SmartLinx Vitals Plus NIBP Module, SmartLinx Vitals Plus License for Spot Monitoring Mode, SmartLinx Vitals Plus Alarm Hub, SmartLinx Vitals Plus License for Advanced Monitoring Mode, Covidien FILAC 3000 - Temperature Module

K171751 · Capsule Technologie Sas · MWI · Oct 24, 2017 · Cardiovascular

Device Facts

• Record ID: K171751
• Device Name: SmartLinx Vitals Plus NIBP Module, SmartLinx Vitals Plus License for Spot Monitoring Mode, SmartLinx Vitals Plus Alarm Hub, SmartLinx Vitals Plus License for Advanced Monitoring Mode, Covidien FILAC 3000 - Temperature Module
• Applicant: Capsule Technologie Sas
• Product Code: MWI · Cardiovascular
• Decision Date: Oct 24, 2017
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.2300
• Device Class: Class 2
• Attributes: Pediatric, 3rd-Party Reviewed

Intended Use

The SmartLinx Vitals Plus Patient Monitoring System is intended for monitoring and alarming of physiologic parameters, including non-invasive blood pressure (systolic, diastolic, and mean arterial pressure), pulse rate, functional arterial oxygen saturation (SpO2), and temperature, on adult, pediatric, and neonatal patients in hospital environments when used by clinical physicians or appropriate medical staff under the direction of physicians.

Device Story

System monitors physiologic parameters (NIBP, pulse rate, SpO2, temperature) at point-of-care. Inputs: NIBP module (oscillometric), SpO2 cable (Masimo SET), and thermometers (Covidien FILAC 3000 or Exergen TAT-5000S). Components interface with SmartLinx Neuron 2 mobile platform running Vitals Plus application. Features include NIBP intervals mode, continuous SpO2 monitoring, and physiological alarms (visual on Neuron 2, audible via Alarm Hub). Used by clinicians to track patient status; EWSS software provides aggregate scoring based on vital signs and manual observations. Output displayed on mobile platform; aids clinical assessment and condition trending. Benefits include automated monitoring and timely alarm notification for hospital patients.

Clinical Evidence

No clinical studies required. Substantial equivalence supported by bench testing and conformance to recognized consensus standards including IEC 60601-1, IEC 60601-1-8 (alarms), IEC 80601-2-30 (NIBP), ISO 80601-2-56 (temperature), and ISO 80601-2-61 (SpO2).

Technological Characteristics

Mobile platform (Neuron 2) using PC architecture/Windows OS. NIBP: SunTech Advantage A+ (oscillometric). SpO2: Masimo SET technology. Temp: Covidien FILAC 3000 (predictive/direct/cold modes) or Exergen TAT-5000S (infrared). Connectivity: USB, serial digital interface. Power: Li-ion batteries, Class I power supply. Software: IEC 62304 compliant. Alarm Hub: Watchdog processor, dual speaker configuration.

Indications for Use

Indicated for monitoring and alarming of NIBP, pulse rate, SpO2, and temperature in adult, pediatric, and neonatal patients in hospital environments.

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

• CASMED 740 Select (K130411)
• SmartLinx Vitals Plus Patient Monitoring System (K151071)

Reference Devices

• Zoll R Series Monitor Defibrillator (K120907)
• CASMED 740 Select (K150620)

Submission Summary (Full Text)

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

October 24, 2017

Capsule Technologie, SAS % Dave Yungvirt CEO Third Party Review Group, LLC The Old Station House 24 Lackawanna Place Millburn, New Jersey 07041

Re: K171751

Trade/Device Name: SmartLinx Vitals Plus Patient Monitoring System Regulation Number: 21 CFR 870.2300 Regulation Name: Cardiac Monitor (Including Cardiotachometer And Rate Alarm) Regulatory Class: Class II Product Code: MWI, DXN, DQA, FLL Dated: October 3, 2017 Received: October 5, 2017

Dear Dave Yungvirt:

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. Iisting 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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820);

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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 (DICE) at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevicesforYou/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 Industry and Consumer Education (DICE) 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. Hilleman
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) K171751

Device Name

SmartLinx Vitals Plus Patient Monitoring System

Indications for Use (Describe)

The SmartLinx Vitals Plus Patient Monitoring System is intended for monitoring and alarming of physiologic parameters, including non-invasive blood pressure (systolic, and mean arterial pressure), pulse rate, functional arterial oxygen saturation (SpO2), and temperature, on adult, pediatric, and neonatal patients in hospital environments when used by clinical physicians or appropriate medical staff under the direction of physicians.

