K Number
K042276
Device Name
D-VAPOR
Date Cleared
2004-09-23

(31 days)

Product Code
Regulation Number
868.5880
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The D-Vapor is an electronic calibrated vaporizer designed to enrich the fresh gas flow of an anesthesia delivery system with a controlled amount of anesthetic vapor. The D-Vapor is intended for use with Desflurane. It is not intended for use with Enflurane, Halothane, Isoflurane, or Sevoflurane or for use in a breathing circuit. Federal law restricts this device to sale by or on the order of a physician.
Device Description
The D-Vapor is an electronic calibrated vaporizer designed to enrich the fresh gas flow of an anesthesia delivery system with a controlled amount of Desflurane anesthetic vapor in concentrations of 2 to 18 vol.%.
More Information

Not Found

No
The summary describes a purely mechanical/electronic device for anesthetic delivery with no mention of AI or ML terms, image processing, or performance studies related to algorithmic output.

Yes
This device is a vaporizer for anesthesia delivery, which is used in medical procedures to induce and maintain anesthesia in patients, thus directly contributing to patient treatment.

No
The device is described as an electronic calibrated vaporizer intended to enrich fresh gas flow with anesthetic vapor in an anesthesia delivery system, indicating a therapeutic or drug delivery function rather than a diagnostic one.

No

The device description explicitly states it is an "electronic calibrated vaporizer," which is a hardware device designed to deliver anesthetic vapor. It is not described as software.

Based on the provided information, the D-Vapor is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states that the D-Vapor is designed to enrich the fresh gas flow of an anesthesia delivery system with anesthetic vapor. This is a device used during a medical procedure (anesthesia delivery) on a patient, not a device used to test samples outside of the body (in vitro).
  • Device Description: The description reinforces its function within an anesthesia delivery system.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as analyzing biological samples (blood, urine, tissue), detecting analytes, or providing diagnostic information based on laboratory tests.

Therefore, the D-Vapor is a medical device used in the delivery of anesthesia, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The D-Vapor is an electronic calibrated vaporizer designed to enrich the fresh gas flow of an anesthesia delivery system with a controlled amount of Desflurane anesthetic vapor in concentrations of 2 to 18 vol.%.

The D-Vapor is an electronic calibrated vaporizer designed to enrich the fresh gas flow of an anesthesia delivery system with a controlled amount of anesthetic vapor. The D-Vapor is intended for use with Desflurane. It is not intended for use with Enflurane, Halothane, Isoflurane, or Sevoflurane or for use in a breathing circuit. Federal law restricts this device to sale by or on the order of a physician.

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

CAD

Device Description

The D-Vapor is an electronic calibrated vaporizer designed to enrich the fresh gas flow of an anesthesia delivery system with a controlled amount of Desflurane anesthetic vapor in concentrations of 2 to 18 vol.%.

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

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.

K971923, K000275

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

§ 868.5880 Anesthetic vaporizer.

(a)
Identification. An anesthetic vaporizer is a device used to vaporize liquid anesthetic and deliver a controlled amount of the vapor to the patient.(b)
Classification. Class II (performance standards).

0

K642276

SEP 2 3 2004

A Dräger and Siemens Company

Summary of Safety and Effectiveness Data Relating to Substantial Equivalence

D-Vapor Proprietary Name:

Common Name: Anesthesia Vaporizer

Classification Name: Anesthetic Vaporizer

73 CAD Product Codes:

Device Class: Class II

Draeger Medical AG & Co KGaA Manufacturer: 53/55 Moislinger Allee Luebeck, Germany

Establishment Registration Number: 9611500

Devices to which substantial equivalence is claimed: K971923 Vapor 2000 Tec 6 Plus K000275

Device Description:

The D-Vapor is an electronic calibrated vaporizer designed to enrich the fresh gas flow of an anesthesia delivery system with a controlled amount of Desflurane anesthetic vapor in concentrations of 2 to 18 vol.%.

