INTELLIVUE PATIENT MONITOR, MODELS MP2, X2, MP5, MP5T, MP20, MP30, MP40, MP50, MP60, MP70, MP80, MP90, & MX800

K102562 · Philips Medizin Systeme Boblingen GmbH · MHX · Oct 21, 2010 · Cardiovascular

Device Facts

Record IDK102562
Device NameINTELLIVUE PATIENT MONITOR, MODELS MP2, X2, MP5, MP5T, MP20, MP30, MP40, MP50, MP60, MP70, MP80, MP90, & MX800
ApplicantPhilips Medizin Systeme Boblingen GmbH
Product CodeMHX · Cardiovascular
Decision DateOct 21, 2010
DecisionSESE
Submission TypeSpecial
Regulation21 CFR 870.1025
Device ClassClass 2
AttributesPediatric

Intended Use

The Philips MP2, X2, MP5, MP5T, MP20, MP30, MP40, MP50, MP60, MP70, MP80, MP90 and MX800 IntelliVue Patient Monitors are intended for monitoring and recording of and to generate alarms for, multiple physiological parameters of adults, pediatrics and neonates in hospital environments. The MP2, X2, MP5, MP20, MP30, MP40, and MP50 are additionally intended for use in transport situations within hospital environments. The MP2, X2, and MP5 are also intended for use during patient transport outside of a hospital environment. The monitors are not intended for home use. They are intended for use by health care professionals.

Device Story

IntelliVue patient monitors consist of display units, CPUs, and physiological measurement modules; inputs include surface ECG, invasive/non-invasive pressure, and other physiological signals. Device processes signals to generate alarms, record data, and store derived measurements. Used in hospital environments (OR, ICU, transport) by healthcare professionals. Output displayed on integrated or external flat-panel screens; data communicated to central stations via IntelliVue Clinical Network. Enables real-time patient status assessment; facilitates clinical decision-making through continuous monitoring and alarm generation. Benefits include improved patient safety through timely detection of physiological changes.

Clinical Evidence

Bench testing only. Verification and validation activities included system-level testing, regression testing, and hazard analysis based on cleared predicate specifications. No clinical data was required or provided.

Technological Characteristics

Multi-parameter patient monitors comprising display units, CPUs, and physiological measurement modules. Measures ECG, blood pressure, and other physiological parameters. Networked via IntelliVue Clinical Network. Software revision H.03. Same system architecture as predicate devices.

Indications for Use

Indicated for use by health care professionals for monitoring, recording, and generating alarms for physiological parameters in adult, pediatric, and neonatal patients in hospital environments, including transport within and outside the hospital (for specific models).

Regulatory Classification

Identification

The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to produce a visible or audible signal or alarm when atrial or ventricular arrhythmia, such as premature contraction or ventricular fibrillation, occurs.

