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510(k) Data Aggregation

    K Number
    K210152
    Date Cleared
    2021-09-23

    (245 days)

    Product Code
    Regulation Number
    870.1130
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K151290

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

    The Automatic Digital Blood Pressure Monitor is intended to measure the blood pressure and pulse rate of adult at household. (Not suitable for neonate, pregnancy or pre-eclampsia).

    Device Description

    The subject device, Automatic Digital Blood Pressure Monitor, is an automatic non-invasive Blood Pressure Monitor which can be driven by 4 AA batteries or AC adapter (optional). It uses an inflatable cuff which is wrapped around the patient's upper arm to measure the systolic and diastolic blood pressure as well as the pulse rate of adult at household, not for neonate or pregnancy.

    This blood pressure monitor has the memory function of 60 reading of measuring data of two groups, which can save the data separately. It can display the average reading of the latest 3 groups of measurement results.

    This blood pressure monitor has the function of blood pressure classification, which is convenient for you to judge whether your blood pressure is normal or not.

    This blood pressure monitor has voice broadcast function (optional). During measurement and recall the memory, there will be voice operation tips.

    Cuff supporting the use of Automatic Digital Blood Pressure Monitor is M5402(small adult)/M5403(adult) provided by Xuzhou Maikang Science and Technology Ltd., and cleared by the CE(Declaration of Conformity for Class I)/ISO and FDA(K151290).

    AI/ML Overview

    The provided text describes the 510(k) summary for the AVICHE Automatic Digital Blood Pressure Monitor (K210152). Here's an analysis of the acceptance criteria and the study that proves the device meets those criteria:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Set by Standard or Predicate)Reported Device Performance (K210152)
    BP Accuracy: ± 3 mmHg (ISO 81060-2:2018)± 3 mmHg
    BP Range: Comparable to predicate (0-300 mmHg)0-280 mmHg
    PR Range: Comparable to predicate (40-200 beats/min)40-199 beats/min
    Pulse Accuracy: ± 5% of reading value± 5% of reading value
    Electrical Safety: Complies with IEC 60601-1Complies with IEC 60601-1
    Home Use Compliance: Complies with IEC 60601-1-11Complies with IEC 60601-1-11
    EMC Compliance: Complies with IEC 60601-1-2Complies with IEC 60601-1-2
    Biocompatibility: Complies with ISO 10993-1, FDA GuidanceComplies with ISO 10993-1, FDA Guidance
    Software Level of Concern: ModerateModerate
    Labels & Labeling: Conforms to FDA Regulatory RequirementsConforms to FDA Regulatory Requirements
    Memory Size: Comparable to predicate (Up to 60x2 sets of data or Up to 99x2 sets)2x60 set of data
    Operation Condition: Comparable to predicate (Temp +5~+40°C, Humidity 15%-90%RH, Air pressure 80.0kPa-105.0kPa)Temperature +5~+40°C, Humidity $\leq$ 80%RH, Air pressure 80.0kPa-105.0kPa
    Storage Condition: Comparable to predicate (Temp -20-+55 °C, Humidity 15%-90%RH, Air pressure Not publicly available)Temperature -20-55 °C, Humidity 10%~90% RH, Air pressure 80.0kPa-105.0kPa
    Power Supply: Comparable to predicate (4 AA batteries or 6V/600mA AC adapter)4 AA batteries or 5V/1.0A AC adapter

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

    • Sample Size: 150 subjects.
    • Data Provenance: The text states "relevant volunteers were collected to conduct actual clinical trial of blood pressure measurement." This indicates a prospective study. The country of origin is not explicitly stated, but the submission is from a Chinese company, so it is likely derived from China.

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

    The document does not specify the number of experts or their qualifications for establishing ground truth. It only mentions that "Auscultation was applied as gold standard" and "qualified calibrated mercurial sphygmomanometer used as control group." This implies a clinical setting where trained professionals would perform the auscultatory measurements, but specifics are missing.

    4. Adjudication Method for the Test Set

    The document does not describe any specific adjudication method (e.g., 2+1, 3+1). It simply states that auscultation was used as the "gold standard."

    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was Done, What was the effect size of how much human readers improve with AI vs without AI assistance

    This is an automated blood pressure monitor, not an AI-assisted diagnostic device that involves human readers interpreting results. Therefore, an MRMC comparative effectiveness study involving human readers with/without AI assistance is not applicable and was not conducted.

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

    Yes, a standalone performance study was done. The device itself (the "Automatic Digital Blood Pressure Monitor") is the algorithm-only component in terms of its measurement capability. The clinical trial directly assessed the accuracy of the device's measurements against a gold standard (auscultation), without intervention or interpretation by "human readers" in the typical sense of AI-assisted image analysis.

    7. The Type of Ground Truth Used

    The ground truth used was auscultation with a qualified calibrated mercurial sphygmomanometer. This is considered a direct physiological measurement by a trained operator, serving as the clinical gold standard for blood pressure measurement.

