K Number
K022276
Device Name
KOKOMATE
Date Cleared
2002-10-04

(81 days)

Product Code
Regulation Number
868.1840
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
KoKoMate is a diagnostic spirometer for use in the primary-care setting to measure and report the following spirometric values: Peak Expiratory Flow (PEF), One-Second (FEV1) and Six-Second (FEV6) Forced Expiratory Volumes, Forced Expiratory Flow averaged from 25 - 75% of total volume (FEF25-75%), and the ratio of FEV1/FEV6.
Device Description
KoKoMate is a hand-held, self-contained spirometer with disposable mouthpiece designed specifically to measure a few simple expiratory spirometry values in the primary-care setting for diagnostic and screening purposes. The meter features a 4-line by 16-character LCD display; four control buttons; a port to accept its mouthpiece/flow-tube; and an IR data-transfer port. The device measures expiratory breath flow through its mouthpiece, which is designed for single use. For a maximal expiratory effort, the meter determines peak expiratory flow (PEF), one-second forced expiratory volume (FEV1), six-second forced expiratory volume (FEV6), and average forced expiratory flow from 25 - 75% of total volume (FEF25-75%). It reports these values plus the ratio of FEV1/FEV6 and an indication of how these values compare to recognized predicted values. In addition, the meter processes the signals from each expiratory maneuver to help determine the quality of the maneuver to aid the clinician or patient in determining whether the reported values are valid. Along with the spirometer, the KoKoMate system can include one of two optional accessory products. These accessories act as data transfer conduits transferring data streams across optic and serial interfaces as they cradle the meter. One cradle is designed to couple the meter to a PC for data storage, printout, or analysis; the other links the meter directly to a printer for direct printout of a simple spirometry report.
More Information

Not Found

No
The description focuses on standard spirometry measurements and signal processing for quality assessment, with no mention of AI or ML terms or concepts.

No
The device is described as a "diagnostic spirometer" used to "measure and report spirometric values" for "diagnostic and screening purposes," which indicates it is for diagnosis, not treatment.

Yes.

The "Intended Use / Indications for Use" section explicitly states that KoKoMate is "a diagnostic spirometer." The "Device Description" also mentions its use "for diagnostic and screening purposes."

No

The device description explicitly states it is a "hand-held, self-contained spirometer" with physical components like an LCD display, control buttons, a port for a mouthpiece, and an IR data-transfer port. It also mentions optional accessory products that act as data transfer conduits, further indicating hardware components beyond just software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • KoKoMate's Function: The KoKoMate is a spirometer that measures lung function directly from the patient's breath (an in-vivo measurement), not from a specimen taken from the body. It measures physical parameters of airflow and volume during exhalation.

Therefore, while it is a diagnostic device used in a primary-care setting, it does not fit the definition of an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

KoKoMate is a diagnostic spirometer for use in the primary-care setting to measure and report the following spirometric values: Peak Expiratory Flow (PEF), One-Second (FEV1) and Six-Second (FEV6) Forced Expiratory Volumes, Forced Expiratory Flow averaged from 25 - 75% of total volume (FEF25-75%), and the ratio of FEV1/FEV6.

Product codes

73-BZG

Device Description

KoKoMate is a hand-held, self-contained spirometer 31 with disposable mouthpiece designed specifically to measure a few simple expiratory spirometry values in the primary-care setting for diagnostic and screening purposes. The meter features a 4-line by 16-character LCD display; four control buttons; a port to accept its mouthpiece/flow-tube; and an IR data-transfer port.

The device measures expiratory breath flow through its mouthpiece, which is designed for single use. For a maximal expiratory effort, the meter determines peak expiratory flow (PEF), one-second forced expiratory volume (FEV1), six-second forced expiratory volume (FEV6), and average forced expiratory flow from 25 - 75% of total volume (FEF25-75%). It reports these values plus the ratio of FEV1/FEV6 and an indication of how these values compare to recognized predicted values. In addition, the meter processes the signals from each expiratory maneuver to help determine the quality of the maneuver to aid the clinician or patient in determining whether the reported values are valid.

Along with the spirometer, the KoKoMate system can include one of two optional accessory products. These accessories act as data transfer conduits transferring data streams across optic and serial interfaces as they cradle the meter. One cradle is designed to couple the meter to a PC for data storage, printout, or analysis; the other links the meter directly to a printer for direct printout of a simple spirometry report.

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

primary-care setting

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

Safety: KoKoMate units were examined and bench tested by third-party examiners to demonstrate conformance to two recognized international consensus standards for safety of medical electrical equipment: EN 60601-1:1988 (general safety) and EN 60601-1-2:1993 (electromagnetic compatibility).