Type of Use (Select one or both, as applicable)

| <span></span> | <span></span> Prescription Use (Part 21 CFR 801 Subpart D) |
|---------------|------------------------------------------------------------|
| <span></span> | <span></span> Over-The-Counter Use (21 CFR 801 Subpart C) |

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| Applicant /<br>Manufacturer's Name | Capsule Technologie, SAS<br>76-78 avenue de France<br>CS21416<br>75644 Paris Cedex 13 |
|------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Official Correspondent | James Hodge Director QA/RA<br>Capsule Tech, Inc.<br>300 Brickstone Square, Suite 203<br>Andover, MA 01810<br>Phone: [phone]<br>Email: [e-mail] |
| Date Prepared | October 3, 2017 |
| Device Trade Name | SmartLinx Vitals Plus Patient Monitoring System |
| Common Name | Physiological or Vital Signs Monitor, Patient Monitor |
| Classification Name | 21 CFR 870.2300 Cardiac monitor (including<br>cardiotachometer and rate alarm) |
| Regulatory Class | II |
| Product Code | MWI, monitor, physiological, patient (without<br>arrhythmia detection or alarms) |
| Primary Predicate | CASMED 740 Select K130411 |
| Device | This device was selected as the primary predicate since<br>its monitoring functionality closely matches the<br>modifications to the SmartLinx Vitals Plus device of this<br>submission. Likewise, the Covidien FILAC 3000<br>thermometer integrated with this device is the same<br>component added to SmartLinx Vitals Plus. This<br>predicate has not been subject to a design-related recall. |
| Other Predicate<br>Device | SmartLinx Vitals Plus Patient Monitoring System<br>K151071 |

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## Device Description

The SmartLinx Vitals Plus Patient Monitoring System operates on top of the SmartLinx Medical Device Information System (MDIS) to present patient information to the clinical user for active monitoring purposes at the point of care. SmartLinx Vitals Plus consists of the following components:

### SmartLinx Vitals Plus Application

The SmartLinx Vitals Plus Application is a mobile medical application operating on the SmartLinx Neuron 2 Mobile Platform. The Vitals Plus Application controls the externally integrated vital signs modules and the Alarm Hub through interfaces on the SmartLinx Neuron 2 Mobile Platform, and presents patient information to the user for active monitoring purposes at the point of care. The supported physiological parameters are: NIBP (systolic, diastolic, mean arterial pressure (MAP), Pulse Rate, SpO2, and Temperature.

New functionality added to the Vitals Plus Application since the initial clearance of Vitals Plus in K151071 includes:

- 1. Intervals Mode for NIBP (Automatic repetition of NIBP measurements)
- 2. Physiological alarms for NIBP (Sys, Dia, MAP), Pulse Rate, SpO2, and Temperature, which are visibly annunciated on the Neuron 2 and audibly annunciated on the SmartLinx Vitals Plus Alarm Hub
- 3. Continuous SpO2 monitoring with pulse tone pitches that vary according to oxygen saturation, SpO2 alarm delay, and SpO2 sensor off alarm
- 4. Temperature measurements with the Covidien FILAC 3000 Thermometer

#### SmartLinx Vitals Plus NIBP Module

The SmartLinx Vitals Plus NIBP Module is the same hardware component previously cleared in K151071. Incorporating the SunTech Medical Advantage A+ OEM NIBP module and associated blood pressure cuffs and hoses, it measures systolic, diastolic and mean arterial blood pressures (MAP), and pulse rates for adult, pediatric and neonatal patients. The module is controlled by the SmartLinx Vitals Plus Application to manage the inflation and deflation of blood pressure cuffs, and to measure blood pressures and pulse rates.