Special Controls

*Classification.* Class II (special controls). The guidance document entitled “Class II Special Controls Guidance Document: Arrhythmia Detector and Alarm” will serve as the special control. See § 870.1 for the availability of this guidance document.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ K102562 Page 1 of 3 ## 510 (k) Summary This summary of 510(k) safety and effectiveness information is submitted in accordance with the requirements of the Safe Medical Devices Act of 1990 and 21 C.F.R. §807.92. OCT 2 1 2010 1. The submitter of this premarket notification is: Andreas Suchi Philips Medizin Systeme Boeblingen GmbH Hewlett-Packard-Str. 2 D-71034 Boeblingen, Germany Tel: ++49 7031 463-1291 Fax: ++49 7031 463-2442 e-mail: andreas.suchi@philips.com This summary was prepared on Oct 10, 2010. - 2. The names of the devices are the Philips MP2, X2, MP5, MP5T, MP20, MP30, MP40, MP50, MP60, MP70, MP80, MP90 and MX800 IntelliVue Patient Monitors Classification names are as follows: | Device Panel | Classification | ProCode | Description | |-------------------------------------------------|----------------|---------|------------------------------------------------------------------------------| | Cardiovascular<br>Devices | \$870.1025, II | DSI | Detector and alarm, arrhythmia | | | \$870.1025, II | MLD | Monitor, ST Segment with Alarm | | | \$870.1025, II | MHX | Monitor, Physiological, Patient<br>(with arrhythmia detection or<br>alarms) | | | \$870.1100, II | DSJ | Alarm, Blood Pressure | | | \$870.1110, II | DSK | Computer, Blood Pressure | | | \$870.1130, II | DXN | System, Measurement, Blood-<br>Pressure, Non-Invasive | | | \$870.1435, II | DXG | Computer, Diagnostic, Pre-<br>Programmed, Single-Function | | | \$870.1915, II | KRB | Probe, Thermodilution | | | \$870.2060, II | DRQ | Amplifier and Signal<br>Conditioner, Transducer Signal | | | \$870.2300, II | DRT | Monitor, Cardiac (incl.<br>Cardiotachometer & Rate Alarm) | | | \$870.2340, II | DPS | Electrocardiograph | | | \$870.2340, II | MLC | Monitor, ST Segment | | | \$870.2350, II | DRW | Electrocardiograph, Lead<br>Switching Adapter | | | \$870.2370, II | KRC | Tester, Electrode, Surface,<br>Electrocardiograph | | | \$870.2600, I | DRJ | System, Signal Isolation | | | \$870.2700, II | DQA | Oximeter | | | \$870.2770, II | DSB | Plethysmograph, Impedance | | Device Panel | Classification | ProCode | Description | | | \$870.2800, II | DSH | Recorder, Magnetic tape,<br>Medical | | | \$870.2810, I | DSF | Recorder, Paper Chart | | | \$870.2850, II | DRS | Extravascular Blood Pressure<br>Transducer | | | \$870.2900, I | DSA | Cable, Transducer and<br>Electrode, incl. Patient<br>Connector | | | - | MSX | System, Network and<br>Communication, Physiological<br>Monitors | | | \$870.2910, II | DRG | Transmitters and Receivers,<br>Physiological Signal,<br>Radiofrequency | | Anesthesiology<br>Devices | \$868.1400, II | CCK | Analyzer, Gas, Carbon Dioxide,<br>Gaseous-Phase | | | \$868.1500, II | CBQ | Analyzer, Gas, Enflurane,<br>Gaseous-Phase (Anesthetic<br>Concentration) | | | \$868.1500, II | NHO | Analyzer, Gas, Desflurane,<br>Gaseous-Phase (Anesthetic<br>Concentration) | | | \$868.1500, II | NHP | Analyzer, Gas, Sevoflurane,<br>Gaseous-Phase (Anesthetic<br>Concentration) | | | \$868.1500, II | NHQ | Analyzer, Gas, Isoflurane,<br>Gaseous-Phase (Anesthetic<br>Concentration) | | | \$868.1620, II | CBS | Analyzer, Gas, Halothane,<br>Gaseous-Phase (Anesthetic<br>Concentration) | | | \$868.1700, II | CBR | Analyzer, Gas, Nitrous Oxide,<br>Gaseous-Phase (Anesthetic<br>Concentration) | | | \$868.1720, II | CCL | Analyzer, Gas, Oxygen, Gaseous-<br>Phase | | | \$868.1880, II | BZC | Data calculator Pulmonary-<br>function | | | \$868.2375, II | BZQ | Monitor, Breathing Frequency | | | \$868.2480, II | LKD | Monitor, Carbon Dioxide,<br>Cutaneous | | | \$868.2500, II | KLK | Monitor, Oxygen, Cutaneous, for<br>Infant not under Gas Anesthesia | | General Hospital<br>and Personal Use<br>Devices | \$880.2910, II | FLL | Thermometer, Electronic,<br>Clinical | | Neurological | \$882.1400, II | GWR | Electroencephalograph | | Device Panel | Classification | ProCode | Description | | Devices | §882.1420, I | GWS | Analyzer, Spectrum,<br>Electroencephalogram Signal | {1}------------------------------------------------ {2}------------------------------------------------ - 3. The modified devices are substantially equivalent to previously cleared Philips IntelliVue Patient Monitors marketed pursuant to K021778, K030038, K032858, K033444, K033513, K040304, K040357, K041235, K042845, K050762, K051106, K052801, K053522, K060221, K060541, K061052, K061610, K062283, K063315, K062392, K063725, K071426, K072020, K081793, K082633, K083517, K091927, K093268, K100939 - 4. The Philips IntelliVue Patient Monitor family comprises the multi-parameter patient monitor models: MP2, X2, MP5, MP5T, MP20, MP30, MP40, MP50, MP60, MP70, MP80, MP90 and MX800 IntelliVue Patient Monitors that consist of display units including built-in or separate flat panel displays and central processing units (CPU) and physiological measurement modules. All monitors share the same system architecture and exactly the same software is executed on each monitor. The IntelliVue Patient Monitors measure multiple physiological parameters such as surface ECG, invasive and non-invasive pressure, etc., generate alarms, record physiological signals, store derived data, and communicate derived data and alarms to central stations via the IntelliVue Clinical Network. The subject modification is the introduction of software revision - 5. The modified devices have the same intended use as the predicate devices. The Philips MP2, X2, MP5, MP5T, MP20, MP30, MP40, MP50, MP60, MP70, MP80, MP90 and MX800 IntelliVue Patient Monitors are intended for monitoring and recording of and to generate alarms for, multiple physiological parameters of adults, pediatrics and neonates in hospital environments. The MP2, X2, MP5, MP20, MP30, MP40, and MP50 are additionally intended for use in transport situations within hospital environments. The MP2, X2, and MP5 are also intended for use during patient transport outside of a hospital environment. The monitors are not intended for home use. They are intended for use by health care professionals. H.03 for the entire IntelliVue Patient Monitors family. - 6. The modified devices have the same technological characteristics as the predicate device. - 7. Verification, validation, and testing activities establish the performance, functionality, and reliability characteristics of the modified devices with respect to the predicate. Testing involved system level and regression tests as well as testing from the hazard analysis. Pass/Fail criteria were based on the specifications cleared for the predicate devices and test results showed substantial equivalence. The results demonstrate that the Philips IntelliVue Patient Monitors meet all reliability requirements and performance claims. {3}------------------------------------------------ Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-O66-0609 Silver Spring, MD 20993-0002 Philips Medical Systems c/o Mr. Andreas Suchi Sr. Regulatory Affairs Engineer Philips Medizin Système Boblingen GmbH Hewlett-Packard-Str. 2 D-71034 Boblingen, Germany OCT 2 1 2010 Re: K102562 Trade/Device Name: Philips Medical Systems MP2, X2, MP5, MP5T, MP20, MP30, MP40, MP50, MP60, MP70, MP80, MP90 and MX8000 IntelliVue Patient Monitors with Software Revisions H.03 Regulation Number: 21 CFR 870.1025 Regulation Name: Arrhythmia detection or alarms (including ST-segment measurement and alarm) Regulatory Class: Class II Product Code: MHX Dated: September 3, 2010 Received: September 7, 2010 Dear Mr. Suchi: 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. {4}------------------------------------------------ ## Page 2 - Mr. Andres Suchi 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. 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 (QS) 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), please contact the Office of Compliance at 240-276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html. Sincerely yours, Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health {5}------------------------------------------------ ## Indications for Use OCT 2 1 2010 510 (k) Number (if known) : Philips MP2, X2, MP5, MP5T, MP20, MP30, MP40, MP50, Device Name: MP60, MP70, MP80, MP90 and MX800 IntelliVue Patient Monitors, Software Revision H:-03. Indications for Use: Indicated for use by health care professionals whenever there is a need for monitoring the physiological parameters of patients. Intended for monitoring and recording of and to generate alarms for multiple physiological parameters of adults, pediatrics and neonates in hospital environments. The MP2, X2, MP5, MP5T, MP20, MP30, MP40, and MP50 are additionally intended for use in transport situations within hospital environments. The MP2, X2 and MP5 are also intended for use during patient transport outside of a hospital environment. Prescription Use es (Part 21 CFR 801 Subpart D) Over-The-Counter Use AND/OR (21 CFR 807 Subpart C) No (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) W.M. (Division Sign-Off) Division of Cardiovascular Devices 510(k) Number K102562
Innolitics
510(k) Summary
Decision Summary
Classification Order
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