Effectiveness: In-house and third-party testing, using an ATS-compatible automatic waveform generator, demonstrated that the measurement performance of the spirometer met or exceeded requirements published in the National Lung Health Education Program's consensus statement for office spirometry and in the American Thoracic Society's standard for diagnostic spirometry. Meter function was also tested using specialized most-probable-error flow waveforms to validate measurement-quality features. The measurement-quality study demonstrated that the KoKoMate can appropriately provide information regarding a subject's PEF, FEV1, FEV6, FEF25-75%, and FEV1/FEV6 measurements and can identify measurements of suspect quality appropriately.

Clinical Performance Data: Testing in a simulated primary-care setting demonstrated that patients and clinicians in that environment can safely and effectively use the KoKoMate under conditions of actual use and that the users guide, product physical design, and other human-factor characteristics of the KoKoMate system are appropriate for the product's intended use.

Key Metrics

Not Found

Predicate Device(s)

K982995, K992823

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.1840 Diagnostic spirometer.

(a)
Identification. A diagnostic spirometer is a device used in pulmonary function testing to measure the volume of gas moving in or out of a patient's lungs.(b)
Classification. Class II (performance standards).

0

510(k) Number K022776

Date Date

KoKoMate Office Spirometer 510(k) Summary

Submitter
-------------

| Company: | Pulmonary Data Services, Inc.
908 Main Street, Louisville, Colorado 80027 USA
Tel 303 666 5555, Fax 303 666 5588 |
|-------------------|------------------------------------------------------------------------------------------------------------------------|
| Contact: | Jim Lewis |
| Prepared: | 11 July 2002 |
| Device Name | |
| Trade: | KoKoMate |
| Common: | Office spirometer[1] |
| Classification: | Diagnostic spirometer, 21 CFR 868.1840; Class II |
| Product code: | 73-BZG |
| Predicate Devices | |
| Trade Name: | AccuTrax |
| 510(k) Number: | K982995 |
| Manufacturer: | PDS [under contract from Korr Medical Technologies |
| Trade Name: | Spirovit SP-2 |
| 510(k) Number: | K992823 |
| Manufacturer: | Schiller AG |

Device Description

KoKoMate is a hand-held, self-contained spirometer 31 with disposable mouthpiece designed specifically to measure a few simple expiratory spirometry values in the primary-care setting for diagnostic and screening purposes. The meter features a 4-line by 16-character LCD display; four control buttons; a port to accept its mouthpiece/flow-tube; and an IR data-transfer port.

The device measures expiratory breath flow through its mouthpiece, which is designed for single use. For a maximal expiratory effort, the meter determines peak expiratory flow (PEF), one-second forced expiratory volume (FEV1), six-second forced expiratory volume (FEV6), and average forced expiratory flow from 25 - 75% of total volume (FEF25-75%). It reports these values plus the ratio of FEV1/FEV6 and an indication of how these values compare to recognized predicted values. In addition, the meter processes the signals from each expiratory

1 Ferguson GT, Enright PL, Buist AS, Higgins MV. Office spirometry for lung health assessment in adults: A consensus statement from the National Lung Health Education Program. Chest 117:1146-1161, 2000.

2 American Thoracic Society. Standardization of spirometry: 1994 update. Am J Respir Crit Care Med 152:1107-1136, 1995.

1

maneuver to help determine the quality of the maneuver to aid the clinician or patient in determining whether the reported values are valid.

Along with the spirometer, the KoKoMate system can include one of two optional accessory products. These accessories act as data transfer conduits transferring data streams across optic and serial interfaces as they cradle the meter. One cradle is designed to couple the meter to a PC for data storage, printout, or analysis; the other links the meter directly to a printer for direct printout of a simple spirometry report.

Indications for Use

KoKoMate is a diagnostic spirometer for use in the primary-care setting to measure and report the following spirometric values: Peak Expiratory Flow (PEF), One-Second (FEV1) and Six-Second (FEV6) Forced Expiratory Volumes, Forced Expiratory Flow averaged from 25 - 75% of total volume (FEF25-75%), and the ratio of FEV1/FEV6.

Summary of Technological Characteristics

The KoKoMate measures flow by pneumotachometry (using differential pressure across a known restriction to indicate air flow). The flow path in the meter is a single-use element mounted in pneumatic communication with a durable, reusable handle contains . sensors and associated electronics for interpretation, storage, display, and communication of flow data and test results. The handle houses the battery, pneumatic sensor, analog-to-digital converter, embedded microprocessor, control buttons, multiple-line alphanumeric display, and infrared data port.

