptance criteria or the specific study details for validating the device's performance against such criteria. Instead, it lists various "Test Names" and "Test Descriptions" which broadly indicate areas of testing (e.g., electrical safety, EMC, pulse rate testing, SpO2 testing, respiration rate testing, temperature measurement accuracy). However, it does not specify quantitative acceptance thresholds for these performance metrics, nor does it provide the reported device performance in those quantitative terms.

    For example, for "Pulse Rate Testing," the description mentions "Validation of the accuracy of pulse rate monitoring of the system in accordance with ISO 80601-2-61 and the FDA Pulse Oximeters - Premarket Notification Submissions: Guidance for Industry and FDA Staff. 2007." While this indicates the standards followed, it doesn't state what specific accuracy (e.g., within X beats per minute) was achieved or was the acceptance criterion. The "Results" column consistently states "Passed," but without the specific acceptance criteria, it's impossible to determine the benchmark used for passing.

    Therefore, most of the requested information cannot be extracted from the provided text.

    Here's an attempt to answer based on the absence of the requested information:

    1. A table of acceptance criteria and the reported device performance:

      Performance MetricAcceptance CriteriaReported Device Performance
      Electrical SafetyUnspecified; adherence to IEC 60601-1"Passed"
      EMCUnspecified; adherence to IEC 60601-1-2"Passed"
      Alarm TestingUnspecified; adherence to IEC 60601-1-8"Passed"
      Pulse Rate AccuracyUnspecified; adherence to ISO 80601-2-61 and FDA Guidance 2007"Passed"
      SpO2 AccuracyUnspecified; adherence to ISO80601-2-61 and FDA Guidance 2013"Passed"
      Respiration Rate AccuracyUnspecified; comparison to end-tidal CO2"Passed"
      Temperature Measurement AccuracyUnspecified; adherence to ISO 80601-2-56"Passed"
      Battery LifeUnspecified"Passed"
      PDU Buffering TimeUnspecified"Passed"
      UsabilityUnspecified; adherence to IEC 62366 and IEC 60601-1-11"Passed"
      Device Ship/TransportUnspecified; adherence to ASTM D4169"Passed"
      BiocompatibilityUnspecified; adherence to ISO 10993-1"Passed"
      Wireless CoexistenceUnspecified"Passed"
      System V&VUnspecified"Passed"
      Software V&VUnspecified"Passed"
    2. Sample size used for the test set and the data provenance: This information is not provided in the document. The document states "No clinical studies were conducted as part of submission to prove substantial equivalence." The non-clinical tests mention "the system was tested," but do not specify sample sizes for these tests (e.g., how many subjects for pulse rate and SpO2 accuracy, or how many devices for other tests).

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: This information is not provided.

    4. Adjudication method for the test set: This information is not provided.

    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: This information is not provided. The device is a "Wearable Health Monitoring System" and the testing described is primarily about the accuracy of its vital sign measurements and compliance with various standards, rather than evaluating AI assistance for human readers in a diagnostic capacity.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: The document describes various "non-clinical tests" and "software verification and validation testing" which would fall under standalone performance. However, specific performance metrics quantifying the algorithm's output (e.g., sensitivity, specificity, accuracy %) against a ground truth are not provided. The results are merely "Passed" for general compliance.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): For physiological parameters, the ground truth would typically be established by a reference method. The document mentions "in accordance with ISO 80601-2-61 and the FDA Pulse Oximeters - Premarket Notification Submissions: Guidance for Industry and FDA Staff" for pulse rate and SpO2, and "comparison to respiration rate measured via end-tidal CO2" for respiration rate. These represent established reference methods for ground truth, but the details of their application in the study (e.g., specific devices used for reference, blinded measurements) are not given. For other tests like electrical safety or EMC, the ground truth is adherence to the specified standard.

    8. The sample size for the training set: This information is not provided. The document does not discuss a training set, as it mainly focuses on verification and validation testing rather than the development of AI/ML models that would require training data.

    9. How the ground truth for the training set was established: This information is not provided, as a training set is not discussed.

