The devices are intended to be used for monitoring and recording of, and to generate alarms for multiple physiological parameters of adults, pediatrics, and neonates.
Device Story
IntelliVue MX400/MX450/MX500/MX550 are multiparameter patient monitors for hospital bedside and transport use. They acquire, display, and record physiological signals (ECG, SpO2, BP, CO2, EEG, etc.) and generate alarms. The system uses a touchscreen interface, supports external modules, and connects to central stations via LAN/wireless. The device processes inputs to provide real-time waveforms, trends, and clinical decision support (e.g., ProtocolWatch, IPI, PSI). Clinicians use the output to assess patient status and guide interventions. The current update adds compatibility with the Edwards FloTrac plug-in module for continuous hemodynamic monitoring in critical care. The device does not deliver energy to patients; it is powered by AC or battery.
Clinical Evidence
No clinical data. Substantial equivalence is supported by non-clinical bench testing, electrical safety (IEC 60601-1), electromagnetic compatibility (IEC 60601-1-2), usability (IEC 60601-1-6), alarm system testing (IEC 60601-1-8), and software verification and validation (IEC 62304).
Technological Characteristics
Multiparameter monitor with touchscreen display. Powered by AC mains or internal battery. Connectivity via LAN/wireless. Software platform version R.00.01. Supports invasive/non-invasive physiological measurements. Integrates with external modules (e.g., FloTrac) via plug-in interface. Complies with IEC 60601-1, 60601-1-2, 60601-1-6, 60601-1-8, and IEC 62304 standards.
Indications for Use
Indicated for use by healthcare professionals for monitoring physiological parameters of adult, pediatric, and neonatal patients. Monitors are for single-patient use, non-therapeutic, and prescription-only. Specific parameter indications: ECG (rhythm/morphology), ST segment (adults only), tcGas (neonates only), BIS (brain state/anesthesia aid, adults/pediatrics), SSC Sepsis Protocol (adults only), IPI (adults/pediatrics 1-12 years), PPV (sedated/ventilated adults), NMT (adults/pediatrics), Masimo rainbow SET (SpO2, pulse, SpCO, SpMet, SpHb, RRac), Masimo O3 (cerebral rSO2, adults ≥40kg/pediatrics ≥5kg), SedLine (brain state/anesthesia, adults), and Edwards FloTrac (hemodynamic assessment, adult critical care).
Regulatory Classification
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.
{0}
FDA
U.S. FOOD & DRUG
ADMINISTRATION
October 17, 2025
Philips Medizin Systeme Boeblingen GmbH
Vasiliki Begkou
Principal Regulatory Affairs Specialist
Hewlett-Packard-Strasse 2
Boeblingen, BW 71034
Germany
Re: K251146
Trade/Device Name: IntelliVue Patient monitors MX400, MX450, MX500, MX550
Regulation Number: 21 CFR 870.1025
Regulation Name: Arrhythmia Detector And Alarm (Including ST-Segment Measurement And Alarm)
Regulatory Class: Class II
Product Code: MHX, MLD, DSJ, DXN, DPT, DQA, MSX, CCK, FLL
Dated: September 19, 2025
Received: September 19, 2025
Dear Vasiliki Begkou:
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 (the 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 available 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.
{1}
K251146 - Vasiliki Begkou
Page 2
Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).
Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).
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 (reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.
All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-devices/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-devices/device-advice-comprehensive-regulatory-
{2}
K251146 - Vasiliki Begkou
Page 3
assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
JENNIFER W. SHIH -S
Jennifer Kozen
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
{3}
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
Indications for Use
Form Approved: OMB No. 0910-0120
Expiration Date: 06/30/2023
See PRA Statement below.
510(k) Number (if known)
K251146
Device Name
IntelliVue Patient monitors MX400, MX450, MX500, MX550
Indications for Use (Describe)
Intended Use:
The devices are intended to be used for monitoring and recording of, and to generate alarms for multiple physiological parameters of adults, pediatrics, and neonates.
