SENSAID

K011974 · Sensidyne, Inc. · DQA · Feb 12, 2002 · Cardiovascular

Device Facts

• Record ID: K011974
• Device Name: SENSAID
• Applicant: Sensidyne, Inc.
• Product Code: DQA · Cardiovascular
• Decision Date: Feb 12, 2002
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.2700
• Device Class: Class 2
• Attributes: Pediatric

Intended Use

Non-invasive monitoring of patient oxygen saturation (SpO₂), pulse rate, and plethysmographic pulse wave. These sensors can be used for Adult, Pediatric and/or Neonate/Infant applications with the appropriate DPT accessory.

Device Story

Sensaid SpO2 sensors (models RC-NCR11-3, RC-NCR10-3, RC-OHM20-10) function as patient-applied accessories for pulse oximetry systems. Sensors detect light absorption changes in tissue to measure oxygen saturation and pulse rate; output includes SpO2 values, pulse rate, and plethysmographic waveforms. Used in clinical settings by healthcare professionals to monitor patient respiratory and cardiovascular status. Data is processed by compatible host oximeter monitors to assist in clinical decision-making regarding patient oxygenation. Benefits include continuous, non-invasive assessment of patient status.

Clinical Evidence

No clinical data provided; substantial equivalence based on technological characteristics and intended use.

Technological Characteristics

Pulse oximetry sensor; non-invasive optical sensing; compatible with adult, pediatric, and neonatal/infant applications via DPT accessories. Class II device (Product Code 74 DQA).

Indications for Use

Indicated for non-invasive monitoring of SpO2, pulse rate, and plethysmographic pulse wave in adult, pediatric, and neonatal/infant patient populations.

Regulatory Classification

Identification

An oximeter is a device used to transmit radiation at a known wavelength(s) through blood and to measure the blood oxygen saturation based on the amount of reflected or scattered radiation. It may be used alone or in conjunction with a fiberoptic oximeter catheter.

Submission Summary (Full Text)

{0}------------------------------------------------

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of a human figure with three wavy lines extending from the figure's head.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 2 2002

Mr. George Mason Sensidyne, Inc. 16333 Bay Vista Drive Clearwater, FL 33760

Re: K011974

Sensaid SpO2 Sensors (RC-NCR11-3, RC-NCR10-3, and RC-OHM20-10) Regulation Number: 870.2700 Regulation Name: Oximeter Regulatory Class: Class II (two) Product Code: 74 DQA Dated: December 20, 2001 Received: December 21, 2001

Dear Mr. Mason:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for are navaior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

{1}------------------------------------------------

Page 2 - Mr. George Mason

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must or any I vith all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally promated predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of Compliance at [phone] of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the O inter goneta mall Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Dah Tell

Robert D. Zuckerman, M.D.

am D. Zuckermah, M.D. Acting Director Division of Cardiovascular and Respiratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{2}------------------------------------------------

510(k) Number: K 011974

Device Name: SENSAID

Indications For Use:

Non-invasive monitoring of patient oxygen saturation (SpO₂), pulse rate, and plethysmographic pulse wave.

pleuryShould sensors can be used for Adult, Pediatric and/or Neonate/Infant applications with the appropriate DPT accessory.

## (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Dalla teh
Division of Cardiovascular & Respiratory Devices
510(k) Number K01944

Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-96)