Quantum Workstation

K163657 · Spectrum Medical , Ltd. · DRY · Jan 18, 2017 · Cardiovascular

Device Facts

• Record ID: K163657
• Device Name: Quantum Workstation
• Applicant: Spectrum Medical , Ltd.
• Product Code: DRY · Cardiovascular
• Decision Date: Jan 18, 2017
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 870.4330
• Device Class: Class 2
• Attributes: Pediatric

Intended Use

The intended use of the Quantum Workstation is for the non-invasive continuous monitoring of oxygen saturation and hematocrit / hemoglobin concentration of the blood in an extracorporeal circuit. When using its range of accessories, the Quantum Workstation is configured to measure and display the following measurements: SaO2 Arterial Saturation (%) Venous Saturation (%) Sv02 Hb Hemoglobin (g/L and gm/dl) Calculated Hematocrit (%) Hct The Workstation provides monitoring information to trained clinicians and can be configured by them to set parameter specific alarms. The Workstation's monitoring and alarm functionality does not directly control patient care. The User makes clinical judgments regarding the treatment of the patient as a result of information displayed by the Workstation.

Device Story

Quantum Workstation is an online cardiopulmonary bypass blood gas monitor; performs non-invasive continuous monitoring of arterial/venous oxygen saturation (SO2), hemoglobin (Hb), and calculated hematocrit (Hct) in extracorporeal circuits. Input: optical signals from Hb/SO2 sensors attached to external surface of blood tubing; principle of operation: comparison of visible light absorbance patterns for oxy/deoxy-hemoglobin and infrared light transmission for Hb concentration. Output: real-time individual/trend readings and parameter-specific alarms on a 14.75" portrait touch screen. Used in hospital surgical environments by perfusionists. Device features Wi-Fi, Ethernet, USB ports, and SD card storage; powered by AC mains with lithium-ion battery backup. Clinicians use displayed data to make treatment decisions; device does not control patient care. Benefits include continuous monitoring of blood parameters during extracorporeal circulation.

Clinical Evidence

No clinical data submitted. Substantial equivalence supported by bench performance testing, including electrical safety (AAMI ANSI ES60601-1), EMC (IEC 60601-1-2), mechanical testing, and in vitro performance testing confirming SO2, Hb, and Hct measurement accuracy is unchanged from the predicate M2 Monitor.

Technological Characteristics

Pole-mounted monitor with 14.75" portrait touch screen. Sensing principle: optical (visible/infrared light). Connectivity: Wi-Fi, Ethernet, USB, and Spectrum Accessory Ports (SAPs). Power: AC mains with dual lithium-ion battery backup (2-hour life). Standards: AAMI ANSI ES60601-1:2005/(R)2012, IEC 60601-1-2:2014, IEC 60601-2-49:2011. Software class: Class B per IEC 62304:2006.

Indications for Use

Indicated for patients of all ages and genders undergoing extracorporeal circulation requiring non-invasive continuous monitoring of blood oxygen saturation, hematocrit, and hemoglobin levels.

Regulatory Classification

Identification

A cardiopulmonary bypass on-line blood gas monitor is a device used in conjunction with a blood gas sensor to measure the level of gases in the blood.

Predicate Devices

• M2 Monitor (K071725)

Submission Summary (Full Text)

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

January 18, 2017

Spectrum Medical, Ltd. Mark Drain Chief Financial Officer Harrier 4, Meteor Business Park Cheltenham Road East Gloucester, GL2 9QL England

Re: K163657

Trade/Device Name: Quantum Workstation Regulation Number: 21 CFR 870.4330 Regulation Name: Cardiopulmonary bypass on-line blood gas monitor Regulatory Class: Class II Product Code: DRY Dated: December 16, 2016 Received: December 23, 2016

Dear Mr. Drain:

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.

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

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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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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.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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely,

M.A. Willemsen
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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# Indications for Use

510(k) Number (if known)

K163657

Device Name Quantum Workstation

#### Indications for Use (Describe)

The intended use of the Quantum Workstation is for the non-invasive continuous monitoring of oxygen saturation and hematocrit / hemoglobin concentration of the blood in an extracorporeal circuit. When using its range of accessories, the Quantum Workstation is configured to measure and display the following measurements:

- SaO2 Arterial Saturation (%)
- Venous Saturation (%) Sv02
- Hb Hemoglobin (g/L and gm/dl)
- Calculated Hematocrit (%) Hct

The Workstation provides monitoring information to trained clinicians and can be configured by them to set parameter specific alarms.