Indications for Use
The monitors are indicated for use by health care professionals whenever there is a need for monitoring the physiological parameters of patients.
The monitors are only for use on one patient at a time.
The monitors are not therapeutic devices.
The monitors are for prescription use only.
The ECG measurement is intended to be used for diagnostic recording of rhythm and detailed morphology of complex cardiac complexes (according to AAMI EC 11).
ST segment monitoring is intended for use with adult patients only and is not clinically validated for use with neonatal and pediatric patients.
The transcutaneous gas measurement (tcGas) with the M1018A plug-in module is restricted to neonatal patients only.
BIS is intended for use under the direct supervision of a licensed health care practitioner or by personnel trained in its proper use. It is intended for use on adult and pediatric patients within a hospital or medical facility providing patient care to monitor the state of the brain by data acquisition of EEG signals. The BIS may be used as an aid in monitoring the effects of certain anesthetic agents. Use of BIS monitoring to help guide anesthetic administration may be associated with the reduction of the incidence of awareness with recall in adults during general anesthesia and sedation.
The SSC Sepsis Protocol, in the ProtocolWatch clinical decision support tool, is intended for use with adult patients only.
The Integrated Pulmonary Index (IPI) is intended for use with adult and pediatric (1 to 12 years) patients only. The IPI is an adjunct to and not intended to replace vital sign monitoring.
The derived measurement Pulse Pressure Variation (PPV) is intended for use with sedated patients receiving controlled mechanical ventilation and mainly free from cardiac arrhythmia. The PPV measurement has been validated only for adult patients.
The IntelliVue NMT is intended to be used as an objective neuromuscular transmission monitor that measures the muscle response to electrical stimulation of a peripheral nerve. The NMT Module is intended to be used with adult and pediatric patients.
The Masimo rainbow SET measurement is indicated for the noninvasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2), pulse rate, carboxyhemoglobin saturation (SpCO), methemoglobin saturation (SpMet), total hemoglobin concentration (SpHb), and/or respiratory rate (RRac). The Masimo rainbow SET measurement is indicated for use during both no motion and motion conditions, and for patients who are well or poorly perfused.
FORM FDA 3881 (6/20)
Page 1 of 2
PSC Publishing Services (301) 443-6740
{4}
The non-invasive Masimo O3 Regional Oximeter System and accessories are indicated for use as an adjunct monitor of absolute and trended regional hemoglobin oxygen saturation of blood (rSO2) in the cerebral region under the sensors. The Masimo O3 Regional Oximeter System and accessories are indicated for use on adults ≥40 kg and on pediatrics ≥5 kg and <40 kg, in healthcare environments.
The SedLine Sedation Monitor is intended to monitor the state of the brain by real-time data acquisition and processing of EEG signals. The system includes the Patient State Index (PSI), a proprietary computed EEG variable that is related to the effect of anesthetic agents. The agents include: Alfentanil, Desflurane, Fentanyl, Isoflurane, Nitrous Oxide, Propofol, Remifentanil, and Sevoflurane. The SedLine Sedation Monitor is intended for use with adult patients (18 years of age and older) in the operating room (OR), intensive care unit (ICU), and clinical research laboratory.
The Edwards FloTrac solution offers continuous assessment of hemodynamic parameters. It is indicated to be used by qualified personnel or trained clinicians in a critical care environment in a hospital setting. It is indicated for use in adult critical care patients in which the balance between cardiac function, fluid status, vascular resistance and pressure needs continuous assessment. It may be used for monitoring hemodynamic parameters in conjunction with a perioperative goal directed therapy protocol in a hospital environment. The Edwards FloTrac solution is indicated to be used in the operating room, intensive care unit, and emergency room.
The monitors are intended for use by trained healthcare professionals in a hospital environment. They are not intended for home use. The monitors are additionally intended for use in transport situations within hospital environments.
