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510(k) Data Aggregation

    K Number
    K160981
    Device Name
    Patient Monitor
    Date Cleared
    2016-12-22

    (259 days)

    Regulation Number
    870.1025
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The monitors are intended to be used for monitoring, storing, and to generate alarms for, multiple physiological parameters of adults, pediatrics and neonates. The monitors are intended healthcare professionals in hospital environments.

    The monitored physiological parameters include: ECG, respiration (RESP), temperature (TEMP), oxygen saturation of arterial blood (SpO2), pulse rate (PR), non-invasive blood pressure (NIBP), invasive blood pressure (IBP), carbon dioxide (CO2), cardiac output (C.O.), anesthetic gas (AG), bispectral index (BIS), respiration mechanics (RM) and impedance cardiography (ICG).

    BIS is intended for use on adult and pediatric patients.

    ICG monitoring is intended for use on adults only.

    The arrhythmia detection and ST Segment analysis are intended for adult patients.

    The monitors are additionally intended for use during patient transport inside hospitals.

    The monitors are not intended for MRI environments.

    Device Description

    V series Patient Monitor including elite V5, elite V6 and elite V8 which 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 abnormity so that doctors and nurses can deal with them in time.
    The V series Patient Monitor realize the monitoring of physiological parameters by configuration with different parameter modules which include SpO2 (pulse oxygen saturation, pulse rate and SpO2 plethysmogram) with EDAN SpO2 module or Nellcor SPO2 module, NIBP (systolic pressure, diastolic pressure, mean pressure and pulse rate), TEMP, ECG, RESP(respiration), CO2, IBP, C.O. and AG(anesthetic gas), RM(respiratory mechanics), BIS(bispectral index) and ICG(impedance cardiography).
    The above is the maximum configuration for V series Patient Monitor, the user may select different monitoring parameters in according with their requirements.
    elite V5 configures with 12.1-inch color TFT touch screen , elite V6 and elite V8 with same screen except different sizes 15-inch and 17-inch separately. Three models are all build-in Lithium-ion battery, support software upgrade online and networking.

    AI/ML Overview

    The provided document is a 510(k) Premarket Notification for the Edan Instruments, Inc. Patient Monitor (models elite V5, elite V6, and elite V8). It does not contain primary study data with reported performance metrics against specific acceptance criteria for most of the listed physiological parameters. Instead, it focuses on demonstrating substantial equivalence to predicate devices by comparing specifications and stating compliance with relevant standards.

    However, based on the information provided, specifically in the "Comparison to Primary Predicate elite V8" and "Comparison to the predicate device BeneView T8" tables, we can extract the acceptance criteria (from the "Proposed device" column, implying these were the target specifications) and the "reported device performance" as being equivalent to these criteria where a "Same" or "Similar" justification is provided and no specific performance numbers are listed for the proposed device, or where identical specifications are listed for both proposed and predicate devices.

    Here's an attempt to structure the information, focusing on the comparison tables as they implicitly define the acceptance criteria by stating the proposed device meets or is similar to the predicate's established performance:


    1. Table of Acceptance Criteria and Reported Device Performance

    Since the document is a 510(k) submission focused on substantial equivalence, specific "acceptance criteria" for performance are broadly defined by the specifications of the predicate devices and compliance with recognized standards. The "reported device performance" is then claimed to meet or be similar to these specifications. Below is a selection of parameters from the comparison tables, structured to reflect this.

