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510(k) Data Aggregation

    K Number
    K142332
    Device Name
    BT-400
    Manufacturer
    Date Cleared
    2015-03-20

    (212 days)

    Product Code
    Regulation Number
    880.5700
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    BT-400 is the Phototherapy unit intended for the treatment of Neonatal Hyperbilirubinemia caused by Indirect Hyperbilirubinemia.

    Device Description

    BT-400 Neonatal phototherapy is designed to emit the blue light wave length range 450-470nm spectrum to treat Neonatal Jaundice to use in Bassinets, Incubators, Open beds or Radiant warmer and consists of Head ( Light Source ) Control box with LCD window Roll Stand ( optional)

    AI/ML Overview

    This document describes the premarket notification (510(k)) for the BT-400 Neonatal Phototherapy device. It compares the device to a predicate device, the BILI-THERAPY Spot type (K103828), to establish substantial equivalence.

    Here's an analysis of the acceptance criteria and study information provided:


    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state "acceptance criteria" in the sense of predefined thresholds for a study outcome. Instead, it compares the proposed device's performance to that of a legally marketed predicate device to demonstrate substantial equivalence. The "acceptance criteria" here are implied to be that the proposed device performs comparably to or better than the predicate device across key technical and functional characteristics.

    CharacteristicAcceptance Criteria (Implied: Comparable to Predicate)Reported Device Performance (BT-400)Predicate Device Performance (BILI-THERAPY Spot type K103828)
    Light SourceBlue LEDsBlue LEDsBlue LEDs
    WavelengthPeak 450-475nmPeak 450-475nmPeak 450-475nm
    Intensity30-40 uW/cm² at 30cm distance30-45 uW/cm² at 30cm distance30-40 uW/cm² at 30cm distance
    Variation in intensity in 6 hrs±10% in Illumination area±10% in Illumination areaIdentical
    Effective Surface30x20cm40x20cm30x20cm
    Head output over 6 hrs<10°C warmer than ambient<10°C warmer than ambientIdentical
    Electrical Main power100-120v ac 50/60 hz 70va100-120v ac 50/60 hz 70vaIdentical
    Leakage current<100uA<100uAIdentical
    Audible Noise<60dB<60dBIdentical
    Maximum height190cm200cm190cm
    Header320x200x700mm340x210x750mm320x200x700mm
    Light assembly / Roll Stand Weight3.6kg / 8.4kg3.6kg / 8.4kgIdentical
    Operating Temp/Humidity10-30°C / 30-85%10-40°C / 30-75%10-30°C / 30-85%
    Storage Temp / Humidity0-45°C / 10-90%0-50°C / 10-100%0-45°C / 10-90%
    Atmospheric Pressure70 kPa-106 kPa70 kPa-106 kPaIdentical
    Regulatory Standard ComplianceEN6001-1, EN60601-1-2, EN60601-2-50EN6001-1, EN60601-1-2, EN60601-2-50Identical
    Intended useTreatment of Neonatal HyperbilirubinemiaTreatment of Neonatal HyperbilirubinemiaTreatment of Neonatal Hyperbilirubinema

    Note: The document explicitly states: "Note performance is similar since subject device intensity is few microwatts higher and effective area is slightly large compared to the predicate device." This indicates the device meets or exceeds the predicate's performance.


    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document refers to "Bench Tests" for performance data. These are typically laboratory tests conducted on the device itself, rather than tests on human subjects using a "test set" of patient data. Therefore, concepts like sample size for a test set, country of origin, or retrospective/prospective data are not applicable in this context. The provenance would be the test conditions within a manufacturing or testing facility.


    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not applicable. The device is a phototherapy unit, not an AI or diagnostic imaging device that requires expert review for ground truth establishment. The performance is assessed through physical and electrical bench testing against established standards.


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

    This information is not applicable. Adjudication methods are typically used in clinical studies or studies involving human interpretation of data (e.g., medical images) where discrepancies need to be resolved. This device underwent bench testing.


    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 applicable. The device is a phototherapy unit, not an AI-assisted diagnostic tool. Therefore, MRMC studies or effect sizes related to human reader improvement with AI are irrelevant to this submission.


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

    This information is not applicable. The device is a physical medical device (phototherapy unit), not an algorithm or AI system.


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

    For this device, the "ground truth" for evaluating its performance comes from established engineering and medical device standards. Specifically, the device was tested against:

    • IEC60601-1 Medical Electrical Equipment: General requirements for basic safety and essential performance.
    • IEC 60601-1-2: Electromagnetic compatibility test.
    • IEC60601-2-50 Medical Electrical Equipment part 2-50: Particular requirements for the basic safety and essential performance of Infant Phototherapy Equipment.

    The "ground truth" or reference for evaluating its properties (like wavelength, intensity, safety parameters) is defined by the requirements outlined in these standards.


    8. The sample size for the training set

    This information is not applicable. The BT-400 Neonatal Phototherapy device is a hardware medical device, not an AI/ML algorithm that requires a training set.


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

    This information is not applicable, as there is no training set for a hardware device.

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