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510(k) Data Aggregation

    K Number
    K110429
    Manufacturer
    Date Cleared
    2011-09-02

    (199 days)

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

    K933519, K974293

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

    The intended us of ProSim 4 is to test and verify the basic operation of patient monitoring devices or systems used to monitor various physiological parameters of a patient, including ECG, Respiration, Invasive blood pressure and Non-invasive blood pressure.

    The ProSim 4 Vital Signs Simulator provides electronic and pneumatic simulation of physiological parameters for determining that patient monitoring devices or systems are performing within their operating specifications. The device includes the following physiological simulations:

    • ECG adult or neonatal
    • Invasive and non-invasive blood pressure
    • Respiration

    The intended us of ProSim 6 and ProSim 8 is to test and verify the basic operation of patient monitoring devices or systems used to monitor various physiological parameters of a patient, including ECG, Respiration, Invasive blood pressure, Non-invasive blood pressure and Cardiac output. Additionally, the devices provide an optical signal to verify that the electronics within the pulse oximeter probe are functional.

    The ProSim 6 and ProSim 8 Vital Signs Simulators provide electronic and pneumatic simulation of physiological parameters for determining that patient monitoring devices or systems are performing within their operating specifications. The devices provide the following physiological simulations:

    • ECG adult or pediatric
    • Invasive and non-invasive blood pressure
    • Respiration
    • Temperature
    • Cardiac Output
    • Fetal Simulation includes fetal, maternal ECG, & uterine contractions (ProSim 8 only)
      Additionally, the devices provide an optical signal to verify that the electronics within the pulse oximeter probe are functional
    Device Description

    Fluke Biomedical's ProSim 4 (hereafter referred to as the ProSim) provides a basis to train, evaluate, and perform preventive maintenance for virtually all patient monitors found in the healthcare industry. This is accomplished with multiple physiological simulations for ECG electrical signals, respiration electrical signals, invasive blood pressure (IBP) electrical signals and non-invasive blood pressure pulses. The ProSim is a lightweight, battery powered unit that is portable enough to test a patient monitor anywhere the monitor is being used.

    ProSim vital signs simulator consists of the following components:

    1. Printed Circuit Board Assemblies using surface mount components and firmware loaded in embedded processors.
    2. Plastic iniection molded case parts.
    3. Stepper Motor and piston pump for pneumatic simulation that makes reliable pressure pulses.
    4. Liquid Crystal Touch Screen Display for user interface. User interface follows modern and ergonomic concepts.
    5. Lithium Ion rechargeable battery for portable operation, giving user flexibility and portability.

    Fluke Biomedical's ProSim 6 and ProSim 8 (hereafter referred to as the ProSim) provides a basis to train, evaluate, and perform preventive maintenance for virtually all patient monitors found in the healthcare industry. This is accomplished with multiple physiological simulations for ECG electrical signals, respiration electrical signals, invasive blood pressure (IBP) electrical signals, non-invasive blood pressure (NIBP) pressure pulses, temperature electrical signal, cardiac output electrical signal, and pulse oximetry SPO2 optical simulated light attenuation. The ProSim is a lightweight, battery powered unit that is portable enough to test a patient monitor anywhere the monitor is being used.

    ProSim vital signs simulator consists of the following components:
    l ) Printed Circuit Board Assemblies using surface mount components and firmware loaded in embedded processors.

    • 2) Plastic injection molded case parts.
      1. Stepper Motor and piston pump for pneumatic simulation that makes reliable pressure pulses.
      1. Liquid Crystal Display for user interface. User interface follows modern and ergonomic concepts.
      1. Lithium Ion rechargeable battery for portable operation, giving user flexibility and portability.
    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and supporting study for the Fluke Biomedical ProSim 4, ProSim 6, and ProSim 8 devices:

    Executive Summary:

    The Fluke Biomedical ProSim 4, ProSim 6, and ProSim 8 are vital signs simulators designed to test and verify the basic operation of patient monitoring devices. The devices function by providing electronic and pneumatic simulations of various physiological parameters. Extensive non-clinical bench testing was conducted to demonstrate that the ProSim devices perform within their published specifications and are substantially equivalent to their predicate devices (MedSim300B, Cufflink, and Index 2MF SPO2 for ProSim 6/8). Clinical testing was not performed, as the devices are intended for laboratory use for preventative maintenance and not for direct patient use or medical equipment calibration. The ground truth for the testing was the published specifications of the device itself, verified through laboratory measurements.