    Parameter (Module)Acceptance Criteria (from Predicate/Proposed Spec)Reported Device Performance (as per claim of similarity/equivalence)Justification/Notes
    ECG Monitor
    HR Measurement Range (Adult)15 to 300 bpm15 to 300 bpmSame as predicate.
    HR Accuracy±1 bpm or ±1%, whichever is greater±1 bpm or ±1%, whichever is greaterSame as predicate.
    ST Measurement Range-2.0 mV ~ +2.0 mV-2.0 mV ~ +2.0 mVSame as predicate.
    ST Accuracy-0.8 mV to +0.8 mV: ±0.02 mV or 10%, whichever is greater. Beyond this range: not specified.-0.8 mV to +0.8 mV: ±0.02 mV or 10%, whichever is greater. Beyond this range: not specified.Same as predicate.
    RESP Monitor
    RR Measurement Range (Adult)0 to 120 rpm0 to 120 rpmSame as predicate.
    RR Accuracy (Adult)6 to 120 rpm: ±2 rpm, 0 to 5 rpm: not specified (for elite V8 predicate) 7 to 150 rpm: ±2 rpm or ±2%, whichever is greater (for BeneView T8 predicate)Adult: 6 to 120 rpm: ±2 rpm, 0 to 5 rpm: not specified Similar to BeneView T8, implying within predicate's performance range.Claimed as "Same" or "Similar" to predicates. For BeneView T8 comparison, specific accuracy differs slightly but deemed "Similar." Proposed device claims better accuracy than one predicate.
    Apnea Alarm10s, 15s, 20s, 25s, 30s, 35s, 40s10s, 15s, 20s, 25s, 30s, 35s, 40sSame as predicate.
    NIBP Monitor
    Overall AccuracyMax mean error: ±5 mmHg, Max standard deviation: 8 mmHgMax mean error: ±5 mmHg, Max standard deviation: 8 mmHgSame as predicate.
    Overpressure Protection (Pediatric)240±3mmHg (from BeneView T8 predicate)245±3mmHg (proposed Edan device)Deemed "Similar". Slightly higher value for proposed device.
    PR from NIBP Accuracy±3bpm or 3.5%, whichever is greater (from elite V8 predicate) ±3bpm or ±3%, whichever is greater (from BeneView T8 predicate)±3bpm or 3.5%, whichever is greater (proposed Edan device)Deemed "Same" or "Similar" to predicates. Ranges vary slightly between predicate types.
    SpO2 Monitor (EDAN)
    Accuracy (Adult/Pediatric, no motion)70 to 100%: ±2%70 to 100%: ±2%Same as predicate.
    Accuracy (Neonates, no motion)70 to 100%: ±3%70 to 100%: ±3%Same as predicate.
    PR Accuracy±2bpm (Elite V8 predicate) ±3 bpm (measured without motion), ±5 bpm (measured with motion) (BeneView T8 predicate)±2bpm (proposed Edan device)Deemed "Similar" between predicates, implying satisfactory performance.
    Temperature Monitor
    Accuracy±0.1°C (±0.2 °F)±0.1°C (±0.2 °F)Same as predicate.
    IBP Monitor
    Accuracy±2% or ±1 mmHg, whichever is greater (without sensor)±2% or ±1 mmHg, whichever is greater (without sensor)Same as predicate.
    CO2 Monitor (Sidestream)
    CO2 Measurement Range0 mmHg to 150 mmHg (proposed and elite V8 predicate) 0 to 99 mmHg (BeneView T8 predicate)0 mmHg to 150 mmHg (proposed Edan device)Deemed "Similar" to predicates. Proposed device range is better than BeneView T8.
    AwRR AccuracyEDAN: Respiratory rate ≤60rpm: ± 2mmHg, 0mmHg to 40mmHg, ± 5% of reading, 41mmHg to 70mmHg, ± 8% of reading, 71mmHg to 100mmHg, ± 10% of reading, 101mmHg to 150mmHg, Respiratory rate >60rpm: ±12% or ± 4mmHg of reading, whichever is greater. Respironics: ± 2 mmHg, 0 to 40 mmHg, ± 5 % of reading, 41 to 70 mmHg, ± 8 % of reading, 71 to 100 mmHg, ± 10 % of reading, 101 to 150 mmHg, ± 12% of reading, RR is over 80 rpm (Proposed device in comparison to BeneView T8)This detailed accuracy is listed as the proposed device's performance. BeneView T8 predicate had a simpler accuracy spec (0 to 38 mmHg: ±2 mmHg, 39 to 99 mmHg: ±5% of the reading+0.08% of (the reading-38)).The proposed device offers specific accuracy tiers based on RR and CO2 levels, differing markedly from one predicate but is explicitly stated as the device's performance.
    AG Monitor
    Warm-up time< 20s for full accuracy mode (Phasein module) < 450s for full accuracy mode (Drager module) 10 min for BeneView T8 predicate< 20s (Phasein) / < 450s (Drager)Deemed "Similar". Proposed device's specific modules (Phasein, Drager) have better or comparable warm-up times.
    ICG
    C.O. Measurement Range0 L/min~30 L/min (proposed) 1.4 to 15 L/min (BeneView T8 predicate)0 L/min~30 L/minDeemed "Similar." Proposed device has a wider measurement range.
    RM
    Flow Accuracy (Adult)0.5 L/min or ± 3% of reading, whichever is greater (proposed) 1.5 L/min or ±10% of the reading, whichever is greater (BeneView T8 predicate)0.5 L/min or ± 3% of reading, whichever is greaterDeemed "Similar" but the proposed device indicates significantly better accuracy for Flow.
    TVe/TVi Accuracy (Adult)± 10.0 mL or ± 5% of reading, whichever is greater (proposed) ±10% or 15 ml, whichever is greater (BeneView T8 predicate)± 10.0 mL or ± 5% of reading, whichever is greaterDeemed "Similar" but the proposed device indicates significantly better accuracy for Tidal Volume.

    2. Sample Size Used for the Test Set and Data Provenance

    The document explicitly states "Clinical data: Not applicable." This indicates that the substantial equivalence determination was based entirely on non-clinical data, primarily engineering tests and comparisons to predicate device specifications. Therefore, there is no specific test set sample size or data provenance (country of origin, retrospective/prospective) derived from clinical studies presented in this 510(k) summary. The verification and validation testing mentioned would have been internal engineering and laboratory tests, not human subject clinical trials.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications

    Given the statement "Clinical data: Not applicable," no clinical test sets with ground truth established by medical experts are detailed in this 510(k) summary. The ground truth for engineering and laboratory verification would be established by controlled test conditions and reference equipment, not clinical experts.

    4. Adjudication Method for the Test Set

    As there were no clinical test sets for which ground truth was established by experts, no adjudication method is applicable or described in this document.

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

    No MRMC study was performed or described. The submission focuses on device specifications and compliance with standards rather than human reader performance with or without AI assistance.

    6. Standalone (Algorithm Only) Performance Study

    The document does not describe a standalone algorithm-only performance study. The device is a patient monitor, implying an integrated system with sensors and display. Its performance is assessed against recognized standards for medical electrical equipment and comparison to predicate devices, not as a standalone algorithm in isolation.

    7. Type of Ground Truth Used

    For the non-clinical testing (biocompatibility, electrical safety, EMC, software V&V), the "ground truth" would be defined by recognized industry standards (e.g., ISO, IEC) and the specifications of the predicate devices. Compliance with these standards and equivalence to predicate performance constitutes the basis for the substantial equivalence claim. There is no mention of pathology, expert consensus (in a clinical sense), or outcomes data used as ground truth for this submission.

    8. Sample Size for the Training Set

    No training set is mentioned as this is a medical device (patient monitor) focusing on hardware and integrated software for physiological parameter measurement, not an AI/machine learning model that typically requires a large training set for development. The software verification and validation are for the device's operational software, not an AI component that learns from data.

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

    Since no training set is mentioned or applicable in the context of this traditional medical device submission, the question of how its ground truth was established is not relevant here.

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