rust DECLARATION OF BLOOD PRESSURE MEASURING DEVICE EQUIVALENCE 2013

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1 dabl Educational rust Declaration of Equivalence Form DECLARATION OF BLOOD PRESSURE MEASURING DEVICE EQUIVALENCE 2013 SECTION A - Please complete au items. It SIGNED copy WILL 8( POSTED ON THE Liu Vi, "4 «01 (1mlo',lI'h rn~110' a Director of Health CO.,ltd., hereby state that there are no differences that will affect blood pressure measuring accuracy between the Mllktr' Beurer Add,~u Soeflinger Strasse Ulm / Germany MlInufKtuf~."... Beurer Add'~n... BM4S Health Co.,ltd.No.3 Jin Ping Street,Ya An Road,Nankai District,Tianjin ,China blood pressure measuring device and the validated blood pressure measuring device Milker' Address Health Co.,Ltd.No.3 Jin Ping Street,Ya An Road,Nankai District,Tianjin ,China Manufacturer" Address Health Co.,ltd.No.3 Jin Ping Street,Ya An Road,Nankai District,Tianjin ,China 8rllnd' "od," KD-S917 which has previously passed the ESH2010 protocol, the results of which were published as follows: Guo WG, Li BL, He Y, Xue YS, Wang HY, Zheng OS, Xiang DC. Validation of the KD-S917 automatic upper International Protocol revision Blood Press Monit. Blood Press Monit 2014;19(4):242-S,. The only differences between the devices involve the following components: " hi' 1, Part I 1 Algorithm for Oscillometric Measurements Yes No 2 Algorithm for Auscultatory Measurements Yes No 3 Artefact/Error Detection Yes No 4 Microphone(s) Yes No S Pressure Transducer Yes No 6 Cuffs or Bladders Yes No 7 Inflation Mechanism. Yes No 8 Deflation Mechanism Yes No Part II 9 Model Name or Number Yes No 10 Casing Yes No 11 Display Yes No 12 Carrying/Mounting Facilities Yes No' ; 13 Software other than Algorithm Yes No 14 Memory Capacity/Number of stored measurements Yes No [1 1S Printing Facilities Yes No 16 Facilities Yes No 17 Supply Yes No 18 Other Facilities Yes No ' ' ' ll ll ll An explanation of each item ticked "Ves H must be included in Section 8 or on a separate sheet. "'I... ~ ; 'hl',lolrlol(lr1 ""ftlll Itv:.I.,.., Illl-n,' I i' t f ~'~I tli\: Il, rr>~' ol"cl oj( 1r(')) uf tll(, l"'t,li lliol,lljl".'!ur.1 ~,Il".. (t. ~l(.l'. ~"'l'rl,:,i > Illl;:.Jm... d I:l,lt.:lf th~ IIld: "", c<'i i.. tilt' '1.fI "of ltlt liril"d ",oj<!t "I-: III ~ ~,~Id I'rJ' ~ ti'e 'arm'~ tll,) I tri.!' rna uf.w1i,t(, 0 m.l!l;cr PrChll ~ thf' Ill()(l, nil",~ If )It~'''dll~~ 0' "t~ I'l,,1 mot!, I, 2lrn.. ~.!~ li~~d, ll'chlt:lf ;ll!. f.ch clo!'lilr... ml,;~l Ill' un,~",p V "font f. ti~i,' o Iv I t- N'~ N(.\ Ap,I r 'tlle\,fl.,.,it'. I v~.(f' r. ea~.jn s blood \ift>ssl'fe U\I"R Ihe,ISr.,! om.elnt mnh"'d r 0nlv I.. r~ia ot i\~n' (; l'll~ l~.'e. 1'1, I (l (,.. ""01$ Itt'S blf)o<t ~r"'ssi (e U~lntl :1>,. ali u""t,jlv 1T\C!'t\ J Ont\'l i-r4'a:~o'atj(llclbl:,f'\l'l~' ~ ~;..r.",.c.\l)il"(l$(tifllmi,iii" I 1r'f, I""." t...sot f.plh! o 2Q dabl Educatlonal Trust limited Carraig Court. Georges Avenue, Blackrock, Co. Dubhn, ln~land. (dabl Educational Trust limlled is a not-for-profit orgiilnisatlon) Tel Emalt info@dableducational.of8 Fax Web