The Workstation's monitoring and alarm functionality does not directly control patient care. The User makes clinical judgments regarding the treatment of the patient as a result of information displayed by the Workstation.

| Type of Use (Select one or both, as applicable) |
|-------------------------------------------------|
| Prescription Use (Part 21 CFR 801 Subpart D) |
| Over-The-Counter Use (21 CFR 801 Subpart C) |

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# 510(k) Summary

The following 510(k) summary has been prepared pursuant to requirements specified in 21 CFR 807.92.

510(k) Number: K163657

### I. SUBMITTER

Spectrum Medical Ltd Harrier 4, Meteor Business Park, Cheltenham Road East, Gloucester. GL2 9QL England

Phone: [phone] Fax: [phone]

Contact Person: Mr. Mark Drain, Chief Financial Officer

Date Summary Prepared: January 17, 2017

# II. DEVICE

| Proprietary Name: | Quantum Workstation |
|----------------------|------------------------------------------------------------------------------------------------------------------------------|
| Common Name: | Blood Gas Monitor |
| Classification Name: | Monitor, Blood-Gas, On-Line, Cardiopulmonary Bypass<br>(21 CFR 870.4330) |
| Regulatory Class: | II |
| Product Code: | DRY |
| Panel: | Office of Device Evaluation (ODE) /<br>Division of Cardiovascular Devices (DCD)<br>Circulatory Support Devices Branch (CSDB) |

# III. PREDICATE DEVICE

Spectrum Medical Ltd's M2 Monitor (K071725)

This predicate has not been subject to a design-related recall.

No reference devices were used in this submission.

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# IV. DEVICE DESCRIPTION

The Quantum Workstation is an online, cardiopulmonary bypass, blood gas monitor. It is used for extracorporeal monitoring of blood oxygen (arterial and venous) saturation, hematocrit, and hemoglobin levels.

The Quantum Workstation consists of a pole-mounted 14 ¾" portrait high definition touch screen. The touch screen displays individual and trend readings with alarm settings. Third party data may also be displayed (without alarms). The Quantum Workstation has a Wi-Fi adapter and provides memory storage via an SD (Secure Digital) card. The Quantum Workstation is powered from the AC Mains supply and also incorporates a battery backup that automatically switches on in the event of an interruption to the mains power supply. The battery backup is provided via two (2) lithium-ion batteries with a two-hour minimum life.

The Quantum Workstation includes the following ports / connections:

- . One (1) sensor port for the Hb / SO2 sensor
- One (1) LAN / Ethernet port
- . Three (3) USB 2.0 ports
- Eight (8) additional LAN ports described as SAP (Spectrum Accessory Ports) to . support a range of Spectrum Medical manufactured modules - these are for future use

Accessories for the Quantum Workstation include the power supply, mounting arm (long or short), and Hb / SO2 sensor. Different Hb / SO2 sensors are available based on the diameter and thickness of the extracorporeal tubing.

# V. INTENDED USE / INDICATIONS FOR USE

The intended use of the Quantum Workstation is for the non-invasive continuous monitoring of oxygen saturation and hematocrit / hemoglobin concentration of the blood in an extracorporeal circuit. When using its range of accessories, the Quantum Workstation is configured to measure and display the following measurements:

| SaO2 | Arterial Saturation (%) |
|------|----------------------------|
| SvO2 | Venous Saturation (%) |
| Hb | Hemoglobin (g/L and gm/dl) |
| Hct | Calculated Hematocrit (%) |

The Workstation provides monitoring information to trained clinicians and can be configured by them to set parameter specific alarms.

The Workstation's monitoring and alarm functionality does not directly control patient care. The User makes clinical judgments regarding the treatment of the patient as a result of information displayed by the Workstation.

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# VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

As shown in Table A, Spectrum Medical Ltd's M2 Monitor and Quantum Workstation have the same manufacturer, intended use, clinical application, clinical setting / site of user, target patient population, and principle of operation / mechanism of operation / fundamental scientific technology. They also have the same performance for SO2, Hb, and Hct. They both display individual and trend readings with alarm settings and don't require recalibration due to negligible drift. They both have a Wi-Fi adapter, Ethernet port, and SD card memory storage. They both run on line power with battery backup available. They both are also compatible with the intended environment and with other devices.

