The Oxiband Pulse Oximeter is a wrist pulse oximeter indicated for use in measuring, displaying, storing, and transmitting functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate for adult patients. It is intended for spot-check and/or continuous data collection, and not continuous monitoring. It can be used in sleep labs, long-term care, hospitals and home use.
Device Story
Wrist-worn pulse oximeter; measures SpO2 and pulse rate via external detachable sensor; utilizes dual light source (red/infrared) and photodetector to detect cyclic light absorption changes in arteriolar vascular bed; processes signals via MCU and SpO2 measurement circuit; displays results on OLED screen; stores and transmits data via Bluetooth; used in sleep labs, hospitals, long-term care, and home settings; operated by clinicians or patients; provides spot-check or continuous data collection; data used for pre-check screening; not for diagnostic or treatment decisions; not for continuous monitoring; not life-supporting/sustaining.
Clinical Evidence
No new clinical studies performed. Substantial equivalence supported by clinical data from reference predicate (K150869), which demonstrated SpO2 accuracy (ARMS 1.88) in steady-state conditions (70-100% range) per ISO 80601-2-61 and ISO 14155:2011. Subject device shares identical algorithm and sensor design with reference predicate.
Technological Characteristics
Wrist-worn pulse oximeter; OLED display; Bluetooth connectivity; internal rechargeable lithium-ion polymer battery; Type BF applied parts; external detachable SpO2 sensor; materials compliant with ISO 10993-1; non-sterile; dimensions 44mm x 25mm x 15mm; software level of concern: moderate.
Indications for Use
Indicated for adult patients for measuring, displaying, storing, and transmitting functional oxygen saturation (SpO2) and pulse rate. Intended for spot-check and continuous data collection; not for continuous monitoring. Use in sleep labs, long-term care, hospitals, and home settings.
Regulatory Classification
Identification
An oximeter is a device used to transmit radiation at a known wavelength(s) through blood and to measure the blood oxygen saturation based on the amount of reflected or scattered radiation. It may be used alone or in conjunction with a fiberoptic oximeter catheter.
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Shenzhen Viatom Technology Co., Ltd. % Vaibhav Rajal Official Correspondent for Shenzhen Viatom Technology Co., Ltd mdi Consultants, Inc. 55 Northern Blvd.. Suite 200 Great Neck, New York 11021
Re: K191088
Trade/Device Name: Oxiband (Checkme) O2 Pulse Oximeter Regulation Number: 21 CFR 870.2700 Regulation Name: Oximeter Regulatory Class: Class II Product Code: DOA Dated: October 31, 2019 Received: November 1, 2019
Dear Vaibhav Rajal:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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
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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
Todd Courtney Assistant Director DHT1C: Division of ENT, Sleep Disordered Breathing, Respiratory and Anesthesia Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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## Indications for Use
510(k) Number (if known) K191088
Device Name Oxiband (Checkme) O2 Pulse Oximeter
#### Indications for Use (Describe)
The Oxiband Pulse Oximeter is a wrist pulse oximeter indicated for use in measuring, displaying, storing and transmitting functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate for adult patients. It is intended for spot-check and/ or continuous data collection, and not continuous monitoring. It can be used in sleep labs, long-term care, hospitals and home use.