## Masimo uSp02 Pulse Oximetry Cable

The Masimo uSpO2 Pulse Oximetry Cable is a patient cable with an integrated MS-2000 series circuit board contained in an enclosure that connects to Masimo pulse oximetry sensors and provides functional oxygen saturation (SpO2) and pulse rate and other information via a serial digital interface. This is the same component as

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Traditional 510(k) — K171751

was previously cleared with the SmartLinx Vitals Plus Patient Monitoring System in K151071. The SmartLinx Vitals Plus Application controls the operation of the uSpO2 to measure SpO2 and pulse rate in adult, pediatric, and neonatal patients.

### Exergen TAT-5000S Thermometer

The Exergen TAT-5000S thermometer is the same component previously cleared in K151071. The TAT-5000S is designed for accurate, noninvasive temperature assessment by scanning the temporal artery. The thermometer operates independently, but communicates its results to the SmartLinx Vitals Plus Application for display and monitoring.

## Covidien FILAC 3000 Thermometer

The Covidien FILAC 3000 Thermometer is a new component of Vitals Plus. The FILAC 3000 acquires temperature measurements through the application of a probe at Oral, Axillary, and Rectal sites. The typical measurement mode of the thermometer is a Predictive Mode that returns a measurement in 6-10, 8-12, and 10-14 seconds respectively for Oral, Axillary, and Rectal sites. The thermometer also has a Direct Mode (simulating a standard thermometer) and a Cold Mode (a predictive mode for patients at a lower temperature).

## SmartLinx Vitals Plus Alarm Hub

The Alarm Hub is a new component of SmartLinx Vitals Plus that is used with the optional Advanced Monitoring license for the Vitals Plus Application. The Alarm Hub offers a primary speaker for alarm annunciations (with failover to a backup speaker), watchdog functionality, and a USB hub for expansion.

#### SmartLinx Neuron 2 Mobile Platform

The SmartLinx Neuron 2 Mobile Platform is a mobile computer utilizing industry standard PC architecture and the Microsoft Windows operating system, that is used within the SmartLinx Medical Device Information System and IEC 60601-1 Medical Electrical Systems for collection, transmission, conversion, storage and display of medical device data. The Neuron 2 runs different SmartLinx applications depending upon the care area and desired functionality, including SmartLinx Vitals Stream, SmartLinx Chart Xpress, and SmartLinx Vitals Plus. The Neuron 2 is utilized as part of an active monitoring system when running the SmartLinx Vitals Plus Application.

#### SmartLinx Early Warning Scoring System

The SmartLinx Early Warning Scoring System (EWSS) is an optional software component that integrates with the SmartLinx Vitals Plus Application and runs on the

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SmartLinx Neuron 2 Mobile Platform. The EWSS component is unchanged from that described in the cleared K151071 Vitals Plus submission.

SmartLinx EWSS performs a medical calculation that aids clinical users in patient assessment and condition trending. This calculation, which would otherwise be completed manually, produces an aggregate patient score from a set of sub-scores determined from the values of measured vital signs and manually entered nursing observations. The resulting aggregate score is displayed on the Vitals Plus Application, and may be communicated to other healthcare information systems. EWSS requires the clinical user to attend the patient in order to function. There is no automatic or continuous scoring. The specific scoring method used within SmartLinx EWSS to calculate a patient's score is determined by the customer.

## Intended Use

The SmartLinx Vitals Plus Patient Monitoring System is intended for monitoring and alarming of physiologic parameters, including non-invasive blood pressure (systolic, diastolic, and mean arterial pressure), pulse rate, functional arterial oxygen saturation (SpO2), and temperature, on adult, pediatric, and neonatal patients in hospital environments when used by clinical physicians or appropriate medical staff under the direction of physicians.

