K Number
K051895
Device Name
GE DATEX-OHMEDA ENGSTROM CARESTATION
Manufacturer
Date Cleared
2005-09-27

(76 days)

Product Code
Regulation Number
868.5895
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The GE Datex-Ohmeda Engstrom Carestation is designed to provide mechanical ventilation for adults and pediatrics weighing 5kg and above having degrees of pulmonary impairment varying from minor to severe. The modes of ventilation are available include: - Volume Controlled (VCV) . - Pressure Controlled (PCV) . - Pressure Controlled, Volume Guaranteed (PCV-VG) ● - Synchronized Intermittent Mandatory Ventilation, Volume Controlled (SIMV-VC) ● - Synchronized Intermittent Mandatory Ventilation, Pressure Controlled (SIMV-PC) . - Bi-level Airway Pressure Ventilation ● - Constant Positive Airway Pressure/Pressure Support Ventilation (CPAP/PSV) . - Apnea backup (active in Bi-level and CPAP/PSV) .
Device Description
The Engström Ventilator (EV) is a flexible, adaptable, and intuitive critical care ventilator. A wide selection of performance options gives the user full control of the system configuration. The Engström Carestation is a complete system featuring patient monitoring, patient ventilation, and the capability of interfacing with central information management systems. The GE Datex-Ohmeda Engstrom Carestation is a microprocessor based, electronically controlled, pneumatically driven ventilator that includes integrated FiO2, airway pressure, spirometry and volume monitoring and an Aerogen Aeroneb Pro nebulzier. Options include integrated respiratory gas monitoring capabilities via various Datex-Ohmeda patient monitoring modules listed in the product labeling and an integrated air compressor. The ventilator consists of three main components: a display, a ventilator unit, and an optional module bay. The display allows the user to interface with the system and control settings. The ventilator unit controls electrical power, nebulization, and pneumatic gas flow to and from the patient. The module bay allows the integration of various Datex-Ohmeda patient monitoring modules with the ventilator.
More Information

K# 001814, K023454, K021175

No
The document describes a microprocessor-based ventilator with various ventilation modes and monitoring capabilities. There is no mention of AI, ML, or related terms, nor any description of algorithms that would typically fall under these categories. The focus is on standard ventilation control and monitoring functions.

Yes.
The device provides mechanical ventilation, which is a medical treatment designed to support or replace the natural breathing function of patients with pulmonary impairment. This direct medical intervention for a physiological condition qualifies it as a therapeutic device.

No

A diagnostic device is used to identify a disease, condition, or injury. This device is a ventilator designed to provide mechanical ventilation, which is a treatment, not a diagnostic procedure. While it includes monitoring capabilities, these are for managing the ventilation process rather than for diagnosing new conditions.

No

The device description explicitly states it is a "microprocessor based, electronically controlled, pneumatically driven ventilator" and details hardware components like a display, ventilator unit, and module bay, indicating it is a hardware device with integrated software.

Based on the provided information, the GE Datex-Ohmeda Engstrom Carestation is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is to provide mechanical ventilation for patients with pulmonary impairment. This is a life support and treatment function performed directly on the patient, not an in vitro test on biological samples.
  • Device Description: The description details a ventilator that controls gas flow to the patient, monitors physiological parameters (FiO2, airway pressure, spirometry, volume), and can integrate with patient monitoring modules. These are all functions related to supporting and monitoring a patient's respiratory system in vivo.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.) or providing diagnostic information based on such analysis. The device's function is to assist breathing, not to diagnose a condition through laboratory testing.

Therefore, the GE Datex-Ohmeda Engstrom Carestation is a medical device used for patient treatment and monitoring, not an IVD device.