Type of Use (Select one or both, as applicable)
| <div><span style="font-size:14px">☒</span> Prescription Use (Part 21 CFR 801 Subpart D)</div> | <div><span style="font-size:14px">☐</span> Over-The-Counter Use (21 CFR 801 Subpart C)</div> |
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# 510(k) SUMMARY
#### 1. Submitter's Identification:
| Applicant: | Establishment Registration Number: 3011200896<br>Shenzhen Viatom Technology Co., Ltd<br>4E, Building 3, Tingwei Industrial Park, No.6 Liufang Road, Block 67<br>Xin'an Street, Baoan District, Shenzhen Guangdong, CHINA 518101<br>www.viatomtech.com |
|----------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact: | Zhou Saixin<br>General Manager<br>Shenzhen Viatom Technology Co., Ltd.<br>4E, Building 3, Tingwei Industrial Park, No.6 Liufang Road, Block 67<br>Xin'an Street, Baoan District, Shenzhen Guangdong, CHINA 518101<br>Phone: +86 755 86638929<br>Fax: +86 755 22649904<br>Email: zhousaixin@viatomtech.com |
| Prepared by: | Mr. Vaibhav Arvind Rajal<br>Regulatory Consultant<br>mdi Consultants, Inc.<br>Direct Tel. 201-887-3180<br>Phone- 516-482-9001<br>Fax- 516-482-0186<br>Email: vaibhav@mdiconsultants.com |
| Date Prepared: | November 25, 2019 |
# 2. Name of the Device:
Device Common Name: Pulse Oximeter Device Trade Name: Oxiband (Checkme) O2 Pulse Oximeter Model: Oxiband Regulation Number: 21 CFR 870.2700 Regulation Name: Oximeter Regulatory Class: II Product Code: DQA
## 3. Predicate Device information:
## 3.1 Primary Predicate Device
510(k) Number: K172366 Trade/ Device Name: Wrist Pulse Oximeter Regulation Number: 21 CFR 870.2700 Regulation Name: Oximeter
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Regulatory Class: II Product Code: DOA Manufacturer: Beijing Choice Electronic Technology Co., Ltd.
#### 3.2 Reference Predicate Device
510(k) Number: K150869 Trade/ Device Name: Checkme Pro Health Monitor Regulation Number: 21 CFR 870.2300 Regulation Name: Cardiac Monitor (Including Cardiotachometer and Rate Alarm) Regulatory Class: II Product Code: MWI Manufacturer: Shenzhen Viatom Technology Co., Ltd.
## 4. Device Description:
The Oxiband (Checkme) O2 Pulse Oximter is a lightweight, portable health wrist oximeter for use in sleep labs, long-term care, hospitals and home use. The device indicated for use in measuring, displaying, storing and transmitting functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate for adult patients. It is intended for spot-check and/ or continuous data collection, and not continuous monitoring.
The data and results provided by this device are for pre-check screening purpose only and cannot be directly used for diagnostic or treatment.
The device consists of main unit, SpO2 sensor, wristband and charging cable. The main unit is mainly composed of MCU, power management circuit, SpO2 measurement circuit, display control circuit, etc.
The device is powered by an internal battery. The device is not for life supporting or life sustaining, not for implant. The device or sensor is not sterile, the sensor does not need sterilization, and the sensor is reusable but does not need re-sterilization since it is not sterile. The device is for prescription. The device does not contain drug or biological products.
## 5. Indications for Use/ Intended Use:
The Oxiband Pulse Oximeter is a wrist pulse oximeter indicated for use in measuring, displaying, storing, and transmitting functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate for adult patients. It is intended for spot-check and/or continuous data collection, and not continuous monitoring. It can be used in sleep labs, long-term care, hospitals and home use.
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| Characteristics | Subject Device | Primary<br>Predicate Device | Reference<br>Predicate<br>Device | Substantial<br>Equivalence<br>or Difference |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Name of the<br>device | Oxiband<br>(Checkme) O2<br>Pulse Oximeter | Wrist Pulse<br>Oximeter<br>MD300W314B4 | Health Monitor<br>Checkme Pro | Substantially<br>Equivalent. |
