K Number
K021442
Device Name
OEMEDIC INTERNATIONAL INC. BESMED SINGLE USE ADULT, CHILD, INFANT MANUAL RESUSCITATOR WITH MASK & RESERVOIR
Date Cleared
2002-07-30

(85 days)

Product Code
Regulation Number
868.5915
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The OEMedic International Inc. Besmed® Single Use Manual Resuscitators are indicated to temporarily augment ventilation in patients.
Device Description
Not Found
More Information

Not Found

Not Found

No
The summary describes a manual resuscitator and contains no mention of AI, ML, or any related technologies.

Yes
The device is used to "temporarily augment ventilation in patients," which indicates a therapeutic purpose.

No
The device is described as a resuscitator to "temporarily augment ventilation," which indicates a therapeutic or life-support function rather than one for diagnosing a condition.

No

The device is a manual resuscitator, which is a hardware device used to augment ventilation. The summary does not mention any software component.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "temporarily augment ventilation in patients." This describes a device used directly on a patient to support a physiological function (breathing).
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Providing information about a patient's health status, disease, or condition based on sample analysis.
    • Reagents, calibrators, or controls.

IVDs are used to perform tests in vitro (outside the body) on biological samples to provide diagnostic information. A manual resuscitator is a medical device used in vivo (on the body) to assist with breathing.

N/A

Intended Use / Indications for Use

The OEMedic International Inc. Besmed® Single Use Manual Resuscitators are indicated to temporarily augment ventilation in patients.

Product codes

BTM

Device Description

OEMedic International Inc. Besmed® Single Use Adult Manual Device Names: Resuscitator with Mask and Reservoir OEMedic International Inc. Besmed® Single Use Child Manual Resuscitator with Mask and Reservoir OEMedic International Inc. Besmed® Single Use Infant Manual Resuscitator with Mask and Reservoir

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

Adult, Child, Infant

Intended User / Care Setting

Not Found

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5915 Manual emergency ventilator.

(a)
Identification. A manual emergency ventilator is a device, usually incorporating a bag and valve, intended to provide emergency respiratory support by means of a face mask or a tube inserted into a patient's airway.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight, composed of three curved lines that also suggest human profiles.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 3 0 2002

OEMedic International, Incorporated C/O Mr. Kevin Walls Regulatory Insight, Incorporated 13 Red Fox Lane Littleton, Colorado 80127

Re: K021442

Trade/Device: Besmed® Single Use Manual Resuscitator Regulation Number: 868.5915 Regulation Name: Emergency manual resuscitator Regulatory Class: II Product Code: BTM Dated: May 3, 2002 Received: May 6, 2002

Dear Mr. Walls:

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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA). it may be subject to such 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.

1

Page 2 - Mr. Kevin Walls, RAC

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,

Timothy A. Ulatowski

Timo A. Ulatowski 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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Page 1 of 1
510(k) Number (if known):K021442

OEMedic International Inc. Besmed® Single Use Adult Manual Device Names: Resuscitator with Mask and Reservoir OEMedic International Inc. Besmed® Single Use Child Manual Resuscitator with Mask and Reservoir OEMedic International Inc. Besmed® Single Use Infant Manual Resuscitator with Mask and Reservoir

Indications for Use: The OEMedic International Inc. Besmed® Single Use Manual Resuscitators are indicated to temporarily augment ventilation in patients.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign Off
Division of Cardiovascular, Respiratory and DAGIT
Neurological Devices
510(k) Number K021442

LabelsValues
Prescription UseX
OR
Over-The-Counter Use

Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter Use (Optional Format 1-2-96)