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    K Number
    K190073
    Manufacturer
    Date Cleared
    2019-03-27

    (70 days)

    Product Code
    Regulation Number
    870.2300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Wearable Device, Home Package in Carry Case with Homehub, Home Package in Carry Case without Homehub

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Current Wearable Health Monitoring System is intended for reusable bedside, mobile and central multi-parameter, physiologic patient monitoring of adult patients in professional healthcare facilities, such as hospitals or skilled nursing facilities, or their own home. It is intended for monitoring of patients by trained healthcare professionals.

    The Current Wearable Health Monitoring System is intended to provide visual and audible physiologic multi-parameter alarms. The Current Wearable Health Monitoring System is intended for temperature monitoring temperature at the upper arm is clinically indicated.

    The Current Wearable Health Monitoring System is intended for continuous monitoring of the following parameters in adults:

    • · Pulse rate
    • · Oxygen saturation
    • · Temperature
    • Movement

    The Current Wearable Health Monitoring System is intermittent or spot-check monitoring of respiration rate, non-invasive blood pressure and weight in adults.

    The Current Wearable Health Monitoring System is not intended for use in high-acuity environments, such as ICU or operating rooms.

    The Current Wearable Health Monitoring System is not intended for use on acutely ill cardiac patients with the potential to develop life threatening arrhythmas e.g. very fast atrial fibrillation. For these patients, they should be monitored using a device with continuous ECG. The Current Wearable Health Monitoring System is not a substitute for an ECG monitor.

    The Current Wearable Health Monitoring System is not intended for SpO2 monitoring in conditions of high motion or low perfusion.

    Device Description

    The Current Wearable Health Monitoring System consists of a single monitoring device worn on the upper arm, a software platform (containing an alarming system) and a user interface to allow presentation of vital signs data both on mobile devices and a central station. The Current Wearable Health Monitoring System is also integrated with specific devices for monitoring of blood pressure and weight.

    The system is intended to continuously monitor adult patient vital signs in professional healthcare facilities, such as hospitals or skilled nursing facilities, or their own home. It is intended for monitoring of patients by trained healthcare professionals. It is intended to continuously monitor pulse rate (PR), oxygen saturation (SpO2), temperature (TEMP) and movement (MOVEMENT). Current is intended for intermittent or spot-checking monitoring of respiration rate (RESP), blood pressure (BP) and weight (WEIGHT).

    In the home environment, the patient will have responsibility for applying the device to their arm, charging the device and plugging in the Homehub to mains power. However, the data will still be made directly available to healthcare professionals. These healthcare professionals will be at a remote location e.q. an office or within the hospital or could be with the patient in their own home.

    AI/ML Overview

    The provided document is a 510(k) summary for the Current Wearable Health Monitoring System. It details the device's intended use, classification, and comparison to predicate devices, along with non-clinical and software testing. However, it explicitly states:

    • No animal studies were conducted.
    • No clinical studies were conducted.

    Therefore, there is no study described in this document that proves the device meets specific acceptance criteria based on clinical performance. The document primarily focuses on non-clinical performance (bench testing) and software verification/validation to demonstrate substantial equivalence to previously cleared predicate devices.

    Given this, I cannot provide acceptance criteria and reported device performance from a clinical study, nor details on sample sizes, ground truth establishment, or expert adjudication as these elements are typically part of clinical studies, which were not performed for this submission according to the document.

    The document does, however, list several non-clinical tests performed and their results, which all "Passed." These implicitly serve as the acceptance criteria for those specific tests.

    Here is a table summarizing the acceptance criteria (implied by the test description) and reported performance from the non-clinical tests:

    1. Table of Non-Clinical Acceptance Criteria and Reported Device Performance

    Test NameImplied Acceptance Criteria (from Test Description)Reported Device Performance
    Electrical SafetyMeet applicable standards for electrical safety (IEC 60601-1).Passed
    EMCMeet applicable standards for electromagnetic compatibility (EMC) (IEC 60601-1-2).Passed
    QI Charger TestingDevice can be charged using the QI Charger.Passed
    Environment TestingOperate within and withstand specified storage and operating temperature ranges.Passed
    Alarm TestingMeet applicable standards for basic safety and essential performance for alarm systems (IEC 60601-1-8); Alarm Function Verification Tests for each parameter function are successful.Passed
    Pulse Rate Testing Validation of accuracyAccuracy of pulse rate monitoring in accordance with ISO 80601-2-61 and FDA Pulse Oximeters - Premarket Notification Submissions: Guidance for Industry and FDA Staff.Passed
    Battery TestingDemonstrate specified battery life in various operating modes and time to full charge.Passed
    PDU Buffering Time TestingObserve a maximum PDU buffering time consistent with or better than theoretical maximum.Passed
    Usability TestingCompliance with IEC 62366 - Medical devices - Application of usability engineering to medical devices and IEC 60601-1-11.Passed
    Device Ship/Transport TestingDevice, enclosed in selected shipping container, meets ASTM D4169 specifications.Passed
    Biocompatibility TestingCompliance to ISO 10993-1: Biological evaluation of medical devices – Guidance.Passed
    SpO2 Testing Validation of accuracyAccuracy and communication of SpO2 functions within the Current Health system as per ISO80601-2-61 and the FDA SpO2 guidance; Pulse Oximeters-Premarket Notification Submissions Guidance for Industry and Food and Drug Staff.Passed
    Respiratory Rate TestingAccuracy of measurement of respiration rate in comparison to respiration rate measured via end-tidal CO2 in a variety of postures.Passed
    Temperature Measurement AccuracyAccuracy of the temperature measurement in compliance with ISO 80601-2-56.Passed
    Wireless Radio Communication (Wireless Coexistence Testing)Device can communicate via wireless radio in its intended environment.Passed
    System Verification and Validation TestingSoftware and firmware of the Current Health System are verified; integration and interoperability of peripheral devices for blood pressure and weight are tested.Passed

    Since no clinical studies were performed, the following information is not available from the provided document:

    1. Sample size used for the test set and the data provenance: Not applicable as no clinical test set was used.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable.
    3. Adjudication method for the test set: Not applicable.
    4. 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, as this is a monitoring device and not an AI-assisted diagnostic tool for human readers, and no comparative effectiveness studies were conducted.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: The non-clinical tests assess the device's technical performance, which can be seen as "standalone" algorithm/device performance. However, human interpretation of the displayed data is inherent to the intended use.
    6. The type of ground truth used: For the non-clinical tests, the "ground truth" was typically established by recognized standards, reference devices, or defined test protocols. For example, for pulse rate and SpO2, the ground truth would be from a reference oximeter or validated physiological simulator. For temperature, it would be a reference thermometer.
    7. The sample size for the training set: Not applicable, as no machine learning training data is mentioned.
    8. How the ground truth for the training set was established: Not applicable.
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    Why did this record match?
    Device Name :

    Wearable Device ; Cradle ; Small Strap, Medium Strap, Large Strap ; Multiple Device Charger ; Hospital

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    snap40 is intended for reusable bedside, mobile and central multi-parameter, continuous and intermittent physiologic patient monitoring of adult patients in environments where patient care is provided by trained healthcare professionals.

    snap40 is intended to provide visual and audible physiologic multi-parameter alarms.

    snap40 is intended for temperature monitoring temperature at the upper arm is clinically indicated.

    snap40 continuously monitors the following parameters in adults:

    • · Pulse rate
    • · Oxygen saturation
    • · Temperature
    • · Movement

    snap40 is intended for intermittent or spot-check monitoring of respiration rate.

    snap40 is not intended for use in high-acuity environments, such as ICU or operating rooms or for use in the home

    snap40 is not intended for use on acutely ill cardiac patients with the potential to develop life threatening arrhythmias e.g. very fast atrial fibrillation. For these patients, they should be monitored using a device with continuous ECG. snap40 is not a substitute for an ECG monitor.

    snap40 is not intended for SpO2 monitoring in conditions of high motion or low perfusion.