| Manufacturer | Shenzhen<br>Viatom<br>Technology<br>Co., Ltd | Beijing Choice<br>Electronic<br>Technology Co.,<br>Ltd. | Shenzhen<br>Viatom<br>Technology<br>Co., Ltd | Substantially<br>Equivalent. |
| 510(K) Number | K191088 | K172366 | K150869 | Substantially<br>Equivalent. |
| Product code | 21 CFR<br>870.2700, DQA | 21 CFR<br>870.2700, DQA | 21 CFR<br>870.2300, MWI<br>Secondary<br>product codes:<br>21 CFR<br>870.2700, DQA<br>21 CFR<br>870.2340, DPS<br>21 CFR<br>880.2910, FLL<br>21 CFR<br>870.2300, DRT | Substantially<br>Equivalent. |
| Classification | II | II | II | Substantially<br>Equivalent. |
| Indication for<br>Use | The Oxiband<br>Pulse Oximeter<br>is a wrist pulse<br>oximeter<br>indicated for<br>use in<br>measuring,<br>displaying,<br>storing and<br>transmitting<br>functional<br>oxygen<br>saturation of<br>arterial<br>hemoglobin<br>(SpO2) and<br>pulse rate for<br>adult patients. It | The Wrist Pulse<br>Oximeter is a<br>wrist pulse<br>oximeter<br>indicated for use<br>in measuring,<br>displaying,<br>storing and<br>transmitting<br>functional<br>oxygen saturation<br>of arterial<br>hemoglobin<br>(SpO2) and pulse<br>rate for adult,<br>adolescent, child<br>and infant<br>patients. It is | The Checkme<br>Pro Health<br>Monitor is<br>intended to be<br>used for<br>measuring,<br>displaying,<br>reviewing and<br>storing of ECG<br>(adults only),<br>oxygen<br>saturation and<br>pulse rate<br>(adults only for<br>continuous data<br>collection and<br>recording,<br>adults and | Compared<br>with Primary<br>Predicate<br>Device:<br>Both the<br>subject device<br>and the<br>primary<br>predicate<br>device have<br>same IFU<br>including<br>measuring,<br>displaying,<br>storing and<br>transmitting of<br>pulse oxygen<br>saturation |
| is intended for | intended for spot- | pediatrics for | (SpO2) and Pulse Rate. | |
| spot-check and/<br>or continuous<br>data collection,<br>and not<br>continuous<br>monitoring. It<br>can be used in<br>sleep labs, long-<br>term care,<br>hospitals and<br>home use. | check and/ or<br>data collection,<br>recording and<br>transmitting. It<br>can be used in<br>sleep labs, long-<br>term care,<br>hospitals and<br>home use. | spot-checking)<br>and temperature<br>in the home or<br>in healthcare<br>facilities.<br>This device is<br>not intended to<br>substitute for a<br>hospital<br>diagnostic ECG<br>device and not<br>to be used on<br>patients with<br>implanted<br>cardiac devices,<br>such as<br>pacemakers<br>and/or<br>implanted<br>cardio-<br>defibrillators<br>(ICDs). | Both the<br>devices are<br>wrist pulse<br>oximeter.<br>The subject<br>device is used<br>for adult<br>patients<br>whereas the<br>predicate<br>device is used<br>in a wider<br>range of<br>patient<br>population like<br>adult,<br>adolescent,<br>child and<br>infant patients<br><br>The subject<br>device is used<br>for spot-check<br>or continuous<br>data collection,<br>and not<br>continuous<br>monitoring<br>whereas the<br>primary<br>predicate<br>device is<br>intended for<br>spot-check<br>and/ or data<br>collection. The<br>primary<br>predicate<br>device is also<br>not used for<br>continuous<br>monitoring, so<br>they are<br>substantially | |
# 6.Comparison to the 510(k) Cleared Devices (Predicate Devices):
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| | | different<br>expression. |
|--|--|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | | <b>Compared<br/>with<br/>Reference<br/>Predicate<br/>Device:</b><br>Both the<br>subject device<br>and the<br>reference<br>predicate<br>device have<br>similar<br>function<br>including<br>measuring,<br>displaying,<br>storing and<br>transmitting of<br>pulse oxygen<br>saturation<br>(SpO2) and<br>Pulse Rate.<br>The reference<br>predicate<br>device is a<br>Cardiac<br>Monitor and<br>has more<br>function (such<br>as ECG and<br>Temperature).<br>The ECG,<br>Temperature<br>and SpO2 are<br>separate<br>function in<br>reference<br>predicate<br>device, so the<br>ECG and<br>Temperature<br>functions do<br>not affect the<br>SpO2 and |