## Comparison of Technical Characteristics with the Predicate Device

The SmartLinx Vitals Plus Patient Monitoring System features design characteristics and technologies that are substantially equivalent to those of the predicate devices. As discussed in Table 1 and Table 2, the differences in technological characteristics do not raise different questions of safety or effectiveness.

#### Do the devices have the same technological characteristics?

- No. The proposed modifications to SmartLinx Vitals Plus have similar technological characteristics compared to its predicate devices with some differences as shown in Table 1 and Table 2.

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| | SmartLinx Vitals<br>Plus | SmartLinx Vitals<br>Plus | Discussion of<br>Differences |
|----------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(k)<br>Number | K171751 | K151071 | |
| Intended Use | The SmartLinx<br>Vitals Plus Patient<br>Monitoring System<br>is intended for<br>monitoring and<br>alarming of<br>physiologic<br>parameters,<br>including non-<br>invasive blood<br>pressure (systolic,<br>diastolic, and mean<br>arterial pressure),<br>pulse rate,<br>functional arterial<br>oxygen saturation<br>(SpO2), and<br>temperature, on<br>adult, pediatric, and<br>neonatal patients in<br>hospital<br>environments when<br>used by clinical<br>physicians or<br>appropriate medical<br>staff under the<br>direction of<br>physicians. | The SmartLinx<br>Vitals Plus Patient<br>Monitoring System<br>is intended for<br>monitoring<br>physiologic<br>parameters,<br>including non-<br>invasive blood<br>pressure (systolic,<br>diastolic, and mean<br>arterial pressure),<br>pulse rate,<br>functional arterial<br>oxygen saturation<br>(SpO2), and<br>temperature, on<br>adult, pediatric, and<br>neonatal patients in<br>healthcare facilities<br>when used by<br>clinical physicians<br>or appropriate<br>medical staff under<br>the direction of<br>physicians. | Same. |
| NIBP<br>Measurement | SmartLinx Vitals<br>Plus NIBP module<br>using the SunTech<br>Advantage A+<br>module of<br>oscillometric design<br>for Spot Check and<br>Intervals Mode<br>measurement. | SmartLinx Vitals<br>Plus NIBP module<br>using SunTech<br>Advantage A+<br>module of<br>oscillometric design<br>for Spot Check<br>Mode. | Same except for<br>addition of NIBP<br>Intervals Mode to<br>Vitals Plus, which is<br>compared to the<br>CASMED primary<br>predicate device<br>(K130411). |
| SpO2<br>Monitoring | Masimo uSpO2<br>Oximetry Cable<br>using Masimo SET<br>technology<br>integrated externally<br>to the Neuron via a<br>USB connection for<br>Spot Check<br>measurements and<br>Continuous<br>Monitoring. | Masimo uSpO2<br>Oximetry Cable<br>using Masimo SET<br>technology<br>integrated<br>externally to the<br>Neuron via a USB<br>connection for Spot<br>Check<br>measurements. | Same except for<br>addition of<br>Continuous<br>Monitoring with<br>associated features,<br>which is compared to<br>the CASMED primary<br>predicate device<br>(K130411). |
