K Number
K172772
Manufacturer
Date Cleared
2017-10-13

(29 days)

Product Code
Regulation Number
884.5160
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Freemie® Independence and Freemie® Liberty are powered breast pumps to be used by lactating women to express and collect milk from their breast. The Freemie® Independence and Freemie® Liberty pumps are intended for use by a single user.

Device Description

The Freemie® Independence and Freemie® Liberty powered breast pumps utilizes the supplied previously cleared device (K130349) Freemie® Breast Pump Collection System to express and collect milk from the breast of a lactating woman. Pumping can be performed on one breast (single pumping) or both breasts (double pumping) at the same time. The system is designed for mobile pumping (home, office, etc.) as the device is light weight, compact in size and can be attached to the user's clothing with a clip. Ten (10) suction levels, eleven (11) cycle speeds and three (3) memory settings (suction and cycle levels) are user adjustable via tactile switches (referred to as buttons). The pumps are powered by a rechargeable lithium-ion polymer battery which can be charged with a USB to micro USB provided cable (laptop, car, etc.) and alternatively with a supplied wall charge adapter with a USB port for charging the battery with mains power. The sole function of the Micro USB port on the pump is for charging the pump. The power to the pump is always supplied by the battery, even when charging. Firmware controls a low voltage DC swash plate vacuum pump and solenoid that is capable of providing vacuum levels from -10 to -280 mmHq with cycle speeds from 18 to 150 cycles per minute. A physical barrier on the collection side prevents backflow of milk into the pump. The Freemie® Independence Pump has a series of LED lights to indicate the pump's current use settings to the user and has a pre-programmed auto shut-off timer that turns the pump off after 40 minutes. The Freemie® Liberty Breast Pump has an LCD screen to indicate the pump's current use settings to the user and has an auto shut-off timer that is user adjustable in five minute increments from 5 to 40 minutes.

AI/ML Overview

The provided text describes the 510(k) summary for the Freemie® Independence and Freemie® Liberty Breast Pump. This document is for a medical device that aims to demonstrate substantial equivalence to a predicate device, not for an AI/ML powered device. As such, many of the typical acceptance criteria and study details for AI/ML devices (like sample size for test/training sets, data provenance, number of experts for ground truth, MRMC studies, or standalone performance metrics like AUC, sensitivity, specificity) are not applicable or not provided in this document.

However, I can extract the acceptance criteria related to the device's technical specifications and the non-clinical tests performed to demonstrate its performance and safety, which serve as the "study" proving it meets these criteria.

Here's the information based on the provided document:

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria are implicitly derived from the comparison to the predicate device and compliance with voluntary standards. The device performance is detailed through its specifications and test results ensuring compliance with these standards and similar functionality to the predicate.

Acceptance Criterion (Implicit)Reported Device Performance
Functional Equivalence to Predicate DeviceSame intended use: to express and collect milk from the breast of a lactating woman.
Vacuum Generation Capability (similar to predicate)Vacuum range: -10 to -280 mmHg (Predicate: -50 to -280 mmHg). The subject device covers a wider low-end range, but the upper limit is the same.
Cycle Speed Capability (similar to predicate)Cycle speed: 18 to 150 cycles/minute (Predicate: 38 to 70 cycles/minute). The subject device offers a wider range of cycle speeds.
Backflow ProtectionYes (similar to predicate). Confirmed by "backflow protection (fill test)".
Software/Firmware FunctionalityEmbedded software. Software verification and validation testing conducted as per FDA guidance.
Safety Standards Compliance
Electrical SafetyComplies with IEC 60601-1:2005 (2012 reprint).
Electromagnetic CompatibilityComplies with IEC 60601-1-2:2014 (4th edition).
Usability (Electrical Safety)Complies with IEC 60601-1-6:2010 (3rd edition) + A1:2013.
Electrical Safety for Home Healthcare EnvironmentComplies with IEC 60601-1-11:2015 (2nd edition).
Portable Battery SafetyComplies with IEC 62133:2012 (2nd edition) for portable sealed secondary cells and batteries.
Photobiological Safety of LampsComplies with IEC 62471:2006 (1st edition).
Risk ManagementRisk Analysis developed in accordance with ISO 14971:2007.
Durability and Performance Tests
Minimum & Maximum Vacuum LevelsPerformance testing performed to determine these.
Cycle SpeedsPerformance testing performed to determine these.
Motor Life CyclePerformance testing performed.
Drop TestPerformance testing performed.
Voltage VerificationPerformance testing performed.
Comparison Testing with PredicateSpectra S1 Plus and S2 Plus comparison testing performed to ensure "similar level of vacuum" and overall performance.
BiocompatibilityThe pump itself does not have direct or indirect user contact. It utilizes a previously cleared device (K130349) Freemie® Breast Pump Collection System, implying biocompatibility of the parts in contact with media is established through that cleared device.

