21 CFR §870.2786
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
- (a)Identification. The device uses an optical sensor system and software algorithms to obtain and analyze video signal and estimate pulse rate, heart rate, breathing rate, and/or respiratory rates. This device is not intended to independently direct therapy.
- (b)Classification. Class II (special controls). The special controls for this device are:
- (1)A software description and the results of verification and validation testing based on a comprehensive hazard analysis and risk assessment must include:
- (i)A full characterization of the software technical parameters, including algorithms;
- (ii)A description of all mitigations for user error or failure of any subsystem components (including signal detection, signal analysis, data display, and storage) on output accuracy; and
- (iii)Software documentation must include a cybersecurity vulnerability and management process to assure software functionality.
- (2)Performance testing must demonstrate the safety of any illuminating optics.
- (3)Clinical data must be provided. This assessment must fulfill the following:
- (i)The clinical data must be representative of the intended use population for the device. Any selection criteria or sample limitations must be fully described and justified.
- (ii)The assessment must demonstrate output consistency using the expected range of data sources and data quality encountered in the intended use population and environment.
- (iii)The assessment must compare device output with a clinically accurate patient-contacting relevant comparator device in an accurate and reproducible manner.
- (4)A human factors and usability engineering assessment must be provided that evaluates the risk of improper measurement.
- (5)Labeling must include:
- (i)A description of what the device measures and outputs to the user;
- (ii)Warnings identifying sensor acquisition factors or subject conditions or characteristics (garment types/textures, motion, etc.) that may impact measurement results;
- (iii)Guidance for interpretation of the measurements, including a statement that the output is adjunctive to other physical vital sign parameters and patient information;
- (iv)The expected performance of the device for all intended use populations and environments; and
- (v)Robust instructions to ensure correct system setup.
- (1)A software description and the results of verification and validation testing based on a comprehensive hazard analysis and risk assessment must include: