K Number
K043614
Device Name
VACULINK, MODEL VCL 3000
Manufacturer
Date Cleared
2005-04-14

(105 days)

Product Code
Regulation Number
884.4340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The VacuLink is intended for obstetric use in the measurement and recording of data related to vacuum-assisted delivery (such as vacuum, number and duration of pulls and number of pop-offs) on the strip chart.
Device Description
The VacuLink is a small, battery powered single-use vacuum measuring device. It is connected in parallel to the vacuum chamber of commercial handheld vacuum assisted delivery systems (i.e. Mityvac & Kiwi PalmPump). As a redundant gauge to the vacuum gauges on those devices, it electronically measures the vacuum applied to the fetal head during a vacuum assisted delivery. It connects to the vacuum port of the maternal/fetal monitor (i.e. HP, Corometrics and Spacelabs) via electrical cable. The vacuum value is numerically displayed in centimeters of mercury (cm Hg). The vacuum value is also recorded from the uterine activity channel of the maternal/fetal monitor and it is permanently stored in the hospital database. The information may also be displayed on a video monitor as well. The VacuLink incorporates a light sequence of red, yellow, and green. When the VacuLink is first connected to the maternal/fetal monitor, all three lights will flash in sequence as a quick test of the internal components. At the successful completion of the test, the green LED illuminates until the VacuLink is disconnected from the maternal/fetal monitor. A flashing yellow LED illuminates when the battery voltage is low and the VacuLink should be replaced. If a VacuLink that has been used previously and is reconnected, the red LED illuminates indicating the VacuLink is no longer operational.
More Information

No
The device description and performance studies focus on vacuum measurement, recording, and basic status indicators (lights). There is no mention of AI, ML, or any algorithms that learn or adapt from data.

No
The device is solely for measurement and recording purposes, providing data related to vacuum-assisted delivery. It does not exert any direct therapeutic action or influence clinical outcomes.

No

The device measures and records data related to vacuum-assisted delivery, such as vacuum, number and duration of pulls, and pop-offs. While it provides data, its primary function is measurement and monitoring during a procedure, not diagnosing a condition or disease.

No

The device description explicitly states it is a "small, battery powered single-use vacuum measuring device" and describes physical components like LEDs and electrical cables, indicating it is a hardware device with embedded software.

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

Here's why:

  • Intended Use: The VacuLink is intended for "obstetric use in the measurement and recording of data related to vacuum-assisted delivery". This involves monitoring a physiological parameter (vacuum applied to the fetal head) during a medical procedure performed on a living patient.
  • Device Description: The device measures vacuum applied to the fetal head and connects to maternal/fetal monitors. This is a direct measurement of a physical force applied during a delivery, not an analysis of biological samples (like blood, urine, tissue, etc.) which is the hallmark of IVD devices.
  • Anatomical Site: The device is used in relation to the "Fetal head," which is part of a living organism.
  • Lack of Biological Sample Analysis: There is no mention of the VacuLink analyzing any biological samples.

IVD devices are specifically designed to examine specimens derived from the human body (such as blood, tissue, urine, etc.) to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. The VacuLink does not perform this function. It is a monitoring device used during a medical procedure.

N/A

Intended Use / Indications for Use

The VacuLink is intended for obstetric use in the measurement and recording of data related to vacuum-assisted delivery (such as vacuum, number and duration of pulls and number of pop-offs) on the strip chart.

Product codes

HDB, HGM

Device Description

The VacuLink is a small, battery powered single-use vacuum measuring device. It is connected in-line to the vacuum chamber of commercial handheld vacuum extractors (e.g., Mityvac & Kiwi PalmPump). As a redundant gauge to pressure gauges on those devices, it electronically measures the vacuum applied to the fetal head during a vacuum assisted delivery. It connects to the vacuum channel of the maternal/fetal monitor (i.e. HP, Corometrics and Spacelabs) via electrical cable. The vacuum value is numerically displayed in centimeters of mercury (cm Hg). The vacuum value is also recorded from the uterine activity channel of the maternal/fetal monitor and it is permanently stored in the hospital database. The information may also be displayed on a video monitor as well.

The VacuLink incorporates a light sequence of red, yellow, and green. When the VacuLink is initially connected to the maternal/fetal monitor, all three lights will flash in sequence as a quick test of the internal components. At the successful completion of the test, the green LED illuminates until the VacuLink is disconnected from the maternal/fetal monitor. A flashing yellow LED illuminates when the battery voltage is low and the VacuLink should be replaced. If the VacuLink was used previously and is reconnected, the red LED illuminates indicating the VacuLink is no longer operational.

