K Number
K051620
Manufacturer
Date Cleared
2005-11-18

(154 days)

Product Code
Regulation Number
876.5665
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Matrix Series Digital Reverse Osmosis Water Treatment System is an accessory device designed to safely and effectively provide water purification for use in hemodialysis applications. The water produced will meet the minimum water quality requirements as specified by Association for the Advancement of Medical Instrumentation (AAMI) standard RD62:2003 when used as directed. Dependent on feed water quality this unit may be used in conjunction with other approved water treatment components.

Device Description

The Matrix Series Digital Reverse Osmosis Water Treatment System is an accessory device that is intended for use with a hemodialysis applications and is intended to remove organic and inorganic substances and microbial contaminants from tap water used to dilute dialysate concentrate to form dialysate. The Matrix Series Digital Reverse Osmosis Water Treatment System will produce water as prescribed by the Association for the Advancement of Medical Instrumentation (AAMI) RD62:2003 standard provided adequate flow rate of the feed (tap) water and compliance with existing drinking water standards and proper pre-treatment.

AI/ML Overview

Here's an analysis of the provided text regarding the acceptance criteria and study for the Matrix Series Digital Reverse Osmosis Water Treatment System:

It's important to note that the provided document is a 510(k) summary, which focuses on demonstrating substantial equivalence to predicate devices, rather than a detailed report of a new clinical or performance study with specific acceptance criteria and performance metrics in the way a novel device might be evaluated.

Acceptance Criteria and Reported Device Performance

The core acceptance criterion for this device is its ability to produce water that meets the standards set by the Association for the Advancement of Medical Instrumentation (AAMI) RD62:2003 standard for hemodialysis water quality.

Acceptance CriterionReported Device Performance
Delivery of AAMI Standard Water for Hemodialysis"The Matrix Series Digital Reverse Osmosis Water Treatment System will produce water as prescribed by the Association for the Advancement of Medical Instrumentation (AAMI) RD62:2003 standard provided adequate flow rate of the feed (tap) water and compliance with existing drinking water standards and proper pre-treatment." (Page 1, 4) "will produce purified water that will meet the minimum water quality requirements as specified by Association for the Advancement of Medical Instrumentation (AAMI) standard RD62:2003 when used as directed." (Page 4, 9)

Study Information

Based on the provided 510(k) summary, the device's acceptance is based on demonstrating substantial equivalence to predicate devices, not on a new, standalone performance study with detailed clinical or non-clinical data as one might expect for a novel device.

  1. Sample size used for the test set and the data provenance: Not explicitly stated as a separate "test set" in the context of a new performance study. The evaluation is primarily a comparison to predicate devices, relying on their historical performance and regulatory clearance.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. The "ground truth" here is the AAMI RD62:2003 standard, which is an industry-accepted benchmark, not an expert-derived opinion for a specific test set.
  3. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable. There's no human adjudication process described for a test set.
  4. If a multi-reader multicase (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This is a water treatment system, not an imaging or diagnostic device involving human readers or AI.
  5. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: No; a standalone algorithm performance study is not relevant for this type of device. The "standalone" performance is the water treatment system's output meeting AAMI standards. The FDA's conclusion explicitly states: "Clinical Performance Data: Not required for determination of substantial equivalence for this type and class of device." (Page 4, 8)
  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): The "ground truth" for compliance is the AAMI RD62:2003 standard for water quality in hemodialysis. This is a technical performance standard.
  7. The sample size for the training set: Not applicable. This is not a machine learning or AI-driven device requiring a training set.
  8. How the ground truth for the training set was established: Not applicable.

Summary of How the Device Meets Acceptance Criteria

The Matrix Series Digital Reverse Osmosis Water Treatment System meets its acceptance criteria by demonstrating substantial equivalence to existing, legally marketed predicate devices (Better Water K920186, Isopure MD 400 K993200, and MD 600 K041163 Series Water Systems).

The basis for this substantial equivalence primarily rests on:

  • Technological Characteristics: Similar "wetted-contact materials," pump size, and membrane selection to the Better Water predicate.
  • Operational Features: The electronic PLC and Operator Interface Touch Screen features are deemed equivalent to those in the Isopure predicate devices.
  • Intended Use: The device shares the same intended use as an accessory for hemodialysis applications.
  • Performance Claim: The device is intended to and will produce water meeting the AAMI RD62:2003 standard, mirroring the performance of the predicate devices.

The 510(k) process allows a new device to be cleared if it is "substantially equivalent" to a predicate device, meaning it has the same intended use and technological characteristics as the predicate, or if it has different technological characteristics, those characteristics do not raise different questions of safety and effectiveness, and the device is as safe and effective as the predicate device.

In this case, the manufacturer asserts that "Any difference between the device and the Predicate Devices have no significant influence on the safety or effectiveness of the product," and that the device will meet the specific AAMI standard for water quality, which is the established acceptance criterion for such devices. No new clinical or detailed performance studies were required by the FDA because of this demonstrated substantial equivalence.