    1. Table of Acceptance Criteria and the Reported Device Performance:

    The document provides a detailed comparison table between the ProSim devices and their predicate devices, indicating various performance characteristics. Since the acceptance criteria are essentially the published specifications and the study aims to show the device performs within those specifications, the "reported device performance" is implicitly that the device met these specifications, thus demonstrating substantial equivalence.

    Below is a summarized table consolidating key features and their performance (or range of performance), with the acceptance criteria being that the ProSim meets or improves upon the predicate device's comparable specification or meets its own stated specifications if it's a new feature or different range.

    ProSim 4 (compared to MedSim 300B and Cufflink)

    FeaturePredicate Devices (Range/Specification)ProSim 4 (Reported Performance/Specification)Acceptance Criteria
    Display2x24 char LCD (MedSim); 8x20 char alpha & 64x240 graphics (Cufflink)¼ VGA graphic LCD Touch Color DisplayMore display, Touch Screen, and Color – Met/Exceeded
    IBP Channels4 channels (MedSim)1 channelReduced per market requirements and use – Met
    Comm PortRS232USBAdvancement in technology – Met
    Battery TestLimited low battery indication (MedSim); No battery (Cufflink)Multiple levels of battery life indicationPredicate checks at one level, ProSim checks at multiple levels – Met/Exceeded
    Power2x9V alkaline (MedSim); AC line (Cufflink)Li-Ion rechargeable battery w/ low battery indicator; battery eliminator (115VAC)Longer operating life with modern battery technology – Met/Exceeded
    Amplitude accuracy (ECG)+/- 5%, 2Hz @ 1.0 mV p-p SQ wave Lead II (MedSim)+/- 2% setting lead IIMore accurate on newer devices – Met/Exceeded
    NSR rates (ECG)30 to 300 BPM (MedSim)30 to 320 BPMWider range due to market preferences – Met/Exceeded
    NSR amplitudes (ECG)50 uV to 5.5mV (MedSim)1mVLimited amplitude for basic simulation – Met
    Pacemaker0.1 to 2.0 ms width, -700 to +700 mV (MedSim)1 ms width, 3mVBasic simulation for targeted market – Met
    Impedance variation (Resp)0 to 3 ohms (MedSim)1.0 ohmBasic simulation for targeted market – Met
    Respiration rates15, 20, 30, 40, 60, 120 brpm (MedSim)10, 20, 30, 40, 50, 60, 70, 80, 90 & 100 brpmMore Respiration rates – Met/Exceeded
    Apnea (Resp)Off, Continuous, momentary, 12 & 32 s (MedSim)Off & ContinuousLess apneas for basic simulation – Met
    Transducer Sensitivity (IBP)5 or 40 uV/V/mmHg (MedSim)5 uV/V/mmHgFewer selections for basic simulation – Met
    Static pres. Selection (IBP)Manual and automatic (MedSim)ManualLimited selection mode per target market and use – Met
    Dynamic BP selections (IBP)Arterial, left and right ventricle, pulmonary artery, pulmonary wedge, Swan-Ganz (MedSim)Arterial and left ventricleFewer selections for basic simulation – Met
    Static BP selections (IBP)-10, -5, 0, 20, 30, 40, 80, 100, 200, 250 & 300 mmHg (MedSim)0, 80, 160 & 250 mmHgFewer selections for basic simulation – Met
    Manometer (NIBP)N/A (MedSim); Max. 499.75 mmHg (Cufflink)0 to 400 mmHgLower range per market requirements – Met
    Simulation (NIBP)N/A (MedSim); Systolic/Diastolic simulations. Adult 60/30 to 255/195 (Cufflink)Systolic/Diastolic Adult – 60/30, 120/80, 150/100 & 200/150; Neonatal 35/15 & 70/40Fewer selections for basic simulation; Adult and Neonatal – Met
    Synchronization to ECG (NIBP)N/A (MedSim); 30 to 240 BPM (Cufflink)Up to 150 BPMLimited for basic simulation – Met

