K Number
K101380
Device Name
RXPEAKFLOW
Manufacturer
Date Cleared
2010-09-13

(119 days)

Product Code
Regulation Number
868.1860
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The RxPeakFlow is a single patient use device to measure a patient's peak expiratory flow rate in liters/minutes. This is helpful in monitoring respiratory conditions such as asthma. The device can be used anywhere the patient needs to measure their peak expiratory flow rate. It is a single patient use device intended for use for children to adults.

Device Description

The RxPeakFlow is a device used to measure the peak expiratory flow of a patient. The Peak Expiratory Flow Rate is a recognized lung function value that is helpful in monitoring of respiratory conditions such as asthma. The device can be used anywhere the patient needs to measure their peak expiratory flow rate. It is a single patient use device intended for use for children to adults.

AI/ML Overview

Here's a breakdown of the acceptance criteria and the study details for the RxPeakFlow Meter, based on the provided text:

1. Acceptance Criteria and Reported Device Performance

Acceptance CriteriaReported Device Performance (RxPeakFlow)
Range60-800 L/Min
Accuracy+/- 10%
Intra-device Precision+/- 5%
Inter-device Precision+/- 5%

Note: The document only provides the performance of the RxPeakFlow against these criteria, stating it "passed all testing and met the criteria for range, accuracy and precision of required by the American Thoracic Society's Standardization of Spirometry". It doesn't explicitly list a separate "acceptance criteria" column versus "reported device performance," but rather presented these as the requirements the device met.

2. Sample Size and Data Provenance for the Test Set

The document states that "bench testing" was performed. However, it does not provide specific details regarding:

  • Sample size used for the test set (e.g., number of devices tested, number of individual measurements).
  • Data provenance (e.g., country of origin, retrospective or prospective nature of the "bench testing").

3. Number of Experts and Qualifications for Ground Truth Establishment

This information is not provided in the document. Bench testing typically relies on standardized reference instruments or methods rather than human expert interpretation for ground truth.

4. Adjudication Method for the Test Set

Adjudication methods (like 2+1, 3+1, none) are typically used when multiple human experts are involved in interpreting results, especially in imaging or diagnostic studies. Since the testing was "bench testing," and no human experts or interpretation are mentioned for establishing ground truth, information on an adjudication method is not applicable and not provided.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

An MRMC comparative effectiveness study was not done. The device is a "Meter, Peak Flow," which measures a physical parameter directly, rather than providing an interpretation that a human would then use to make a decision. The performance evaluation was through "bench testing," not a clinical study involving human readers.

6. Standalone Performance Study

Yes, a standalone performance study was done. The document explicitly states: "The RxPeakFlow has been tested for performance through bench testing. The device passed all testing and met the criteria for range, accuracy and precision of required by the American Thoracic Society's Standardization of Spirometry, specifically the ATS 26 flow-time waveform testing." This describes the algorithm's (or device's mechanical) performance without human intervention.

7. Type of Ground Truth Used

The ground truth used was based on standards and requirements from the American Thoracic Society's Standardization of Spirometry, specifically the ATS 26 flow-time waveform testing. This implies that the device's measurements were compared against known, standardized flow-time waveforms or reference measurements adhering to these professional guidelines.

8. Sample Size for the Training Set

The document does not provide information on a separate "training set" or its sample size. This is common for mechanical devices that are calibrated and tested against physical standards, rather than "trained" using a dataset in the way a machine learning algorithm would be.

9. How Ground Truth for the Training Set Was Established

As there is no mention of a training set in the context of machine learning, there is no information on how its ground truth was established. The device is a mechanical measurement tool rather than an AI/ML-driven diagnostic.