Data communication between the meter and a PC or printer may be made through IR data ports on the meter and in one of the optional data-transfer accessories. Data transfer, storage, and display on a PC is done with an existing Windows-based spirometry program available from PDS. Control firmware embedded in the Printer/PC Cradle allows direct printing of the data stored in the meter in a simple report format.

Summary of Non-Clinical Performance Data

Safety

KoKoMate units were examined and bench tested by third-party examiners to demonstrate conformance to two recognized international consensus standards for safety of medical electrical equipment. The standards are EN 60601-1:1988 with amendments for general safety and EN 60601-1-2:1993 for electromagnetic compatibility.

Effectiveness

In-house and third-party testing, using an ATS-compatible automatic waveform generator. demonstrated that the measurement performance of the spirometer met or exceeded requirements published in the National Lung Health Education Program's consensus statement for office spirometry11 and in the American Thoracic Society's standard for diagnostic spirometry [2].

Meter function was also tested using specialized most-probable-error flow waveforms to validate measurement-quality features. The measurement-quality study demonstrated that the KoKoMate can appropriately provide information regarding a subject's PEF, FEV1, FEV6, FEF25-75%, and FEV1/FEV6 measurements and can identify measurements of suspect quality appropriately.

2

Summary of Clinical Performance Data

Testing in a simulated primary-care setting demonstrated that patients and clinicians in that environment can safely and effectively use the KoKoMate under conditions of actual use and that the users guide, product physical design, and other human-factor characteristics of the KoKoMate system are appropriate for the product's intended use.

Equivalence to Predicate Devices

The KoKoMate's design is a direct design enhancement of the AccuTrax predicate: using the same technologies, design principles, and manufacturing approach; but extending its features and accuracy. The system is substantially equivalent to the Spirovit SP-2: using the same measurement principles; using similar construction, material, and energy source; and meeting the same performance characteristics. The differences are that KoKoMate has a simpler user interface and reports a reduced set of spirometry values compared to the Spirovit.

Technical Specifications

Meter

  • Dimensions: .
  • . Weight:
  • Operating temperature range: ●
  • . Operating humidity:
  • Accuracy, precision ●
  • Storage temperature:
  • . Display:
  • . Power:
  • Battery life: ●
  • . Memory capacity:
  • Data port:
  • Case material .
  • . Mouthpiece material

Cradle

  • Dimensions: .
  • Weight: .
  • Operating temperature range: .
  • Operating humidity: ●
  • Storage temperature: ●
  • Power: .
  • PC cradle:
  • Printer/PC cradle: ●
  • Data port:

  • Meter:
  • Computer/printer: .
  • Case material ●

170x70x40 mm 230 g 17 °C to 38 °C 0 to 80%. non-condensing Meets ATS diagnostic spirometry21 -20 °C to 60 °C LCD Display, 4 line x 16 character One 9 V alkaline battery Approximately 500 tests (3 months of expected usage) 8 sessions (including pre/post challenge) Infrared optical Impact polystyrene ABS Cycolac

  • 200x150x60 mm 320 g 17 °C to 38 °C 0 to 80%, non-condensing -20 °C to 60 °C
    Powered from serial port of PC 12 VDC via AC mains-power adapter

Infrared optical RS232 serial data port Impact polystyrene

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird-like figure.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 -

OCT 0 4 2002

Mr. Jim Lewis Director of Operations Pulmonary Data Services, Incorporated 908 Main Street Louisville, Colorado 80027

Re: K022276

Trade/Device Name: KoKoMate Office Spirometer Regulation Number: 868.1840 Regulation Name: Diagnostic Spirometer Regulatory Class: II Product Code: BZG Dated: July 11, 2002 Received: July 15, 2002

Dear Mr. Lewis:

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.

4

Page 2 - Mr. Lewis

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,

Les Celikourt

Timothy 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): Ko 2222220

Device Name: _ KoKoMate Office Spirometer

Indications for Use:

KoKoMate is a diagnostic spirometer for use in the primary-care setting to measure and report the following spirometric values: Peak Expiratory Flow, One-Second (FEV1) and Six-Second (FEV6) Forced Expiratory Volumes, Forced Expiratory Flow averaged from 25 – 75% of total volume, and the ratio of FEV1/FEV6.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

fs A. Wutrshm

(Optional Format 3-10-98)

Division of Anesthesiology, General Hospital. Infection Control, Dental

510(k) Number:

2-1