| Temperature<br>Measurement | Two different<br>thermometry<br>options:<br>1) Covidien FILAC<br>3000 probe.<br>2) Exergen TAT-<br>5000S infrared<br>scanner. | Exergen TAT-<br>5000S infrared<br>scanner. | Same except for<br>addition of Covidien<br>FILAC 3000 probe<br>thermometer, which<br>compared to the<br>CASMED primary<br>predicate device<br>(K130411). |
| Alarms | Configuration,<br>annunciation, and<br>acknowledgement<br>of physiological and<br>technical alarms for<br>(Sys, Dia, MAP,<br>Pulse Rate, SpO2,<br>and Temp).<br>Alarms are visibly<br>annunciated and<br>acknowledged on<br>the screen.<br>Alarms are audibly<br>annunciated via two<br>possible speaker<br>configurations:<br>1) One speaker for<br>non-Advanced<br>Monitoring<br>configurations,<br>using the single<br>speaker inside<br>the Neuron 2. | Configuration,<br>annunciation, and<br>acknowledgement<br>of technical alarms<br>for (Sys, Dia, MAP,<br>Pulse Rate, SpO2,<br>and Temp).<br>Alarms are visibly<br>annunciated and<br>acknowledged on<br>the screen.<br>Alarms are audibly<br>annunciated via a<br>single speaker<br>inside the Neuron<br>2. | Vitals Plus supports<br>the same single<br>speaker configuration<br>of K151071 for non-<br>Advanced Monitoring<br>Mode. It also adds<br>the Alarm Hub with<br>its primary speaker<br>and watchdog<br>processor for<br>Advanced Monitoring<br>Mode. The two<br>speaker configuration<br>for Advanced<br>Monitoring Mode is<br>compared to the<br>CASMED primary<br>predicate device<br>(K130411). |
| | 2) Two speakers for<br>Advanced<br>Monitoring<br>configurations,<br>using the<br>speaker inside<br>the Alarm Hub as<br>the primary, and<br>the speaker<br>inside the<br>Neuron 2 as a<br>backup. | | |
| Applied Parts | SunTech Durable<br>One-Piece,<br>Disposable, and<br>Vinyl blood<br>pressure NIBP<br>cuffs, and GE<br>CRITIKON SOFT-<br>CUF cuffs in<br>neonate through<br>adult thigh sizes.<br>Masimo LNCS<br>family of reusable<br>and disposable<br>SpO2 sensors.<br>Covidien FILAC<br>3000 Probe Covers.<br>Exergen disposable<br>probe covers and<br>sheaths. | SunTech Durable<br>One-Piece,<br>Disposable, and<br>Vinyl blood<br>pressure NIBP<br>cuffs in neonate<br>through adult thigh<br>sizes.<br>Masimo LNCS<br>family of reusable<br>and disposable<br>SpO2 sensors.<br>Exergen disposable<br>probe covers and<br>sheaths. | NIBP cuffs are the<br>same except for the<br>addition of two new<br>sizes in the SunTech<br>Disposable cuffs and<br>the addition of the<br>GE CRITIKON<br>SOFT-CUFs.<br>FILAC probe covers<br>are new to Vitals<br>Plus and are<br>compared to the<br>CASMED primary<br>predicate device<br>(K130411). |
| Energy<br>Source | Main Battery<br>Neuron 2: Lithium-<br>lon 3S1P 2600 mAh<br>or 3050 mAh.<br>Extended Battery<br>Neuron 2: Lithium-<br>lon 3S2P 5200 mAh<br>or 6100 mAh (1 or 2<br>depending on use<br>of Dual Battery | Main Battery<br>Neuron 2: Lithium-<br>lon 3S1P 2600<br>mAh.<br>Extended Battery<br>Neuron 2: Lithium-<br>lon 3S2P 5200<br>mAh (1 or 2<br>depending on use<br>of Dual Battery | Vitals Plus supports<br>new larger battery<br>capacities and uses<br>a Class I power<br>supply as the<br>expressed<br>preference of most<br>hospitals for this<br>category of device. |

