(71 days)
The Fabius Tiro is indicated as a continuous flow anesthesia system. The Fabius Tiro can be used for spontaneous, manually assisted or automatic ventilation, delivery of gases and anesthetic vapor, and monitoring oxygen concentration, breathing pressure and respiratory volume of patients during anesthesia. Federal law restricts this device to sale by or on the order of a physician.
The modified Fabius GS (Fabius Tiro) is a continuous flow gas anesthesia system.
The provided document, K031400, is a 510(k) premarket notification for the Fabius Tiro Anesthesia System. This type of submission is for demonstrating substantial equivalence to a legally marketed predicate device, rather than proving that a device meets specific performance criteria through a detailed clinical study with acceptance criteria.
Therefore, the document does not contain the information requested in your prompt regarding acceptance criteria, study details, sample sizes, expert ground truth, or MRMC studies. The content focuses on describing the device, its intended use, and the modifications from its predicate device (Fabius GS Anesthesia System) to establish substantial equivalence.
Here's why the requested information is absent based on the provided text:
- Acceptance Criteria and Device Performance: The document does not list specific measurable acceptance criteria that the Fabius Tiro had to meet. Instead, it describes modifications from a predicate device and states that "Qualification of the Fabius Tiro included a hazard analysis, system level qualification, and verification tests." However, the results or specific acceptance criteria for these tests are not detailed.
- Sample Size, Data Provenance, Ground Truth, Experts, Adjudication, MRMC, Standalone Performance: These are elements typically found in clinical studies or performance validation studies designed to establish efficacy or diagnostic accuracy. A 510(k) submission primarily relies on demonstrating that a new device is "substantially equivalent" to an existing legally marketed device, often through engineering modifications, bench testing, and comparisons to the predicate's specifications, rather than new clinical trials with human subjects.
- Training Set Size and Ground Truth for Training Set: Since this is a hardware device (anesthesia system), it doesn't involve machine learning or AI in the sense of a "training set" for an algorithm. The software changes mentioned are purely cosmetic (changing "Fabius GS" to "Fabius Tiro").
In summary, the provided document does not contain the information necessary to complete the table and answer the specific questions about acceptance criteria and a study design as typically associated with performance validation studies for AI/ML devices or novel therapies. The FDA's letter explicitly states that they have reviewed the 510(k) and determined the device is "substantially equivalent," which is the core of this type of submission.
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JUL 15 2003
SUMMARY OF SAFETY AND EFFECTIVENESS DATA RELATING TO SUBSTANTIAL EQUIVALENCE
| Proprietary Name: | Fabius Tiro Anesthesia System |
|---|---|
| Classification Name: | Gas Machine, Anesthesia - 73 BSZ |
| Device Class: | Class II |
| Initial Distributor: | Draeger Medical, Inc.3135 Quarry RoadTelford, Pennsylvania 18969 USA |
| Establishment Registration No.: 2517967 | |
| Devices to which substantialequivalence is claimed: | Fabius GS Anesthesia System – K011404OBA-1 Anesthesia Unit – K000859 |
Device Description:
The modified Fabius GS (Fabius Tiro) is a continuous flow gas anesthesia system.
Intended Use:
The Fabius Tiro may be used for spontaneous, manually assisted, or automatic ventilation of patients during anesthesia, and delivery of gases and anesthetic vapor. The Fabius Tiro can monitor inspired oxygen concentration, breathing pressure, and respiratory volume.
Substantial Equivalence:
The Fabius Tiro is a modification to the current Fabius GS Anesthesia System (K011404). The Fabius Tiro incorporates the same control module, gas flow control module, ventilator and breathing system subassemblies of the Fabius GS into a basic core module. Two versions of the Fabius Tiro are available; one that is designed to be mounted on a trolley and one that is designed to interface with other manufacturers' wall mounting solutions. The differences between the Fabius Tiro and Fabius GS are:
- Vaporizer mounting system: The Fabius GS can accommodate the mounting of up to two vaporizers and incorporates a mechanical exclusion system to ensure that only one vaporizer can be activated at one time. The Fabius Tiro can accommodate the mounting of only one vaporizer.
