INTELLIVUE PATIENT MONITOR MX400; INTELLIVUE PATIENT MONITOR MX450
Device Facts
| Record ID | K130849 |
|---|---|
| Device Name | INTELLIVUE PATIENT MONITOR MX400; INTELLIVUE PATIENT MONITOR MX450 |
| Applicant | Philips Medizinsysteme Boeblingen GmbH, Cardiac AN |
| Product Code | MHX · Cardiovascular |
| Decision Date | Jun 14, 2013 |
| Decision | SESE |
| Submission Type | Special |
| Regulation | 21 CFR 870.1025 |
| Device Class | Class 2 |
| Attributes | Pediatric |
Indications for Use
The monitors are indicated for use by health care professionals whenever there is a need for monitoring the physiological parameters of patients. The monitors are intended to be used for monitoring and recording of, and to generate alarms for, multiple physiological parameters of adults, pediatrics, and neonates. The monitors are intended for use by trained healthcare professionals in a hospital environment. The monitors are additionally intended for use in transport situations within hospital environments. The monitors are only for use on one patient at a time. They are not intended for home use. Not therapeutic devices. The monitors are for prescription use only. The ECG measurement is intended to be used for diagnostic recording of rhythm and detailed morphology of complex cardiac complexes (according to AAMI ECI1). ST segment monitoring is intended for use with adult patients only and is not clinically validated for use with neonatal and pediatric patients. The SSC Sepsis Protocol, in the ProtocolWatch clinical decision support tool, is intended for use with adult patients only. The Integrated Pulmonary Index (IPI) is intended for use with adult and pediatric (1 to 12 years) patients only. The IPI is an adjunct to and not intended to replace vital sign monitoring. The derived measurement Pulse Pressure Variation (PPV) is intended for use with sedated patients receiving controlled mechanical ventilation and mainly free from cardiac arrhythmia. The PPV measurement has been validated only for adult patients.
Device Story
IntelliVue MX400/MX450 are multiparameter patient monitors (9" and 12" displays) designed for surgical, cardiac, medical, and neonatal care. Devices lack built-in sensors; they connect to external Philips measurement modules (e.g., M3001A, M3002A, gas modules) to acquire physiological signals (ECG, SpO2, NBP, CO2, etc.). Monitors process these inputs to display waveforms, trends, and values, and generate physiological/technical alarms. Used at bedside or during hospital transport by trained clinicians. Touch-screen interface, remote control, or mouse/keyboard input. Data management and connectivity to Central Station via LAN. Benefits include continuous patient status visibility and clinical decision support (e.g., ProtocolWatch, IPI) to aid provider assessment and intervention.
Clinical Evidence
No clinical data provided. Evidence consists of bench testing, including regression testing of physiological measurement parameters, alarm systems, battery functionality, and human interface. Environmental (temperature, humidity) and mechanical (shock, vibration, free fall) testing performed. Compliance with consensus standards (IEC 60601-1, 60601-1-2, 60601-1-8, 62304) verified.
Technological Characteristics
Plastic housing; TFT LCD widescreen display; CPU/memory/interface upgrades. Connectivity via LAN to Central Station. Powered by internal battery. Reuses existing Philips measurement modules (M3001A, M3002A, etc.) and accessories. Software life cycle per IEC 62304. Standards: IEC 60601-1 (safety), IEC 60601-1-2 (EMC), IEC 60601-1-8 (alarms).
Indications for Use
Indicated for monitoring physiological parameters in adult, pediatric, and neonatal patients by healthcare professionals in hospital environments, including transport. Contraindications: Not for home use; not therapeutic. Specific limitations: ST segment monitoring (adults only); SSC Sepsis Protocol (adults only); IPI (adults and pediatric 1-12 years); PPV (sedated adults on controlled mechanical ventilation, free from arrhythmia).
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
- IntelliVue Patient Monitor MP30 (K122439, K120366, K113657, K113441, K110622, K102562, K093268, K083517, K082633, K071426, K063315, K062392, K062283, K061610, K060221, K060541, K061052, K052961, K052801, K050762, K050141, K042845, K041235)
Submission Summary (Full Text)
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## 510(k) Summary
# JUN 1 4 2013
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.