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| | | | | Pulse Rate<br>accuracy, the<br>differences<br>will not raise<br>new questions<br>of safety and<br>effectiveness.<br><br>The subject<br>device is used<br>for spot-check<br>or continuous<br>data collection,<br>and not<br>continuous<br>monitoring in<br>adults whereas<br>the reference<br>predicate<br>device is used<br>in adults only<br>for continuous<br>data collection<br>and recording,<br>adults and<br>pediatrics for<br>spot-checking .<br>The reference<br>predicate<br>device is also<br>not used for<br>continuous<br>monitoring, the<br>subject device<br>is based ob the<br>reference<br>predicate<br>device, so they<br>are<br>substantially<br>equivalent, just<br>different<br>expression. | | | Predicate<br>Device: |
|--------------|-------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|--|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Rx or OTC | Rx | Rx | Rx | Substantially<br>Equivalent. | | | The subject<br>device is used<br>for adult<br>patients<br>whereas the<br>predicate<br>device is used<br>in a wider<br>range of<br>patient<br>population like<br>adult,<br>adolescent,<br>child and<br>infant patients.<br>The<br>differences<br>does not affect<br>the safety and<br>effectiveness<br>of the subject<br>device. |
| Patient type | Adult | Adult,<br>Adolescent, Child<br>and Infant | Adult and<br>pediatric | Compared<br>with Primary | | | Compared<br>with<br>Reference<br>Predicate<br>Device: |
| | | The subject<br>device is used<br>for adult<br>patients<br>whereas the<br>reference<br>predicate<br>device is used<br>in a wider<br>range of<br>patient types<br>like adults and<br>pediatric<br>patients. tTe<br>differences<br>does not affect<br>the safety and<br>effectiveness | | | | | |
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| | | | | of the subject<br>device. | SpO2 display<br>range | 0%-100% | 70%-100% | 0%-100% | Compared<br>with Primary<br>Predicate<br>Device:<br>The subject<br>device has a<br>wider SpO2<br>display range<br>of 0% to 100%<br>whereas the<br>predicate<br>device SpO2<br>range is 70%<br>to 100%. The<br>SpO2 display<br>range of<br>subject device<br>meets the<br>requirements<br>of the ISO<br>80601-2-61<br>and the FDA<br>Guidance of<br>pulse<br>oximeter-<br>premarket<br>notification<br>issued on<br>March 4, 2013,<br>so the<br>difference does<br>not affect the<br>safety and<br>effectiveness<br>of the Subject<br>device. |
|------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------|-------------------------------------------------|----------------------------------------|----------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Design principle | The subject<br>device design is<br>based on the<br>reference<br>predicate device<br>(Checkme Pro<br>Health<br>Monitor), so<br>they use the<br>same design<br>principle. | The device uses<br>pulse oximetry<br>technology to<br>measure<br>functional<br>oxygen saturation<br>in the blood.<br>Pulse oximetry<br>works by<br>applying a sensor<br>to a pulsating<br>arteriolar vascular<br>bed, such as a<br>finger. The sensor<br>contains a dual<br>light source and a<br>photo detector.<br>Bone, tissue,<br>pigmentation, and<br>venous vessels<br>normally absorb a<br>constant amount<br>of light over time.<br>The arteriolar bed<br>normally pulsates<br>and absorbs<br>variable mounts<br>of light during<br>the pulsations.<br>The ratio of light<br>absorbed is<br>translated into a<br>measurement of<br>functional<br>oxygen saturation<br>(SpO2). | The device uses<br>pulse oximetry<br>technology to<br>measure<br>functional<br>oxygen<br>saturation in the<br>blood. Pulse<br>oximetry works<br>by applying a<br>sensor to a<br>pulsating<br>arteriolar<br>vascular bed,<br>such as a finger.<br>The sensor<br>contains a dual<br>light source and<br>a photo<br>detector. Bone,<br>tissue,<br>pigmentation,<br>and venous<br>vessels<br>normally absorb<br>a constant<br>amount of light<br>over time. The<br>arteriolar bed<br>normally<br>pulsates and<br>absorbs variable<br>mounts of light<br>during the<br>pulsations. The<br>ratio of light<br>absorbed is<br>translated into a<br>measurement of<br>functional<br>oxygen<br>saturation<br>(SpO2). | Substantially<br>Equivalent. | SpO2<br>measurement<br>accuracy | 70%-100%:<br>±2%<br>(Arms:1.88)<br>70%-80%: ±3% | 70%-100%: ±2%;<br><70%:<br>unspecified | External sensor<br>70%-100%:<br>±2%<br>(Arms:1.88) | Compared<br>with<br>Reference<br>Predicate<br>Device:<br>Substantially<br>Equivalent.<br>Compared<br>with Primary<br>Predicate<br>Device: |
