Arm Blood Pressure Monitor, model OB30, OB31, OB32, OB33

K211532 · Yibin Junxin Electronics Technology Co., Ltd. · DXN · Jan 19, 2022 · Cardiovascular

Device Facts

• Record ID: K211532
• Device Name: Arm Blood Pressure Monitor, model OB30, OB31, OB32, OB33
• Applicant: Yibin Junxin Electronics Technology Co., Ltd.
• Product Code: DXN · Cardiovascular
• Decision Date: Jan 19, 2022
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.1130
• Device Class: Class 2

Intended Use

Arm Blood Pressure Monitor is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive oscillometric technique in which an inflatable cuff is wrapped around the arm of which the circumference includes 22 cm~36 cm.

Device Story

Arm Blood Pressure Monitor (models OB30, OB31, OB32, OB33) is a battery-powered, automatic, non-invasive device for measuring systolic/diastolic blood pressure and pulse rate. It uses an oscillometric technique with an inflatable upper arm cuff. The device automatically manages inflation, deflation, and measurement cycles. Users can select units (mmHg or kPa) and review stored data on an LCD screen. Intended for adult use in home or clinical settings. The device provides objective blood pressure and pulse readings to assist healthcare providers or patients in monitoring cardiovascular status. It is provided non-sterile.

Clinical Evidence

Clinical performance testing conducted per ISO 81060-2 with 85 adult subjects (aged 22-81; 52.9% male, 47.1% female). Results met both criterion 1 and criterion 2 of ISO 81060-2. No adverse effects or complications reported. Accuracy is independent of race/ethnicity.

Technological Characteristics

Battery-powered (4x1.5V AAA); oscillometric sensing; LCD display; upper arm cuff (22-36cm). Complies with IEC 60601-1, IEC 60601-1-11, IEC 80601-2-30 (safety), IEC 60601-1-2 (EMC), and ISO 10993 (biocompatibility). Software level of concern: moderate.

Indications for Use

Indicated for adult individuals requiring non-invasive measurement of systolic and diastolic blood pressure and pulse rate via an upper arm cuff (circumference 22-36 cm).

Regulatory Classification

Identification

A noninvasive blood pressure measurement system is a device that provides a signal from which systolic, diastolic, mean, or any combination of the three pressures can be derived through the use of tranducers placed on the surface of the body.

Predicate Devices

• Arm-type Electronic Blood Pressure Monitor (K183058)

Submission Summary (Full Text)

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January 19, 2022

Yibin Junxin Electronics Technology Co., Ltd. % Cassie Lee, Manager Share Info (Guangzhou) Medical Consultant Ltd. No. 1919-1920, Building D3. Minjie Plaza, Shuixi Road Huangpu District Guangzhou, Guangdong 510700 China

Re: K211532

Trade/Device Name: Arm Blood Pressure Monitor, model OB30, OB31, OB33, OB33 Regulation Number: 21 CFR 870.1130 Regulation Name: Noninvasive Blood Pressure Measurement System Regulatory Class: Class II Product Code: DXN Dated: December 3, 2021 Received: December 22, 2021

Dear Cassie Lee:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely.

for

LCDR Stephen Browning Assistant Director Division of Cardiac Electrophysiology, Diagnostics, and Monitoring Devices Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known) K211532

Device Name Arm Blood Pressure Monitor

Indications for Use (Describe)

Arm Blood Pressure Monitor is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive oscillometric technique in which an inflatable cuff is wrapped around the arm of which the circumference includes 22 cm~36 cm.

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

Prescription Use (Part 21 CFR 801 Subpart D)

X Over-The-Counter Use (21 CFR 801 Subpart C)

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# 510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirement of 21 CFR 807.92.

#### Submitter's Information 1.

Name: Yibin Junxin Electronics Technology Co., Ltd. Establishment Registration Number: Applying Address: No. 136, Xinggang Road, Lingang Zone, Yibin City, SiChuan, China Postal Code: 644000 Tel: [phone] Contact Person (including title): Guan Chaoze E-mail: [e-mail]

# Application Correspondent:

Contact Person: Cassie Lee Share Info (Guangzhou) Medical Consultant Ltd. Address: No. 1919-1920, Building D3, Minjie Plaza, Shuixi Road, Huangpu District, Guangzhou, China Tel: [phone] Email: [e-mail]

