← Product Code [MHX](/submissions/CV/subpart-b%E2%80%94cardiovascular-diagnostic-devices/MHX) · K062392 # PHILIPS MP5 INTELLIVUE PATIENT MONITOR (K062392) _Philips Medizin Systeme Boeblingen GmbH · MHX · Sep 6, 2006 · Cardiovascular · SESE_ **Canonical URL:** https://fda.innolitics.com/submissions/CV/subpart-b%E2%80%94cardiovascular-diagnostic-devices/MHX/K062392 ## Device Facts - **Applicant:** Philips Medizin Systeme Boeblingen GmbH - **Product Code:** [MHX](/submissions/CV/subpart-b%E2%80%94cardiovascular-diagnostic-devices/MHX.md) - **Decision Date:** Sep 6, 2006 - **Decision:** SESE - **Submission Type:** Special - **Regulation:** 21 CFR 870.1025 - **Device Class:** Class 2 - **Review Panel:** Cardiovascular - **Attributes:** Pediatric ## Indications for Use Indicated for use by health care professionals whenever there is a need for monitoring the physiological parameters of patients. Intended for monitoring and recording of and to generate alarms for multiple physiological parameters of adults, pediatrics and neonates in hospital environments. The MP5 is also intended for use in transport situations within hospital environments. ## Device Story Philips MP5 IntelliVue Patient Monitor is a multi-parameter physiological monitor; collects data via sensors/electrodes (ECG, blood pressure, oximetry, capnography, etc.); processes signals to provide real-time monitoring, recording, and alarm generation; used by healthcare professionals in hospital settings and during intra-hospital transport. Output displayed on integrated screen for clinical review; assists clinicians in patient status assessment and decision-making; provides continuous surveillance to improve patient safety. ## Clinical Evidence Bench testing only. Verification and validation activities included system-level tests, performance tests, and safety testing based on hazard analysis. Results demonstrated that the device meets all reliability requirements and performance specifications equivalent to the predicate devices. ## Technological Characteristics Multi-parameter physiological monitor; supports ECG, blood pressure, oximetry, capnography, and other physiological measurements. Features integrated alarm system, signal conditioning, and network communication capabilities. Designed for hospital and transport use. Software-based processing for arrhythmia detection, ST-segment monitoring, and physiological data analysis. ## Regulatory Identification The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to produce a visible or audible signal or alarm when atrial or ventricular arrhythmia, such as premature contraction or ventricular fibrillation, occurs. ## Special Controls *Classification.* Class II (special controls). The guidance document entitled “Class II Special Controls Guidance Document: Arrhythmia Detector and Alarm” will serve as the special control. See § 870.1 for the availability of this guidance document. ## Predicate Devices - Philips MP30 IntelliVue Patient Monitor ([K041235](/device/K041235.md), [K042845](/device/K042845.md), [K050141](/device/K050141.md), [K051106](/device/K051106.md), [K052801](/device/K052801.md), [K052961](/device/K052961.md), [K053522](/device/K053522.md), [K060221](/device/K060221.md), [K060541](/device/K060541.md), [K061052](/device/K061052.md)) - Philips Multi-Parameter Module M3001A ([K020531](/device/K020531.md), [K030973](/device/K030973.md), [K033715](/device/K033715.md)) - Philips M3014A Capnography Measurement Server Extension ([K050762](/device/K050762.md), [K060221](/device/K060221.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. > > Innolitics is a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices, including [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/). {0}------------------------------------------------ ## 510 (k) Summary This summary of 510(k) safety and effectiveness information is submitted in accordance with the requirements of the Safe Medical Devices Act of 1990 and 21 C.F.R. §807.92. SEP - 1 2006 1. The submitter of this premarket notification is: Markus Stacha Philips Medizin Systeme Boeblingen GmbH Hewlett-Packard-Str. 2 D-71034 Boeblingen, Germany Tel: ++49 7031 463-2840 Fax: ++49 7031 463-2442 e-mail: markus.stacha@philips.com This summary was prepared on August 14, 2006. 2. The names of the device is the Philips MP5 IntelliVue Patient Monitor Classification names are as follows: | Device Panel | Classification | ProCode | Description | |---------------------------|----------------|---------|-----------------------------------------------------------------------------| | Cardiovascular
Devices | \$870.1025, II | DSI | Detector and alarm, arrhythmia | | | \$870.1025, II | MLD | Monitor, ST Segment with Alarm | | | \$870.1025, II | MHX | Monitor, Physiological, Patient
(with arrhythmia detection or
alarms) | | | \$870.1100, II | DSJ | Alarm, Blood Pressure | | | \$870.1110, II | DSK | Computer, Blood Pressure | | | \$870.1130, II | DXN | System, Measurement, Blood-
Pressure, Non-Invasive | | | \$870.1435, II | DXG | Computer, Diagnostic, Pre-
Programmed, Single-Function | | | \$870.1915, II | KRB | Probe, Thermodilution | | | \$870.2060, II | DRQ | Amplifier and Signal
Conditioner, Transducer Signal | | | \$870.2300, II | DRT | Monitor, Cardiac (incl.