Spectrum Medical Ltd's M2 Monitor and Quantum Workstation differ in that the Quantum Workstation has a larger touch screen display, has additional USB and LAN ports, allows for display of 3%-party data without alarms, and provides additional graphs with a pinch action feature for graph resizing. The M2 Monitor uses three nickel hydride batteries to provide an ~1hour battery life whereas the Quantum Workstation uses two lithium-ion batteries to provide a 2hour minimum battery life.

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| Device | Predicate Device | Proposed Device |
|---------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Name | M2 Monitor | Quantum Workstation |
| 510(k) Number | K071725 | To be assigned |
| Manufacturer | Spectrum Medical Ltd<br>Gloucester, England | Same |
| Intended Use | Extracorporeal monitoring of<br>blood oxygen saturation,<br>haematocrit and haemoglobin<br>levels | Same |
| Clinical Application | Online monitoring of<br>extracorporeal arterial and<br>venous blood lines, and<br>hematocrit and hemoglobin levels<br>using sensor probes attached to<br>the external surface of blood<br>tubing | Same |
| Clinical Setting /<br>Sites of Use | Hospital | Same |
| Target user | Perfusionist | Same |
| Target patient<br>population | Patients (all ages, both genders)<br>undergoing extracorporeal<br>circulation | Same |
| Principal of Operation<br>/ Mechanism of<br>Action | Comparison of the different<br>patterns of absorbance of visible<br>light reflected from oxy and deoxy<br>forms of hemoglobin | Same |
| Blood oxygen<br>saturation<br>(SO2 %) | Single synchronization with<br>reference blood gas analyzer;<br>independent of blood flow, blood<br>temperature, and hemodilution | Device uses equivalent Hb /<br>SO2 sensor to M2 Monitor (has<br>improved electrical isolation and<br>different colored cable boot) |
| Principal of Operation<br>/ Mechanism of<br>Action<br>Hemoglobin (Hb) /<br>Hematocrit (Hct) | Measures hemoglobin<br>concentration by transmitting<br>infrared light through the blood<br>tube and quantifying the level of<br>signal attention with a photodiode<br>Calculates hematocrit from<br>hemoglobin measurement | Device uses equivalent Hb /<br>SO2 sensor to M2 Monitor (has<br>improved electrical isolation and<br>different colored cable boot) |
| Device | Predicate Device | Proposed Device |
| Performance | SO2<br>Range = 20-100%<br>Range Temperature = 15-37°C<br>Mean Offset = 0.48<br>Standard Deviation = ±1.90 | Same |
| | Hb / Hct<br>Range:<br>5-15 g/dL / 15-45%<br>(for 9/16" OD tube size)<br>5-16.6 g/dL / 15-50%<br>(for all other sensors: 5/16",<br>3/8", 7/16" OD tube size)<br>Range Temperature = 15-37°C<br>Mean Offset = 0.03<br>Standard Deviation = ±0.60 | |
| Human Factors | Touch screen display showing<br>individual and trend readings with<br>alarm settings<br>Flash memory storage for<br>recording case history<br>No recalibration required due to<br>negligible drift | Same general human factors<br>features<br>Also allows for display of 3rd-<br>party data without alarms |
| Touchscreen | 10.4" landscape | 15" portrait |
| Design | Compact, lightweight, pole<br>mounted on clamp | Same general design features<br>Small differences in weight and<br>pole clamp design |
| Compatibility with<br>Intended<br>Environments | Used in surgical environments<br>and conforms to 60601 electrical<br>safety and EMC requirements<br>Compliant with 2nd edition IEC<br>60601 (and 3rd edition in a later<br>update) | Same general electrical<br>compatibility features<br>Compliant with 3rd edition IEC<br>60601 |
| Battery Backup | One-hour life via three Nickel<br>Hydride batteries | Two-hour minimum life via two<br>Lithium-Ion batteries |
| Wireless Connectivity | Wi-Fi and Bluetooth | Wi-Fi |
| Wired Connectivity | 2 USB / 3 Accessory Ports | 3 USB / 8 Spectrum Accessory<br>Ports (SAPs)<br>(Allows connectivity to 3rd-party<br>devices for data display /<br>graphing; alarms are not<br>associated with these data)<br>SAPs are for future use |
| Disposable /<br>Reusable | Not applicable<br>(No patient-contacting parts) | Same |
| Device | Predicate Device | Proposed Device |
| FDA-Recognized<br>Standards Met | Electrical Safety:<br>With 510(k) submission:<br>IEC 60601-1 2nd Edition 1988 with<br>A1:1991 and A2:1995 including<br>relevant clauses of IEC 60601-2-<br>49:2001 clauses 5, 6, 14, 17, 19,<br>20, 44, 49 & 56 | Electrical Safety:<br>AAMI ANSI ES60601-<br>1:2005/(R)2012 and A1:2012<br>including relevant clauses of<br>IEC 60601-2-49:2011 |
| | Updated in 2013:<br>IEC 60601-1 3rd Edition;<br>UL 60601-1/CAN/CSA C22.2 No.<br>601.1 | |
| | Electromagnetic Compatibility:<br>With 510(k) submission:<br>IEC 60601-1-2:2001 Clause 36<br>only (EMC) | Electromagnetic Compatibility:<br>IEC 60601-1-2:2014 |
| | Updated in 2013:<br>IEC 60601-1-2:2007 | |
| | Other:<br>IEC 60601-1-8:2006<br>IEC 62133:2002<br>AAMI ANSI IEC 62304:2006<br>ISO 14971:2000 + A1:2003<br>Updated in 2013:<br>ISO 14971:2007 | Other:<br>IEC 60601-1-6:2010 + A1:2013<br>IEC 60601-1-8:2006 + A1:2012<br>IEC 62133:2012<br>AAMI ANSI IEC 62304:2006<br>IEC 62366:2007+A1:2014<br>ISO 14971:2007 |