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NOV 1 8 2005

Image /page/0/Picture/2 description: The image is a black and white drawing of a cartoon water droplet with a smiling face. The droplet has large eyes and a simple, curved mouth. It appears to be standing in a puddle of water. The drawing is set within a circular frame, with text around the edge of the circle.

510(K) SUMMARY 510(K) Number : K051620

1 Date Prepared August 26, 2005

2 Contact Person

Mike Cline President, Better Water, Incorporated 698 Swan Drive Smyrna, TN 37167 615-355-6063

3 Device Name

Proprietary Name:Matrix Series Digital Reverse OsmosisWater Treatment System
Common Name:Reverse Osmosis Water PurificationSystem For Hemodialysis with DigitalControls
Panel:Gastroenterology/Urology
Classification Name:Water Purification System ForHemodialysis; Class II; Waterpurification system for hemodialysis (21CFR 876.5665); Product Code 78 FIP

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K051620
PAGE 2 OF 5

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4 Device Description

The Matrix Series Digital Reverse Osmosis Water Treatment System is an accessory device that is intended for use with a hemodialysis applications and is intended to remove organic and inorganic substances and microbial contaminants from tap water used to dilute dialysate concentrate to form dialysate. The Matrix Series Digital Reverse Osmosis Water Treatment System will produce water as prescribed by the Association for the Advancement of Medical Instrumentation (AAMI) RD62:2003 standard provided adequate flow rate of the feed (tap) water and compliance with existing drinking water standards and proper pre-treatment.

5 Substantial Equivalence To Predicate Device

The Matrix Series Digital Reverse Osmosis Water Treatment System is based upon the technology of the Water Purification System For Hemodialysis manufacturered by Better Water (K920186) with respect to "wetted-contact materials", pump size and the selection of the type and number of membranes.

Additionally, the Matrix Series features an electronic PLC with firmware as well as an Operator Interface Touch Screen. These electronic features are equivalent to the electronic features incorporated in the MD 400 (K993200) and 600 (K041163) Series Water Systems manufactured by Isopure Incorporated.

See the table below for detailed comparison.

Appendix 5 - Page 2 of 5

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Table of Comparison To Predicate Devices

Predicate Devices
SpecificationsMatrix Current 510(K)Water Purification SystemFor HemodialysisComplete Water SystemModels MD 610, 620, 630and 640Multi-Patient ReverseOsmosis - Models MD 420,440, 460, 470, 480 and 490
ManufacturerBetter Water, IncBetter Water, IncIsopure CorporationIsopure Corporation
510(K)Number-K920186K041163K993200
Decision Date-6/13/199510/7/20041/24/2000
Classification876.5665, Class II876.5665, Class II876.5665, Class II876.5665, Class II
Product CodeFIPFIPFIP78 FIP
Water-ContactMaterialsFDA - NSFCompliantFDA - NSFCompliantFDA - NSFCompliantFDA - NSFCompliant
Pre-TreatmentOptionsBased upon site-specific feed waterchemical analysis.Based upon site-specificfeed water chemicalanalysis.Based upon site-specificfeed water chemicalanalysis.Based upon site-specificfeed water chemicalanalysis.
Feed water Pre-Treatment mayincludeFeed water Pre-Treatmentmay include :Feed water Pre-Treatmentmay include :Feed water Pre-Treatmentmay include :
· Carbon Filtration· Carbon Filtration· Carbon Filtration· Carbon Filtration
· Softners· Softners· Softners· Softners
· Temperature Control· Temperature Control· Temperature Control· Temperature Control
· Pressure Compensation· Pressure Compensation· Pressure Compensation· Pressure Compensation
· Special Filtration· Special Filtration· Special Filtration· Special Filtration
· Ultra-Violet (UV)· Ultra-Violet (UV)NANA
· OzoneNANANA
OperationalFeaturesElectronic touch screen interfaceManual ControlsElectronic touch screeninterfaceElectronic touch screeninterface
All components mounted on anopen frame for assessibilityAll components mountedon an open frame forassessibilityAll components mountedon an open frame forassessibilityAll components mounted onan open frame forassessibility
Electronic Monitoring ofAnalog Monitoring ofElectronic PressureMonitoring ofElectronic PressureMonitoring of
· Feed water pressure / flow· Feed water pressure· Feed water pressure· Feed water pressure
· Product water pressure/ flow· Product water pressure· Product water pressure· Product water pressure
· Membrane feed pressure· Membrane feed pressure· Membrane feed pressure· Membrane feed pressure
· Pump Pressure· Pump Pressure· Pump Pressure· Pump Pressure
· Reject Water Pressure/Flow· Reject WaterPressure/Flow· Reject WaterPressure/Flow· Reject WaterPressure/Flow
· Product Water Conductivity· Product WaterConductivity· Product WaterConductivity· Product WaterConductivity
· Feed water Conductivity· Feed water Conductivity· Feed water Conductivity· Feed water Conductivity
· System Flush· Manual· System Flush· System Flush
· Clean/Disinfect Flow Rate· NA· Semi-Automated· Semi-Automated
Manual or AutomatedSystem cleaning andsanitizing by:Manual or AutomatedSystem cleaning andsanitizing by:Manual or AutomatedSystem cleaning andsanitizing by:
Cleaning• chemicals agentsNot Applicable• chemical agents• chemical agents
SafetyFeatures100% diversion-to-drainabove productconductivity set-point100% diversion-to-drainabove product conductivityset-point100% diversion-to-drainabove productconductivity set-pointNot Applicable
Low Supply (Feedwater)Pressure (Alarm)Low Supply (Feedwater)Pressure (Alarm)Low Supply (Feedwater)Pressure (Alarm)Low Supply (Feedwater)Pressure (Alarm)
High Product WaterConductivity (alarm)High Product WaterConductivity (shut down)High Product WaterConductivity (shut down)High Product WaterConductivity (shutdown)
High supply watertemperature (shutdown)High supply watertemperature (shut down)High supply watertemperature (shut down)High supply watertemperature (shutdown)
High product waterconductivity alarmHigh product waterconductivity alarmHigh product waterconductivity alarmHigh product waterconductivity alarm
System RecoveryNotificationNot ApplicableSystem RecoveryNotificationSystem RecoveryNotification
Power Disturbance(Alarm)Power Disturbance (Alarm)Power Disturbance(Alarm)Power Disturbance(Alarm)
Post-TreatmentOptionsRemote Alarm (Nurse'sStation)May include 0.5 micronor better ultra-filtrationRemote Alarm (Nurse'sStation)May include 0.5 micron orbetter ultra-filtrationRemote Alarm (Nurse'sStation)May include 0.5 micronor better ultra-fitrationRemote Alarm (Nurse'sStation)May include 0.5 micronor better ultra-filtration
PerformanceDelivery of AAMIStandard WaterDelivery of AAMI StandardWaterDelivery of AAMIStandard WaterDelivery of AAMIStandard Water