- l . Submitter of this premarket notification
Markus Stacha Philips Medizin Systeme Boeblingen GmbH Hewlett-Packard-Str. 2 D-71034 Boeblingen, Germany Tel: +49 7031 463-2840 Fax: +49 7031 463-2442 e-mail: markus.stacha@philips.com
This summary was prepared on May 13, 2013.
- 2. The name and classification of the device
Trade name: IntelliVue Patient Monitor MX400 and MX450 Common name: Multiparameter Patient Monitor
Classification:
| Device Panel | Classification | ProCode | Description |
|---------------------------|----------------|---------|--------------------------------------------------------------------------|
| Cardiovascular<br>Devices | §870.2300, II | DRT | Monitor, Cardiac (incl. Cardiotachometer<br>& Rate Alarm) |
| | §870.1025, II | DSI | Detector and alarm, arrhythmia |
| | §870.1025, II | MLD | Monitor, ST Segment with Alarm |
| | §870.1025, II | MHX | Monitor, Physiological, Patient (with<br>arrhythmia detection or alarms) |
| | §870.1100, II | DSJ | Alarm, Blood Pressure |
| | §870.1110, II | DSK | Computer, Blood Pressure |
| | §870.1130, II | DXN | System, Measurement, Blood-Pressure,<br>Non-Invasive |
| | §870.1435, II | DXG | Computer, Diagnostic, Pre-Programmed,<br>Single-Function |
| | §870.1915, II | KRB | Probe, Thermodilution |
| | §870.2060, II | DRQ | Amplifier and Signal Conditioner,<br>Transducer Signal |
| | §870.2340, II | DPS | Electrocardiograph |
| | §870.2340, II | MLC | Monitor, ST Segment |
| | §870.2350, II | DRW | Electrocardiograph, Lead Switching<br>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 |
| | §870.2800, II | DSH | Recorder, Magnetic tape, Medical |
| | §870.2810, I | DSF | Recorder, Paper Chart |
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| - Device Panel | Classification | ProCode· | Description<br>: . |
|----------------------------------------------|----------------|----------|----------------------------------------------------------------------------|
| | 8870.2850, II | DRS | Extravascular Blood Pressure Transducer |
| | 8870.2900, I | DSA | Cable, Transducer and Electrode, incl.<br>Patient Connector |
| | | MSX | System, Network and Communication,<br>Physiological Monitors |
| | | | |
| Anesthesiology<br>Devices | \$868.1400, II | ССК | Analyzer, Gas, Carbon Dioxide, Gaseous-<br>Phase |
| | \$868.1500, II | сво | Analyzer, Gas, Enflurane, Gaseous-Phase<br>(Anesthetic Concentration) |
| | \$868.1500, II | NHO | Analyzer, Gas, Desflurane, Gaseous-<br>Phase (Anesthetic Concentration) |
| | \$868.1500, II | NHP | Analyzer, Gas, Sevoflurane, Gaseous-<br>Phase (Anesthetic Concentration) |
| | 8868.1500, II | NHQ | Analyzer, Gas, Isoflurane, Gaseous-Phase<br>(Anesthetic Concentration) |
| | 8868.1620, II | CBS | Analyzer, Gas, Halothane, Gaseous-Phase<br>(Anesthetic Concentration) |
| | 8868.1700, II | CBR | Analyzer, Gas, Nitrous Oxide, Gaseous-<br>Phase (Anesthetic Concentration) |
| | \$868.1720, II | CCL | Analyzer, Gas, Oxygen, Gaseous-Phase |
| | \$868.1880, II | BZC | Data calculator Pulmonary-function |
| | \$868.2375, II | BZQ | Monitor, Breathing Frequency |
| | \$868.2480, II | LKD | Monitor, Carbon Dioxide, Cutaneous |
| | 8868.2500, II | KLK | Monitor, Oxygen, Cutaneous, for Infant<br>not under Gas Anesthesia |
| General Hospital and<br>Personal Use Devices | 8880.2910, II | FLL | Thermometer, Electronic, Clinical |
- 3. The subject devices Philips IntelliVue Patient Monitor MX400 and MX450, release K,00, are substantially equivalent to the previously cleared Philips Intelli Vue Patient Monitor MP30 marketed pursuant to K122439, K120366, K113657, K113441, K110622, K102562, . K093268, K083517, K082633, K071426, K063315, K062392, K062283, K061610, K060221, K060541, K061052, K052961, K052801, K050762, K050141, K042845, K041235.
- Description of the device 4.
