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510(k) Data Aggregation

    K Number
    K202892
    Date Cleared
    2021-01-28

    (122 days)

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

    K180380, K192514, K171888, K171751, K011291

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

    The device is intended to be used for measuring, storing, and to generate prompts for, multiple physiological parameters of adults and pediatrics. The device is intended for use by trained healthcare professionals in hospital environments.

    Parameters include: NIBP, SpO2, PR (pulse rate), TEMP.

    The F3000 Quick TEMP module is not intended for neonates.

    The device is not intended for MRI environments.

    Device Description

    The iM3s series vital signs monitors including iM3s\iM3As\iM3Bs\ iHM3s are intended to be used for measuring, storing, reviewing of, and generating prompts for multiple physiological parameters of adults, pediatrics and neonates.

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and study data for the Vital Signs Monitor (iM3s, iM3As, iM3Bs, iHM3s).

    Please note: The provided document is an FDA 510(k) summary, which focuses on demonstrating substantial equivalence to a predicate device. It primarily presents performance specifications and shows that the new device meets those, often by referencing existing standards or previous clearances. It does not typically include detailed experimental setups for clinical or performance studies in the way a research paper would. Therefore, some information requested (like sample size for training sets, specific adjudication methods, MRMC studies, or detailed ground truth establishment for training data) is not present in this type of regulatory document.


    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally implied by the predicate device's specifications and compliance with relevant ISO/IEC standards. The "Reported Device Performance" for the subject device is stated as meeting these same specifications.

    ParameterAcceptance Criteria (from Predicate/Standards)Reported Device Performance (Subject Device)
    SpO2 AccuracyAdult/Pediatric:Adult/Pediatric:
    70 to 100%: ±2 %±2% (70% to 100% SpO2)
    0-69% unspecifiedUndefined (0% to 69% SpO2)
    Neonate:Neonate:
    70 to 100%: ±3%±3% (70% to 100% SpO2)
    0-69% unspecifiedUndefined (0% to 69% SpO2)
    PR from SpO2 Accuracy±2 bpm±2 bpm
    TEMP Measurement Range30°C~43°C30°C~43°C
    TEMP Prediction Measurement Range35°C~43°C35°C~43°C
    NIBP PR Accuracy(Referenced to NIBP module of X series cleared by K192514, which would presumably have its own stated accuracy. The document states NIBP PR accuracy as)±3 bpm or 3.5%, whichever is greater
    Electrical SafetyCompliance with ANSI AAMI ES 60601-1:2005/(R) 2012 and A1:2012, C1:2009(R) 2012 and A2:2010/(R) 2012Complies (assessed for conformity)
    EMCCompliance with IEC 60601-1-2:2014 (Fourth Edition)Complies (assessed for conformity)
    NIBP PerformanceCompliance with IEC 80601-2-30:2009+A1:2013Meets accuracy specification and relevant consensus standards
    TEMP PerformanceCompliance with ISO 80601-2-56: 2017+A 1:2018Meets accuracy specification and relevant consensus standards
    Pulse Oximeter PerformanceCompliance with ISO 80601-2-61: 2017Meets accuracy specification and relevant consensus standards
    Software Verification & ValidationAdherence to FDA Guidance "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices"Documentation provided and testing conducted

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

    • Sample Size for Test Set: Not specified in the document. The performance is validated through "functional and system level testing" and compliance with standards, not a clinical trial with a specified patient sample size for device comparison.
    • Data Provenance: The studies are described as "non-clinical data" and "bench testing." No country of origin is mentioned for patient data, as no clinical studies with human subjects are detailed. The nature of the testing implies it's retrospective, based on existing standards and validation procedures, rather than prospective clinical data.

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

    • This information is not provided in the document. The "ground truth" for these performance tests would typically be established by highly calibrated reference instruments or simulated physiological signals according to the requirements of the cited ISO/IEC standards, rather than expert human interpretation in a clinical context.

    4. Adjudication Method for the Test Set

    • This information is not applicable and not provided. As no clinical studies with human subjects or interpretation tasks are described, there is no need for an adjudication method. The assessment is against technical specifications and standards.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    • No, an MRMC comparative effectiveness study was not done. The document explicitly states "Clinical data: Not applicable." The focus is on the device's standalone performance against engineering and international standards.

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

    • Yes, the performance reported is essentially standalone. The "bench testing" and "software verification and validation testing" assess the device's accuracy and functionality in isolation, without an explicit human-in-the-loop component for interpreting outputs in the context of the device's core physiological measurements (NIBP, SpO2, PR, TEMP).

    7. The Type of Ground Truth Used

    • The ground truth for the performance testing is based on:
      • Reference measurements from calibrated equipment: For parameters like SpO2, NIBP, and TEMP, the "ground truth" would be simulated physiological signals or measurements from highly accurate, traceable reference devices as mandated by the respective ISO/IEC standards.
      • Compliance with international standards: The device is tested against the specific requirements and accuracy tolerances defined in standards such as IEC 80601-2-30 (NIBP), ISO 80601-2-56 (thermometers), and ISO 80601-2-61 (pulse oximeters).

    8. The Sample Size for the Training Set

    • This information is not provided and is not applicable in the context of this device and document. This device is a vital signs monitor, not typically an AI/machine learning diagnostic device that relies on "training sets" in the conventional sense of machine learning algorithms. Its parameters are measured directly through hardware and firmware, validated against physical standards.

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

    • This information is not provided and is not applicable as there is no "training set" for an AI algorithm described for this device. The device's fundamental operational principles are based on established physiological measurement techniques, not on learning from a dataset.
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