DIGITAL AUTOMATIC BLOOD PRESSURE MONITOR BPM06 SERIES

K132240 · Grandway Technology (Shenzhen) Limited · DXN · Dec 16, 2013 · Cardiovascular

Device Facts

• Record ID: K132240
• Device Name: DIGITAL AUTOMATIC BLOOD PRESSURE MONITOR BPM06 SERIES
• Applicant: Grandway Technology (Shenzhen) Limited
• Product Code: DXN · Cardiovascular
• Decision Date: Dec 16, 2013
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.1130
• Device Class: Class 2

Intended Use

Digital Automatic Blood Pressure Monitor BPM06 Series is for use by medical professional or at home. The BPM06 Series is intended to measure the systolic and diastolic blood pressure, and pulse rate (heartbeat rate) of an individual by using a non-invasive technique, in which an inflatable cuff is wrapped around the upper arm of an individual.

Device Story

Digital Automatic Blood Pressure Monitor BPM06 Series is a non-invasive oscillometric device for measuring systolic/diastolic blood pressure and pulse rate. Input: brachial artery pressure oscillations detected via inflatable upper arm cuff. Operation: electric pump inflates/deflates cuff; pressure sensor, electric valve, and electronic control module process signals to derive blood pressure and pulse rate. Output: digital readings displayed on LCD panel. Used in clinical or home settings by professionals or patients. Includes irregular heartbeat detection. Healthcare providers use displayed readings for patient monitoring and clinical decision-making. Benefits: provides convenient, automated, non-invasive blood pressure monitoring.

Clinical Evidence

Clinical study conducted per ANSI/AAMI/IEC 81060-2. Sample size: 100 patients (45 male, 55 female). Comparator: standard auscultation method. Measurements performed on the left upper arm. Results demonstrate clinical accuracy equivalent to the predicate device.

Technological Characteristics

Oscillometric non-invasive blood pressure measurement. Components: pressure sensor, electric valve, electronic control module, electric pump. Power: 4x1.5V AA batteries or 6V/600mA AC adapter. Display: LCD. Materials: ABS cabinet/buttons, PCB, electronic components. Standards: ISO 10993-5/10, EN 1060-1/3, IEC 60601-1, EN 60601-1-2/4, ISO 81060-2, IEC 80601-2-30.

Indications for Use

Indicated for individuals age 16 or above for non-invasive measurement of systolic/diastolic blood pressure and pulse rate via upper arm cuff. Suitable for use by medical professionals or at home.

Regulatory Classification

Identification

A noninvasive blood pressure measurement system is a device that provides a signal from which systolic, diastolic, mean, or any combination of the three pressures can be derived through the use of tranducers placed on the surface of the body.

Predicate Devices

• Digital Automatic Blood Pressure Monitor BPM11 Series (K120675)

Submission Summary (Full Text)

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K132240 Page 1 of 4

# Section IV: 510k Summary

DEC 1 6 2013

| Applicant | Grandway Technology (Shenzhen) Limited |
|---------------------|-----------------------------------------------------------------------|
| Address | Block 6 & 7, Zhu Keng Industrial Zone, Ping Shan, Long Gang District, |
| | Shenzhen, Guang Dong, People's Republic of China |
| Phone Number | [phone] |
| Fax Number | [phone] |
| Contact Person | Mr. Patrick Chow |
| Date of Application | 16th July, 2013 |

#### Applicant's Identification

#### Device's Identification

| Trade Name | Digital Automatic Blood Pressure Monitor BPM06 Series<br>Model No.: MD06x0 |
|---------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | x --- The first character (0, 1, 3, 5 & 6) is for the minor change revision<br>of device. The mentioned "minor change" refers to those device changes<br>not to be affecting the conformity test results of EMC & safety as well |
| Common Name | Non-invasive Blood Pressure Measurement System |
| Classification Name | Non-invasive Blood Pressure Measurement System<br>(Class II per 21 CFR 870.1130) |

#### Marketed Devices to which Equivalence is Claimed (Predicate Device)

| Manufacturer | Grandway Technology (Shenzhen) Limited |
|---------------|------------------------------------------------------------------------------|
| Device | Digital Automatic Blood Pressure Monitor BPM11 Series<br>(Model No.: MD11xy) |
| 510(k) Number | K120675 |

#### Device Description

í

Digital Automatic Blood Pressure Monitor BPM06 Series is a non-invasive blood pressure measurement system for use by medical professional or at home. It is designed to measure the systolic and diastolic blood pressure, and pulse rate (heartbeat rate) of an individual in each measurement and then display the readings on a digital panel.

The BPM06 Series utilizes the oscillometric methodology, in which an inflatable cuff is wrapped around the upper arm of an individual, for blood pressure measurement. This means the monitor detects your blood's movement through your brachial artery and converts the movement into a digital reading.