- Medical Gas Pipeline connections: On the Fabius GS, the medical gas pipeline connections are located on the back. On the Fabius Tiro, the medical gas pipeline connections are located on the right side (when viewed from the front).
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- Pin-index hanger yokes: The Fabius GS has three pin-index hanger yokes mounted on the back of the machine to accommodate the mounting of two Oxygen and either a Nitrous Oxide or Air cylinder as secondary gas sources. Cylinder regulators are mounted internally and cylinder contents gauges are on the front of the machine. The Fabius Tiro wall mount version has one external tethered pin-index yoke, regulator and cylinder contents gauge assembly, which can be mounted to an Oxygen cylinder as a secondary gas source. The tethered yoke assembly is similar to the oxygen manifold for one e-cylinder and pipeline supply offered by OBAMED Inc. for the OBA-1 Anesthesia Unit (K000859) in that both contain a yoke assembly, regulator, cylinder contents gauge, and a connecting hose. The manifold and check valve are internally mounted on the Fabius Tiro while the manifold and check valve are external (part of the yoke assembly) on the OBA-1. The yoke assembly is standard equipment on the Fabius Tiro and is permanently connected to the right side of the machine while the assembly is optional for the OBA-1 and is connected to the machine via a DISS connector. The Fabius Tiro trolley mount version has one pin index hanger yoke mounted on the back of the machine to accommodate the mounting of an Oxygen cylinder as a secondary gas source and an optional second pin-index hanger yoke is available to accommodate a Nitrous Oxide cylinder. As with the Fabius GS, cylinder regulators are mounted internally and cylinder contents gauges are on the front of the machine.
- -Software: There are no functional or operational changes to the software version from previously qualified software. The only software change was to change "Fabius GS" to "Fabius Tiro" as the name shown on the graphics display.
Qualification of the Fabius Tiro included a hazard analysis, system level qualification, and verification tests.
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Public Health Service
JUL 15 2003
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Michael A. Kelhart Regulatory Affairs Project Manager Dräger Medical, Incorporated 3135 Quarry Road Telford, Pennsylvania 18969
Re: K031400
Trade/Device Name: Fabius Tiro Anesthesia System Regulation Number: 868.5160 Regulation Name: Gas machine, Anesthesia Regulatory Class: II Product Code: 73 BSZ Dated: June 13, 2003 Received: June 16, 2003
Dear Mr. Kelhart:
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 deyice 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.
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Page 2 - Mr. Michael A. Kelhart
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), please contact the Office of Compliance at (301) 594-4646. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807,97). You may obtain other general information on your responsibilities under the Act 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 vours.
Susan Runne
Susan Runner, DDS, MA Interim 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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510(k) Number (if known): _ K631400
Fabius Tiro Anesthesia System -----------Device Name:
Indications for Use:
The Fabius Tiro is indicated as a continuous flow anesthesia system. The Fabius Tiro can be used for spontaneous, manually assisted or automatic ventilation, delivery of gases and anesthetic vapor, and monitoring oxygen concentration, breathing pressure and respiratory volume of patients during anesthesia. Federal law restricts this device to sale by or on the order of a physician.
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Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109)
.
OR
Over-The-Counter-Use __
Hine M. Ruto
(Division Sian-Off) Division of Anesthesiology, General Hospital, Infection Control, Dental Devices
K031400 510(k) Number:
(Optional Format 1-2-96)
§ 868.5160 Gas machine for anesthesia or analgesia.
(a)
Gas machine for anesthesia —(1)Identification. A gas machine for anesthesia is a device used to administer to a patient, continuously or intermittently, a general inhalation anesthetic and to maintain a patient's ventilation. The device may include a gas flowmeter, vaporizer, ventilator, breathing circuit with bag, and emergency air supply.(2)
Classification. Class II (performance standards).(b)
Gas machine for analgesia —(1)Identification. A gas machine for analgesia is a device used to administer to a patient an analgesic agent, such as a nitrous oxide-oxygen mixture (maximum concentration of 70 percent nitrous oxide).(2)
Classification. Class II (performance standards).