The "study" that proves the device meets these acceptance criteria is the Summary of Non-Clinical Tests section of the 510(k) submission (starting on page 5/6). This section explicitly lists the various tests and standards to which the device was subjected and found compliant.


Regarding AI/ML specific information, this document does not contain the following as it's not an AI/ML device submission:

2. Sample size used for the test set and the data provenance: Not applicable. Performance is validated through engineering tests and adherence to standards, not through a "test set" of data in the AI/ML sense. Data provenance is therefore not relevant.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth for an AI/ML device usually refers to expert labels on data. For this breast pump, 'ground truth' is objective measurements against engineering specifications and safety standards.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This device is a mechanical/electronic pump, not an AI diagnostic/interpretative tool for human readers.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done: Not applicable. The device's performance is inherently "standalone" in its mechanical function, but this term typically applies to AI algorithms.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): The "ground truth" here is adherence to established engineering specifications, safety standards (e.g., IEC 60601-1), and functional equivalence demonstrated through direct comparison measurements against the predicate device.

8. The sample size for the training set: Not applicable. This is not an AI/ML device that requires a training set.

9. How the ground truth for the training set was established: Not applicable.

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October 13, 2017

DAO Health % Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1394 25th Street, NW Buffalo, Minnesota 55313

Re: K172772

Trade/Device Name: Freemie® Independence and Freemie® Liberty Breast Pump Regulation Number: 21 CFR 884.5160 Regulation Name: Powered Breast Pump Regulatory Class: Class II Product Code: HGX Dated: September 13, 2017 Received: September 14, 2017

Dear Mark Job:

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.

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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820);

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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 contact the Division of Industry and Consumer Education (DICE) at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 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 Industry and Consumer Education (DICE) at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely.

Joyce M. Whang -S

for

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K172772

Device Name

Freemie® Independence and Freemie® Liberty Breast Pump

Indications for Use (Describe)

The Freemie® Independence and Freemie® Liberty are powered breast pumps to be used by lactating women to express and collect milk from their breast. The Freemie® Independence and Freemie® Liberty pumps are intended for use by a single user.

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 Freemie® Independence and Freemie® Liberty Breast Pump

In accordance with 21 CFR 807.92 the following summary of information is provided:

SUBMITTER:

DAO Health 1345 Easy Lane El Dorado Hills, CA 95762

DATE PREPARED:

July 12, 2017

PRIMARY CONTACT PERSON:

Dave Paul Phone: 916-339-7388 FAX: 877-869-1973 e-mail: dave@freemie.com

Device:

TRADE NAME: Freemie® Independence and Freemie® Liberty Breast Pump COMMON NAME: Powered Breast Pump CLASSIFICATION NAME: Pump, Breast, Powered REGULATORY CLASS: II PRODUCT CODE: HGX REGULATION NUMBER: 884.5160

PREDICATE DEVICE:

Spectra S1 Plus and Spectra S2 Plus Breast Pump (K150476) The predicate devices have not been subject to a design-related recall.