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### Intended Use (Indication for Use)

Digital Automatic Blood Pressure Monitor BPM06 Series is for use by medical professional or at home. The BPM06 Series is intended to measure the systolic and diastolic blood pressure, and pulse rate (heartbeat rate) of an individual by using a non-invasive technique, in which an inflatable cuff is wrapped around the upper arm of an individual.

## Comparison of Technological Characteristics between New Device and Predicate Devices

| Comparison between BPM06 Series and predicate device | | | |
|--------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------|
| Item | Predicate Device | BPM06 Series | Comment |
| Indication for<br>Use | Digital Automatic Blood Pressure Monitor<br>BPM11 Series is for use by medical<br>professional or at home. The BPM11<br>Series is intended to measure the systolic<br>and diastolic blood pressure, and pulse<br>rate (heartbeat rate) of an individual by<br>using a non-invasive technique, in which<br>an inflatable cuff is wrapped around the<br>upper arm of an individual. The inflatable<br>cuff circumference is limited to 17cm -<br>44cm via 3 different size of cuff. 3<br>different cuff sizes are 17-22cm, 22-32cm<br>and 32-44cm. | Digital Automatic Blood Pressure Monitor<br>BPM06 Series is for use by medical<br>professional or at home. The BPM06<br>Series is intended to measure the systolic<br>and diastolic blood pressure, and pulse<br>rate (heartbeat rate) of an individual by<br>using a non-invasive technique, in which<br>an inflatable cuff is wrapped around the<br>upper arm of an individual. | Equivalent |
| Measurement<br>Method | Non-invasive, Oscillometric | Non-invasive, Oscillometric | Identical |
| Irregular<br>Heartbeat<br>Detection<br>(IHB) | Yes | Yes | Identical |
| Patient<br>Population | Age 16 or above | Age 16 or above | Identical |
| Blood Pressure<br>Measurement<br>Range | Cuff Pressure: 0 - 300 mmHg<br>Systolic Pressure: 50 - 250 mmHg<br>Diastolic Pressure: 30 - 200 mmHg | Cuff Pressure: 0 - 300 mmHg<br>Systolic Pressure: 50 - 250 mmHg<br>Diastolic Pressure: 30 - 200 mmHg | Identical |
| Number of<br>User | 2 independent users | 2 independent users | Identical |
| Memory Space | 2 users × 120 memory space | 2 users × 120 memory space | Identical |
| Button (Key)<br>Type | Button Type only | Clock button: Button Type<br>User selection button: Sensor Type | Equivalent,<br>same function |
| Blood Pressure<br>Measurement<br>Accuracy | ± 3 mmHg or 2% of reading | ± 3 mmHg or 2% of reading | Identical |
| Pulse Rate<br>Measurement<br>Range | 30 - 180 beats/min | 30 - 180 beats/min | Identical |
| Pulse Rate<br>Measurement<br>Accuracy | ± 5 % of the reading | ± 5 % of the reading | Identical |
| Display Type | LCD | LCD | Identical |
| Power Source | 4 × 1.5 V AA-batteries; and/or<br>AC adaptor (6V/600mA) | 4 × 1.5 V AA-batteries; and/or<br>AC adaptor (6V/600mA) | Identical |
| Comparison between BPM06 Series and predicate device | | | |
| Item | Predicate Device | BPM06 Series | Comment |
| Pressurization<br>Mode | Automatic Inflation | Automatic Inflation | Identical |
| Deflation Mode | Automatic Exhaust/ Deflation | Automatic Exhaust/ Deflation | Identical |
| Operating<br>Condition | Temperature: 10 - 40 °C<br>Humidity: 30 - 85 % R.H. max<br>Atmospheric Pressure: 700 - 1060 kPa | Temperature: 10 - 40 °C<br>Humidity: 15 - 85 % R.H. max<br>Atmospheric Pressure: 700 - 1060 kPa | Equivalent,<br>improved<br>specification |
| Storage and<br>Transportation<br>Condition | Temperature: -20 - 60 °C<br>Humidity: 10 - 95 % R.H. max<br>Atmospheric Pressure: 700 - 1060 kPa | Temperature: -20 - 60 °C<br>Humidity: 10 - 95 % R.H. max<br>Atmospheric Pressure: 700 - 1060 kPa | Identical |
| Anatomical<br>Sites | 1 - 2 cm above joint | 1 - 2 cm above joint | Identical |
| Material | Resistances, capacitance, transistors,<br>amplifiers, pressure sensor, CPU, PCB,<br>cuff ABS button, ABS cabinet, batteries<br>and packaging | Resistances, capacitance, transistors,<br>amplifiers, pressure sensor, CPU, PCB,<br>cuff ABS button, ABS cabinet, batteries<br>and packaging | Identical |
| Compatibility<br>with<br>Environment<br>and Other<br>Devices | No influence with environment and other<br>device | No influence with environment and other<br>device | Identical |
| Applicable<br>Standard | ◇ EN 1060-1:1995/A2:2009<br>◇ EN 1060-3:1997/A2:2009<br>◇ IEC 60601-1:2005+<br>CORR.1(2006)+CORR. 2 (2007)<br>◇ EN 60601-1-2:2007<br>◇ FCC Part 15<br>◇ ISO 10993-5:2009<br>◇ ISO 10993-10:2002 + A1:2006<br>◇ EN 60601-1-4:2007<br>◇ ANSI/AAMI SP-10:2002 | ◇ ISO 10993-5:2009<br>◇ ISO 10993-10:2010<br>◇ EN 1060-1:1997+A2:2009<br>◇ EN 1060-3:1997+A2:2009<br>◇ IEC 60601-1:2012<br>◇ EN 60601-1-2:2007<br>◇ EN 60601-1-4:1996<br>◇ IEC 62304:2006<br>◇ FCC Part 15 Subpart B<br>◇ ISO 81060-2:2009<br>◇ IEC 80601-2-30:2009 | Equivalent,<br>change of<br>FDA<br>recognized<br>standard |