2 dabl Educational Trust Declaration of Equivalence Form SECTION B An explanation for each Item, 1 to 18. ticked "Yes" in Section A must be provided here or In an attached document. AU differences between the devices must be described. (6)The bladders of the two Model are same. Cuff size for KO-S917 is 22cm-42cm,cuff size for BM4S is 22cm-36cm. The cuff size is different,but the range of the cuff size BM4S is included in the cuff size KO-S917. (9) The Model Name is changed to Beurer BM4S from KO-S917; (1013buttons: START/STOP button, Memory buttonm1 and M2; (ll)have symbols for "User memory". No symbol for "inflate to measure"; (13)The monitor can show the average reading of the morning/evening measurements for the last 7 days (morning: S:OO a.m -9:00 a.m; evening: 6:00 p.m-8:00 p.m); (18) No voice function; SECTION C Please check that the following are included with the applkation A manual for the validated device A manual for the device for which equivalence is being sought An image of the validated device An image of the device for which equivalence is being sought An image of the screen layout of validated d. ice' An image of the screen layout of til ~ite/for. h equivalence is being sought' Screen layouts shown complete, and ~ obscuring ~'es, in manuals need not be included separately. SECTION 0 Comple.e all ~em" bar ~gnatu.., f.. ai, on:".j,'!2. Pji 'eal it then send the original to our address asignedcop.iofthisorm.m~\ilfiihi\uliforbothdevices.toinfo@dableducational.or, ) C) Signature of Director ~ il:> Stamp/Seal, Name Date Signature of Witness Name Liu Yi 20~_,-- 2hang Fei _ Address Health Co.,ltd.No.3 Jin Ping Street,Ya An Road,Nankai Oistrict,Tianjin ,China Page 2/2

3 Comparison of the Beurer BM 45 with the KD-5917 Devices Beurer BM 45(Device 2) KD-5917(Device 1) Pictures Display Validation ESH 2010 Category SBPM & CBPM SBPM & CBPM Device 1 Criteria Cuff size 22-42cm Voice Function Yes Dimension 125mm x 130mm x 62mm Weight 323g(Excluding batteries) Buttons Memory buttons MEM Solfware other than algorithm No average reading measurements function 2015 dabl Educational Trust Limited No reproduction of this document is permitted without the written authorisation of dabl Educational Trust Limited dabl Educational Trust Limited is a not-for-profit organisation. Carraig Court, George s Avenue, Blackrock, Co. Dublin, Ireland Tel Fax info@dableducational.org Web Form DET

4 Device 2 Criteria Same Criteria Cuff size 22-36cm Voice Function No Dimension 165 mm x 107 mm x 50 mm Weight 284g(Excluding batteries) Buttons Memory buttons M1/M2 Solfware other than algorithm The monitor can show the average reading of the morning/evening measurements for the last 7 days (morning: 5:00 a.m -9:00 a.m; evening: 6:00 p.m-8:00 p.m) Measurement Accuracy Pressure: ±3mmHg Pulse rate: ±5% Method Oscillometric Ranges Cuff pressure mmhg systolic mmhg diastolic mmhg Inflation Automatic inflation by internal pump Deflation Automatic speed deflation system Cuffs 22-36cm Sensors KD G or KD GR Measurement Accuracy Pressure: ±3mmHg Pulse rate: ±5% Method Oscillometric Ranges Cuff pressure mmhg systolic mmhg diastolic mmhg Inflation Automatic inflation by internal pump Deflation Automatic speed deflation system Cuffs 22-42cm Sensors KD G or KD GR 2015 Limited Page 2 of 5

5 Measurements other than Blood Pressure Heart rate Buttons/Switches Start/stop button Analysis Event Marking Display/Symbols/Indicators Preparation Measurement Procedure Measuring during deflation Post Measurement Upper arm Date and Time Display the date and time in the up side of the LCD Measurements other than Blood Pressure Heart rate Buttons/Switches Start/stop button Analysis Event Marking Display/Symbols/Indicators Preparation Measurement Procedure Measuring during deflation Post Measurement Upper arm Date and Time Display the date and time in the up side of the LCD 2015 Limited Page 3 of 5

6 Function Not described Algorithms Diagnostic Functions Measure blood pressure and heart rate Casing Display LCD Ports Cuff port Function Not described Algorithms Diagnostic Functions Measure blood pressure and heart rate Casing Display LCD Ports Cuff port Comparable Criteria 2015 Limited Page 4 of 5

7 Comments Recommendation Recommended Date 17 December Limited Page 5 of 5

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