| Intended<br>application site | Finger | Finger | Finger | Substantially<br>Equivalent. | | | | | |
| Work mode | Spot-check and<br>Continuous data<br>collection. The<br>device is not<br>used for<br>continuous<br>monitoring. | Spot-check | Adults for Spot-<br>check and<br>Continuous<br>Pediatrics for<br>Spot-check | Compared<br>with Primary<br>Predicate<br>Device:<br>The subject<br>device has<br>spot-check and<br>continuous<br>data collection<br>work mode<br>whereas the<br>primary<br>predicate<br>device just has<br>spot check<br>mode. The<br>subject device<br>continuous<br>work mode is<br>based on the<br>reference<br>predicate<br>device. The<br>subject device<br>meets the<br>requirements<br>of the ISO<br>80601-2-61<br>and the FDA<br>Guidance of<br>pulse<br>oximeter-<br>premarket<br>notification<br>issued on<br>March 4, 2013<br>so the<br>difference<br>doesn't affect<br>the safety and<br>effectiveness<br>of the Subject<br>device. | | | | | |
| | | | | Predicate<br>Device:<br>Both the<br>subject device<br>and the<br>predicate<br>device are used<br>in adults for<br>Continuous<br>and Spot-check.<br>The subject<br>device and the<br>reference<br>predicate<br>devices are<br>Substantially<br>Equivalent. | | | | | |
| Sensor type | External<br>detachable SpO2<br>sensor | External<br>detachable SpO2<br>sensor | Integrated and<br>External<br>detachable SpO2<br>sensor | Compared<br>with Primary<br>Predicate<br>Device:<br>Substantially<br>Equivalent.<br>Compared<br>with<br>Reference<br>Predicate<br>Device:<br>The reference<br>predicate<br>device uses<br>both integrated<br>and external<br>detachable<br>SpO2 sensors.<br>The subject<br>device external<br>detachable<br>SpO2 sensor are<br>substantially<br>equivalent to<br>the external<br>detachable<br>SpO2 sensor of<br>the reference<br>predicate<br>device. | | | | | |
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| | 80%-90%: ±2%<br>90%-100%:<br>±2%<br>0%-69%: not<br>defined | | 70%-80%: ±3%<br>80%-90%: ±2%<br>90%-100%:<br>±2%<br>0%-69%: not<br>defined | The SpO2<br>measurement<br>accuracy of the<br>subject device<br>is similar to the<br>SpO2<br>measurement<br>accuracy for<br>the primary<br>predicate<br>device. The<br>SpO2<br>measurement<br>accuracy of<br>subject device<br>meets the<br>requirements<br>of the ISO<br>80601-2-61, so<br>the difference<br>does not affect<br>the safety and<br>effectiveness<br>of the subject<br>device.<br><br>Compared<br>with<br>Reference<br>Predicate<br>Device:<br>Substantially<br>Equivalent. |
|------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|----------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| SpO2 resolution | 1% | 1% | 1% | Substantially<br>Equivalent. |
| Pulse rate<br>measurement<br>range | 30 bpm~250<br>bpm | 30 bpm~250 bpm | 30 bpm~250 bpm | Substantially<br>Equivalent. |
| Pulse rate<br>accuracy | ±2bpm or ±2%<br>(whichever is<br>greater) | 30-99bpm,<br>±2bpm;<br>100-250bpm,<br>±2% | ±2bpm or ±2%<br>(whichever is<br>greater) | Compared<br>with Primary<br>Predicate<br>Device:<br>The Pulse rate<br>accuracy of<br>subject device<br>is similar to the<br>pulse rate |
| | | | | the predicate<br>device. The<br>pulse rate<br>accuracy of<br>subject device<br>meets the<br>requirements<br>of the ISO<br>80601-2-61, so<br>the difference<br>does not affect<br>the safety and<br>effectiveness<br>of the subject<br>device. |
| | | | | Compared<br>with<br>Reference<br>Predicate<br>Device: |
| | | | | Substantially<br>Equivalent. |
| Pulse rate<br>resolution | 1bpm | 1bpm | 1bpm | Substantially<br>Equivalent. |
| Type, Degree of<br>protection<br>against electric<br>shock | Internal electric<br>power supply;<br>Type BF<br>applied parts. | Internal electric<br>power supply;<br>Type BF applied<br>parts. | Internal electric<br>power supply;<br>Type BF<br>applied parts. | Substantially<br>Equivalent. |