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The Digital Automatic Blood Pressure Monitor BPM06 Series is a non-invasive measuring device and utilizes the oscillometric methodology to measure the blood pressure reading. The key components of device are: a pressure sensor, a electric valve and an electronic control module together with an electric pump. The electric pump inflate (and deflate) the inflatable cuff automatically according to our designed architecture. The predicate device adopts exactly same methodology and key components for measuring blood pressure.

#### Clinical and Non-Clinical Test Summary

#### Clinical Test Summary

Testing to insure clinical accuracy of the device in accordance with ANSVAAMI/EC 81060-2 as documented in Clinical Test report.

One hundred patients (45 males and 55 females) were recruited for the study. Standard auscultation method was used as the reference blood pressure monitor measuring in the left

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upper arm. Blood pressure measurements were repeated alternatively with the device and auscultation in the same arm according to the sequence in ANSI/A AMI/IEC 81060-2.

#### Non-Clinical Testing Summary

We have performed bench tests and found that BPM06 Series met all requirement specifications and standards requirements and were found to be equivalent in comparison to the predicate. Testing includes the following:

- > ISO10993-5:2009
- A ISO10993-10:2010
- ア EN1060-1:1995/A1:2002
- V EN1060-3:1997+A2:2009
- V IEC60601-1:2005 + CORR. 1 (2006) + CORR. 2 (2007)
- A EN60601-1-2:2007
- ア FCC Part 15 Subpart B
- V EN60601-1-4:1996

#### Conclusion

Digital Automatic Blood Pressure Monitor BPM06 Series has the same intended use and similar technological characteristics as the predicate device, BPM11 Series (K120675). Moreover, bench testing contained in this submission and clinical testing supplied demonstrate that no differences in the technological characteristics and questioning on safety or effectiveness to be raised. Thus, the Digital Automatic Blood Pressure Monitor BPM06 Series is substantially equivalent to the predicate device, BPM11 Series (K120675).

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Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized depiction of an eagle with its wings spread, superimposed over three horizontal bars. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the logo.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

December 16, 2013

Grandway Technology (Shenzhen) Limited Patrick Chow Zhu Keng Industrial Zone Ping Shan, Long Gang District Shenshen, Guang Dong, 518118 CH

Re: K132240

> Trade/Device Name: Digital automatic blood pressure monitor bpm06 series Regulation Number: 21 CFR 870.1130 Regulation Name: Non-Invasive Blood Pressure Measurement System Regulatory Class: Class II Product Code: DXN Dated: November 8, 2013 Received: July 30, 2013

Dear Patrick Chow:

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 - Patrick Chow

1998 - 1991 - 1991 - 1991

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 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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollnumber [phone] or [phone] or or at its Internet address free http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.htm for 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 [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

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

Enclosure

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#### Additional Information - K ! 32240

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| DEPARTMENT OF HEALTH AND HUMAN SERVICES<br>Food and Drug Administration<br>Indications for Use | Form Approved: OMB No. 0910-0120<br>Expiration Date: December 31, 2013<br>See PRA Statement on last page. |
|------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|
|------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|

| 510(k) Number (if known) | |
|--------------------------|--|
| K132240 | |

text

Device Name

Digital Automatic Blood Pressure Monitor BPM06 Series

#### Indications for Use (Describe)

Digital Automatic Blood Pressure Manitor BPM06 Series is for wo by wedical professional or at hama. The BPM06 Series is intended to measure the systellic blood pressure, and pubersto (branthest rate) of an individual by uning a non-invasive technique, in which an inflatable ouff is wrapped around the upper arm of an individual.

| Type of Use (Select one or both, as applicable) | |
|-------------------------------------------------|-----------------------------------------------------------------------------------------|
| | <span> Over-The-Counter Use (21 CFR 601 Subpart C) </span> |
| | <span> Prescription Use (Part 21 CFR 601 Subpart D) </span> |

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

| Concurrence of Center for Devices and Radiological Health (CDRH) (Signature) | Digitally signed by Owen P. Faris -S Date: 2013.12.16 16:12:50 -05'00' |
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| FORM FDA 3881 (9/13) | Page 1 of 2 |
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