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RxPeakFlow Meter

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K101380

510(k) Summary Traditional 510(k) Premarket Notification Summary of Safety and Effectiveness

Submitter InformationNoble MarketingJeff BakerPresident & CEO100 East Pine Street, Suite 305Orlando, FL 32801SEP 13 2010
Contact PersonLaura LyonsSr. Regulatory Consultant317-569-9500317-569-9520 (fax)
DateMay 14, 2010
Trade NameRxPeakFlow
Common NameMeter, Peak Flow
Classification NameBZH
Classification Number21 CFR 868.1860
Predicate DevicesMicroPeak K030586 BZH 868.1860
Device DescriptionThe RxPeakFlow is a device used to measure the peak expiratory flow of a patient. The Peak Expiratory Flow Rate is a recognized lung function value that is helpful in monitoring of respiratory conditions such as asthma. The device can be used anywhere the patient needs to measure their peak expiratory flow rate. It is a single patient use device intended for use for children to adults.
Intended UseThe RxPeakFlow is a single patient use device to measure a patient's peak expiratory flow rate in liters/minutes. This is helpful in monitoring respiratory conditions such as asthma. The device can be used anywhere the patient needs to measure their peak expiratory flow rate. It is a single patient use device intended for use for children to adults
Comparison to Predicate DevicesThe RxPeakFlow is similar to the predicate in intended use, materials, measuring principle and performance.

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Device ComparisonsRxPeakFlowMicroPeak
Indicated useMeasures a patient'speak expiratory flowrate.Measures a patient'speak expiratory flowrate.
Target PopulationChildren to AdultsPatients requiring themeasurement of peakexpiratory flow.
Environment of useAnywhere a patient mayrequire themeasurement of peakexpiratory peak flow.Anywhere a patient mayrequire themeasurement of peakexpiratory peak flow.
DesignSingle Patient UseSingle Patient Use
Measuring PrincipleTension SpringPiston/PointerTension SpringPiston/Pointer
Performance
Range60-800 L/Min60-900 L/Min
Accuracy+/- 10%+/- 10%
Intra device Precision+/- 5%+/- 5%
Inter device Precision+/-5%+/-5%
MaterialsHousing- ABSHousing- ABS
DifferencesSmall difference inmeasurement range.

The RxPeakFlow uses a tension spring piston/pointer measuring principle. Technological Characteristics

The RxPeakFlow has been tested for performance through bench testing. The Performance device passed all testing and met the criteria for range, accuracy and precision of Non-Clinical required by the American Thoracic Society's Standardization of Spirometry, specifically the ATS 26 flow-time waveform testing.

The RxPeakFlow is substantially equivalent to a legally marketed predicate Conclusion device and meets recommended ATS standards.

End of document.

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Image /page/2/Picture/0 description: The image shows a logo or symbol that appears to be associated with a department or organization. The logo features a stylized design with three vertical lines that are connected by curved segments, creating a wave-like pattern. The text "DEPARTMENT OF" is partially visible along the left side of the image, suggesting that the logo belongs to a government or institutional entity.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Noble Marketing C/O Ms. Laura Lyons Anson Group, LLC 11460 N. Meridian Street, Suite 150 Carmel, Indiana 46032

SEP 1 3 2010

Re: K101380 Trade/Device Name: RxPeakFlow Regulation Number: 21 CFR 868.1860 Regulation Name: Peak-Flow Meter for Spirometry Regulatory Class: II Product Code: BZH Dated: August 30, 2010 Received: August 30, 2010

Dear Ms. Lyons:

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. 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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Page 2- Ms. Lyons

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 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

W for

Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and

Radiological Health

Enclosure

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Indications for Use

101380

510(k) Number: Pending

SEP 1 3 2010

Device Name: RxPeakFlow

Indications For. Use:

The RxPeakFlow is a single patient use device to measure a patient's peak expiratory flow rate in liters/minutes. This is helpful in monitoring respiratory conditions such as asthma. The device can be used anywhere the patient needs to measure their peak expiratory flow rate. It is a single patient use device intended for use for children to adults.

Prescription Use __ AND/OR Over-The-Counter Use __ × (Part 21 CFR 801 Subpart D) (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)
Page 1 of __

510(k) Number:

§ 868.1860 Peak-flow meter for spirometry.

(a)
Identification. A peak-flow meter for spirometry is a device used to measure a patient's maximum ventilatory flow rate.(b)
Classification. Class II (performance standards).