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

obstetric use

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

Performance testing of VacuLink has been conducted in three main phases:

  • Initial bench testing to compare VacuLink technology to certified reference gauges and other gauges in use at community hospitals.
  • Initial clinical phase (feasibility study)
  • Secondary bench testing on the current configuration of the VacuLink device

Performance testing of VacuLink as well as the reusable handheld vacuum devices reveals that the VacuLink is as accurate as the claimed accuracy of the comparable vacuum gauges. In actual clinical situations, because of the lack of calibration of the comparable vacuum gauges, the VacuLink was more accurate by a factor of 10. Electrical safety and EMC testing was also performed to demonstrate conformance to applicable medical standards. Software validation and sterilization process information have also been provided.

Key Metrics

Claimed accuracy/tolerance: at 70 cm Hg = 3.26%

Predicate Device(s)

K981260, K011532

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.4340 Fetal vacuum extractor.

(a)
Identification. A fetal vacuum extractor is a device used to facilitate delivery. The device enables traction to be applied to the fetal head (in the birth canal) by means of a suction cup attached to the scalp and is powered by an external vacuum source. This generic type of device may include the cup, hosing, vacuum source, and vacuum control.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/0 description: The image shows the logo for MEDEVCO, which is a medical device company. The logo features a stylized "m" followed by the company name in block letters. Above the company name, the date "APR 1 4 2005" is printed.

Appendix C Page 1 of 3

510(k) Summary

Submitter Information:

Medevco, Inc. 12201 Merit Drive, Suite 330 Dallas, TX 75251

Contact:

Ginger Bowman, Director of Marketing Phone: 972.788.4372 Fax: 972.851.0077

Date Prepared:

March 10, 2005

Product Name:

This is an accessory to a fetal vacuum extractor, which is a Class II device per 884.4340. Panel: Obstetrics/Gynecology Product Code: HDB

Predicate Device:

This device is substantially equivalent to the vacuum indicator features of Kiwi brand fetal vacuum extractor systems marketed by Clinical Innovations, Inc., under 1981260, and Mityvac brand vacuum extractor systems marketed by Prism Enterprises (now CooperSurgical) under K011532.

Description:

The VacuLink is a small, battery powered single-use vacuum measuring device. It is The VacuLink is a chianing to the vacuum chamber of commercial handheld vacuum connected in praste tasmig on Mityvac & Kiwi PalmPump). As a redundant gauge to assisted delivery bytters gauges on those devices, it electronically measures the the Dourlow applied to the fetal head during a vacuum assisted delivery. It connects to the vacuunt uppired to the ci.e. HP, Corometrics and Spacelabs) via electrical cable. The maternal is numerically displayed in centimeters of mercury (cm Hg). The vacuum vatually is nambroum the uterine activity channel of the maternal/fetal monitor and it

1

is permanently stored in the hospital database. The information may also be displayed on a video monitor as well.

The VacuLink incorporates a light sequence of red, yellow, and green. When the I he VacuLink incorporates a ingav three lights will flash in sequence as a quick test vacurant is internal components. At the successful completion of the test, the green LED of the meethal components: - is disconnected from the maternal/fetal monitor. A munimates until the Vaculine is assets voltage is low and the VacuLink should be nashing you've LED mithoutes are oused previously and is reconnected, the red LED illuminates indicating the VacuLink is no longer operational.

Intended Use:

The VacuLink is intended for obstetric use in the measurement and recording of data The Vacuum-assisted delivery (such as vacuum, number and duration of pulls and number of pop-offs) on the strip chart.

SUBSTANTIAL EQUIVALENCE COMPARISON
VacuLinkKiwiMityvac
Digital displayYESNONO
Permanent recordYESNONO
DisposableYESYESNO
Gauge visible to physicianYESYESNO
Ability to display maximum vacuumYESYESYES
Units of vacuum measurementcm Hgcm Hg, mm Hg, kPa, in Hgcm Hg, in Hg
Claimed accuracy/toleranceat 70 cm Hg = 3.26%Not publishedat 70 cm Hg = 3.27%
Visible display at variable anglesYESYESYES
Calibration required by the hospitalNONOYES
Multi-use gaugeNONOYES

Comparison to Predicate Device:

The VacuLink contains additional features including:

  • Vacuum data recorded on paper strip chart .
  • I Visible display on CRT
  • v isibio display on Orimum vacuum, time at maximum vacuum, total time of ■ vacuum, involuntary releases, reduction of vacuum between contractions, and total number of pulls
  • Light sequencing system to confirm functionality of VacuLink l

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Appendix C Page 3 of 3 K043614

Performance Data & Conclusions:

Performance testing of VacuLink has been conducted in three main phases:

    1. Initial bench testing to compare VacuLink technology to certified reference Intial belien testing to comparate in use at community hospitals.
    1. Initial clinical phase (feasibility study)
    1. Intrail Chinedi phase (reastonity could))
  1. Secondary bench testing on the current configuration of the VacuLink device

Performance testing of VacuLink as well as the reusable handheld vacuum devices Ferrormance testing of VacuLink as accurate as the claimed accuracy of the comparable reveals that the Vacurimis is as accurate as the lack of calibration of the comparable vacuum gauges. In actual cinnical VacuLink was more accurate by a factor of 10.

Electrical safety and EMC testing was also performed to demonstrate conformance Diectived salery and ENTO testing was aftware validation and sterilization process information have also been provided.

3

Image /page/3/Picture/2 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo is circular in shape, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" arranged around the perimeter of the circle. Inside the circle is an abstract image of an eagle, with its wings spread and its head facing to the left. The eagle is composed of three thick, curved lines that suggest the shape of the bird.

APR 1 4 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Medevco, Inc. % Ms. Krista Oakes Principal Amica Solutions 2300 McDermott Rd., #200-207 PLANO TX 75025

Re: K043614

Trade/Device Name: Vaculink Regulation Number: 21 CFR 884.4340 Regulation Name: Fetal vacuum extractor Regulation Number: 21 CFR 884.2740 Regulation Name: Perinatal monitoring system and accessories Regulatory Class: II Product Code: HDB and HGM Dated: March 10, 2005 Received: March 11, 2005

Dear Ms. Oakes:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced we nave icvicwed your becared by equivalent (for the indications for use stated in above and nave determined the devices marketed in interstate commerce prior to the enclosure) to regally mankeled productions of to device Amendments, or to devices that have been lvay 26, 1970, the clacultions and of the Federal Food, Drug, and Cosmetic Act (Act) that Iteliassified in accordanted with the proval application (PMA). You may, therefore, market the do not require approval of a premainer approvins of the Act. The general controls provisions of the Act device, subject to the general conacis prove, 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 (Premarket II your device is classified (see above) into caller than existing major regulations affecting your Approval), It may be subject to such ademons. Title 21, Parts 800 to 898. In addition, FDA device can be nound in the Gour of concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that Flease be advised mar 1 27 's 158anies of aevice complies with other requirements of the Act or any FDA hade a decemination administered by other Federal agencies. You must comply with all the Federal statues and regulations administration and listing (21 CFR Part 807); labeling Act S requirements, moduling, but not mixed in the requirements as set forth in the quality systems (QS) (21 CFR Part 801); good namalacting practice the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

4

This letter will allow you to begin marketing your device as described in your Section 510(k)
This and the first of the of a line of select of your device to a legall This letter will allow you to begin marketing your antial equivalence of your device to a legally
premarket notification. The FDA finding of substantial equivales and thus, premarket notification. The FDA iniding of saostantial of 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), pleased If you desire specific advice for your device on our laboring regarms.
contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter:

21 CFR 876.xxxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxxx(Obstetrics/Gynecology)240-276-0115
21 CFR 892.xxxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to prematet notification" (21 CFR Also, please note the regulation entitled, "visorudion on your responsibilities under the Act from the 807.97). You may obtain other gelleral information on your respections.
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

056-2011 or (3.gov/cdrh/industry/support/index.html.

Sincerely yours,

Nancy C. Hodgdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) #: K043614

Device Name: VacuLink

Indications for Use:

The VacuLink is intended for obstetric use in the measurement and recording of data related
of any and the county of any and sumber and duration of pulls and number of The Vacul.ink is intended for obsective use in the measurement.
to vacuum-assisted delivery (such as vacuum, number and duration of pulls and number of pop-offs) on the strip chart.

Prescription Use X (21 CFR 801 Subpart D) AND/OR

Over-the-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

David G. Ingram

(Division Sign-Off) Division of Reproductive, Abdominal. and Radiological Devices 510(k) Number.