Cardiotachometer & Rate Alarm) | | | \$870.2340, II | DPS | Electrocardiograph | | | \$870.2340, II | MLC | Monitor, ST Segment | | | \$870.2350, II | DRW | Electrocardiograph, Lead
Switching Adapter | | | \$870.2370, II | KRC | Tester, Electrode, Surface,
Electrocardiograph | | | \$870.2600, I | DRJ | System, Signal Isolation | | | \$870.2700, II | DQA | Oximeter | | | \$870.2770, II | DSB | Plethysmograph, Impedance | | | \$870.2800, II | DSH | Recorder, Magnetic tape,
Medical | | | \$870.2810, I | DSF | Recorder, Paper Chart | | | \$870.2850, II | DRS | Extravascular Blood Pressure
Transducer | | | \$870.2900, I | DSA | Cable, Transducer and
Electrode, incl. Patient
Connector | | | | MSX | System, Network and
Communication, Physiological
Monitors | {1}------------------------------------------------ | Device Panel | Classification | ProCode | Description | |-------------------------------------------------|----------------|--------------------------------------------------------------------|------------------------------------------------------------------------------| | Anesthesiology
Devices | \$870.2910, II | DRG | Transmitters and Receivers,
Physiological Signal,
Radiofrequency | | | \$868.1400, II | CCK | Analyzer, Gas, Carbon Dioxide,
Gaseous-Phase | | | \$868.1500, II | CBQ | Analyzer, Gas, Enflurane,
Gaseous-Phase (Anesthetic
Concentration) | | | \$868.1500, II | NHO | Analyzer, Gas, Desflurane,
Gaseous-Phase (Anesthetic
Concentration) | | | \$868.1500, II | NHP | Analyzer, Gas, Sevoflurane,
Gaseous-Phase (Anesthetic
Concentration) | | | \$868.1500, II | NHQ | Analyzer, Gas, Isoflurane,
Gaseous-Phase (Anesthetic
Concentration) | | | \$868.1620, II | CBS | Analyzer, Gas, Halothane,
Gaseous-Phase (Anesthetic
Concentration) | | | \$868.1700, II | CBR | Analyzer, Gas, Nitrous Oxide,
Gaseous-Phase (Anesthetic
Concentration) | | | \$868.1720, II | CCL | Analyzer, Gas, Oxygen, Gaseous-
Phase | | | \$868.1880, II | BZC | Data calculator Pulmonary-
function | | | \$868.2375, II | BZQ | Monitor, Breathing Frequency | | \$868.2480, II | LKD | Monitor, Carbon Dioxide,
Cutaneous | | | \$868.2500, II | KLK | Monitor, Oxygen, Cutaneous, for
Infant not under Gas Anesthesia | | | General Hospital
and Personal Use
Devices | \$880.2910, II | FLL | Thermometer, Electronic,
Clinical | | Neurological
Devices | \$882.1400, II | GWR | Electroencephalograph | | | \$882.1420, I | GWS | Analyzer, Spectrum,
Electroencephalogram Signal | - 3. The modified device Philips MP5 IntelliVue Patient Monitor is substantially equivalent to previously cleared Philips MP30 IntelliVue Patient Monitor marketed pursuant to K041235, K042845, K050141, K051106, K052801, K052961, K052801, K053522, K060221, K060541, K061052, with Philips Multi-Parameter Module M3001A marketed pursuant to K020531, K030973, K033715 and its Philips M3014A Capnography Measurement Server Extension marketed pursuant to K050762 and K060221. - 4. The modification is the introduction of the model MP5 IntelliVue Patient Monitor. - 5. The modified device has the same intended use as the legally marketed predicate device. It is intended for the monitoring, recording, and alarming of multiple physiological parameters of adults, pediatrics, and neonates in hospital environment and during transport within hospital environments. {2}------------------------------------------------ - The modified device has the same technological characteristics 6. as the legally marketed predicate device. - 7. Verification, validation, and testing activities establish the performance, functionality, and reliability characteristics of the modified device with respect to the predicate. Testing involved system level tests, performance tests, and safety testing from hazard analysis. Pass/Fail criteria were based on the specifications cleared for the predicate device and test results showed substantial equivalence. The results demonstrate that the Philips MP5 IntelliVue Patient Monitor meets all reliability requirements and performance claims. 062392 > 3/3 {3}------------------------------------------------ Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three tail feathers. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle. ## DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service SEP - 1 2006 Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 Philips Medizin Systeme Boblingen GmbH c/o Ms. Linda Stone Philips Medical Systems 3000 Minuteman Road Andover, MA 01810 Re: K062392 Trade Name: MP5 Intellivue Patient Monitor Regulation Number: 21 CFR 870.1025 Regulation Name: Arrhythmia Detector and Alarm (including ST-segment measurement and alarm Regulatory Class: Class II (two) Product Code: MHX Dated: August 14, 2006 Received: August 16, 2006 Dear Ms. Stone: We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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. {4}------------------------------------------------ ## Page 2 - Ms. Linda Stone Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements s set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the ed tonic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device. to proceed to the market. If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html. Sincerely yours, Blymmerman for Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {5}------------------------------------------------ ## Indications for Use 510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________ Device Name: Philips MP5 IntelliVue Patient Monitor. Indications for Use: Indicated for use by health care professionals whenever there is a need for monitoring the physiological parameters of patients. Intended for monitoring and recording of and to generate alarms for multiple physiological parameters of adults, pediatrics and neonates in hospital environments. The MP5 is also intended for use in transport situations within hospital environments. Prescription Use yes______ AND/OR Over-The-Counter Use No (Part 21 CFR 801 Subpart D) (21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) Bremmer Division Sian-C Division of Cardiovascular Devices 510/k) Nur --- **Source:** [https://fda.innolitics.com/submissions/CV/subpart-b%E2%80%94cardiovascular-diagnostic-devices/MHX/K062392](https://fda.innolitics.com/submissions/CV/subpart-b%E2%80%94cardiovascular-diagnostic-devices/MHX/K062392) **Published by [Innolitics](https://innolitics.com)** — a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices. 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