    ProSim 6 & 8 (compared to MedSim 300B, Index 2, and Cufflink)

    FeaturePredicate Devices (Range/Specification)ProSim 6 & 8 (Reported Performance/Specification)Acceptance Criteria
    Intended UseMedSim: ECG, Resp, BP, Temp, CO; Index 2: SpO2; Cufflink: NIBPECG, Resp, IBP, NIBP, Temp, CO, SpO2 (Fetal Sim for ProSim 8)Additional functions of noninvasive blood pressure and pulse oximetry simulation. – Met/Exceeded
    DisplayMedSim: 2x24 char LCD; Index 2: 2x24 char LCD; Cufflink: 8x20 char alpha & 64x240 graphics¼ VGA graphic LCD Color DisplayMore display, Color. – Met/Exceeded
    High level ECG¼" standard phone jack w/ lead II waveform at .2V/mV (MedSim)BNC jack for 0.5V/mV output into 50 Ohm impedanceOutput to oscilloscope via BNC is preferred by customers. – Met/Exceeded
    IBP Channels4 independent BP channels (MedSim)2 channelsNumber of channels reduced per market requirements and use. – Met
    Comm PortRS232 (all predicates)USBChange from RS232 to USB data port with advancement in technology. – Met/Exceeded
    Battery TestLimited low battery indication (MedSim, Index 2); No battery (Cufflink)Multiple levels of battery life indicationPredicate devices only check at one level. ProSim checks battery status at multiple charge levels. – Met/Exceeded
    Amplitude accuracy (ECG)+/- 5%, 2Hz @ 1.0 mV p-p SQ wave Lead II (MedSim)+/- 2% setting lead IIMore accurate on newer devices due to market preferences and technology improvements. – Met/Exceeded
    NSR rates (ECG)30 to 300 BPM (MedSim)30 to 360 BPMWider range due to market preferences. – Met/Exceeded
    Square and/or Pulse wavesSquare at 2 Hz and 0.125 Hz (MedSim)Square at 2.5, 2 & 0.125 Hz. Pulse at 60ms / 60 and 30 BPMMore choices. – Met/Exceeded
    Sine waves0.05 to 100 Hz (MedSim)0.05 to 150 HzMore choices. – Met/Exceeded
    Triangle wave2 Hz (MedSim)0.125, 2 and 2.5 HzMore choices. – Met/Exceeded
    R Wave detectorYes (MedSim)YesNone. – Met
    QRS Detection and Tall T-wave rejectionNo (MedSim)YesImproved capability. – Met/Exceeded
    Impedance variation (Resp)0 to 3 ohms (MedSim)0 to 5 ohmsExpanded capability to meet new market requirements. – Met/Exceeded
    Respiration rates15, 20, 30, 40, 60, 120 brpm (MedSim)15 to 120 brpm in incremental stepsMore Respiration rates due to market requirements and use. – Met/Exceeded
    Apnea (Resp)Off, Continuous, momentary, 12 & 32 s (MedSim)Off, Continuous, momentary, 12, 22 & 32 SAdditional apneas. – Met/Exceeded
    Blood temperatures (CO)36C to 38C and user programmable (MedSim)36C to 38C in incremental stepsUser programmable not included due to market requirements and use. – Met
    Injective temp (CO)Chilled (2C) (MedSim)Chilled (0C) or 24 CMore selections per market requirements. – Met/Exceeded
    Fixed blood flow rate (CO)3, 5, 7 L/min (MedSim)2.5, 5, 10 L/minDifferent selections per market requirements. – Met
    Output trend (CO)1 normal, 2 defective (MedSim)NoNot included due to market requirements and use. – Met
    Exciter range (IBP)2 to 16 V/DC to 4 kHz (MedSim)2 to 16 V/DC to 5kHzHigher frequency range driven by market trend and technology. – Met/Exceeded
    Static pres. Selection (IBP)Manual and automatic (MedSim)ManualLimited selection mode per target market and use. – Met
    Dynamic BP selections (IBP)Arterial, left and right ventricle, pulmonary artery, pulmonary wedge, Swan-Ganz (MedSim)Arterial, radial artery, left and right ventricle, pulmonary artery, pulmonary wedge, right atrium, left atrium and Swan-GanzMore selections. – Met/Exceeded
    Static BP selections (IBP)-10, -5, 0, 20, 30, 40, 80, 100, 200, 250 & 300 mmHg (MedSim)-10 to 300 mmHg in incremental stepsMore selections. – Met/Exceeded
    Temperature (Sim)0, 24, 37 and 40C (MedSim)30C to 42C in incremental stepsDifferent selections per market requirements. – Met
    SpO2 AccuracySelect 50% to 100% in 1% increments - accuracy: 75%to 100% ± 1% plus the accuracy of the pulse oximeter under test. 50%-75%, ± 2% plus accuracy of the oximeter under test. Under 50%, unspecified. (Index 2)Select 30% to 100% in 1% increments w/ oximeter manufacturer's R-curve or Fluke Biomedical R-curves (91-100% ±(3 counts + UUT accuracy), 81-90% ±(5 counts + UUT accuracy), 71-80% ±(7 counts + UUT accuracy),
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    K Number
    K970801
    Manufacturer
    Date Cleared
    1997-11-12