INDICATIONS FOR USE:

The Freemie® Independence and Freemie® Liberty are powered breast pumps to be used by lactating women to express and collect milk from their breast. The Freemie® Independence and Freemie® Liberty pumps are intended for use by a single user.

DEVICE DESCRIPTION:

The Freemie® Independence and Freemie® Liberty powered breast pumps utilizes the supplied previously cleared device (K130349) Freemie® Breast Pump Collection System to express and collect milk from the breast of a lactating woman. Pumping can be performed on one breast (single pumping) or both breasts (double pumping) at the same time. The system is designed for mobile pumping (home, office, etc.) as the device is light weight, compact in size and can be attached to the user's clothing with a clip.

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Ten (10) suction levels, eleven (11) cycle speeds and three (3) memory settings (suction and cycle levels) are user adjustable via tactile switches (referred to as buttons). The pumps are powered by a rechargeable lithium-ion polymer battery which can be charged with a USB to micro USB provided cable (laptop, car, etc.) and alternatively with a supplied wall charge adapter with a USB port for charging the battery with mains power. The sole function of the Micro USB port on the pump is for charging the pump. The power to the pump is always supplied by the battery, even when charging.

Firmware controls a low voltage DC swash plate vacuum pump and solenoid that is capable of providing vacuum levels from -10 to -280 mmHq with cycle speeds from 18 to 150 cycles per minute. A physical barrier on the collection side prevents backflow of milk into the pump.

The Freemie® Independence Pump has a series of LED lights to indicate the pump's current use settings to the user and has a pre-programmed auto shut-off timer that turns the pump off after 40 minutes. The Freemie® Liberty Breast Pump has an LCD screen to indicate the pump's current use settings to the user and has an auto shut-off timer that is user adjustable in five minute increments from 5 to 40 minutes.

DETERMINATION OF SUBSTANTIAL EQUIVALENCE:

SUMMARY OF TECHNOLOGICAL CHARACTERISTICS OF THE SUBJECT DEVICE COMPARED TO THE PREDICATE DEVICE

The indications for use of Freemie® Independence and Freemie® Liberty powered breast pumps are the same as the predicate devices. The subject and predicate devices have the same intended use - to express and collect milk from the breast of a lactating woman.

The Freemie® Independence and Freemie® Liberty powered breast pumps generate vacuum in a similar manner as the predicate device and are capable of providing a similar level of vacuum as the predicate device. The subject and predicate devices have similar technological characteristics such as tactile switches, LCD screen, rechargeable lithium-ion polymer battery, adjustable suction and cycle levels, auto shut-off timer, embedded software (firmware) and backflow protection.

Table 1 below identifies key similarities and differences of the proposed Freemie® Independence and Freemie® Liberty to the legally marketed predicated device, the Spectra S1 Plus and Spectra S2 Plus breast pump (K150476).

Subject DevicePredicate Device (K150476)
GENERAL DEVICE CHARACTERISTICS
Product NameFreemie® Independence andFreemie® LibertySpectra S1 Plus and Spectra S2 Plus
ManufacturerDAO HealthUzinmedicare Co.
Product CodeHGXHGX
Regulation Number21 CFR 884.516021 CFR 884.5160
ClassIIII
Patient PopulationBreastfeeding WomenBreastfeeding Women
Indications for UseThe Freemie® Independence and Freemie®The Spectra S1 Plus and Spectra S2