:

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12051620

PAGE 4 OF

Table of Comparison To Predicate Devices cont'

:

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8051620 5 OF 5

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Indications For Use 6

The Matrix Series Digital Reverse Osmosis Water Treatment System is an accessory device designed to safely and effectively provide water purification for use in hemodialysis applications. The water produced will meet the minimum water quality requirements as specified by Association for the Advancement of Medical Instrumentation (AAMI) standard RD62:2003 when used as directed. Dependent on feed water quality this unit may be used in conjunction with other approved water treatment components.

Safety and Effectiveness 7

The intended use and technological characteristics of the Matrix Series Digital Reverse Osmosis Water Treatment System are similar or equivalent to the Predicate Devices. Any difference between the device and the Predicate Devices have no significant influence on the safety or effectiveness of the product.

Clinical Performance Data 8

Not required for determination of substantial equivalence for this type and class of device.

Conclusion Drawn From Clinical and 9 Nonclinical Test Data

As compared with the predicate devices, K920186, K993200 and K041163, the Matrix Series Digital Reverse Osmosis Water Treatment System will produce purified water that will meet the minimum water quality requirements as specified by Association for the Advancement of Medical Instrumentation (AAMI) standard RD62:2003 when used as directed.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 1 8 2005

Mr. Michael Cline President Better Water, Inc. 698 Swan Drive SMYRNA TN 37167

Re: K051620

Trade/Device Name: Matrix Digital Reverse Osmosis Water Treatment System -EQRMD Series Regulation Number: 21 CFR $876.5665 Regulation Name: Water purification system for hemodialysis Regulatory Class: II Product Code: FIP Dated: November 16, 2005 Received: November 17, 2005

Dear Mr. Cline:

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 (Premarket Approval), 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.

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.

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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 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 premarket notification" (21 CFR 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,

Nancy C. Brogdon

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

Enclosure

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Indications For Use Statement

K051620 510(K) Number :

Device Name :

Matrix Series Digital Reverse Osmosis Water Treatment System

Indications For Use:

The Matrix Series Digital Reverse Osmosis Water Treatment System is an accessory device designed to safely and effectively provide water purification for use in hemodialysis applications. The water produced will meet the minimum water quality requirements as specified by Association for the Advancement of Medical Instrumentation (AAMI) standard RD62:2003 when used as directed. Dependent on feed water quality this unit may be used in conjunction with other approved water treatment components.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)

Title

Date

510(K) Number : K051620

Appendix 3 - Page 1 of 1

ﺃﺷﻬﺮ ﺍﻟﻤﺴﺎﺣﺔ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ Prescription Use

OR Over-The-Counter Use

(Part 21 CFR 801 Subpart D)

(21 CFR 801 Subpart C)

David le. Lymon
(Division Sign-Off)

Division of Reproductive, Abdomina and Radiological Dev 510(k) Number

§ 876.5665 Water purification system for hemodialysis.

(a)
Identification. A water purification system for hemodialysis is a device that is intended for use with a hemodialysis system and that is intended to remove organic and inorganic substances and microbial contaminants from water used to dilute dialysate concentrate to form dialysate. This generic type of device may include a water softener, sediment filter, carbon filter, and water distillation system.(b)
Classification. Class II (special controls). The device, when it is a water purification subsystem disinfectant, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.