K Number
K051889
Device Name
CAREVENT CA AND DRA
Date Cleared
2005-08-30

(49 days)

Product Code
Regulation Number
868.5925
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CAREvent CA and CAREvent DRA are pneumatically powered, time/volume cycled ventilators used to provide ventilatory support in confined space rescue in IDLH (Immediately Dangerous to Life and Health) environment. The ventilator is suitable for use in: Pulmonary resuscitation during respiratory and/or cardiac arrest. Short term ventilatory support in the confined space rescue in IDLH (Immediately Dangerous to Life and Health) environment, pre-hospital, Intra-hospital and inter-hospital transport of non-breathing patients.
Device Description
The CAREvent CA and CAREvent DRA are pneumatically powered, time/volume cycled ventilators.
More Information

K0J1869

Not Found

No
The summary explicitly states "Mentions AI, DNN, or ML: Not Found" and the device description is of a pneumatically powered, time/volume cycled ventilator, which are typically mechanical devices without AI/ML components.

Yes
The device is a ventilator used for pulmonary resuscitation and ventilatory support, which are therapeutic interventions.

No
The document describes the device as a ventilator used for providing ventilatory support, not for diagnosing medical conditions.

No

The device description explicitly states that the CAREvent CA and CAREvent DRA are "pneumatically powered, time/volume cycled ventilators," indicating they are hardware devices.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Function: The CAREvent CA and CAREvent DRA are described as ventilators used to provide ventilatory support. This is a life-support function that directly interacts with the patient's respiratory system, not by analyzing samples taken from the body.
  • Intended Use: The intended use clearly states providing ventilatory support and pulmonary resuscitation, which are clinical interventions, not diagnostic tests performed on samples.

Therefore, the device's function and intended use fall outside the scope of In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The CAREvent CA and CAREvent DRA are pneumatically powered, time/volume cycled ventilators used to provide ventilatory support for patients during cardiopulmonary resuscitation and short term ventilatory support in confined space rescue in IDLH (Immediately Dangerous to Life and Health) environment.

The ventilator is suitable for use in:

  • Pulmonary resuscitation during respiratory and/or cardiac arrest.
  • Short term ventilatory support in the confined space rescue in IDLH (Immediately Dangerous to Life and Health) environment, pre-hospital, Intra-hospital and inter-hospital transport of non-breathing patients.

Product codes

BTL

Device Description

Not Found

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)

K0J1869

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5925 Powered emergency ventilator.

(a)
Identification. A powered emergency ventilator is a demand valve or inhalator intended to provide emergency respiratory support by means of a face mask or a tube inserted into a patient's airway.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/2 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight.

AUG 3 0 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Ammar Al-Dojaily Engineering Manager O-Two Medical Technologies, Incorporated 7575 Kimbel Street Mississauga, Ontario CANADA L5S 1C8

Re: K051889

K0J1869
Trade/Device Name: CAREvent CA and CAREvent DRA Regulation Number: 21 CFR 868.5925 Regulation Name: Powered Emergency Ventilator Regulatory Class: II Product Code: BTL Dated: August 10, 2005 Received: August 16, 2005

Dear Mr. Al-Dojaily:

We have reviewed your Section 510(k) premarket notification of intent to market the device We nave reviewed your Section 910(t) production is substantially equivalent (for the referenced above and have determined the device is and is a Madical Devices marketed in
indications for use stated in the enclosure) to legally marketed predice Medical Douic indications for use stated in the cholorors, to regionent date of the Medical Device interstate commerce prior to May 20, 1770, and enal many approvil of a provisions of
Amendments, or to devices that have been reclassified in accordance with of a premarket Amendments, of to devices that have been rockets that do not require approval of a premarket.
The Federal Food, Drug, and Cosmetic Act (Act) that do desice, systematic the Federal Food, Drug, and Cosment Pre (1996) and Chica, subject to the general
approval application (PMA). You may, therefore, market the Aet include approval application (1 Mrx). Fou may, most on the Act include controls provisions of the Act. The general connects good manufacturing practice, requirements for any requirements for annual reasonst misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) of class III If your device is classified (see above) into controls. Existing major regulations affecting
(PMA), it may be subject to such additional controls. Existes Title 21, Ports (PMA), it may be subject to sach additional contreasons, Title 21, Parts 800 to 898. In
your device can be found in the Code of Federal Regulations, Title 21, In the Federal your device can be found in the Code of Peacharies concerning your device in the Federal Register.

1

Page 2 - Mr. Al-Dojaily

Please be advised that FDA's issuance of a substantial equivalence determination does not Please be advised that I Dri 3 issualled on that your device complies with other requirements Incan that IDA has made a determinations administered by other Federal agencies. 01 the Act of ally I ederal bate and survey with and limited to: registration You must comply with an the Piseling (21 CFR Part 801); good manufacturing practice in and listing (21 CFR Part 807), laceling (DS) 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) This letter will anow you to over mading of substantial equivalence of your device to a premits the motification. - The PDF mails 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 no roo roo roo room 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 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/industry/support/index.html.

Sincerely vours,

Anjette Y. Michie m.D.

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): K051889

CAREvent CA and CAREvent DRA Device Name:

Indications For Use:

Indications For Use.
The CAREvent CA and CAREvent DRA are pneumatically powered, time/volume The CAREVENT CA and OAREVERE BAS are Pro Pars and Submitted and sin confined cycled vehilators used to provide vonellately bapper.
space rescue in IDLH (Immediately Dangerous to Life and Health) environment.

The ventilator is suitable for use in:

  • · Pulmonary resuscitation during respiratory and/or cardiac arrest.
  • Short term ventilatory support in the confined space rescue in IDLH . Short term ventiatory Support in and Health) environment, pre-hospital, Intra-(Immediately Dangerous to Elle and Visal transport of non-breathing patients.

Prescription Use
(Part 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)

Aury Sueliom

(Division Sign) Off (Division Signesh)
Division of Anesthesiology, General Hospital, Division of Anesthousists of Devices

051 0 510(k) Number.

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