The IntelliVue Patient Monitor MX400 and MX450 is a modification of the legally marketed IntelliVue Patient Monitor MP30.
The MX400 and MX450 are display units with a TFT LCD flat panel display and built-in CPU. The models MX400 and MX450 differ only in the size of their flat panel displays: MX400 has a 9" and MX450 has a 12" display.
The MX400 and MX450 do not have any built-in measurements. They can be connected to one Philips M3001A Multi-Measurement Server, M3002A (X2) Multi-Measurement Module and any one of the M3012A, M3014A, M3015A/B or M3016A Measurement Server Extensions, as well as to the M1013A (G1) or M1019A (G5) Gas Modules. These external
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devices provide non-invasive and invasive measurements such as ECG with arrhythmia and ST, respiration, SpO2, NBP, invasive blood pressure, temperature, CO2, C.O., CCO.
The MX400 and MX450 acquire multiple physiological patient signals (via connected external measurement modules), display measurement values, waves and trends, generate physiological and technical alarms, provide data recording and support patient data management.
The MX400 and MX450 offer a monitoring solution optimized for the surgical, cardiac, medical and neonatal care environments. They are located in the patient vicinity either at the bedside or used mobile, during patient transport in the hospital.
The MX400 and MX450 have a color display with touch-screen as primary input device. They also support a specialized remote control, keyboard and pointing devices such as a mouse.
The MX400 and MX450 interact with the connected external measurement devices locally at the bedside or in transport situations and with the Central Station via LAN.
- న. Intended Use
The subject devices IntelliVue Patient Monitor MX400 and MX450 have the same intended use as the legally marketed predicate IntelliVue Patient Monitor MP30.
The monitors are indicated for use by health care professionals whenever there is a need for monitoring the physiological parameters of patients.
The monitors are intended to be used for monitoring and recording of, and to generate alarms for, multiple physiological parameters of adults, pediatrics, and neonates. The monitors are intended for use by trained healthcare professionals in a hospital environment.
The monitors are additionally intended for use in transport situations within hospital environments.
The monitors are only for use on one patient at a time. They are not intended for home use. Not therapeutic devices. The monitors are for prescription use only.
The ECG measurement is intended to be used for diagnostic recording of rhythm and detailed morphology of complex cardiac complexes (according to AAMIECII).
ST segment monitoring is intended for use with adult patients only and is not clinically validated for use with neonatal and pediatric patients.
The SSC Sepsis Protocol, in the ProtocolWatch clinical decision support tool, is intended for use with adult patients only.
The Integrated Pulmonary Index (IPI) is intended for use with adult and pediatric (1 to 12 years) patients only. The IPI is an adjunct to and not intended to replace vital sign monitoring.
The derived measurement Pulse Pressure Variation (PPV) is intended for use with sedated patients receiving controlled mechanical ventilation and mainly free from cardiac arrhythmia. The PPV measurement has been validated only for adult patients.
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### 6. Technological Characteristics
The subject devices IntelliVue Patient Monitors MX400 and MX450 have the same range of functions as the legally marketed predicate IntelliVue Patient Monitor MP30. MX400 and MX450 reuse unchanged external measurement modules and measurement accessories as already used by the predicate MP30.
MX400 and MX450 have the same relevant-technological characteristics as the predicate MP30 with regard to energy sources, portability, user interface, and robustness.
Compared to the predicate MP30, the MX400 and MX450 have modified technological characteristics with regard to the usage of state of the art hardware components such as widescreen display, CPU, memories and interfaces, regarding a more compact form factor, resulting in slightly different dimensions and weight, regarding environmental conditions and operating time with internal battery.
The housing of the MX400 and MX450 is made of plastic whereas the housing of the predicate IntelliVue Patient Monitor MP30 is made of plastic and partly of magnesium alloy. Biocompatibility aspects are not affected because the devices do not have contact with patients. The MX400 and MX450 reuse plastic materials of the predicate MP30.
The fundamental scientific technology of the new IntelliVue Patient Monitors MX400 and MX450 is the same as that of the predicate IntelliVue Patient Monitor MP30. The differences in technological characteristics between the subject devices MX400 and MX450 and the predicate device MP30 do not diminish safety or effectiveness.
- 7. Summary of V&V activities
- Testing according to the recognized consensus standards:
- IEC 60601-1-2:2001 +A1:2004 (EMC) .
- IEC 60601-1:1988 +A1:1991+A2:1995 (General Safety) .
