K Number
K013200
Device Name
RENMED CONTAMI-SHIELD BREATHING CIRCUIT SLEEVE, MODEL 9999/01
Date Cleared
2001-12-14

(80 days)

Product Code
Regulation Number
868.5260
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Contami-Shield ™ Breathing Circuit Sleeve, indicated for use with mechanically-ventilated patients, is intended to reduce the gross external contamination of the breathing circuit during use. When used in conjunction with a bacterial/viral breathing filter, the Contami-Shield is intended to provide improved protection against contamination of the breathing circuit over a breathing filter alone. For Single Patient Use.
Device Description
The Contami-Shield Breathing Circuit Sleeve, indicated for use with mechanicallyventilated patients, is intended to reduce the gross external contamination of the breathing circuit during use. When used in conjunction with a bacterial/viral breathing filter, the Contami-Shield is intended to provide improved protection against contamination of the breathing circuit over a breathing filter alone. The disclosed device is an external device, not in physical contact with the patient, intended for use with ventilators, anesthesia machines, and open flow systems where the external protection of the breathing circuit is desired. The disclosed device shall be slipped over the external surface of the breathing circuit prior to use. A filter or HME filter may be changed or removed from the breathing circuit, while the Contami-Shield is present and in use, if desired.
More Information

Not Found

Not Found

No
The device description and intended use focus on a physical sleeve for reducing contamination, with no mention of AI or ML technologies.

No.
The device's purpose is to reduce external contamination of the breathing circuit, not to treat a specific medical condition or disease in the patient. It acts as a protective sleeve for the circuit.

No

Explanation: The device is intended to reduce external contamination of breathing circuits and does not involve diagnosing any medical condition.

No

The device description clearly indicates a physical "Breathing Circuit Sleeve" that is slipped over the external surface of a breathing circuit. This is a hardware component, not software.

Based on the provided information, the Contami-Shield ™ Breathing Circuit Sleeve is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Contami-Shield Function: The description clearly states that the Contami-Shield is an external device that is slipped over the breathing circuit to reduce external contamination. It does not interact with patient samples or perform any diagnostic testing.
  • Intended Use: The intended use is to protect the breathing circuit from external contamination, not to diagnose or monitor a patient's condition through analysis of biological samples.

Therefore, the Contami-Shield falls under the category of a medical device, but not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Contami-Shield™ Breathing Circuit Sleeve, indicated for use with mechanically-ventilated patients, is intended to reduce the gross external contamination of the breathing circuit during use. When used in conjunction with a bacterial/viral breathing filter, the Contami-Shield is intended to provide improved protection against contamination of the breathing circuit over a breathing filter alone.

For Single Patient Use.

The device is neither intended to be in contact with the patient nor does it use or impart electrical energy.

Product codes (comma separated list FDA assigned to the subject device)

73CAH

Device Description

The Contami-Shield Breathing Circuit Sleeve, indicated for use with mechanicallyventilated patients, is intended to reduce the gross external contamination of the breathing circuit during use. When used in conjunction with a bacterial/viral breathing filter, the Contami-Shield is intended to provide improved protection against contamination of the breathing circuit over a breathing filter alone.

The disclosed device is an external device, not in physical contact with the patient, intended for use with ventilators, anesthesia machines, and open flow systems where the external protection of the breathing circuit is desired. The disclosed device shall be slipped over the external surface of the breathing circuit prior to use. A filter or HME filter may be changed or removed from the breathing circuit, while the Contami-Shield is present and in use, if desired.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

mechanically-ventilated patients

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

ARC Medical, Inc., Circuit Guard

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 868.5260 Breathing circuit bacterial filter.

(a)
Identification. A breathing circuit bacterial filter is a device that is intended to remove microbiological and particulate matter from the gases in the breathing circuit.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the word "RenMed" in a bold, sans-serif font. There are three horizontal lines to the left of the word and three horizontal lines to the right of the word. The lines are stacked on top of each other.

DEC 1 4 2001

K013200

NON-CONFIDENTIAL 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS (Pages VI - VII)

510(k) Summary

Company Information:

Rennels Medical Corp. 203 Northwood Drive Morganton, NC 28655 (828)437-1085 Contact: David Lee, President

Preparation Date of Summary:

September 20, 2001

Trade Name:

RenMed Contami-Shield™ Breathing Circuit Sleeve.

