(86 days)
No
The description details a chemical indicator device that changes color based on CO2 levels, with no mention of computational analysis, algorithms, or learning capabilities.
No
This device is for monitoring and assessment (semi-quantitative visualization of CO2, verification of tube placement) rather than providing direct treatment or therapy.
Yes
The device provides a "semi-quantitative visualization of the CO2 in the patient airway" and "assists in verification of tube placement during endotracheal or nasotracheal intubation," which are diagnostic functions. It is also described as an "adjunct in patient assessment, to be used in conjunction with other methods to determine clinical signs and symptoms."
No
The device description clearly outlines physical components like a housing unit, filter media, and an indicator, indicating it is a hardware device, not software-only.
Based on the provided information, the Mercury Medical Mini StatCO2™ End Tidal CO2 Detector is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is to provide a semi-quantitative visualization of CO2 in the patient airway. This is a measurement of a physiological parameter within the body (in vivo), not an analysis of a sample taken from the body (in vitro).
- Device Description: The device directly interacts with the patient's airway to detect CO2 in exhaled breath. It does not analyze a biological sample like blood, urine, or tissue.
- Lack of IVD Characteristics: The description does not mention any reagents, assays, or laboratory procedures typically associated with IVD devices.
Therefore, the Mercury Medical Mini StatCO2™ is a medical device used for monitoring a physiological parameter in a patient, not an in vitro diagnostic device.
N/A
Intended Use / Indications for Use
Indicated Use: The Mercury Medical Mini StatCO2™ End Tidal CO2 Detector is to provide a semi-quantitative visualization of the CO2 in the patient airway. It is an adjunct in patient assessment, to be used in conjunction with other methods to determine clinical signs and symptoms by or on the order of a physician.
Product codes
CCK
Device Description
The Mercury Medical Mini StatCO2™ uses the same technology as the Nellcor Pedi-CAP™ (K944400). The Mini StatCQ2™ End Tidal CO2 Detector is a "Single Patient Use" only device. The device assists in verification of tube placement during endotracheal or nasotracheal intubation. It may be used on intubated patients to detect approximate ranges of end tidal CO2 when clinically significant.
The device consists of a housing unit made with material of polycarbonate, filter media consisting of 3M Filtrete GSB30 and Bregas C-it Indicator, 510(k) K000520 mounted to the housing.
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
Environment of Use: Hospital/Transport
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)
Nellcor Pedi-CAP™ (K944400)
Reference Device(s)
Bregas C-it Indicator, K000520
Predetermined Change Control Plan (PCCP) - All Relevant Information
Not Found
§ 868.1400 Carbon dioxide gas analyzer.
(a)
Identification. A carbon dioxide gas analyzer is a device intended to measure the concentration of carbon dioxide in a gas mixture to aid in determining the patient's ventilatory, circulatory, and metabolic status. The device may use techniques such as chemical titration, absorption of infrared radiation, gas chromatography, or mass spectrometry.(b)
Classification. Class II (performance standards).
0
K 031911
JUL 3 0 2003 ENCLOSURE L
Premarket Notification (510(k) - Mercury Medical Mini StatCO2™ End Tidal CO2 Detector
Summary of Safety and Effectiveness
Non-Confidential Summary of Safety and Effectiveness
Page 1 of 2 April 28, 2003
Mercury Enterprises, Inc./Mercury Medical 11300 49th St. N. Clearwater, Fl. 33762 Tel: (800) 237-6418 Fax: (727) 572-4501
Official Contact: Wayne Glover Manager, QA/RA
Proprietary or Trade Name: Mini StatCO2™ Detector
Common/Usual Name: End Tidal CO2
Classification: Class II, CCK, 21 CFR 868.1400
Classification Name: Analyzer, Gas, Carbon Dioxide, Gaseous Phase
Device: Mini StatCO2™ Detector
Predicate Devices: Nellcor Pedi-CAP™ (K944400)
Device Description:
The Mercury Medical Mini StatCO2™ uses the same technology as the Nellcor Pedi-CAP™ (K944400). The Mini StatCQ2™ End Tidal CO2 Detector is a "Single Patient Use" only device. The device assists in verification of tube placement during endotracheal or nasotracheal intubation. It may be used on intubated patients to detect approximate ranges of end tidal CO2 when clinically significant.
1
ENCLOSURE L
Premarket Notification (510(k) - Mercury Medical Mini StatCO2™ End Tidal CO2 Detector
Non-Confidential Summary of Safety and Effectiveness
Page 2 of 2 April 28, 2003
The device consists of a housing unit made with material of polycarbonate, filter media consisting of 3M Filtrete GSB30 and Bregas C-it Indicator, 510(k) K000520 mounted to the housing.
Intended Use:
Indicated Use: The Mercury Medical Mini StatCO2™ End Tidal CO2 Detector is to provide a semi-quantitative visualization of the CO2 in the patient airway. It is an adjunct in patient assessment, to be used in conjunction with other methods to determine clinical signs and symptoms by or on the order of a physician.
Technical Characteristics: The device has the same technical characteristics as the predicate device marketed by Nellcor, Pedi-CAP™
Non-Clinical Data: Performance and specifications of the modified device are consistent with all requirements for this device type specified by ISO 5356-1: 1987 -Anesthetic and Respiratory Equipment-Conical connectors-Part 1: Cones and Sockets. ASTM F1054 - Standard Specification for Conical Fittings of 15mm.
Environment of Use: Hospital/Transport
Conclusions: The comparison to the predicate devices demonstrates that the proposed device is safe and effective and is substantially equivalent to the predicate devices.
2
Image /page/2/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 a stylized human figure or a bird in flight, composed of three curved lines.
JUL 3 0 2003
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Mr. Wayne Glover Manager, Quality Assurance and Regulatory Affairs Mercury Medical 11300 49th Street North Clearwater, FL 33762
Re: K031411
Trade/Device Name: Mini StatCO2TM CO2 Detector Regulation Number: 21 CFR 868.1400 Regulation Name: Carbon dioxide gas analyzer Regulatory Class: II Product Code: CCK Dated: April 28, 2003 Received: May 5, 2003
Dear Mr. Glover:
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.
3
Page 2 – Mr. Wayne Glover
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 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 (OS) 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 vour 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 yours,
Patricia Cicerite/for
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
4
ENCLOSURE B
Indications for Use
Page 1of 1
| 510(k) Number: | K031411 (To be assigned) |
|---|---|
| Device Name: | Mini StatCO2™ |
| Intended Use: | The Mercury Medical Mini StatCO2™ End Tidal CO2 Detector is to provide a semi-quantitative visualization of the CO2 in the patient airway. It is an adjunct in patient assessment, to be used in conjunction with other methods to determine clinical signs and symptoms by or on the order of a physician. |
Concurrence of CDRH, Office of Device Evaluation (ODE)
Edwin A hm
(Division Sign-Off) (Division of Anesthesiology, General Hospital, Infection Control, Dental Devices
KO31411 510(k) Number:
Prescription Use X (Per CFR 801.109)
or
Over-the-counter use __
・
.