TABLE 1. COMPARISON OF SUBJECT DEVICE TO PREDICATE DEVICE

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Liberty are powered breast pumps to beused by lactating women to express andcollect milk from their breast. TheFreemie® Independence and Freemie®Liberty pumps are intended for use by asingle user.Plus are single-user, powered breastpumps intended to express and collectmilk from the breasts of lactating women.
User Interface and Controls
Pump OptionsSingle or DoubleSingle or Double
Power ButtonTactile SwitchTactile Switch
Suction Levels10 levelsMassage Mode: 5 levelsExpression Mode: 12 levels
Cycle Levels11 levelsMassage Mode: 1 levelExpression Mode: 5 levels
TimerFixed auto shut-off (40 minutes forIndependence only)Adjustable auto shut-off (5-40 minutes forLiberty only)Fixed auto shut-off (30 minutes)
Memory Setting3 user programmable settingsNo
Visual IndicatorLED (Independence only)LCD (Liberty only)LCD
Means of Attaching toClothingClipNo
Charging PortMicro USBDC Jack (S1 Plus only)
Specifications
Pump TypeSwash PlateDiaphragm
Power Source100 - 240V AC100 - 240V AC
50/60 Hz50/60 Hz
0.2A600mA
Only when using mains with wall poweradapter to charge battery(Only when using mains with wall poweradapter to charge battery for S1 Plus)
Battery3.70V/2200mAhRechargeable Lithium-ion Polymer Battery11.1V/2000mAh Rechargeable Lithium-ion Polymer Battery (S1 Plus only)
Vacuum Range-10 to -280 mmHg-50 to -280 mmHg
Cycle Speed18 to 150 cycles/minute38 to 70 cycles/minute
Backflow ProtectionYesYes
SoftwareEmbeddedEmbedded
Weight9.2 ounces42.5 ounces
Size<4 inches in diameter, <2 inches tall<8.5 inches in diameter, <6.5 inches tall

The technological characteristics of the subject device that are different – number of suction and number of cycle levels, cycle speed range, auto shut-off timer, and user adjustability of the auto shut-off timer, memory settings, means of attaching the pump to the user's clothing, charging port, weight and size do not raise safety and effectiveness questions by these differences.

SUMMARY OF NON-CLINICAL TESTS:

The Freemie® Independence and Freemie® Liberty powered breast pumps complies with voluntary standards for electrical safety, electromagnetic compatibility, use in the home healthcare environment, usability, portable battery safety requirements and photobiological safety of lamps. The following data were provided in support of the substantial equivalence determination:

  • Risk Analysis developed in accordance with ISO 14971:2007
  • Electrical safety testing in accordance with IEC 60601-1:2005 (2012 reprint) ●
  • Electromagnetic compatibility testing in accordance with IEC 60601-1-2:2014 (4th ● edition)
  • Electrical safety usability testing in accordance with IEC 60601-1-6:2010 (30 edition) + ●

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A1:2013

  • . Electrical safety testing for use in home in accordance with IEC 60601-1-11:2015 (201 edition)
  • Safety testing for portable sealed secondary cells and batteries made from them in ● accordance with IEC 62133:2012 (2nd edition)
  • Photobiological safety testing of lamps in accordance with IEC 62471:2006 (1st edition) ●
  • 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." (May 11, 2005)
  • . Performance testing to determine minimum and maximum vacuum levels and cycle speeds, backflow protection (fill test), motor life cycle, drop test, voltage verification and Spectra S1 Plus and S2 Plus comparison testing.
  • . Biocompatibility: the subject device (the pump itself) does not have direct or indirect user contact. The subject device utilizes the supplied previously cleared device (K130349) Freemie® Breast Pump Collection System.

CONCLUSION:

The differences between the Freemie® Independence and Freemie® Liberty powered breast pumps and its predicate device do not introduce a new intended use and do not raise new issues of safety and effectiveness. Based on non-clinical testing, DAO Health concludes that the Freemie® Independence and Freemie® Liberty powered breast pumps perform as intended and are substantially equivalent to the legally marketed predicate device, the Spectra S1 Plus and Spectra S2 Plus.

§ 884.5160 Powered breast pump.

(a)
Identification. A powered breast pump in an electrically powered suction device used to express milk from the breast.(b)
Classification. Class II (performance standards).