- . IEC 60601-1-8:2003 (Alarms)
- IEC 62304:2006 (Software life cycle processes) .
All applicable requirements have been met.
- -Environmental testing (temperature, humidity), mechanical testing (shock, vibration, and free fall).
All specified test requirements have been met. The tests confirmed that the Intelli Vue Patient Monitor MX400 and MX450 worked safely and according to their specifications and indicated claims during tests simulating general hospital conditions, handling and transport in hospital environments, and storage.
- -Regression testing on the IntelliVue Patient Monitor MX400 and MX450. The performed regression testing comprised function tests of all physiological measurement parameters (which remain unchanged in this submission), integrated recorder, display, batterv functionality, battery operating and charging time, human interface, external interfaces, alarming system, and white box tests as identified by the hazard analysis. All specified criteria have been met. The tests demonstrated that the IntelliVue Patient Monitor MX400 and MX450 worked safely, effectively, and correctly in accordance with specifications and labeling claims in the intended environment of use.
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# PHILIPS
## 8. Conclusion
Verification, validation, and testing activities establish the performance, functionality, and reliability characteristics of the modified devices with respect to the predicate.
Testing comprised regression tests, white box tests, electrical and mechanical safety tests, EMC tests, and environmental tests.
Pass/Fail criteria were based on the specifications cleared for the predicate device and test results showed substantial equivalence.
The results demonstrate that the Philips IntelliVue Patient Monitor MX400 and MX450 meet all defined reliability requirements and performance claims.
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Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002
June 14, 2013
Philips Medizinsysteme Boeblingen Gmbh c/o Markus Stacha Sr. Regulatory Affairs Engineer Hewlett-packard Str.2 71034 Boeblingen Germany
Re: K130849
> Trade/Device Name: IntelliVue patient monitor mx400; IntelliVue patient monitor mx450
Regulation Number: 21 CFR 870.1250
Regulation Name: Multiparameter Patient Monitor
Regulatory Class: Class II
Product Code: MHX, DRT, DSI, MLD, DSJ, DSK, DXN, DXG, KRB, DRQ, DPS, MLC, DRW, KRC, DRJ, DQA, DSB, DSH, DSF, DRS, DSA, MSX, CCK, CBQ, NHO, NHP, NHQ, CBS, CBR, CCL, BZC, BZO, LKD, KLK, FLL
Dated: May 13, 2013 Received: May 16, 2013
Dear Markus Stacha:
-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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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 - Markus Stacha
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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, Misbranding by reference to premarket notification (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to
http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htmfor the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
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 (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely vours.
Owen-P.Faris-S
for Bram D. Zuckerman, M.D. Director
> Division-of-Cardiovascular-Devices Office of Device Evaluation Center for Devices and Radiological Health
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## Indications for Use
510(k) Number (if known):
Device Name: IntelliVue Patient Monitor MX400 and MX450
The monitors are indicated for use by health care professionals whenever there is a need for monitoring the physiological parameters of patients.
The monitors are intended to be used for monitoring and recording of, and to generate alarms for, multiple physiological parameters of adults, pediatrics, and neonates. The monitors are intended for use by trained healthcare professionals in a hospital environment.
The monitors are additionally intended for use in transport situations within hospital environments.
The monitors are only for use on one patient at a time. They are not intended for home use. Not therapeutic devices. The monitors are for prescription use only.
The ECG measurement is intended to be used for diagnostic recording of rhythm and detailed morphology of complex cardiac complexes (according to AAMI ECI1).
ST segment monitoring is intended for use with adult patients only and is not clinically validated for use with neonatal and pediatric patients.
The SSC Sepsis Protocol, in the ProtocolWatch clinical decision support tool, is intended for use with adult patients only.
The Integrated Pulmonary Index (IPI) is intended for use with adult and pediatric (1 to 12 years) patients only. The IPI is an adjunct to and not intended to replace vital sign monitoring.
The derived measurement Pulse Pressure Variation (PPV) is intended for use with sedated patients receiving controlled mechanical ventilation and mainly free from cardiac arrhythmia. The PPV measurement has been validated only for adult patients.
Prescription Use Yes Over-The-Counter Use No AND/OR (Part 21 CFR 801 Subpart D) (21 CFR 801 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER: PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Owen P. Faris -S
2013.06.13
15:50:16 -04'00'