Type of Use (Select one or both, as applicable)
☐ Prescription Use (Part 21 CFR 801 Subpart D)
☐ Over-The-Counter Use (21 CFR 801 Subpart C)
---
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FORM FDA 3881 (6/20)
{5}
PHILIPS
IntelliVue Patient Monitors MX400, MX450, MX500 and MX550
510(k) Summary K251146
| 510(k) Summary | | | | |
| --- | --- | --- | --- | --- |
| 1.1 Submitter | | | | |
| Date Prepared | April 14, 2025 | | | |
| Submitter/Owner | Philips Medizin Systeme Böblingen GmbH
FDA Establishment Number 9610816
Hewlett-Packard-Str. 2
71034 Böblingen
Germany | | | |
| Key Contact | Vasiliki Begkou
Principal Regulatory Affairs Specialist
Vasiliki.begkou@philips.com
Phone: +49 15110207311 | | | |
| 510(k) Submission Type | Traditional 510(k) | | | |
| 1.2 Device | | | | |
| Trade Name | IntelliVue Patient monitors MX400, MX450, MX500, MX550 | | | |
| Common Name | Multiparameter Patient Monitor | | | |
| Classification Name | Panel & Name: Cardiovascular Devices
Subpart & Division: 21 CFR §870.1025
Regulatory Class: II
Product Code: MHX | | | |
| 1.3 Predicate Device | | | | |
| Predicate Device | 510(k) No. | Company | Device Name | Product Code |
| | K223574 | Philips | IntelliVue Patient Monitor MX400
IntelliVue Patient Monitor MX450
IntelliVue Patient Monitor MX500
IntelliVue Patient Monitor MX550 | MHX |
| | K180881 | Edwards Lifesciences | HemoSphere Advanced Monitor,
HemoSphere Swan-Ganz Module,
HemoSphere
Oximetry Cable, HemoSphere Pressure
Cable, Acumen Hypotension Prediction
Index feature | DQK |
PHILIPS
Philips Hospital Patient Monitoring
Page 1 of 9
{6}
PHILIPS
IntelliVue Patient Monitors MX400, MX450, MX500 and MX550
510(k) Summary K251146
The subject devices are substantially equivalent to the legally marketed predicate devices.
## 1.4 Device Description
IntelliVue Patient Monitors MX400, MX450, MX500, MX550 – description of the device per 21 CFR 807.92(a) (4)
The IntelliVue Patient Monitors MX400, MX450, MX500 and MX550 acquire multiple physiological patient signals, display measurement values, waves and trends, generate physiological and technical alarms, provide data recording and support patient data management.
The monitors support multiple non-invasive and invasive measurements such as ECG, arrhythmia, ST, QT, SpO2, respiration rate, pulse rate, heart rate, invasive and non-invasive blood pressure, temperature, CO2, tcpO2/ tcpCO2, C.O., CCO, intravascular SO2, SvO2, ScvO2, EEG, BIS, NMT, and gas analysis.
The monitors offer a monitoring solution optimized for the surgical, cardiac, medical and neonatal care environments. They are located at the patient bedside vicinity and can also be used during patient transport inside hospitals. The monitors have a color display with touchscreen as a primary input device. They also support a specialized remote control, keyboard and pointing devices such as a mouse. External displays can be connected to a built-in video port to provide an adaptive duplicate image of the primary display. The monitors can interact with several compatible external measuring and auxiliary devices locally at the bedside or in transport situations and with the Central Station via LAN or wireless link.
## 1.5 Intended Use and Indication for Use
Intended Use as required per 21 CFR 807.92(a)(5)
### Intended Use:
The devices are intended to be used for monitoring and recording of, and to generate alarms for multiple physiological parameters of adults, pediatrics, and neonates.
### Indications for Use:
The monitors are indicated for use by health care professionals whenever there is a need for monitoring the physiological parameters of patients.
The monitors are only for use on one patient at a time.
The monitors are not therapeutic devices.
The monitors are for prescription use only.
The ECG measurement is intended to be used for diagnostic recording of rhythm and detailed morphology of complex cardiac complexes (according to AAMI EC 11).
