K Number
K050803
Device Name
PEDIATRIC CUFFED AND UNCUFFED ET TUBES; STANDARD CUFFED AND UNCUFFED ET TUBES
Manufacturer
Date Cleared
2005-06-30

(92 days)

Product Code
Regulation Number
868.5730
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Vitaid ET Tubes are designed for oral / nasal intubation and are indicated for airway management. The Vitaid ET tubes have an ultra thin inflatable cuff.
Device Description
The Vitaid endotracheal tubes are available in sizes 3.0 mm in increments of 0.5 mm. They are available cuffed, uncuffed and with Murphy eye. Some are pre-formed, they are made with a ultra thin urethane cuff, referred to as the MicroCuff.
More Information

No
The summary describes a standard endotracheal tube with different features (cuffed, uncuffed, Murphy eye, pre-formed, ultra-thin cuff). There is no mention of any software, algorithms, image processing, or AI/ML terms. The device is purely mechanical.

No
Explanation: The device is an endotracheal tube used for airway management (intubation), which is a supportive measure, not a therapeutic treatment for a disease or condition.

No
Explanation: The device, an endotracheal tube, is described as being "designed for oral / nasal intubation and are indicated for airway management." This function is therapeutic, not diagnostic. It does not identify or investigate a disease or condition.

No

The device description clearly states it is an endotracheal tube, which is a physical hardware device used for airway management. There is no mention of software as the primary or sole component.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "oral / nasal intubation and are indicated for airway management." This is a direct medical intervention on a patient's airway, not a test performed on a sample taken from the body.
  • Device Description: The description details a physical tube with a cuff, designed to be inserted into the airway. This is a medical device used for a procedure, not for analyzing biological samples.
  • 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, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening

The Vitaid ET Tubes are clearly a medical device used for a therapeutic procedure (airway management), not an in vitro diagnostic device used for testing samples.

N/A

Intended Use / Indications for Use

The Vitaid ET Tubes are designed for oral I nasal intubation and are indicated for airway management. The Vitaid ET tubes have an ultra thin inflatable cuff.

Product codes

BTR

Device Description

The Vitaid endotracheal tubes are available in sizes 3.0 mm in increments of 0.5 mm. They are available cuffed, uncuffed and with Murphy eye. Some are pre-formed, they are made with a ultra thin urethane cuff, referred to as the MicroCuff.

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

Patients requiring intubation

Intended User / Care Setting

Institutional -- Hospitals. Sub-acute Pre-hospital - emergency services

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)

K951696, K951967, K822982, K852025

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5730 Tracheal tube.

(a)
Identification. A tracheal tube is a device inserted into a patient's trachea via the nose or mouth and used to maintain an open airway.(b)
Classification. Class II (performance standards).

0

K050803

Premarket Notification 510(k) Section 3 - Certifications and Summaries - Revised 20-June-05 Vitaid ET Tubes

Summary of Safety and Effectiveness 3.1

Non-Confidential Summary of Safety and Effectiveness

Page 1 of 2 20-June-05

| 300 International Dr.
Suite 100

Williamsville, NY 14221Tel:(716) 626-3428
Fax:(800) 655-5304
Official Contact:Will Stewart, President
Proprietary or Trade Name:Vitaid ET tubes
Common/Usual Name:Endotracheal tubes
Classification Name:Tracheal Tubes with and without connectors
Predicate Devices:Unomedical -- Standard ET Tubes K951696
Unomedical -- Pediatric ET Tubes K951967
Sheridan -- K822982 -- Sheridan CF
Mallinckrodt -- K852025 -- Brandt Hi-contour

Device Description:

The Vitaid endotracheal tubes are available in sizes 3.0 mm in increments of 0.5 mm. They are available cuffed, uncuffed and with Murphy eye. Some are pre-formed, they are made with a ultra thin urethane cuff, referred to as the MicroCuff.

Indications:

Vitaid Ltd.

| Indications for Use -- | The Vitaid ET Tubes are designed for oral I nasal
intubation and are indicated for airway management. The Vitaid
ET tubes have an ultra thin inflatable cuff. |
|------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Patient Population -- | Patients requiring intubation |
| Environment of Use -- | Institutional -- Hospitals. Sub-acute
Pre-hospital - emergency services |

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6329 W. Waterview Ct. ~ McCordsville, IN 46055-9501 Tel (317) 335-3780 Fax - (317) 335-9270 E-mail - drydenp@promedic.cc Web - www.promedic.cc

. . . . .

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1

Non-Confidential Summary of Safety and Effectiveness

Page 2 of 2

20-June-05

Comparison to Predicate Devices:

Vitaid ET TubesPredicates
Attributes
Indications for useThe Vitaid ET Tubes are designed for oral /
nasal intubation and are indicated for airway
management.Unomedical - K951696 -
Standard ET Tubes
Unomedical - K951967 -
Pediatric ET Tubes
Sheridan - K822982 -
Sheridan CF
Mallinckrodt - K852025 -
Brandt Hi-contour
Environments of useInstitutional - Hospital, Sub-acute
Pre-hospital - emergency servicesSame
Patient PopulationPatients requiring intubationSame
ContraindicationsUse of endotracheal tubes in procedures which
involve the use of laser beams or
electrosurgical active electrodes in the
immediate area of the device is contraindicated.
Contact of the endotracheal tub with a laser
beam or electrosurgical active electrode
especially in the presence of oxygen-enriched
mixtures could result in rapid combustion of
the endotracheal tube with harmful thermal
effects and with emission of corrosive and
toxic products including hydrochloric acid
(HCl).Same
Technology
MaterialTube - PVC
Cuff - PolyurethaneTube - PVC
Cuff -- PVC
Sizes - 3.0 mm to
10.0 mmYesYes
Cuffed and uncuffed.
pre-formed with and
without Murphy eyeYesYes
Supplied SterileYesYes

Differences Between Other Legally Marketed Predicate Devices

There are no significant differences between the proposed device. Vitaid ET Tubes, and the identified predicates.

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2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle.

Public Health Service

JUN 3 0 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Viataid, Ltd. C/o Mr. Paul E. Dryden ProMedic Incorporated Regulatory Consultant for Vitaid Ltd. 6329 W. Waterview Court McCordsville, Indiana 46055-9501

Re: K050803

Trade/Device Name: Vitaid ET Tubes Regulation Number: 21 CFR 868.5730 Regulation Name: Tracheal tube Regulatory Class: II Product Code: BTR Dated: June 22, 2005 Received: June 23, 2005

Dear Mr. Dryden:

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. Paul E. Dryden

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 (240) 276-0120. 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/industry/support/index.html.

Sincerely yours,

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

4

Page I of I

Indications for Use - Revised 3.3

(To be assigned) 510(k) Number: K050803 Vitaid ET Tubes Device Name: The Vitaid ET Tubes are designed for oral / nasal Indications for Use: intubation and are indicated for airway management. The Vitaid ET tubes have an ultra thin inflatable cuff.

Prescription Use XX (Per CFR 801.109)

()["

Over-the-counter use __

Concurrence of CDRH, Office of Device Evaluation (ODE)

Cuxnduen
(Division Sign-Off)

Division of Anesthesiology, General Hospital. Infection Control, Deni 510(k) Number:

Page 3.3

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