K Number
K022311
Manufacturer
Date Cleared
2002-10-04

(79 days)

Product Code
Regulation Number
868.1800
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

A Rhinomanometer is a medical instrument, intended to measure nasal airway pressure up to 5 centimeters H2O. (500Pa) and air flow up to 1000 ml/s. (2001 a) and in the now ap to roove. which is useful to the physician in studying the nasal decongestion of the nasal This is a not it as re procedures, before and after surgical procedures, responses to medications, presence or absence of polyps, deviated septums, enlarged adenoids, etc.

Device Description

The RhinoStream Rhinomanometer module is designed to objectively and quickly measure and quantify a dynamic measure of the patient ability breath through the nasal airway passages.

AI/ML Overview

The provided text describes a 510(k) summary for the RhinoStream Rhinomanometer and its substantial equivalency comparison to a predicate device. However, it does not contain information about acceptance criteria, specific studies, or performance metrics in a way that allows for the detailed breakdown requested.

The document focuses on:

  • Device Description and Intended Use: Explains what the RhinoStream Rhinomanometer does.
  • Substantial Equivalency Comparison: Compares the RhinoStream to the Mercury Medical Rhinomanometer based on device description, indications, and technological characteristics (e.g., pressure and airflow measurement ranges, software, data storage).
  • FDA Clearance Letter: Confirms the device's 510(k) clearance based on substantial equivalence.
  • Indications for Use Statement: Reiterates the intended use in a regulatory format.

The absence of performance data, study designs, sample sizes, and expert review details is typical for a 510(k) summary, which primarily emphasizes substantial equivalence to a legally marketed predicate device rather than presenting detailed clinical performance studies for novel claims.

Therefore, I cannot provide the requested information in the structured table and points as the input document does not contain that level of detail.

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OCT 04 2002

ОСТОО 4 2002

Section K

510 (k) Summary

Date PreparedAugust 21, 2002
510 (k) no.
SubmitterRhinoMetrics A/SIndustrivej 9,3540 LyngeDenmark
ContactErland Fuglsbjerg, Export ManagerorDan Eggan, Manager of Regulatory Affairs
Device NameRhinoStream Rhinomanometer
Common/Usual/Classification nameRhinoanemometer
Predicate deviceMercury Medical Rhinomanometer
Device descriptionThe RhinoStream Rhinomanometer module is designedto objectively and quickly measure and quantify adynamic measure of the patient ability breath through thenasal airway passages.
Intended useThe module and its predicate device are intended to befor rhinomanometry measurements and both devices usea manometer probe with pressure transducers tomeasure the airflow during expiration and inspiration.

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Section G

Substantial Equivalency Comparison

DescriptionMercury Medical. Rhinomanometer (K) 902120RhinoStream Rhinomanometer
Device descriptionTo provide rhinomanometry measurementsTo provide rhinomanometry measurements
General indicationTo determine the resistance and airflow of the nasal cavity during inspiration and expiration.To determine the resistance and airflow of the nasal cavity during inspiration and expiration
Specific indicationsDiagnosing nasal decongestion, polyps, or enlarged adenoids and evaluating changes in the volume of the nasal passage due to allergies, surgical procedures or medicationsDiagnosing nasal decongestion, polyps, or enlarged adenoids and evaluating changes in the volume of the nasal passage due to allergies, surgical procedures or medications
Technological characteristicsUtilizes a manometer probe which measures air pressure up to 60 centimeters water pressureUtilizes a manometer probe which measures air pressure up to 5 centimeters water pressure (500 Pa) and air flow up to 1000 ml/s. Although the pressure value is lower than the predicate device, this does not raise concerns as the device measures pressure in relation to the current airflow. A higher pressure would require a higher airflow
Probe connectionThe probe is handheld and connected to a mask.The probe is connected to a computer with an insulated cable
Software platformNo softwareThe computer includes Windows 95/98 based software.
UsageChallenge comparisonChallenge comparison
Data storageData storage not available.Data storage in ASCI format and Windows 95/98 based software available. Includes an individual patient database and a browser database function for clinical use.
Print functionResults can not be printedResults can be printed and exported to other Windows 95/98 based applications.
Nose adapterNo adapters availablePolystyrene disposable adapter

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three human profiles incorporated into its design. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" are arranged in a circular pattern around the eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 0 4 2002

RhinoMetrics A/S cio Daniel Eggan Manager of Regulatory Affairs/ QA 9675 West 95th Street Minneapolis, MN 55344

Re: K022311

Trade Name: RhinoStream Rhinomanometer Module Classification Regulation Number: 868.1800 Regulatory Class: II Product Code: BXQ Dated: July 15, 2002 Received: July 17, 2002

Dear Mr. Eggan:

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. You must compiy 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.

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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) 594-4613. 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/cdrlv/dsma/dsmamain.html

Sincerely yours,

A. Ralph Rosenthal

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

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Section A

Indications for Use Statement

Ver/ 3 - 4/24/96

Applicant: RhinoMetrics A/S

K0923 510(k) Number (if known):

Device Name: RhinoStream Rhinomanometer

Indications For Use:

A Rhinomanometer is a medical instrument, intended to measure nasal airway pressure up to 5 centimeters H2O. (500Pa) and air flow up to 1000 ml/s.

(2001 a) and in the now ap to roove. which is useful to the physician in studying the nasal decongestion of the nasal This is a not it as re procedures, before and after surgical procedures, responses to medications, presence or absence of polyps, deviated septums, enlarged adenoids, etc.

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

Concurrence of CDRH, Office of Device Evaluation (ODE) (Per 21 CFR 801.109)

Prescription Use
(Per 21 CFR 801.109)

Auraklut

(Division Sign-Off) Division of Ophthalmic Ear, Nose and Throat Dr

510(k) Number

§ 868.1800 Rhinoanemometer.

(a)
Identification. A rhinoanemometer is a device used to quantify the amount of nasal congestion by measuring the airflow through, and differential pressure across, a patient's nasal passages.(b)
Classification. Class II (performance standards).