PHILIPS
Philips Hospital Patient Monitoring
Page 2 of 9
{7}
PHILIPS
IntelliVue Patient Monitors MX400, MX450, MX500 and MX550
510(k) Summary K251146
ST segment monitoring is intended for use with adult patients only and is not clinically validated for use with neonatal and pediatric patients. The transcutaneous gas measurement (tcGas) with the M1018A plug-in module is restricted to neonatal patients only.
BIS is intended for use under the direct supervision of a licensed health care practitioner or by personnel trained in its proper use. It is intended for use on adult and pediatric patients within a hospital or medical facility providing patient care to monitor the state of the brain by data acquisition of EEG signals. The BIS may be used as an aid in monitoring the effects of certain anesthetic agents. Use of BIS monitoring to help guide anesthetic administration may be associated with the reduction of the incidence of awareness with recall in adults during general anesthesia and sedation.
The SSC Sepsis Protocol, in the ProtocolWatch clinical decision support tool, is intended for use with adult patients only.
The Integrated Pulmonary Index (IPI) is intended for use with adult and pediatric (1 to 12 years) patients only. The IPI is an adjunct to and not intended to replace vital sign monitoring.
The derived measurement Pulse Pressure Variation (PPV) is intended for use with sedated patients receiving controlled mechanical ventilation and mainly free from cardiac arrhythmia. The PPV measurement has been validated only for adult patients.
The IntelliVue NMT is intended to be used as an objective neuromuscular transmission monitor that measures the muscle response to electrical stimulation of a peripheral nerve. The NMT Module is intended to be used with adult and pediatric patients.
The Masimo rainbow SET measurement is indicated for the noninvasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2), pulse rate, carboxyhemoglobin saturation (SpCO), methemoglobin saturation (SpMet), total hemoglobin concentration (SpHb), and/or respiratory rate (RRac). The Masimo rainbow SET measurement is indicated for use during both no motion and motion conditions, and for patients who are well or poorly perfused.
The non-invasive Masimo O3 Regional Oximeter System and accessories are indicated for use as an adjunct monitor of absolute and trended regional hemoglobin oxygen saturation of blood (rSO2) in the cerebral region under the sensors. The Masimo O3 Regional Oximeter System and accessories are indicated for use on adults $\geq 40\mathrm{kg}$ and on pediatrics $\geq 5\mathrm{kg}$ and $< 40\mathrm{kg}$, in healthcare environments.
PHILIPS
Philips Hospital Patient Monitoring
Page 3 of 9
{8}
PHILIPS
IntelliVue Patient Monitors MX400, MX450, MX500 and MX550
510(k) Summary K251146
The SedLine Sedation Monitor is intended to monitor the state of the brain by real-time data acquisition and processing of EEG signals. The system includes the Patient State Index (PSI), a proprietary computed EEG variable that is related to the effect of anesthetic agents. The agents include: Alfentanil, Desflurane, Fentanyl, Isoflurane, Nitrous Oxide, Propofol, Remifentanil, and Sevoflurane. The SedLine Sedation Monitor is intended for use with adult patients (18 years of age and older) in the operating room (OR), intensive care unit (ICU), and clinical research laboratory. The Edwards FloTrac solution offers continuous assessment of hemodynamic parameters. It is indicated to be used by qualified personnel or trained clinicians in a critical care environment in a hospital setting. It is indicated for use in adult critical care patients in which the balance between cardiac function, fluid status, vascular resistance and pressure needs continuous assessment. It may be used for monitoring hemodynamic parameters in conjunction with a perioperative goal directed therapy protocol in a hospital environment. The Edwards FloTrac solution is indicated to be used in the operating room, intensive care unit, and emergency room. The monitors are intended for use by trained healthcare professionals in a hospital environment. They are not intended for home use. The monitors are additionally intended for use in transport situations within hospital environments.
## 1.6 Comparison of Intended Uses for Subject Device and Predicate
The IntelliVue Patient Monitors MX400, MX450, MX500 and MX550 have the same intended use as their predicate device.