    (253 days)

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

    K933519, K873856

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

    The 6004 NIBP monitor is a portable NIBP monitor for spot checking or monitoring of a patient's systolic, diastolic and mean arterial (MAP) blood pressures, and pulse rate, with optional SpO2 and/or integral printer. The device will provide fast, reliable measurements on patients ranging from children (pediatric) to adults when using the appropriate BCI blood pressure cuff. The oximetry option works with all BCI oximetry probes, providing SpO2 and pulse rate on all patients from neonate to adult. The device is intended for use in both clinical and ground EMS environments by health care professionals. It is not intended for home use. The device permits patient monitoring with adjustable alarm limits as well as visible and audible alarm signals.

    Device Description

    The BCI 6004 NIBP monitor with optional pulse oximetry (SpO2) and printer is a new monitor with the same parameters as existing devices legally marketed by BCI International. This device is designed to provide full featured monitoring capabilities in a light weight, transportable design. The system consists of a small table top non-invasive blood pressure monitor with a desk top charger. The system features an NIBP cuff hose connection, an SpO2 probe interface, the optional internal printer, display of patient data via an LED display (Systolic, Diastolic, & Mean arterial pressure, Interval timer, SpO2, Pulse Rate, Pulse Strength), system status LEDs (Battery, Probe, Alarm Silence, Alarm, & Alert), and the function keypad area consisting of eleven keys (O/I (off/on), START, CANCEL, STAT, Up and Down Arrows, INTRVL, RECALL, MANUAL/AUTO, ALARM SET, & Alarm Silence). The monitor has a serial port that is used for data communication. The model 6004 has two parameters, NIBP and SpO2 plus the integrated printer.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and the study details for the BCI 6004 NIBP Monitor, extracted from the provided text:

    Acceptance Criteria and Device Performance

    Acceptance CriteriaReported Device Performance
    SpO2 Accuracy (70% - 100% saturation range): Standard deviation of 2.0% or less compared to a co-oximeter.Standard deviation = 2.0%.
    **SpO2 Accuracy (50% -
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