    8. The Sample Size for the Training Set

    The document does not provide information about a separate training set or its sample size. The clinical trial described (150 subjects) is presented as the performance validation for the device's accuracy. For non-adaptive devices like this, there isn't typically a "training set" in the machine learning sense. The device's underlying measurement algorithm would have been developed and refined through engineering and calibration, not necessarily "trained" on a specific dataset in the way an AI model is.

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

    As mentioned above, information on a specific "training set" and its ground truth establishment is not provided, as it's not directly applicable to the type of device described. The device's measurement principle (oscillometric method) and its calibration would be based on established physiological principles and engineering standards.

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    K Number
    K193456
    Date Cleared
    2020-07-16

    (216 days)

    Product Code
    Regulation Number
    870.1130
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K151290

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

    The Arm blood pressure monitor is for home use for measuring blood pressure and pulse rate. It is suitable for adult, not for neonate or pregnancy.

    Device Description

    The proposed device, Arm Blood Pressure Monitor, is an automatic noninvasive Blood Pressure Monitor which can be driven by dry batteries. It uses an inflatable cuff which is wrapped around the patient's upper arm to measure the systolic and diastolic blood pressure as well as the pulse rate of adult, not for neonate or pregnancy.

    The proposed device consists of the main body and the arm belt, suitable for home use for measuring blood pressure and pulse rate. It is suitable for adult, not for neonate or pregnancy.

    This blood pressure monitor has the memory function of 60 groups of measuring data of two people, which can save the data separately. It can display the average reading of the latest 3 groups of measurement results.

    This blood pressure monitor has the function of blood pressure classification, which is convenient for you to judge whether your blood pressure is normal or not according to the World Health Organization/ International Society for hypertension(WHO/ISH) guidelines on the treatment of hypertension dated in 1999.

    This blood pressure monitor has voice broadcast function (optional). During measurement and recall the memory, there will be voice operation tips.

    Cuff supporting the use of Arm Blood Pressure Monitor is M5303(small adult)/M5304(adult)/ M5305(big adult) provided by Xuzhou Maikang Science and Technology Ltd., and cleared by the CE(Declaration of Conformity for Class I)/ISO and FDA(K151290).

    AI/ML Overview

    The information provided primarily describes a 510(k) submission for an Arm Blood Pressure Monitor (model RN-032A, RN-032C), indicating its substantial equivalence to a predicate device. The document mentions a clinical trial conducted to prove its performance.

    Based on the provided text, here's what can be extracted regarding the acceptance criteria and the study that proves the device meets them:

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

    The acceptance criteria for the device's accuracy are based on a specific standard: ISO 81060-2:2018.

    Acceptance CriterionReported Device Performance
    Blood Pressure Accuracy (Systolic & Diastolic)Meets the requirements of ISO 81060-2:2018; achieved results within ±3mmHg of the gold standard.
    Pulse Rate AccuracyNot explicitly stated an acceptance criterion, but the general performance comparison table indicates ±5% of reading value for pulse accuracy. No specific clinical trial result for pulse rate accuracy is provided beyond meeting the standard.

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

    • Sample Size: 150 subjects.
    • Data Provenance: The document does not explicitly state the country of origin of the data or whether it was retrospective or prospective. Given it's a clinical trial for device validation, it is generally assumed to be prospective.

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

    The document states that "Auscultation was applied as gold standard with the qualified calibrated mercurial sphygmomanometer used as control group". It does not specify the number or qualifications of the individuals performing the auscultation. For blood pressure measurement studies, the "experts" are typically trained operators using a standardized auscultation method.

    4. Adjudication method for the test set

    The document does not describe an adjudication method. For blood pressure studies using auscultation, there isn't typically an adjudication process in the same way there would be for image-based diagnostics. The auscultatory readings from the trained operators serve as the "gold standard" for comparison.

    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

    • MRMC Study: No, an MRMC comparative effectiveness study was not performed. This type of study is specifically relevant for AI-assisted diagnostic tools where human interpretation of images or data is a key component. This device is an automated blood pressure monitor, not an AI diagnostic tool.

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

    • Standalone Performance: Yes, in essence, the clinical trial described assesses the standalone performance of the automated blood pressure monitor. The device's measurements (algorithm's output) were compared directly against the gold standard (auscultation). The accuracy result of "within ±3mmHg" is the standalone performance.

    7. The type of ground truth used

    • Type of Ground Truth: Expert consensus (specifically, auscultation by trained individuals or a qualified operator) using a qualified calibrated mercurial sphygmomanometer. This is the established clinical method for accurate blood pressure measurement.

    8. The sample size for the training set

    The document does not provide information on a training set sample size. This is a clinical validation study for a medical device's performance, not a study for a machine learning model that would typically have distinct training and test sets. The "clinical trial" described is the performance validation (test set).

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

    Not applicable, as no training set (in the context of machine learning) is mentioned or implied for this type of device validation study.

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