K Number
K032322
Device Name
CLEAR-THERM MICRO HME, MODEL 1441
Date Cleared
2004-05-13

(290 days)

Product Code
Regulation Number
868.5260
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Intersurgical Clear-Therm Micro Filter is for use at the patient connection on the patient and equipment and is designed to reduce bacterial/viral contamination between patient and equipment and to reduce the loss of patient heat and humidity. It is for use in the breathing circuit. Federal law restricts this device to sale by or on the order of a physician.
Device Description
Not Found
More Information

Not Found

Not Found

No
The summary describes a passive filter device and contains no mention of AI, ML, or related concepts like image processing or performance metrics associated with algorithmic analysis.

No.
The device is a filter designed to reduce contamination and heat/humidity loss, not to treat a medical condition.

No
This device, a filter, is designed to reduce contamination and heat/humidity loss in a breathing circuit. Its function is not to diagnose medical conditions or provide diagnostic information.

No

The device description and intended use clearly describe a physical filter for use in a breathing circuit, not a software application.

Based on the provided information, the Intersurgical Clear-Therm Micro Filter is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use describes the device as being for use at the patient connection in a breathing circuit to reduce bacterial/viral contamination and loss of heat/humidity. This is a direct interaction with the patient's breathing system, not the examination of specimens in vitro (outside the body).
  • Lack of IVD Characteristics: The description does not mention any analysis of biological samples (blood, urine, tissue, etc.) or the use of reagents, which are hallmarks of IVD devices.
  • Device Type: The description points to a filter used in a breathing circuit, which is a medical device used for patient support, not for diagnostic testing.

Therefore, based on the provided text, the Intersurgical Clear-Therm Micro Filter is a medical device used in a breathing circuit, not an IVD.

N/A

Intended Use / Indications for Use

The Intersurgical Clear-Therm Micro Filter is for use at the patient connection on the patient and equipment and is designed to reduce bacterial/viralpatient and equipment and to reduce the loss of patient heat and humidity. It is for use in the

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

CAH

Device Description

Not Found

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

Not Found

Anatomical Site

Not Found

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.

Not Found

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

§ 868.5260 Breathing circuit bacterial filter.

(a)
Identification. A breathing circuit bacterial filter is a device that is intended to remove microbiological and particulate matter from the gases in the breathing circuit.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image is a seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular pattern around the edge. In the center of the seal is a stylized image of what appears to be an eagle or other bird-like figure with three curved lines representing its body and wings. The image is in black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 1 3 2004

Mr. Michacl Zalewski RA/QA Specialist Intersurgical Incorporated 417 Electronics Parkway Liverpool, NY 13088

Re: K032322

Trade/Device Name: Clear-Therm Micro HME, Model 1441 Regulation Number: 21 CFR 868.5620 Regulation Name: Filter, Bacterial, Breathing-Circuit Regulatory Class: Class II Product Code: CAH Dated: March 31, 2004 Received: April 5, 2004

Dcar Mr. Zalewski:

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 cnactment date of the Medical Device Amendthents, 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 gencral approvisions 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 (1 WI ), It hay no cash 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 comply with all the Act's requirements, including, but not limited to: registration

1

Page 2 - Mr. Michael Zalewski

and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice allo listing (21 CFR Part 067), acems (QS) regulation (21 CFR Part 820); and if requirents as set form in the quality of the entrol provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

21 CFR 1000-1030.
This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anow you to ough finding of substantial equivalence of your device to a premarket nother on. - The PDF matts 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), If you desire specific at 100 to pliance 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 may obtain 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,

Susan Runny

4

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known): KO32322

Device Name: 1441 Clear-Therm Micro Filter with CO2 Monitoring Port Indications For Use:

The Intersurgical Clear-Therm Micro Filter is for use at the the intersurgious ont is designed to reduce bacterial/viral patient connection on the patient and equipment and to reduce the loss of patient heat and humidity. It is for use in the the 10ss of patient neat and hamestricts this device to sale by or on the order of a physician.

Prescription Use_xxxxx (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Quesh

Page 4 of XXVII

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510(k) Number