# Table A: Comparison Table, M2 Monitor vs. Quantum Workstation

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# VII. PERFORMANCE DATA - NON-CLINICAL TESTING

No animal testing was submitted to support the substantial equivalence of the Quantum Workstation to the M2 Monitor.

The following bench performance testing was performed to support the substantial equivalence of the Quantum Workstation to the M2 Monitor:

# Electrical safety and electromagnetic compatibility (EMC)

Electrical safety and EMC testing, including defibrillator protection and electrosurgery interference requirements, were conducted on the Quantum Workstation and its accessories. The system complies with the following safety and emissions standards:

- . AAMI ANSI ES60601-1:2005/(R)2012 + A1:2012
- IEC 60601-1-2:2014 .
- IEC 60601-1-6:2010 + A1:2013 .
- IEC 60601-1-8:2006 + A1:2012 .
- . IEC 60601-2-49:2011

# Mechanical testing

In addition to the mechanical tests included in the 60601 tests, the following mechanical tests were performed on the Quantum Workstation:

- . screen impact test for the touch screen,
- . effects of cleaning products on the enclosure material and labels / markings, and
- . product function after exposure to non-operational (storage and transport) environmental requirement extremes of temperature and humidity.

# Software verification and validation testing

The software for the Quantum Workstation and its predicate, M2 Monitor, were determined to be Class B software (non-serious injury is possible) per IEC 62304:2006 because, if the M2 Monitor or Quantum Workstation display faulty or incorrect data, clinicians will rely on other medical devices in the operating room to confirm the diagnostic values. Therefore, there are no risks of death or serious injury possible from the device's software.

System-level and subcomponent-level software verification and validation testing were conducted for the Quantum Workstation.

A usability validation test was also performed for the Quantum Workstation user interface.

# SO2 and Hb performance testing

In vitro testing was performed to confirm, as shown in Table A, that the SO2 and Hb (with calculated Hct) functional performance for the Quantum Workstation was unchanged from the M2 Monitor.

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#### VIII. PERFORMANCE DATA - CLINICAL TESTING

No clinical data were submitted to support the substantial equivalence of the Quantum Workstation to the M2 Monitor.

### IX. CONCLUSIONS

There are minor differences between the Quantum Workstation and the predicate device (M2 Monitor) in technological characteristics with regards to battery type and life, touch screen display size, number of USB and LAN ports, pinch action for graph resizing, and display of 3°party data without alarms. However, these differences do not raise new questions of safety or effectiveness. Thus, the device characteristics compared in Table A and the results of the bench performance tests confirm that the Quantum Workstation is substantially equivalent to the M2 Monitor.