### 2. Date of the summary prepared: December 3, 2021

# 3. Subject Device Information

Type of 510(k): Traditional Common Name: Systems, measurement, blood pressure, Non-invasive Classification Name: System, Measurement, Blood-Pressure, Non-Invasive Trade Name: Arm Blood Pressure Monitor Model Name: OB30, OB31, OB32, OB33 Review Panel: Cardiovascular Product Code: DXN Regulation Number: 870.1130 Regulatory Class: II

## 4. Predicate Device Information

Sponsor: Shenzhen BSX Technology Electronics Co., Ltd. Trade Name: Arm-type Electronic Blood Pressure Monitor Classification Name: System, Measurement, Blood-Pressure, Non-Invasive Common Name: Noninvasive Blood Pressure Measurement System 510(K) Number: K183058 Product Code: DXN Regulation Number: 870.1130 Requlation Class: II

### Device Description 5.

The Arm Blood Pressure Monitor is a battery powered automatic non-invasive pressure monitor, powered by 4 x1.5V AAA battery.

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It can automatically complete the inflation, deflation and measurement, which can measure systolic and diastolic blood pressure and pulse rate of the adult person at upper arm within its claimed range and accuracy via the oscillometric technique. User can select the unit of the measurement: mmHg or kPa. The device has the data storage function for data reviewing. The proposed Arm Blood Pressure Monitor share the same software, measurement principle and NIBP algorithm.

The product is provided non-sterile, and not to be sterilized by the user prior to use.

# 6. Intended Use / Indications for Use

Arm Blood Pressure Monitor is a non-invasive blood pressure measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-invasive oscillometric technique in which an inflatable cuff is wrapped around the arm of which the circumference includes 22 cm~36 cm.

# 7. Comparison to predicate device

The technological characteristics, features, specifications, mode of operation, and intended use of Arm Blood Pressure Monitor is substantially equivalent to the predicate devices quoted above. The differences between the subject device and predicate devices do not raise new issues of safety or effectiveness.

| Elements of<br>Comparison | Subject Device | Predicate Device 1 | Remark |
|------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------|
| Company | Yibin Junxin Electronic Technology<br>Co., Ltd. | Shenzhen BSX Technology<br>Electronics Co., Ltd. | -- |
| Product Name | Arm Blood Pressure Monitor | Arm-type Electronic Blood<br>Pressure Monitor | -- |
| Model Name | OB30, OB31, OB32, OB33 | BSX516, BSX523,<br>BSX525, BSX583, BSX593 and<br>BSX595 | -- |
| Classification<br>Name | Systems,Measurement,Blood<br>Pressure,Non-invasive | Systems,Measurement,Blood<br>Pressure,Non-invasive | Same |
| 510(k) Number | Applying | K183058 | -- |
| Product Code | DXN | DXN | Same |
| Intended Use and Indications for Use | | | |
| Intended Use /<br>Indications for<br>Use | Arm Blood Pressure Monitor is a<br>non-invasive blood pressure<br>measurement system intended to<br>measure the diastolic and systolic<br>blood pressures and pulse rate of<br>an adult individual by using a non-<br>invasive oscillometric technique in<br>which an inflatable cuff is wrapped<br>around the arm of which the<br>circumference includes 22 cm~36<br>cm. | The blood pressure monitor is a<br>non-invasive blood pressure<br>measurement system intended<br>to measure the diastolic and<br>systolic blood pressures and<br>pulse rate of an adult individual<br>by using a non-invasive<br>oscillometric technique in which<br>an inflatable CUFF is wrapped<br>around the arm of which the<br>circumference includes 22<br>cm~32 cm. It is intended to be<br>used in hospital environment or<br>at home. | Same |
| Electrical requirement | | | |