N/A

Intended Use / Indications for Use

The GE Datex-Ohmeda Engstrom Carestation is designed to provide mechanical ventilation for adults and pediatrics weighing 5kg and above having degrees of pulmonary impairment varying from minor to severe. The modes of ventilation are available include:

  • Volume Controlled (VCV) .
  • Pressure Controlled (PCV) .
  • Pressure Controlled, Volume Guaranteed (PCV-VG) ●
  • Synchronized Intermittent Mandatory Ventilation, Volume Controlled (SIMV-VC) ●
  • Synchronized Intermittent Mandatory Ventilation, Pressure Controlled (SIMV-PC) .
  • Bi-level Airway Pressure Ventilation ●
  • Constant Positive Airway Pressure/Pressure Support Ventilation (CPAP/PSV) .
  • Apnea backup (active in Bi-level and CPAP/PSV) .

The GE Datex-Ohmeda Engstrom Carestation is a microprocessor based, electronically controlled, pneumatically driven ventilator that includes integrated FiO2, airway pressure, spirometry and volume monitoring and an Aerogen Aeroneb Pro nebulzier. Options include integrated respiratory gas monitoring capabilities via various Datex-Ohmeda patient monitoring modules listed in the product labeling and an integrated air compressor.

The system is designed for facility use, including within-facility transport, and should only be used under the orders of a clinician.

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

CBK

Device Description

The Engstrom Ventilator (EV) is a flexible, adaptable, and intuitive critical care ventilator. A wide selection of performance options gives the user full control of the system configuration. The Engstrom Carestation is a complete system featuring patient monitoring, patient ventilation, and the capability of interfacing with central information management systems.

The GE Datex-Ohmeda Engstrom Carestation is a microprocessor based, electronically controlled, pneumatically driven ventilator that includes integrated FiO2, airway pressure, spirometry and volume monitoring and an Aerogen Aeroneb Pro nebulzier. Options include integrated respiratory gas monitoring capabilities via various Datex-Ohmeda patient monitoring modules listed in the product labeling and an integrated air compressor.

When supplied as an option, the integrated respiratory gas monitoring is provided via the Datex-Ohmeda M-Gas Module (M-C, M-CO, M-COV, M-COVX, M-CaiO, M-CAiOV, M-CAiOVX, rev 3.2 software and higher) K# 001814) or Mini-CO2 Module (K023454) which are physically integrated into the Engstrom Carestation, receive electronic power from the Engstrom intogration and communicate measured values to the Engstrom Carestation for display on the system display unit.

When supplied as an option, the GE Datex-Ohmeda EV Air Compressor is intended for use as an accessory to provide a dry, filtered, breathable compressed air supply. The compressor has no alarm functions. All alarm functions and reactions to failure of the compressed gas supply, no alone in the Engstrom Carestation as cleared in K041775. The compressor is installed in the base of the ventilator cart. The compressor is powered from AC mains only. A source of in mo essed oxygen is required to be connected to Engstrom Carestations equipped with the optional compressor.

The system is designed for facility use, including within-facility transport, and should only be used under the orders of a clinician.

The ventilator consists of three main components: a display, a ventilator unit, and an optional module bay. The display allows the user to interface with the system and control settings. The ventilator unit controls electrical power, nebulization, and pneumatic gas flow to and from the patient. The module bay allows the integration of various Datex-Ohmeda patient monitoring modules with the ventilator.

Additional optional accessories include a trolley/cart, compressor, airway modules, module bay, support arm, humidifier and water trap mounting brackets, and auxiliary electrical outlets. The user interface for control of nebulization is provided via the ventilator display unit. The Aerogen Aeroneb Pro Nebulizer (K021175) is provided standard with the unit.

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

Adults and pediatrics weighing 5kg and above

Intended User / Care Setting

Clinician, facility use, including within-facility transport

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)

The GE Datex-Ohmeda Engstrom Carestation has been validated through rigorous testing that, in part, supports the compliance of GE Datex-Ohmeda Engstrom Carestation to the standards listed above.

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.

K041775, K023354

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.

K# 001814, K023454, K021175

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

§ 868.5895 Continuous ventilator.