    Device Description

    snap40 consists of a single monitoring device worn on the upper arm, a software platform (containing an alarming system) and a user interface to allow presentation of vital signs data both on mobile devices and a central station.

    snap40 is intended to continuously monitor adult patient vital signs in non-critical areas of the hospital, mainly general medical/surgical units, across pulse rate (PR), oxygen saturation (SpO2), temperature (TEMP) and movement (MOVEMENT). snap40 is intended for intermittent or spot-checking monitoring of respiration rate (RESP).

    AI/ML Overview

    Here's a summary of the acceptance criteria and the studies conducted for the snap40 system, based on the provided document:


    1. Table of Acceptance Criteria and Reported Device Performance

    The document presents performance specifications rather than explicit acceptance "criteria" in a pass/fail sense, but it does list the accuracy for each monitored parameter. The "Reported Device Performance" column reflects the accuracy achieved in the clinical studies.

    ParameterAcceptance Criteria (from Technical Information)Reported Device Performance (from Clinical Studies)
    Pulse Rate± 3bpmNot explicitly stated in clinical studies summary, but the device passed "Pulse Rate Testing" in accordance with ISO 80601-2-61 and FDA guidance.
    Oxygen Saturation (SpO2)± 2 Digits (for range 70-100%)± 2 Digits across the range of 70-100%
    Respiratory Rate1 breath per minute (Resolution)± 1 respirations per minute across a range of 6rpm to 60rpm
    Temperature± 0.1°C"Passed" in compliance with ISO 80601-2-56
    Movement10 Levels (1-10) (Classification)Not explicitly stated in clinical studies summary, but "Passed" in relevant non-clinical testing.

    2. Sample Sizes and Data Provenance

    Oxygen Saturation (SpO2) Test Set:

    • Sample Size: 12 participants
    • Data Provenance: The document implies these were prospectively collected in controlled desaturation studies. The country of origin is not explicitly stated but is likely the UK, where snap40 Ltd. is located.

    Respiration Rate Test Set:

    • Sample Size: 37 participants
    • Data Provenance: The studies were conducted prospectively, with participants measured in a variety of postures. The country of origin is not explicitly stated but is likely the UK.

    3. Number, Qualifications, and Adjudication of Experts for Ground Truth

    • The document does not specify the number of experts used to establish ground truth for either the SpO2 or respiration rate test sets.
    • The document does not specify the qualifications of these experts.
    • The document does not mention any adjudication method used for establishing the ground truth.

    4. Adjudication Method

    As stated above, the document does not mention any adjudication method used for the test set's ground truth.


    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    There is no mention of a Multi-Reader Multi-Case (MRMC) comparative effectiveness study being performed, nor any data on how much human readers improve with AI vs. without AI assistance. The clinical studies focused on the accuracy of the device itself against established reference methods.


    6. Standalone (Algorithm Only) Performance Study

    Yes, standalone (algorithm only) performance studies were conducted for both SpO2 and respiration rate. The "Clinical Studies" section explicitly details these:

    • SpO2: "controlled desaturation studies were conducted in compliance with IEC80601-2-61 across 12 participants. This testing demonstrated accuracy of +/- 2 digits across the range of 70-100%."
    • Respiration Rate: "snap40 was compared to respiration rate measured by end-tidal CO2. This was conducted on 37 participants in a variety of postures. This testing demonstrated accuracy of +/- 1 respirations per minute across a range of 6rpm to 60rpm."

    These are direct measurements of the device's algorithmic performance.


    7. Type of Ground Truth Used

    • Oxygen Saturation (SpO2): The ground truth was established using "controlled desaturation studies" in compliance with IEC80601-2-61, which typically involves comparing the device's readings against a laboratory co-oximeter or arterial blood gas analysis.
    • Respiration Rate: The ground truth was established by comparing snap40 readings against "respiration rate measured via end-tidal CO2," which is a clinical standard for respiratory monitoring.
    • Temperature: For the non-clinical temperature accuracy test, "compliance with ISO 80601-2-56" would imply comparison against a calibrated reference thermometer.

    8. Sample Size for the Training Set

    The document does not provide any information regarding the sample size used for training the device's algorithms. It only describes the clinical validation/test sets.


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

    The document does not provide any information on how the ground truth for the training set was established, as details about the training set itself are absent.

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