| Power supply | Lithium<br>rechargeable<br>battery | Lithium<br>rechargeable<br>battery | Lithium<br>rechargeable<br>battery | Substantially<br>Equivalent. |
| Display screen | OLED | OLED | LCD | Compared<br>with Primary<br>Predicate<br>Device:<br>Substantially<br>Equivalent.<br>Compared<br>with<br>Reference<br>Predicate<br>Device:<br>The subject |
| | | | | OLED screen<br>whereas the<br>reference<br>predicate<br>device has an<br>LCD screen.<br>The subject<br>device together<br>with the OLED<br>meets the<br>requirements<br>of the IEC<br>60601-1, IEC<br>60601-1-11,<br>ISO 80601-2-<br>61 and IEC<br>60601-1-2.<br>The difference<br>does not affect<br>the safety and<br>effectiveness<br>of the subject<br>device. |
| Wireless | Bluetooth | Bluetooth | Bluetooth | Substantially<br>Equivalent. |
| Storage data | Yes | Yes | Yes | Substantially<br>Equivalent. |
| Physical<br>dimension(mm) | 44 mm (L) × 25<br>mm (W) × 15<br>mm (H) | 67 mm (L) × 66<br>mm (W) × 28<br>mm (H) | 88mm (L)<br>x56mm (W)<br>x13mm (H) | Compared<br>with Primary<br>Predicate<br>Device and<br>Reference<br>Predicate<br>Device:<br>The physical<br>dimension of<br>subject device<br>is smaller than<br>both, the<br>predicate<br>device and the<br>reference<br>predicate<br>device. The<br>subject device<br>meets the<br>requirements<br>of mechanical |
| | | | | test in IEC<br>60601-1, IEC<br>60601-1-11<br>and ISO<br>80601-2-61.<br>The difference<br>does not affect<br>the safety and<br>effectiveness<br>of the Subject<br>device. |
| Operating<br>temperature | 5°C~40°C | 5°C~40°C | 5°C~45°C | Compared<br>with Primary<br>Predicate<br>Device:<br>Substantially<br>Equivalent.<br><br>Compared<br>with<br>Reference<br>Predicate<br>Device:<br>The operating<br>temperature of<br>the subject<br>device is same<br>as the primary<br>predicate<br>device. The<br>reference<br>predicate<br>device has a<br>wider range of<br>operating<br>temperature,<br>which includes<br>the operating<br>temperature<br>range of the<br>subject device.<br>The subject<br>device meets<br>the<br>requirements<br>of the IEC<br>60601-1, IEC<br>60601-1-11 |
| | | | | |
| Storage and<br>transportation<br>temperature | -25°C~70°C | -25°C~70°C | -25°C~70°C | and ISO<br>80601-2-61.<br>The difference<br>does not affect<br>the safety and<br>effectiveness<br>of the subject<br> |
| Relative<br>humidity | 10%~95% | <93%, no<br>condensation | 10%~95% | Compared<br>with Primary<br>Predicate<br>Device:<br>The relative<br>humidity of the<br>subject device<br>is similar to the<br>predicate<br>device and is<br>same as the<br>reference<br>predicate<br>device. The<br>subject meets<br>the<br>requirements<br>of the IEC<br>60601-1, IEC<br>60601-1-11<br>and ISO<br>80601-2-61, so<br>the difference<br>does not affect<br>the safety and<br>effectiveness<br>of the subject<br>device.<br>Compared<br>with<br>Reference<br>Predicate<br>Device:<br>Substantially<br>Equivalent |
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{16}------------------------------------------------
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{18}------------------------------------------------
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| Atmospheric<br>pressure | 70kPa~106kPa | 70kPa~106kPa | 70kPa~106kPa | Substantially<br>Equivalent. |
|-------------------------------------------------|-----------------------------|-----------------------------|-----------------------------|------------------------------|
| Contacting<br>duration | Less than 24h | Less than 24h | Less than 24h | Substantially<br>Equivalent. |
| Contacting type | Skin surface-<br>contacting | Skin surface-<br>contacting | Skin surface-<br>contacting | Substantially<br>Equivalent. |
| Biocompatibility<br>of patient<br>contact parts | Comply with<br>ISO10993-1 | Comply with<br>ISO10993-1 | Comply with<br>ISO10993-1 | Substantially<br>Equivalent. |
#### Discussion of Similarities and Differences between Subject and Predicate Devices:
The aforementioned table provides a more detailed comparison of all the characteristic and parameters of the subject device and both the predicate devices. The subject device and the predicate devices all use the same design principle to measure the SpO2 and Pulse Rate. It is based on the below two basic principles:
- Oxygenated hemoglobin (HbO2) and deoxygenated hemoglobin (Hb) have different . absorption characteristic to red and infrared light;
- The light absorption by the blood (Hb and HbO2) is cyclic changing by the periodic . pulsations of the arterial blood volume during each heartbeat.
The subject device and both the predicate devices are Substantially Equivalent based on the following similar technological elements:
- 1. The Subject device is designed based on our own 510k cleared reference Predicate device. The subject device and both the predicate device and reference predicate device are substantially equivalent with respect to theory, critical component, algorithm and technical specification.
- 2. The subject device and both the predicate device are not used for continuous monitoring.
- 3. The SpO2 display range for the subject device is broader than the primary predicate device but is identical to the reference predicate device. In addition, SpO2 measurement accuracy over a range of 70% - 100% is identical to subject device and both the predicate device and the reference predicate device.
- 4. The subject device and both the predicate device and reference predicate device are identical for features like SpO2 resolution, Pulse rate measurement range and the Pulse rate resolution.
- 5. The subject device and both the predicate device have an internal rechargeable lithium ion polymer battery as the power sources for the devices. The Degree of protection against electric shocks is substantially equivalent too.
- 6. The subject device and both the predicate device have a Bluetooth feature for transmission and storage of data. All the devices use an external detachable SpO2
{20}------------------------------------------------
sensor for measurement.
- 7. The operating and storage environment of the Subject device and the Predicate devices are substantially equivalent.
- 8. Use of patient contact materials which have been tested to compile with the same standard of ISO 10993 for the category of surface device, intact skin contact and limited contact duration (< 24 hours).
The subject device and both the predicate devices are Substantially Equivalent based on the similar technological elements except:
- 1. The subject device is used for spot-check in adult patients. The measuring mode for the predicate device is spot check in adult, adolescent, child and infant population whereas the reference predicate device has both continuous and spot checking mode. For the reference, predicate device the continuous mode is for adults only and spotchecking mode is for adult and pediatrics.
- 2. The subject device is used in adult population only, which is within the patient type range of both the predicate devices. The primary predicate device is used in adult, adolescent, child and infant whereas the reference predicate device is used in adult and pediatric population.
- 3. The Pulse rate accuracy of the subject device is slightly different compared with primary predicate device but is identical to reference predicate device.
- 4. The subject device has an external detachable sensor, which is substantially equivalent to the primary predicate device external detachable sensor. The reference predicate device uses both the integrated and external detachable SpO2 sensors. The reference predicate device external SpO2 sensor is substantially equivalent to the subject device.
- 5. The relative humidity of the subject device is slightly different compared with primary predicate device but is identical to reference predicate device
- 6. The physical dimension of the subject device is different from the physical dimension of the predicate devices.
Based on the aforementioned substantial equivalence discussion between the subject device and the predicate device, these different technological characteristics of Subject device does not raise new risk for the safety and…
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