K Number
K021739
Device Name
LIMERICK POWERED ELECTRIC BREAST PUMP MODEL 1002
Manufacturer
Date Cleared
2003-01-10

(227 days)

Product Code
Regulation Number
884.5160
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The intended use of the electrically powered (diaphragmtype) suction device is to express milk from the breast of lactating women.
Device Description
This portable electric breast pump model 1002 is powered by a variable speed DC motor that drives a diaphragm pump. The diaphragm pump creates the negative pressure reguired to extract breast milk. This pump has variable speed cycling rates, which is controlled by a knob located on the control panel. The breast pump is capable of providing multiple vacuum levels, which are user selectable by use of a knob located on the front panel. A maximum vacuum of 250-mm Hg. is applied to one or both breast through a disposable filter that is connected by way of flexible tubing to the breast cup(s). It can be operated by use of either an AC/DC wall converter or a 12-Volt battery. All materials used in the manufacturing of this device that has contact with food or human tissue meet requirement of the FDA and international regulations concerning food contact and/or biocompatability.
More Information

Not Found

No
The device description details a mechanical breast pump with user-controlled settings (knobs for speed and vacuum). There is no mention of AI, ML, or any adaptive or learning capabilities. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

No.
A breast pump, while used for health and wellness, does not treat or diagnose a disease or condition, which is the definition of a therapeutic device.

No
The device is described as a breast pump for expressing milk, not for diagnosing any medical condition. Its function is to extract breast milk, which is a therapeutic/supportive action rather than a diagnostic one.

No

The device description clearly outlines a physical, electrically powered breast pump with a motor, diaphragm pump, control knobs, tubing, and breast cups. It is a hardware device with electrical and mechanical components, not solely software.

No, this device is not an IVD (In Vitro Diagnostic).

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. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The described device is a breast pump. Its function is to physically extract breast milk from the breast. It does not analyze any biological samples or provide diagnostic information.
  • Intended Use: The intended use clearly states "to express milk from the breast of lactating women." This is a mechanical function, not a diagnostic one.

Therefore, based on the provided information, this breast pump does not fit the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The intended use of the electrically powered (diaphragm-type) suction device is to express milk from the breast.

The intended use of the electrically powered (diaphragmtype) suction device is to express milk from the breast of lactating women.

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

85 HGX

Device Description

This portable electric breast pump model 1002 is powered by a variable speed DC motor that drives a diaphragm pump. The diaphragm pump creates the negative pressure reguired to extract breast milk. This pump has variable speed cycling rates, which is controlled by a knob located on the control panel. The breast pump is capable of providing multiple vacuum levels, which are user selectable by use of a knob located on the front panel. A maximum vacuum of 250-mm Hg. is applied to one or both breast through a disposable filter that is connected by way of flexible tubing to the breast cup(s).

It can be operated by use of either an AC/DC wall converter or a 12-Volt battery.

All materials used in the manufacturing of this device that has contact with food or human tissue meet requirement of the FDA and international regulations concerning food contact and/or biocompatability.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Breast

Indicated Patient Age Range

Not Found

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 (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.

K973501

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

§ 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).

0

Name of Company: Limerick Inc. Premarket Notification - 510(k) Name of Devise: Portable Electric Breast Pump Model 1002

EXHIBIT #1 Page 1 Of 3

510(K) SUMMARY

This summary of 510 (k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

The assigned 510(k) number is: KD21739

1. Submitter's Identification:

Limerick Inc. 903 North San Fernando Blvd., Suite 5 Burbank, California 91504

Date Summary Prepared: April 25, 20002

2. Name of the Device:

Portable Electric Breast Pump Model 1002

3. Predicate Devices Information:

Medela Pump In Style Breast Pump (510 (k) not known) Ameda Egnell Expresse and Premier Powered Breast pump K973501

4. Device Description:

This portable electric breast pump model 1002 is powered by a variable speed DC motor that drives a diaphragm pump. The diaphragm pump creates the negative pressure reguired to extract breast milk. This pump has variable speed cycling rates, which is controlled by a knob located on the control panel. The breast pump is capable of providing multiple vacuum levels, which are user selectable by use of a knob located on the front panel. A maximum vacuum of 250-mm Hg. is applied to one or both breast through a disposable filter that is connected by way of flexible tubing to the breast cup(s).

It can be operated by use of either an AC/DC wall converter or a 12-Volt battery.

All materials used in the manufacturing of this device that has contact with food or human tissue meet requirement of the FDA and international regulations concerning food contact and/or biocompatability.

1

Name of Company: Limerick Inc. Premarket Notification - 510(k) Name of Devise: Portable Electric Breast Pump Model 1002 EXHIBIT #1 Page 2 of 3

ર. Intended Use:

The intended use of the electrically powered (diaphragm-type) suction device is to express milk from the breast.

Comparison to Predicate Devices: 6.

Table of Comparison to Legally Marketed Device:

The following is a comparison chart outlining differences and similarities between Limerick Portable Electric Breast Pump Model 1002, Medela Pump In Style, the Expresse and Premier .:

Proposed DevicePredicate Devices
CharacteristicsLimerick Portable
Electric Breast
Pump Model 1002Medela Pump In
Style-K unknownAmeda/Egnell
Expresse
K973501Ameda/Egnell
Premier
K973501
Intended UseAs described in 21
CFR 884.5160As described in 21
CFR 884.5160As described in 21
CFR 884.5160As described in 21
CFR 884.5160
Suction Levels20-240 mm Hg.80-240 mm Hg.