PRESS-MATE PM-2100 VITAL SIGN MONITOR

K022537 · Colin Medical Instruments Corp. · MWI · Sep 13, 2002 · Cardiovascular

Device Facts

• Record ID: K022537
• Device Name: PRESS-MATE PM-2100 VITAL SIGN MONITOR
• Applicant: Colin Medical Instruments Corp.
• Product Code: MWI · Cardiovascular
• Decision Date: Sep 13, 2002
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.2300
• Device Class: Class 2
• Attributes: Pediatric, 3rd-Party Reviewed

Intended Use

The Press-Mate PM-2100 patient monitor is intended to monitor a single patient's vital signs in the hospital, outpatient surgery practitioner facilities or in an environment where patient care is provided by qualified healthcare personnel who will determine when use of this device is indicated, based upon their professional assessment of the patient's medical condition. The patient populations include adult, pediatric and neonatal. The device is capable of monitoring: Pulse rate (via oximetry data) Non-invasive pressure (systolic, diastolic and mean oscillometric NIBP) Temperature Blood oxygen saturation (SPO2 via finger oximeter) This device is intended for use by qualified healthcare personnel trained in its use.

Device Story

Portable multiparameter monitor for adult, pediatric, and neonatal patients in clinical settings. Inputs: oscillometric NIBP (upper arm cuff), SpO2 (finger sensor), and temperature (predictive probe). Device processes signals to calculate systolic, diastolic, and mean blood pressure, pulse rate, and oxygen saturation. Outputs: displayed vital signs, waveforms, and trend data on LCD/LED screen; optional thermal printer output. Operated by healthcare professionals. Visual/audible alarms trigger when values exceed operator-set limits. Benefits: continuous patient monitoring to assist clinical decision-making. Powered by AC or internal rechargeable battery.

Clinical Evidence

Bench testing performed per ANSI/AAMI SP10 and SP10A for NIBP accuracy, stability, and safety. Clinical accuracy study conducted on 85 adult and pediatric subjects. NIBP algorithm performance validated against predicate devices (Press-Mate 8800 and Advantage) which were previously cleared. Device passed all bench testing requirements including voltage range, life testing, cuff pressure, and electrical safety.

Technological Characteristics

Multiparameter monitor; oscillometric NIBP; ALARIS electronic predictive thermometry; Nellcor pulse oximetry. LCD/LED display; optional thermal printer. Powered by AC or internal rechargeable battery. Software runs on same processor family as predicates. Complies with ANSI/AAMI SP10-1992, SP10A-1996, CSA C22.2 No. 125-1984, and UL544.

Indications for Use

Indicated for monitoring vital signs (pulse rate, NIBP, temperature, SpO2) in adult, pediatric, and neonatal patients in hospital, acute care, outpatient surgery, or clinical settings by qualified healthcare personnel.

Regulatory Classification

Identification

A cardiac monitor (including cardiotachometer and rate alarm) is a device used to measure the heart rate from an analog signal produced by an electrocardiograph, vectorcardiograph, or blood pressure monitor. This device may sound an alarm when the heart rate falls outside preset upper and lower limits.

Predicate Devices

• Press-Mate 8800 (K890876)
• Press-Mate Advantage (K973637)

Submission Summary (Full Text)

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510(k) Summary

SEP 1 3 2002

Date of Summary Preparation:

February 25, 2001

Manufactures Contact Person:

Mark Rison Sr. Dir. OA/RA [phone] FAX [phone] Colin Medical Instruments Corp. 5850 Farinon Drive San Antonio, TX. 78249

Trade Name:

Press-Mate PM-2100 Vital Signs Monitor

Classification Name, Classification Number, Class, Classification Reference:

| Classification Name | Class Number | Class | 21CFR§ |
|------------------------------------------|--------------|-------|----------|
| Pulse rate monitor | 74BWS | II | 870.2300 |
| Blood pressure computer | DSK | II | 870.1110 |
| Non-indwelling blood<br>pressure monitor | 74DXN | II | 870.1130 |
| Blood pressure alarm | | II | 870.1100 |
| Clinical electronic<br>thermometer | 80BWX | II | 880.2910 |
| Pulse Oximeter | 74 DQA | II | 870.2700 |
| Finger Oximeter | | II | |
| Paper chart Recorder | | II | 870.2810 |

Special Controls: There are no regulatory standards or special controls applicable for this device. however, the device voluntarily adheres to the U.S. FDA Guidance Document "NON-INVASIVE BLOOD PRESSURE (NIBP) MONITOR, Version 1.0, dtd. March, 1997 and ANSI/AAMI SP10-1992.