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| Power Supply | 4x1.5V AAA Alkaline Battery | 4x1.5V AAA Alkaline Battery<br>(BSX516, BSX525, BSX583,<br>BSX593 and BSX595)<br>3.7V 400mAh Li-ion Battery<br>(BSX523) | Same |
|----------------------------------|----------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------|
| Performance specification | | | |
| Measurement Site | Upper Arm | Upper Arm | Same |
| Measuring scope | Pressure: 0mmHg~260 mmHg;<br>Pulse: 40 bpm~199 bpm | Pressure: 0mmHg~299 mmHg<br>Pulse: 40 bpm ~180 bpm | Similar<br>Note 1 |
| Pressure<br>resolution | 1 mmHg or 0.1kPa | 1 mmHg or 0.1kPa | Same |
| Measuring<br>accuracy | Pressure: ±3mmHg (±0.4kPa)<br>Pulse: ±5% | Pressure: ± 3mmHg<br>Pulse: ±5% | Same |
| Cuff<br>Circumference | 22~36cm | 22~32cm | Similar<br>Note |
| Inflation and<br>Deflation | Automatic | Automatic | Same |
| Measuring<br>Method | Non-invasive Oscillometric | Non-invasive Oscillometric | Same |
| Patient Population | Adult | Adult | Same |
| Display | LCD | LCD | Same |
| Operation<br>condition | Temperature: +5 to +40 °C,<br>Humidity: 15 to 80%<br>Atmospheric Pressure: 80 kPa~105<br>kPa | Temperature: +5 to +40 °C,<br>Humidity: 15 to 85%<br>Atmospheric Pressure: 80<br>kPa~106 kPa | Similar<br>Note 1 |
| Transport/storage<br>environment | Temperature: -20°C ~ +50°C,<br>Humidity: 15%~93%<br>Atmospheric Pressure: 80 kPa~105<br>kPa | Temperature: -20°C~+55 °C,<br>Humidity: 10 to 93%<br>Atmospheric Pressure: 70<br>kPa~106 kPa | Similar<br>Note 1 |
| Safety | IEC 60601-1<br>IEC 60601-1-11<br>IEC 80601-2-30 | IEC 60601-1<br>IEC 60601-1-11<br>IEC 80601-2-30 | Same |
| EMC | IEC 60601-1-2 | IEC 60601-1-2 | Same |
| Biocompatibility | ISO 10993 | ISO 10993 | Same |

## Note1:

Although "Power Supply", "Measuring scope", "Cuff circumference", "Operation condition and "Transport/storage environment" of the subject device are a little different from the predicate devices, but the difference of subject device is very similar to the K183058. So, these parameters' differences will not raise any safety or effectiveness issues.

## 8. Performance Data and Test Summary

The following performance data were provided in support of the substantial equivalence determination.

## 8.1 Nonclinical test performed

#### Biocompatibility testing 1)

The biocompatibility evaluation for the Arm Blood Pressure Monitor was conducted in accordance with the FDA Blue Book Memorandum #G95-1 "Use of International Standard ISO-10993, 'Biological Evaluation of

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Medical Devices Part 1: Evaluation and Testing," May 1, 1995, and International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process," as recognized by FDA. The biocompatibility testing included the following tests:

- . Cytotoxicity
- . Sensitization
- . Irritation

According to the test results, the subject device is biocompatible for its intended use. And it is complied with biocompatibility standards ISO 10993-5 (Cytotoxicity) and ISO 10993-10 (Irritation and Sensitization).

### Electrical safety and electromagnetic compatibility (EMC) 2)

Electrical safety and EMC testing were conducted on the Arm Blood Pressure Monitor (models: OB30, OB31, OB32, OB33), the device complies with the IEC 60601-1, IEC 60601-1-11, and IEC 80601-2-30 standards for safety and the IEC 60601-1-2 standard for EMC.

#### 3) Usability Testing

Usability testing were conducted on the Arm Blood Pressure Monitor (models: OB30, OB31, OB32, OB33), the device complies with IEC 62366-1 and IEC 60601-1-6.

#### Software Verification and Validation Testing 4)

Software verification and validation testing were conducted and documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a "moderate" level of concern, since a malfunction of, or a latent design flaw in, the Software Device lead s to an erroneous diagnosis or a delay in delivery of appropriate medical care that would likely lead to Minor Injury.

## 8.2 Clinical performance testing performed

Clinical performance testing was conducted on the Arm Blood Pressure Monitor (models: OB30, OB31, OB32, OB33) according to the ISO 81060-2.

As this device is for adults only, the testing Included 85 subjects, aged from 22 to 81, 52.9% of participants are male and 47.1% are female, the limb size distribution of all subjects complied with clause 5.1.4 of ISO 81060-2.

The subject devices use the oscillometric method to measure blood pressure, the accuracy of determination depends on the sensor, race and ethnicity differences do not have an effect on the measuring result in the specified measuring scope.

During the testing, there were no adverse effects and complications occurred, and the results both meet criterion 1 and criterion 2 of ISO 81060-2.

# 9. Final Conclusion:

The conclusions drawn from the nonclinical and clinical tests that the device is as safe, as effective, and performs as well as or better than the leqally marketed device K183058.