← Product Code [DQA](/submissions/CV/subpart-c%E2%80%94cardiovascular-monitoring-devices/DQA) · K132696

# TRUSIGNAL SPO2 ADULT AND PEDIATRIC ADHESIVE WRAP DISPOSABLE SENSOR (K132696)

_GE Healthcare Finland Oy · DQA · Sep 27, 2013 · Cardiovascular · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/AN/subpart-c%E2%80%94cardiovascular-monitoring-devices/DQA/K132696

## Device Facts

- **Applicant:** GE Healthcare Finland Oy
- **Product Code:** [DQA](/submissions/CV/subpart-c%E2%80%94cardiovascular-monitoring-devices/DQA.md)
- **Decision Date:** Sep 27, 2013
- **Decision:** SESE
- **Submission Type:** Special
- **Regulation:** 21 CFR 870.2700
- **Device Class:** Class 2
- **Review Panel:** Cardiovascular
- **Attributes:** Pediatric

## Indications for Use

TS-AAW-10 and TS-AAW-25 The Disposable Sensor is a single-patient use sensor intended for continuous non-invasive arterial oxygen saturation (SpO2) and pulse rate monitoring. Patient weight range: > 20 kg (>44 pounds) TS-PAW-10 and TS-PAW-25 The Disposable Sensor is a single-patient use sensor intended for continuous non-invasive arterial oxygen saturation (SpO2) and pulse rate monitoring. Patient weight range: 3-20 kg (6.6-44 pounds)

## Device Story

TruSignal SpO2 Adult and Pediatric Disposable Sensors are single-patient use pulse oximetry sensors; used with standalone oximeters or modular patient monitors. Sensors contain LEDs (multiple wavelengths) and a photodetector; detect light attenuated by tissue. Resistor encodes LED wavelength for monitor calibration. Used in clinical settings (including step-down units); operated by healthcare professionals. Output (SpO2 and pulse rate) displayed on monitor; assists clinicians in patient status assessment and decision-making. Benefits include continuous, non-invasive monitoring of oxygenation and heart rate.

## Clinical Evidence

Clinical verification performed via induced hypoxia studies on healthy adult volunteers (ages 19-31). Measured arterial hemoglobin saturation compared to CO-oximeter values. Results showed A_RMS < 2% during steady-state conditions (70-100% SpO2). Pediatric sensor equivalence supported by identical materials and electro-optical components to the adult sensor.

## Technological Characteristics

Disposable pulse oximetry sensors; LED light source and photodetector; resistor-based wavelength encoding. Complies with IEC 60601-1, IEC 60601-1-2, ISO 9919, ISO 10993-1, IEC 60601-1-6, and IEC 62366. Connects to monitors via interconnect cables (TS-G3, TS-M3, TS-H3, TS-N3).

## Regulatory 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.

## Predicate Devices

- TruSignal SpO2 Allfit Sensor ([K093881](/device/K093881.md))

## Submission Summary (Full Text)

> This content was OCRed from public FDA records by [Innolitics](https://innolitics.com). If you use, quote, summarize, crawl, or train on this content, cite Innolitics at https://innolitics.com.
>
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K132 bab

Image /page/0/Picture/1 description: The image shows the General Electric (GE) logo. The logo consists of the letters "g" and "e" intertwined within a circular border. The logo is in black and white.

GE Healthcare Finland Oy
Kuortaneenkatu 2, P.O. Box 900 ビ
Finland
T: +358 10 39411
T: +358 10 39411
F: +358 10 39411
F: +358 9 1463310

## 510(k) Summary

In accordonce with 21 CFR 807.92 the following summary of information is provided:

| Date:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | September 27, 2013                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Owner/Submitter:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   | GE Healthcare Finland Oy<br>Kuortaneenkatu 2<br>FIN-00510 Helsinki, Finland                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
| Primary Contact Person:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            | Joel Kent<br>Manager, Quality and Regulatory Affairs<br>GE Healthcare<br>Phone: 781-449-8685<br>Fax: 781-433-1344<br>E-mail: joel.kent@ge.com                                                                                                                                                                                                                                                                                                                                                                                                               |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
| Secondary Contact Person:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          | Rauno Ruoho<br>Regulatory Affairs Manager<br>GE Healthcare Finland Oy<br>Kuortaneenkatu 2<br>00510 Helsinki<br>Finland<br>Phone: + 358 10 394 3624<br>Fax: +358-92726532<br>E-mail: Rauno.ruoho@ge.com                                                                                                                                                                                                                                                                                                                                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
| Device names (807.92(a)(2)):                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | Device Trade Name:<br>TruSignal® SpO2 Adult and Pediatric Adhesive Wrap Disposable<br>Sensors                                                                                                                                                                                                                                                                                                                                                                                                                                                               |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | Common/Usual Name:<br>Pulse Oximeter Sensors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | Classification Names:<br>21 CFR 870.2700 Oximeter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
| Product Code:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      | DOA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
| Predicate Device(s)<br>(807.92(a)(3)):                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | TruSignal SpO2 Allfit Sensor cleared in K093881 TruSignal® Sensors<br>and Interconnect Cables                                                                                                                                                                                                                                                                                                                                                                                                                                                               |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
| Device Description<br>(807.92(a)(4)):                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | The TruSignal SpO2 Adult and Pediatric Disposable Sensors are used<br>together with standalone oximeters or modular patient monitors to<br>measure continuous non-invasive arterial oxygen saturation (SpO2)<br>and pulse rate monitoring.                                                                                                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | The sensors are to be connected to a device using an interconnect<br>cable TS-G3, TS-M3, TS-H3 or TS-N3 (cleared in K093881). The<br>interconnect cable type depends on the monitor end connector of<br>the device.                                                                                                                                                                                                                                                                                                                                         |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | The sensors contain light emitting diodes (LEDs) that emit light of<br>different wavelengths. The sensors also contain a photodetector for<br>detecting the emitted light after it has been attenuated by tissue. The<br>sensors further contain a resistor, which is used to encode the<br>wavelength of the LEDs used in the sensor. The resistor value is read<br>by the monitor to determine the calibration curve used for that<br>specific sensor.                                                                                                    |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
| Intended Use (807.92(a)(5):                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        | TS-AAW-10 and TS-AAW-25<br>The Disposable Sensor is a single-patient use sensor intended for<br>continuous non-invasive arterial oxygen saturation (SpO2) and pulse<br>rate monitoring. Patient weight range: > 20 kg (>44 pounds)<br>TS-PAW-10 and TS-PAW-25                                                                                                                                                                                                                                                                                               |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | The Disposable Sensor is a single-patient use sensor intended for<br>continuous non-invasive arterial oxygen saturation (SpO2) and pulse<br>rate monitoring. Patient weight range: 3-20 kg (6.6-44 pounds)                                                                                                                                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
| Technology<br>(807.92(a)(6)):                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      | The TruSignal SpO2 Adult and Pediatric Disposable Sensors employ<br>the same fundamental scientific technology as their predicate device<br>TruSignal SpO2 Allfit Sensor K093881.                                                                                                                                                                                                                                                                                                                                                                           |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | The following is an overview of the differences between the proposed<br>TruSignal SpO2 Adult and Pediatric Disposable Sensors and the<br>predicate device:                                                                                                                                                                                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | Patient Population Equivalent to the predicate device:  Patient weight range has been changed from all patients of the predicate device to 3-20 kg (6.6-44 pounds) of the TS-PAW proposed device and > 20 kg (>44 pounds) of the TS-AAW proposed device. Applicable Electromagnetic Compatibility, Electrical safety, Usability, biocompatibility, engineering verification tests (such as cleaning, and material durability) and clinical performance testing test report show that the proposed device is as safe and effective as the predicate K093881. |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
| Anatomical Sites<br>Equivalent to the predicate device:<br>Palm of the hand and side of the foot excluded from<br>0<br>the application sites.<br>Applicable Electromagnetic Compatibility, Electrical<br>0<br>safety, Usability, biocompatibility, engineering<br>verification tests (such as cleaning, and material<br>durability) and clinical performance testing test report<br>show that the proposed device is as safe and<br>effective as the predicate K093881<br>Environment of Use<br>Step down units added to the list of environments of<br>o<br>use of the proposed device. ESU removed from the list<br>of environments of use of the proposed device.<br>Applicable Electromagnetic Compatibility, Electrical<br>O<br>safety, Usability, biocompatibility, engineering<br>verification tests (such as cleaning, and material<br>durability) and clinical performance testing test report<br>show that the proposed device is as safe and<br>effective as the predicate K093881.<br>Sensor head<br>Geometry and dimensions<br>0<br>TS-AAW-10 and TS-AAW-25: Identical to the predicate<br>0<br>device.<br>TS-PAW-10, TS-PAW-25: Equivalent to the predicate<br>O<br>device:  Geometry is identical to the predicate device.<br>The distance of the optical components have been<br>changed to be slightly less compared to the predicate<br>device to better fit the finger of the smaller pediatric<br>patients.<br>Applicable Electromagnetic Compatibility, Electrical<br>O<br>safety, Usability, biocompatibility, engineering<br>verification tests (such as cleaning, and material<br>durability) and clinical performance testing test report |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
| show that the proposed device is as safe and<br>effective as the predicate K093881.<br>Equivalent to the predicate device in terms of<br>Materials<br>intended use.<br>Applicable Electromagnetic Compatibility, Electrical<br>o<br>safety, Usability, biocompatibility, engineering<br>verification tests (such as cleaning, and material<br>durability) and clinical performance testing test report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | show that the proposed device is as safe and<br>effective as the predicate K093881.                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | Electro-optical components Equivalent to the predicate<br>device:<br>•                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | • Identical LEDs, detector and leadframes. The color of<br>the sensor head have been changed from light pink<br>of the predicate device to white of the proposed<br>device.                                                                                                                                                                                                                                                                                                                                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | • Applicable Electromagnetic Compatibility, Electrical<br>safety, Usability, biocompatibility, engineering<br>verification tests (such as cleaning, and material<br>durability) and clinical performance testing test report<br>show that the proposed device is as safe and<br>effective as the predicate K093881.                                                                                                                                                                                                                                         |…

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**Source:** [https://fda.innolitics.com/submissions/AN/subpart-c%E2%80%94cardiovascular-monitoring-devices/DQA/K132696](https://fda.innolitics.com/submissions/AN/subpart-c%E2%80%94cardiovascular-monitoring-devices/DQA/K132696)

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