(a)
Identification. A continuous ventilator (respirator) is a device intended to mechanically control or assist patient breathing by delivering a predetermined percentage of oxygen in the breathing gas. Adult, pediatric, and neonatal ventilators are included in this generic type of device.(b)
Classification. Class II (performance standards).

0

K05/895

SEP 2 7 2005

Date:July 11, 2005
Subject:510(k) Summary of Safety and Effectiveness Information
for the GE Datex-Ohmeda Engstrom Carestation
Proprietary:GE Datex-Ohmeda Engstrom Carestation
Common:Ventilator, Continuous
Classification:Anesthesiology, 73 CBK, 21 CFR 868.5895

The 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 1992.

The GE Datex-Ohmeda Engstrom Carestation is substantially equivalent to the following currently marketed device:

GE Datex-Ohmeda Engstrom Carestation- Class II - 21CFR868.5895, which has been the subject of a cleared 510(k) with FDA log number K041775.

Siemens Mini C Compressor - Class I - 21CFR 868.6250, which has been the subject of a cleared 510(k) with FDK log number K023354

The Engström Ventilator (EV) is a flexible, adaptable, and intuitive critical care ventilator. A wide selection of performance options gives the user full control of the system configuration. The Engström Carestation is a complete system featuring patient monitoring, patient ventilation, and the capability of interfacing with central information management systems.

The GE Datex-Ohmeda Engstrom Carestation is designed to provide mechanical ventilation for adults and pediatrics weighing 5kg and above having degrees of pulmonary impairment varying from minor to severe. The modes of ventilation are available include:

  • Volume Controlled (VCV) .
  • Pressure Controlled (PCV) .
  • Pressure Controlled, Volume Guaranteed (PCV-VG) ●
  • Synchronized Intermittent Mandatory Ventilation, Volume Controlled (SIMV-VC) ●
  • Synchronized Intermittent Mandatory Ventilation, Pressure Controlled (SIMV-PC) .
  • Bi-level Airway Pressure Ventilation ●
  • Constant Positive Airway Pressure/Pressure Support Ventilation (CPAP/PSV) .
  • Apnea backup (active in Bi-level and CPAP/PSV) .

The GE Datex-Ohmeda Engstrom Carestation is a microprocessor based, electronically controlled, pneumatically driven ventilator that includes integrated FiO2, airway pressure, spirometry and volume monitoring and an Aerogen Aeroneb Pro nebulzier. Options include integrated respiratory gas monitoring capabilities via various Datex-Ohmeda patient monitoring modules listed in the product labeling and an integrated air compressor.

When supplied as an option, the integrated respiratory gas monitoring is provided via the Datex-Ohmeda M-Gas Module (M-C, M-CO, M-COV, M-COVX, M-CaiO, M-CAiOV, M-CAiOVX,

1

(rev 3.2 software and higher) K# 001814) or Mini-CO2 Module (K023454) which are physically integrated into the Engstrom Carestation, receive electronic power from the Engstrom intogration and communicate measured values to the Engstrom Carestation for display on the system display unit.

When supplied as an option, the GE Datex-Ohmeda EV Air Compressor is intended for use as an accessory to provide a dry, filtered, breathable compressed air supply. The compressor has no alarm functions. All alarm functions and reactions to failure of the compressed gas supply, no alone in the Engstrom Carestation as cleared in K041775. The compressor is installed in the base of the ventilator cart. The compressor is powered from AC mains only. A source of in mo essed oxygen is required to be connected to Engstrom Carestations equipped with the optional compressor.

The system is designed for facility use, including within-facility transport, and should only be used under the orders of a clinician.

The ventilator consists of three main components: a display, a ventilator unit, and an optional module bay. The display allows the user to interface with the system and control settings. The ventilator unit controls electrical power, nebulization, and pneumatic gas flow to and from the patient. The module bay allows the integration of various Datex-Ohmeda patient monitoring modules with the ventilator.

Additional optional accessories include a trolley/cart, compressor, airway modules, module bay, support arm, humidifier and water trap mounting brackets, and auxiliary electrical outlets. The user interface for control of nebulization is provided via the ventilator display unit. The Aerogen Aeroneb Pro Nebulizer (K021175) is provided standard with the unit.