# Table 1 Comparison With SmartLinx Vitals Plus (K151071)

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| Exergen: 9V<br>alkaline. | Exergen: 9V<br>alkaline. |
|-------------------------------------------------------------|------------------------------------------------------------------|
| Power Supply: 100-240 VAC, 2.0-1.0 A,<br>50-60 Hz, Class I. | Power Supply: 100-240 VAC, 2.0-<br>1.0 A, 50-60 Hz,<br>Class II. |

| | Table 2 Comparison With Primary Predicate CASMED 740 Select (K130411) | |
|--|-----------------------------------------------------------------------|--|
|--|-----------------------------------------------------------------------|--|

| | SmartLinx Vitals<br>Plus | CASMED 740<br>Select | Discussion of<br>Differences |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(k)<br>Number | K171751 | K130411 | |
| Intended Use | The SmartLinx<br>Vitals Plus Patient<br>Monitoring System<br>is intended for<br>monitoring and<br>alarming of<br>physiologic<br>parameters,<br>including non-<br>invasive blood<br>pressure (systolic,<br>diastolic, and mean<br>arterial pressure),<br>pulse rate,<br>functional arterial<br>oxygen saturation<br>(SpO2), and<br>temperature, on<br>adult, pediatric, and<br>neonatal patients in<br>hospital<br>environments when<br>used by clinical<br>physicians or<br>appropriate medical<br>staff under the<br>direction of<br>physicians. | The 740 Select is<br>indicated for use as<br>a bedside, portable<br>device for use by<br>healthcare<br>professionals,<br>clinicians and<br>medically qualified<br>personnel for spot<br>checking,<br>continuous<br>monitoring and<br>recording of adult,<br>pediatric of adult,<br>pediatric and<br>neonatal patients.<br>The monitor<br>features world class<br>technology to<br>facilitate the<br>monitoring of non-<br>invasive blood<br>pressure, pulse<br>rate, functional<br>arterial oxygen<br>saturation (SpO2)<br>and body<br>temperature in a<br>variety of clinical<br>environments. | None in terms of<br>practical meaning. |
| NIBP<br>Measurement | SmartLinx Vitals<br>Plus NIBP module<br>using the SunTech<br>Advantage A+<br>module of<br>oscillometric design<br>for Spot Check and<br>Intervals Mode<br>measurements. | MAXNIBP module<br>of oscillometric<br>design for Spot<br>Check and Intervals<br>Mode<br>measurements. | Different module<br>suppliers. |
| SpO2<br>Monitoring | Masimo uSpO2<br>Oximetry Cable<br>using Masimo SET<br>technology<br>integrated externally<br>to the Neuron via a<br>USB connection for<br>Spot Check<br>measurements and<br>Continuous<br>Monitoring with the<br>following features:<br>1) Pulse tone pitch<br>varying with<br>oxygen<br>saturation<br>2) SpO2 alarm<br>delay<br>3) SpO2 sensor off<br>alarm | Masimo Rainbow<br>SET OEM board<br>integrated inside<br>the monitor for<br>Continuous<br>Monitoring with the<br>following features:<br>Pulse tone pitch<br>1)<br>varying with<br>oxygen<br>saturation<br>2)<br>SpO2 alarm<br>delay<br>SpO2 sensor off<br>3)<br>alarm | Both devices use the<br>same core Masimo<br>SET technology for<br>measuring SpO2.<br>pulse rate, and<br>perfusion index.<br>Vitals Plus also offers<br>the clinical user the<br>convenience of a<br>Spot Check mode. |