Common Name:

Filter, Bacterial, Breathing Circuit

Product Class/Classification:

Class II, 73CAH, 21CFR 868.5260

Predicate Device:

ARC Medical, Inc., Circuit Guard

Description of the Device:

The Contami-Shield Breathing Circuit Sleeve, indicated for use with mechanicallyventilated patients, is intended to reduce the gross external contamination of the breathing circuit during use. When used in conjunction with a bacterial/viral breathing filter, the Contami-Shield is intended to provide improved protection against contamination of the breathing circuit over a breathing filter alone.

The disclosed device is an external device, not in physical contact with the patient, intended for use with ventilators, anesthesia machines, and open flow systems where the

Rennels Medical Corp.

1

=RenMedz

external protection of the breathing circuit is desired. The disclosed device shall be slipped over the external surface of the breathing circuit prior to use. A filter or HME filter may be changed or removed from the breathing circuit, while the Contami-Shield is present and in use, if desired.

Indications for Use

Indications (from labeling): The Contami-Shield™ Breathing Circuit Sleeve, indicated for use with mechanically-ventilated patients, is intended to reduce the gross external contamination of the breathing circuit during use. When used in conjunction with a bacterial/viral breathing filter, the Contami-Shield is intended to provide improved protection against contamination of the breathing circuit over a breathing filter alone.

For Single Patient Use.

The device is neither intended to be in contact with the patient nor does it use or impart electrical energy.

Contraindications

The device is not intended for use with breathing circuits equipped with exhalation valves, water traps, nebulizers, or heated wires.

Comparison to Predicate Device

The following table includes the various aspects of the Contami-Guard Breathing Circuit Sleeve, compared with those of the predicate device:

RenMed Contami-GuardARC Medical circuit-Guard
Use
Intended to provide protection for
the breathing circuit against gross
exterior contamination.YESYES
To be used in conjunction with a
bacterial/viral breathing filter to
reduce internal and external
contamination of the breathing
circuit.YESYES
Single Patient Use.YESYES
Design
Clear polyethylene/polypropylene
sleeve.YESYES

2

=RenMed#

None of the differences noted in the performance specifications for each device are None of the differences nificant when the Contami-Guard is used as intended.

Relevant Standards

None known.

CONCLUSION

The comparison of the Contami-Guard Breathing Circuit Sleeve with the selected I no comparison of the strates that the device is safe and effective for its intended use and is substantially equivalent to the predicate device.

Sincerely, Rennels Medical Corp.

David Lee

President

3

Public Health Service

Image /page/3/Picture/2 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes forming its body and wings. The eagle is facing to the right. Encircling the eagle is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 1 4 2001

Mr. David Lee Rennels Medical Corp. P.O. Box 3626 Morganton, NC 28680

Re: K013200

RenMed Contami-Shield Breathing Circuit Sleeve Regulation Number: 868.5260 Regulation Name: Breathing Circuit Bacterial Filter Regulatory Class: Class II (two) Product Code: 73 CAH Dated: September 20, 2001 Received: September 25, 2001

Dear Mr. Lee:

We have reviewed your Section 510(k) premarket notification of intent to market the device wo have 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 for ass surver in the encreatery76, the enactment date of the Medical Device Amendments, or to commerce pror to this) 2017-11-17 accordance with the provisions of the Federal Food, Drug, de necs that have been resuire approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The r ou may, morelore, mains of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it rr your device is elassinod (60 as controls. Existing major regulations affecting your device can thay be subject to back additions, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

4

Page 2 - Mr. David Lee

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); 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.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4646. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

H. Garth Tellam

am D. Zuckerman, M.D. Acting Director Division of Cardiovascular and Respiratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

=RenMedま

510(k) Number, if known:

Device Name:RenMed Contami-Guard M Breathing Circuit Sleeve, Model 9999/01
Indications for Use:The Contami-Shield TM Breathing Circuit Sleeve, indicated for use with mechanically-ventilated patients, is intended to reduce the gross external contamination of the breathing circuit during use. When used in conjunction with a bacterial/viral breathing filter, the Contami-Shield is intended to provide improved protection against contamination of the breathing circuit over a breathing filter alone.

For Single Patient Use.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division of Cardiovascular & Respiratory Devices
510(k) Number K013200

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Format 1-2-96)

.