Indications for Use: The Press-Mate PM-2100 patient monitor is intended to monitor a single patient's vital signs in the hospital, acute care settings, outpatient surgery, healthcare practitioner facilities or in an environment where patient care is provided by qualified healthcare personnel who will determine when use of this device is indicated, based upon their professional assessment of the patient's medical condition. The patient populations include adult, pediatric and neonatal. The device capable of monitoring:

Pulse rate (via oximetry data) Non-invasive pressure (systolic, diastolic and mean oscillometric NIBP) Temperature Blood oxygen saturation (Sp02 via finger oximeter)

This device is intended for use by qualified healthcare personnel trained in its use.

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# 022537 D. 2/4

Device Description: The Press-Mate PM-2100 Series Monitor is a fully portable multiparameter monitoring device which provides the capability for nonitoring of adult, pediatric and neonatal patients in numerous hospital, nursing home and clinical settings. It is a prescription device intended for use only by health care professionals. The oscillometric method, upper arm measurement is employed. The PM-2100 includes, temperature via ALARIS® electronic predictive thermometry and Nellcor® oxygen saturation (Pulse Oximetry) utilizing the finger for the placement of the sensor. The monitor uses a single tube reusable cuff or may be optionally used with a disposable single tube cuff.

The PM-2100 has an optional replaceable and rechargeable battery as well as an optional thermal printer to print displayed data, waveforms and trend information. A liquid crystal display (LCD) and (LED) provides high visibility and clarity in most light conditions. The available parameters displayed will depend on the mode selected by the user.

Visual and audible alarms are provided to alert the user to monitor operational conditions or should patient values exceed default or operator-set high/low limits.

Model 2100: Non - Invasive Blood Pressure and Pulse Rate

Model 2110: Non - Invasive Blood Pressure and Pulse Rate; and Nellcor® Pulse Oximetry and Pulse Rate

Model 2120: Non – Invasive Blood Pressure and Pulse Rate; and Monitor/Predictive Oral/Rectal Temperature

Model 2140: Non - Invasive Blood Pressure and Pulse Rate; and Monitor/Predictive Oral/Rectal Temperature and Nellcor® Pulse Oximetry and Pulse Rate

This portable device includes an optional integrated printer and is capable of operation from an external AC power source or an internal rechargeable battery. The device uses the same technology and materials as the predicate devices, the Press - Mate 8800 (K890876 cleared 6/22/89) and the Press - Mate Advantage (K 973637 cleared 9/25/98)

The following accessories are available for use with the device:

- 1. Power cord
- 2. Printer Paper
- 3. Operations Manual
- 4. Disposable cuffs
- 5. Reusable cuffs
- 6. Cuff extension hose
- 7. Temperature probe
- 8. Finger Probe
- 9. Extension Cable

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22537 p 314

Substantially Equivalent Commercially Available Devices: The Press-Mate PM-2100 Monitor is substantially equivalent to the following commercially available predicated devices with respect to indications for use, device design, materials, and method of manufacture.

Colin Corporation, Press-Mate 8800 Monitor Colin Corporation. Press-Mate Advantage Monitor

(K890876; K921048C; K942871) (K973637)

Substantial Equivalence Comparison: The Press-Mate PM-2100 is similar to commercially available devices with respect to intended use, material, design and operation principles as follows:

- 1. Operational Principles: the basic operational principles of the Press-Mate PM-2100 monitor and the predicate devices are to provide an indication of a patient's vital signs and provide an indication, usually via an alarm, when parameters fall outside of preset limits. The parameters that are measured and displayed are the same as those for the predicate devices.
- 2. Indications and Contraindications: Relative indications and contraindications for the Press-Mate PM-2100 monitor and commercially available devices for similar intended uses are the same.

Assessment of non-clinical performance data for equivalence: Currently there are no FDA standards for this device. However, the Press-Mate PM-2100 complies with:

> U.S. FDA Guidance Document "NON-INVASIVE BLOOD PRESSURE (NIBP) MONITOR, Version 1.0, dtd. March, 1997

ANSI/AAMI SP10-1992

CSA Standard C22.2, No. 125-1984, Eletromedical Equipment

UL544 09/1985, Underwriters Laboratories Standard for Medical and Dental Equipment

## Clinical and Bench Testing

Non - Invasive Blood Pressure (NIBP)

For NIBP performance, Colin used ANSI/AAMI SP10-1992: "Electronic or automated sphygmomanometers" and ANSI/AAMI SP10A-1996: Amendment to ANSI/AAMI SP10-1992: American National Standard for Electronic or Automated Sphygmomanometers.