Additionally, the MX500 and MX550 models inherited the Hemisphere Advanced Monitor indication:
- The Edwards FloTrac solution offers continuous assessment of hemodynamic parameters. It is indicated to be used by qualified personnel or trained clinicians in a critical care environment in a hospital setting. It is indicated for use in adult critical care patients in which the balance between cardiac function, fluid status, vascular resistance and pressure needs continuous assessment. It may be used for monitoring hemodynamic parameters in conjunction with a perioperative goal directed therapy protocol in a hospital environment. The Edwards FloTrac solution is indicated to be used in the operating room, intensive care unit, and emergency room.
PHILIPS
Philips Hospital Patient Monitoring
Page 4 of 9
{9}
PHILIPS
IntelliVue Patient Monitors MX400, MX450, MX500 and MX550
510(k) Summary K251146
| 1.7 Comparison of Technological Characteristics with Predicate Device | |
| --- | --- |
| Item of Comparison | Description/Rationale |
| **Similarities** | |
| Device Design | - The hardware design of the subject device is the same as that of the predicate device.
- device design of added Edwards Lifesciences external measurement devices composed of the FloTrac Pressure Cable-Philips and FloTrac sensor is equivalent to their predicate devices
- Subject and predicate device run on IntelliVue Software (version R.00.), which is also the software platform available in the predicate device (version P.01.). |
| Energy Source | - Subject device is powered by AC mains or from built-in battery, as the predicate device.
- Subject and predicate device do not deliver energy to patients
- added external Edwards Lifesciences devices do not have their own power supply; it is supplied by the host monitor. This is the same as for their predicate devices |
| Software/Hardware Features | - Proposed modification does not introduce any new technological hardware features.
- Measurements offered by the subject device are also offered by the predicate device. Subject and predicate devices have the same interfaces.
- Software features introduced for the proposed IntelliVue Software version R.00.01, rely on a well-established software platform and architecture which was iteratively developed from the version available in the predicate device.
- Hardware and Software of the added external Edwards Lifesciences devices are equivalent to their predicates
- measurements of physiological parameters are the same as in the predicate devices |
PHILIPS
Philips Hospital Patient Monitoring
Page 5 of 9
{10}
PHILIPS
IntelliVue Patient Monitors MX400, MX450, MX500 and MX550
510(k) Summary K251146
1.7 Comparison of Technological Characteristics with Predicate Device
| Item of Comparison | Description/Rationale |
| --- | --- |
| Physiological Parameters | • The subject device supports the same measurement modules as the predicate device, except for:
• The subject device (MX500/MX550 only) additionally supports the new plug-in module for FloTrac (with P/N 867409)
• Measurement Modules M1019A (Gas Module), M1013A (Gas Module), M1014A (Spirometry Module) are no longer supported by the subject device. Previous versions (incl. predicate device) of MX500/MX500 were compatible with these modules.
• existing physiological parameters of the predicate devices remain unchanged
• the physiological parameters of the added external Edwards Lifesciences devices are the same as those of their respective predicate devices |
| Operating Principle and Mechanism of Action | • Operating principle and mechanism of action from subject device is unchanged from the predicate device. |
| Human Interface | • The human interface of the IntelliVue MX400, MX450, MX500 and MX550 remain the same. Data presentation and user control of the new plug-in module for FloTrac (with P/N 867409) are done through the Patient Monitors (MX500/MX550 only). This is unchanged from how the predicate device supports and operates with other plug-in measurements (K223574). The addition of the user interfaces for the FloTrac module do not influence the patient monitors’ user interface or the user interaction with the patient monitors.
• The human interfaces of added Edwards Lifesciences devices are unchanged to their predicates |
| Measurement Accessories | • Accessories applied to the predicate device are compatible with the subject devices.