| Temperature<br>Measurement | Two different<br>thermometry<br>options:<br>1) Covidien FILAC<br>3000 probe.<br>2) Exergen TAT-<br>5000S infrared<br>scanner. | Covidien FILAC<br>3000 probe. | Only Vitals Plus<br>offers the Exergen<br>TAT-5000S, but this<br>is the same<br>component used in<br>the Vitals Plus<br>predicate device<br>(K151071). |
| Alarms | Configuration,<br>annunciation, and<br>acknowledgement<br>of physiological and<br>technical alarms for<br>(Sys, Dia, MAP, | Configuration,<br>annunciation, and<br>acknowledgement<br>of physiological and<br>technical alarms for<br>(Sys, Dia, MAP, | Same except for<br>speaker<br>configurations. Non-<br>Advanced Monitoring<br>configurations of<br>Vitals Plus may be |
| Pulse Rate, SpO2,<br>and Temp). | Pulse Rate, SpO2,<br>and Temp). | safely used with only<br>the single speaker.<br>Advanced Monitoring<br>configurations of<br>Vitals Plus require<br>the Alarm Hub. | |
| Alarms are visibly<br>annunciated and<br>acknowledged on<br>the screen. | Alarms are visibly<br>annunciated and<br>acknowledged on<br>the screen. | | |
| Alarms are audibly<br>annunciated via two<br>possible speaker<br>configurations:<br>1) One speaker for<br>non-Advanced<br>Monitoring<br>configurations,<br>using the single<br>speaker inside<br>the Neuron 2 for<br>technical alarms. | Alarms are audibly<br>annunciated via two<br>speakers inside the<br>monitor. Alarms<br>first annunciate on<br>a primary speaker,<br>and then with a<br>different tone on a<br>backup speaker. | | |
| 2) Two speakers for<br>Advanced<br>Monitoring<br>configurations,<br>using the<br>speaker inside<br>the Alarm Hub as<br>the primary, and<br>the speaker<br>inside the<br>Neuron 2 as a<br>backup. | | | |
| Applied Parts | | | |
| SunTech Durable<br>One-Piece,<br>Disposable, and<br>Vinyl NIBP cuffs,<br>and GE CRITIKON<br>SOFT-CUF cuffs in<br>neonate through<br>adult thigh sizes.<br>Masimo LNCS<br>family of reusable<br>and disposable<br>SpO2 sensors. | Softcheck<br>Disposable and<br>Ultracheck<br>Reusable NIBP<br>cuffs in infant<br>through adult thigh<br>sizes.<br>Masimo M-LNCS<br>family of reusable<br>and disposable<br>SpO2 sensors | Each device uses its<br>own set of NIBP cuffs<br>that conform to IEC<br>80601-2-30 when<br>used with the device.<br>Masimo sensors are<br>the same except for<br>the connector used.<br>Exergen covers and<br>sheaths are unique<br>to Vitals Plus, but are<br>the same<br>components used in | |
| | Covidien FILAC<br>3000 Probe Covers | | |
| | Covidien FILAC<br>3000 Probe Covers.<br>Exergen disposable<br>probe covers and<br>sheaths. | | the Vitals Plus<br>predicate device<br>(K151071). |
| Energy<br>Source | Main Battery<br>Neuron 2: Lithium-<br>Ion 3S1P 2600 mAh<br>or 3050 mAh. | Main Battery:<br>Lithium-Ion 10.8<br>VDC 7800 mAh. | Each device uses a<br>battery appropriate to<br>its design and<br>desired autonomy. |
| | Extended Battery<br>Neuron 2: Lithium-<br>Ion 3S2P 5200 mAh<br>or 6100 mAh (1 or 2<br>depending on use<br>of Dual Battery<br>Dock).<br>Exergen: 9V<br>alkaline.<br>Power Supply: 100-<br>240 VAC, 2.0-1.0 A,<br>50-60 Hz, Class I. | Power Supply:<br>100-240 VAC, 1.2<br>A Max (1.2A to 0.50<br>A), 50-60 Hz, Class<br>II. | The Exergen 9V<br>battery is unique to<br>Vitals Plus, but is the<br>same component<br>used in the Vitals<br>Plus predicate device<br>(K151071).<br>Vitals Plus uses a<br>Class I power supply<br>as the expressed<br>preference of most<br>hospitals for this<br>category of device. |