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The following requirements of ANSI/AAMI SP10 and SP10A were met:

- Labeling (4.1)
- Stability (4.2.4, environmental requirements, 4.2.1, 2.2.2, and 4.2.3) .
- Safety (4.3) ●
- Performance (4.4) .

To evaluate environmental performance, Colin met the requirements contained in the November 1993 Draft Reviewer Guidance for Pre-market Notification Submissions of the Anesthesiology and Respiratory Devices Branch of the Division of Cardiovascular, Respiratory, and Neurological Devices.

Clinical Study for Accuracy-Overall System Efficacy:

Accuracy of the NIBP algorithm was established in the adult, pediatric, and neonatal populations with the ANSVAAMI SP10 clinical study for the Press - Mate 8800 and the Press - Mate Advantage monitors

The NIBP parameter of the new monitor has the same NIBP algorithm that calculates blood pressure from measured oscillations as the Press - Mate 8800 (K890876); and the Press - Mate Advantage (K973637). Also, an accuracy study was performed on the new monitor according to AAMI SP - 10 in which 85 adult and pediatric subjects were tested.

Moreover, the NIBP parameter of the new monitor has the same intended use and labeling claims as the Press -- Mate 8800 and the Press -- Mate Advantage; the same software runs in the same processor family under the same operating system with the same programmer as the predicate device; and the same accessories-air hoses and blood pressure cuffs.

# Bench Testing, ANSI/AAMI SP10

With the exception of the environmental performance, the new device was subject to the remainder of ANSI/AAMI SP10 bench testing requirements, including:

- Stability: 4.2.4.1 Voltage Range; and 4.2.4.2 Life .
- Safety Requirements: 4.3.1.1 Maximum Cuff Pressure; 4.3.2 Cuff Deflation; 4.3.2 Electrical . Safety; and 4.3.3 Conductive Components
- Performance Requirements: 4.4.1 Pressure Indicator Accuracy; and 4.4.3 Battery-Powered . Devices.

The new device passed all tests.

Conclusion: In accordance with the Federal Food. Drug and Cosmetic Act and 12 CFR Part 807, and based on the information provided in this premarket notification. Colin Medical Instruments concludes that the new device, the Press-Mate PM-2100 monitor is safe, effective and substantially equivalent to the predicate device as described herein.

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## DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the circle is an abstract image of an eagle.

#### Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 1 3 2002

Colin Medical Instruments Corporation c/o Mr. Robert Mosenkis President Citech 5200 Butler Pike Plymouth Meeting, PA 19462-1298

Re: K022537

Trade Name: Press-Mate PM-2100 Vital Signs Monitor Regulation Number: 21 CFR 870.2300 Regulation Name: Cardiac Monitor Regulatory Class: Class II (two) Product Code: MWI Dated: August 29, 2002 Received: August 30, 2002

Dear Mr. Mosenkis:

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 commerce prior 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.

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Page 2 – Mr. Robert Mosenkis

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 comply with 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 (OS) regulation (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 marketed 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 your device, please contact the Office 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 Division of Small 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,

Keda Tuh

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use ----------------------------------------------------------------------------------------------------------------

Device Name: Vital Sign Monitor, Patient Monitor; including the following parameters

:

Pulse Oximetry (SPO2)

Non-invasive Systolic & Diastolic Blood Pressure Measurement (NIBP) Temperature Measurement

## Indications for Use:

The Press-Mate PM-2100 patient monitor is intended to monitor a single patient's vital signs in the hospital, outpatient surgery practitioner facilities or in an environment where patient care is provided by qualified healthcare personnel who will determine when use of this device is indicated, based upon their professional assessment of the patient's medical condition. The patient populations include adult, pediatric and neonatal. The device is capable of monitoring"

Pulse rate (via oximetry data) Non-invasive pressure (systolic, diastolic and mean oscillometric NIBP) Temperature Blood oxygen saturation (SPO2 via finger oximeter)

This device is intended for use by qualified healthcare personnel trained in its use.

The device labeling will indicate:

CAUTION: Federal Law (USA) Prohibits Dispensing Without Prescription

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
OR

| Prescription Use (Per 21 CFR 801.109) | <div style="text-align:center;">X</div> |
|---------------------------------------|-----------------------------------------|
| Over-The-Counter Use | ____________________ |

Division of Cardiovascular & Respiratory Devices

| 510(k) Number | ____________________ |
|---------------|----------------------|
|---------------|----------------------|

(Optional Format 1-2-96)