Indications for Use:

The D-Vapor is an electronic calibrated vaporizer designed to enrich the fresh gas flow of an anesthesia delivery system with a controlled amount of anesthetic vapor. The D-Vapor is intended for use with Desflurane. It is not intended for use with Enflurane, Halothane, Isoflurane, or Sevoflurane or for use in a breathing circuit. Federal law restricts this device to sale by or on the order of a physician.

Intended Use:

The D-Vapor is intended to be used with Desflurane anesthetic agent, and inserted in the fresh-gas line of an anesthesia delivery system. It is not intended for use with Enflurane, Halothane, Isoflurane, or Sevoflurane, or in a breathing system.

Draeger Medical, Inc.
3135 Quarry Road
Telford, PA 18969
Tel: 215-721-5400, ext. 2363
Toll-free: 800-4DRAGER (437-2437)
Fax: 215-721-5412
E-mail: wwwinfo@draegermed.com

http://www.draeger-medical.com

1

Substantial Equivalence:

Like the Tec 6 Plus, the D-Vapor is an electronic vaporizer which delivers desflurane anesthetic agent. The D-Vapor can be adjusted from 2- 18 Vol.%, while the Tec 6 Plus adjustment is 1-18 Vol.%. Both the D-Vapor and the Tec 6 Plus have front display panels which provide the user with a visual indication of the status of the vaporizer for the following

categories: Operational, No Output, Low Agent Level, Warm Up, and Battery Status. Both systems also provide audible alarms, and the ability to silence alarms. Like the Vapor 2000, the D-Vapor provides a sight glass on the front of the device to visually indicate the level of agent in the vaporizer both for filling the vaporizer and monitoring remaining agent within the vaporizer.

The D-Vapor can be used with quick connect systems identical to the Vapor 2000 plug in adapter system, or identical to the Tec 6 plug in system for Selectatec® plug in connectors. It can be permanently installed using a block connector with o-rings and screws like the Tec 6 Plus, or used with conical fittings like the Vapor 2000.

The D-Vapor and the Tec 6 Plus have keyed filling systems to only allow the use of Desflurane bottles with the Saf-T-Fill™ system when adding Desflurane agent to the vaporizers.

The D-Vapor and the Vapor 2000 have a transport mode allowing the vaporizer to be removed from the delivery system and moved with agent in the vaporizer.

Both the D-Vapor and the Tec 6 Plus are contraindicated for use in an MRI environment.

Draeger Medical, Inc.
3135 Quarry Road
Telford, PA 18969
Tel: 215-721-5400, ext. 2363
Toll-free: 800-4DRAGER (437-2437)
Fax: 215-721-5412
E-mail: wwwinfo@draegermed.com

http://www.draeger-medical.com

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or a bird in flight, with three stylized wing-like shapes above a wavy line.

SEP 2 3 2004

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Gale E. Winarsky Regulatory Affairs Project Manager Dräegar Medical, Incorporated 3135 Quarry Road Telford, Pennsylvania 18969

Re: K042276

Trade/Device Name: D-Vapor Regulation Number: 21 CFR 868.5880 Regulation Name: Anesthetic Vaporizer Regulatory Class: II Product Code: CAD Dated: August 20, 2004 Received: August 23, 2004

Dear Ms. Winarsky:

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 - Ms. Winarsky

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 (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 yours,

Susan Ropp

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

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Indications for Use

510(k) Number (if known): _ ko42276

Device Name: ___D-Vapor

Indications for Use:

The D-Vapor is an electronic calibrated vaporizer designed to enrich the fresh gas flow of The D- Vapor is an electronic a controlled amount of anesthetic vapor. The D-Vapor an anosthoon a with Desflurane. It is not intended for use with Enflurane, Halothane, Is intended for abo will and or for use in a breathing circuit. Federal law restricts this device to sale by or on the order of a physician.

Prescription Use x (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 OF NEEDED)

Concurrence of CQRH, Office of Device Evaluation (ODE)

Susan Dunno

(Division Sign-Off) Division of Anesthesiology, General Hospital, Infection Control, Dental Devices

1042220 510(k) Number ..

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