• all accessories of the predicate devices
- IntelliVue Patient Monitor MX400
- IntelliVue Patient Monitor MX450
- IntelliVue Patient Monitor MX500
- IntelliVue Patient Monitor MX550
as well as the Edwards Lifesciences added accessories are equivalent to their predicates |
PHILIPS
Philips Hospital Patient Monitoring
Page 6 of 9
{11}
PHILIPS
IntelliVue Patient Monitors MX400, MX450, MX500 and MX550
510(k) Summary K251146
| 1.7 Comparison of Technological Characteristics with Predicate Device | | |
| --- | --- | --- |
| Item of Comparison | Description/Rationale | |
| Differences | | |
| Compatibility with FloTrac Plug-in Module (867409) | • The new plug-in module FloTrac (P/N 867409) acts as a communication interface between the IntelliVue Patient Monitors MX500/MX550 and external Edwards Lifesciences pressure cable and sensor.
• the new plug-in module does not alter or modify the contents of the transferred data | |
| Software | • The software of the subject devices was slightly changed when compared to its predicate device, to:
o further enhance some of the existing functionalities, i.e enabling fast access of applications, recording more alarm logging information, disabling the configuration of the “AlarmsOffAtStart” feature, modifying the factory default for the NBP, enhancing the existing visual indications in the case of speaker malfunction, transmitting alarm limits of more numerics to the central station, introducing the clinical analytics framework into the Software infrastructure.
o extend its capability, so that the MX500 and MX550 patient monitors accept the physiological data provided by the Edwards FloTrac as compatible and display the FloTrac measurement on these patient monitors’ screen, i.e compatibility with new FloTrac Plug-in Module. | |
| 1.8 Substantial Equivalence Summary | | |
| --- | --- | --- |
| Operational and technological characteristics form the basis for the determination of substantial equivalence of the subject devices with the legally marketed predicate devices. The subject devices are substantially equivalent to the predicate devices. | | |
| 1.9 Performance Data | | |
| Clinical Tests – Harmonized Standards | | |
| The subject devices have passed all safety tests for demonstrated compliance with the recognized standards below. | | |
| Standard | FDA Recognition # | Title # |
PHILIPS
Philips Hospital Patient Monitoring
Page 7 of 9
{12}
PHILIPS
IntelliVue Patient Monitors MX400, MX450, MX500 and MX550
510(k) Summary K251146
| IEC 60601-1:2005
incl. AMD1:2012 and
AMD2:2020 | 19-49 | Medical Electrical Equipment – Part 1: General requirements for basic safety and essential performance. |
| --- | --- | --- |
| IEC 60601-1-2:2014
incl. AMD1:2020 | 19-36 | Medical electrical equipment – Part 1-2: General requirements for basic safety and essential performance – Collateral Standard: Electromagnetic disturbances – Requirements and tests. |
| IEC 60601-1-6:2010
incl. AMD1:2013 and
AMD2:2020 | 5-132 | Medical electrical equipment – Part 1-6: General requirements for basic safety and essential performance – Collateral standard: Usability. |
| IEC 60601-1-8:2006
incl. AMD1:2012 and
AMD2:2020 | 5-131 | Medical electrical equipment – Part 1-8: General requirements for basic safety and essential performance – Collateral standard: General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical systems. |
| IEC 62304:2006
incl. AMD1: 2015 | 13-79 | Medical device software Software life-cycle processes |
PHILIPS
Philips Hospital Patient Monitoring
Page 9 of 9
{13}
PHILIPS
IntelliVue Patient Monitors MX400, MX450, MX500 and MX550
510(k) Summary K251146
| Non-clinical Bench Tests |
| --- |
| No new issues of safety or effectiveness are introduced with the changes proposed for the IntelliVue Patient Monitors MX400, MX450, MX500 and MX550. |
| Clinical Studies |
| The subject devices, like the primary predicate devices, did not require clinical trials. |
# 1.10 Conclusion
Substantial equivalence assessment, based on non-clinical bench testing, electrical safety, electromagnetic compatibility, software verification and validation, human factors and interoperability testing, demonstrate that the changes proposed for the IntelliVue Patient Monitors MX400, MX450, MX500 and MX550 do not raise different questions of safety and effectiveness when compared to their predicate devices (previous version of the same device cleared with K223574).
PHILIPS
Philips Hospital Patient Monitoring
Page 9 of 9
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Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.