The GE Datex-Ohmeda Engstrom Carestation was designed to comply with the applicable portions of the following voluntary standards;

    1. UL 2601 General requirements for Medical Electrical Equipment
    1. ASTM F1100 Particular Requirements for Critical Care Ventilators
    1. EN/IEC 60601-1: General requirements for Medical Electrical Equipment
    1. EN/IEC 60601-1-2: 2001 Medical Electrical Equipment Electromagnetic Compatibility
    1. EN 475 Electrically Generated Alarm Signals
    1. CGA V-1 ad ISO 5145 Medical Gas Cylinders Threaded Cylinders
    1. EN 980 Graphical Symbols
    1. EN/IEC 60601-2-12, Medical Electrical Equipment Critical Care Ventilators

The GE Datex-Ohmeda Engstrom Carestation and the currently marketed device are substantially equivalent in design concepts, technologies and materials. The GE Datex-Ohmeda Engstrom Carestation has been validated through rigorous testing that, in part, supports the compliance of GE Datex-Ohmeda Engstrom Carestation to the standards listed above.

Dan Kosednar, RAC Contact:

Manager, Regulatory Planning and Submissions

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH AND HUMAN SERVICES. USA" arranged around the perimeter. Inside the circle is a stylized symbol featuring three abstract human figures connected by flowing lines, representing health and well-being.

SEP 27 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Dan Kosednar Manager, Regulatory Planning and Submissions Datex-Ohmeda, Incorportaed Care Business Area P.O. Box 7550 Madison, Wisconsin 53707

Re: K051895

Trade/Device Name: GE Datex-Ohmeda Engstrom Carestation Regulation Number: 21 CFR 868.5895 Regulation Name: Continuous Ventilator Regulatory Class: II Product Code: CBK Dated: August 30, 2005 Received: August 31, 2005

Dear Mr. Kosednar:

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. Kosednar

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 mount that I Drimas and regulations and regulations administered by other Federal agencies. or the Free of any I 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 and listing (21 es results in the quality systems (QS) regulation (21 CFR Part 820); and if requirements as set form in the quality ijon 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) rms reter notification. The FDA finding of substantial equivalence of your device to a premarket nownloade 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), 11 you dostro specifical at 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 may occare 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.

Anthony V. Watson per

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

4

Indications for Use

510(k) Number (if known): KO51895

Device Name: GE Datex-Ohmeda Engstrom Carestation

Indications For Use:

The GE Datex-Ohmeda Engstrom Carestation is designed to provide mechanical veriliation for i he GE Datex-Onlineda Engation Ouroclavel is Google from minor to severe. The modes of ventilation are available include:

  • Volume Controlled (VCV) .
  • Pressure Controlled (PCV) .
  • Pressure Controlled, Volume Guaranteed (PCV-VG) .
  • r ressure Controllent Mandatory Ventilation, Volume Controlled (SIMV-VC) ●
  • Synchronized Intermittent Mandatory Ventilation, Pressure Controlled (SIMV-PC) .
  • Bi-level Airway Pressure Ventilation .
  • Bricerol Airway Pressure/Pressure Support Ventilation (CPAP/PSV) ●
  • Apnea backup (active in Bi-level and CPAP/PSV) .

The GE Datex-Ohmeda Engstrom Carestation is a microprocessor based, electronically The OL Datex Onlinout Engorem othator that includes integrated FiO2, airway pressure, controlled, prieumationing and an Aerogen Aeroneb Pro nebulzier. Options include spirometry and volume monitoring capabilities via various Datex-Ohmeda patient monitoring integrated respiratory goduct labeling and an integrated air compressor.

The system is designed for facility use, including within-facility transport, and should only be used under the orders of a clinician.

Prescription Use XXX (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 IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Clim Salion

Page 1 of ____________________________________________________________________________________________________________________________________________________________________

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

510(k) Number:_