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510(k) Data Aggregation

    K Number
    K233038
    Date Cleared
    2024-03-08

    (165 days)

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

    K221267, K203332, K090395

    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 (including neonates). 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 and pediatrics.

    AI/ML Overview

    The provided documentation describes the FDA 510(k) clearance for the Edan Instruments Vital Signs monitor, Model: iM3s, iM3As, iM3Bs, iHM3s. However, the document primarily focuses on demonstrating substantial equivalence to a predicate device through non-clinical performance testing and software verification/validation, rather than detailing a clinical study with specific acceptance criteria for AI/algorithm performance.

    Therefore, many of the requested details regarding acceptance criteria, sample size, expert involvement, and ground truth establishment for a study proving device performance in an AI/algorithm context are not applicable or not provided in this specific FDA clearance document. The device is a vital signs monitor, not explicitly described as incorporating AI for diagnosis or interpretation that would necessitate an MRMC study or detailed ground truth establishment in the context of AI performance.

    The document states "Clinical data: Not applicable," further confirming the absence of a clinical study for this clearance.

    Here's a breakdown based on the information available in the document:

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

    The document refers to compliance with consensus standards for device performance, where the "acceptance criteria" are implied by adherence to these standards and the "reported device performance" is that the device "meets its accuracy specification and meet relevant consensus standards." Specific numerical acceptance criteria are mentioned for the measurement accuracy of SpO2, PR, and NIBP, and various temperature modules.

    ParameterAcceptance Criteria (from Predicate Device/Standard)Reported Device Performance (Implied)
    SpO2 (EDAN Module)
    Measurement Range0% to 100%Complies
    Accuracy (Adult/Pediatric, 70-100%)±2%Meets specification
    Accuracy (Adult/Pediatric, 0-69%)UndefinedUndefined (as per spec)
    Accuracy (Neonates, 70-100%)±3%Meets specification
    Accuracy (Neonates, 0-69%)UndefinedUndefined (as per spec)
    PR from SpO2
    Measurement Range25 to 300 bpmComplies
    Accuracy±2 bpmMeets specification
    TEMP (Covidien F3000 Quick Temp Module)
    Measuring Range30°C~43°CComplies
    Prediction Range35°C~43°CComplies
    TEMP (Exergen TAT-5000S-RS232-QR Temp Module)
    Temperature Range61 to 110°F (15.5 to 43°C)Complies
    Accuracy± 0.2°F or 0.1°CMeets specification
    Clinical AccuracyPer ASTM E1112Complies with ASTM E1112
    TEMP (HTD8808C Non-contact Infrared Thermometer Temp Module)
    Measurement Range34 °C to 43.0 °C (Differs slightly from predicate)Complies
    Accuracy (34.0~34.9°C)± 0.3°CMeets specification
    Accuracy (35.0~42.0°C)± 0.2°CMeets specification
    Accuracy (42.1~43.0°C)± 0.3°CMeets specification
    TEMP (T100A Internal Forehead TEMP Module)
    Accuracy (34.0 - 34.9 °C)±0.3 °CMeets specification
    Accuracy (35.0 - 42.0 °C)±0.2 °CMeets specification
    Accuracy (42.1 - 43.0 °C)±0.3 °CMeets specification
    EDAN-NIBP (ICFUS) & EDAN-NIBP (IFAST)
    SYS Measurement RangeAdult: 25-290 mmHg; Pediatric: 25-240 mmHg; Neonatal: 25-140 mmHgComplies
    DIA Measurement RangeAdult: 10-250 mmHg; Pediatric: 10-200 mmHg; Neonatal: 10-115 mmHgComplies
    MAP Measurement RangeAdult: 15-260 mmHg; Pediatric: 15-215 mmHg; Neonatal: 15-125 mmHgComplies
    NIBP PR Measurement Range40 bpm to 240 bpmComplies
    NIBP PR Accuracy± 3 bpm or 3.5%, whichever is greaterMeets specification

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

    • The document explicitly states "Clinical data: Not applicable." The "test set" for performance was conducted through "Non-clinical data" including "Electrical safety and electromagnetic compatibility (EMC)" and "Performance testing-Bench."
    • No specific sample sizes (e.g., number of patients/measurements) for "bench" testing are provided.
    • Data provenance (e.g., country of origin, retrospective/prospective) is not applicable given no clinical study.

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

    • Not applicable as no clinical ground truth or expert-adjudicated test set was used. Device performance was assessed against established engineering and safety standards.

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

    • Not applicable as no clinical test set requiring adjudication was used.

    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:

    • No MRMC study was performed as this device is a vital signs monitor, not an AI-assisted diagnostic device requiring human reader improvement assessment. Clinical data was deemed "Not applicable."

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

    • The performance assessment focused on the device's ability to accurately measure vital signs according to specifications and consensus standards (e.g., IEC 80601-2-30 for NIBP, ISO 80601-2-56 for temperature, ISO 80601-2-61 for pulse oximetry). This is essentially a "standalone" performance evaluation of the measurement algorithms within the device against physical standards, but not in the context of an AI-driven diagnostic algorithm.

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

    • For the non-clinical performance testing, the "ground truth" would be the reference measurements from calibrated and traceable sources, as specified by the relevant international standards (e.g., simulated physiological signals/conditions, calibrated temperature sources, etc.).

    8. The sample size for the training set:

    • Not applicable. This document describes the clearance of a vital signs monitor, not an AI/machine learning algorithm requiring a separate training set.

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

    • Not applicable, as no AI training set is described.
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