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## Do the different technological characteristics of the device raise different questions of safety and effectiveness?

- No. The different technological characteristics of the proposed Vitals Plus device do not raise different questions of safety and effectiveness as discussed below.
## Safety

- 1. Biocompatibility
The applied parts in used in the proposed Vitals Plus and both predicate devices raise the same questions regarding biocompatibility of patient applied parts. All components conform to ISO 10993-1 series requirements.

- 2. Energy Transfer
The proposed Vitals Plus and both predicate devices raise the same questions with respect to energy transfer to the patient. The NIBP functions use the same mechanism of action, oscillometry. The SpO2 functions use the same Masimo technology. The temperature functions both use the same FILAC and Exergen technology.

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- 3. Energy Source
Both devices raise the same questions of safety related to lithium ion batteries including heat, fire, explosion and exposure to potentially noxious gases.

#### Effectiveness

Both the proposed Vitals Plus and the CASMED 740 Select primary predicate raise the same questions of effectiveness concerning the new functionality added to Vitals Plus since its initial clearance.

#### Are the proposed scientific methods for evaluating new/different characteristics' effects on safety and effectiveness acceptable?

- Yes. The proposed scientific methods for evaluating new/different characteristics' effects on safety and effectiveness are acceptable.
## Safety and Performance Testing

Safety testing assures that the device complies with applicable sections of recognized industry and safety standards. Extensive performance testing ensures that the SmartLinx Vitals Plus Patient Monitoring System performs as well as the indicated predicate devices and meets all of its functional requirements and performance specifications. The SmartLinx Vitals Plus Patient Monitoring System complies with the voluntary standards listed in the table below.

| Performance<br>Characteristic | FDA Recognized<br>standard | Standard Title |
|-------------------------------|--------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| General | ANSI AAMI ES 60601-<br>1:2005/ (R):2012<br>& A1:2012<br>& C1:2009/(R):2012<br>& A2:2010/(R):2012 | Medical electrical equipment - Part 1:<br>General requirements for basic safety<br>and essential performance (IEC<br>60601-1:2005, MOD |
| EMC | IEC 60601-1-2:2007 | Medical electrical equipment – Part<br>1-2: General requirements for basic<br>safety and essential performance -<br>Collateral standard: Electromagnetic<br>compatibility - Requirements and<br>tests |
| Usability | IEC 60601-1-6:2013 | Medical electrical equipment - Part<br>1-6: General requirements for basic<br>safety and essential performance -<br>Collateral standard: Usability |
| Alarms | IEC 60601-1-8:2012 | General requirements for basic safety<br>and essential performance –<br>Collateral Standard: General<br>requirements, tests and guidance for<br>alarm systems in medical electrical<br>equipment and medical electrical<br>systems |
| Software | IEC 62304:2006 | Medical device software—Software<br>life cycle processes |
| Usability | IEC 62366:2014 | Medical devices – Application of<br>usability engineering to medical<br>devices |
| NIBP | IEC 80601-2-30:2013 | Medical electrical equipment –<br>Part 2-30: Particular requirements for<br>the basic safety and essential<br>performance of automated non-<br>invasive sphygmomanometers |
| | ISO 81060-2:2013 | Non-invasive sphygmomanometers<br>Part 2: Clinical investigation of<br>automated measurement type |
| Temp | ISO 80601-2-56:2009 | Medical electrical equipment<br>Part 2-56: Particular requirements for<br>basic safety and essential<br>performance of clinical thermometers<br>for body temperature measurement |
| | SpO2 | ISO 80601-2-61:2011 |
| Battery | | IEC 62133:2012 |
| Patient<br>Monitoring | IEC 60601-2-49:2011 | Medical electrical equipment |

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Part 2-49: Particular requirements for the basic safety and essential performance

#### Reference Devices

The Zoll R Series Monitor Defibrillator cleared in K120907 is used as a reference device, just as it was in the original K151071 clearance of SmartLinx Vitals Plus. The R Series incorporates the same SunTech Advantage A+ oscillometric OEM NIBP module and uses the same firmware built into the Advantage A+ to control automatic repetition of interval blood pressure measurements as the modified SmartLinx Vitals Plus Application of this submission.

The modified CASMED 740 Select device cleared in K150620 is also used as a reference device. The Exergen TAT-5000S thermometer was added to the 740 Select with this clearance, which removes the only significant difference from the modified Vitals Plus of this submission.

## Clinical Studies

The subiect of this premarket submission, the SmartLinx Vitals Plus Patient Monitoring System, did not require clinical studies to support substantial equivalence.

# Conclusions

Substantial equivalence of the SmartLinx Vitals Plus Patient Monitoring System is demonstrated through conformance with recognized consensus standards. The modifications to the SmartLinx Vitals Plus Patient Monitoring System results in an equivalent design, features and functionality as the predicate devices with few exceptions, and these exceptions do not affect the safety or effectiveness of the system.

No new questions of safety or effectiveness are raised as a result of the differences when compared to the predicate devices, and the data provided in the submission show that the subject device can be considered substantially equivalent.

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