K Number
K052615
Device Name
MEDISIZE GOLD
Manufacturer
Date Cleared
2005-12-09

(77 days)

Product Code
Regulation Number
868.5450
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
- 1. The Heat and Moisture Exchanger (HME) of the Medisize Gold is intended for passive humidification during anaesthesia and respiratory care. - 2. The integrated booster ability makes it possible to feed additional heat and moisture into the system during respiratory care, specifically, when the use of an HME alone is no longer adequate due to the patients moisture deficit.
Device Description
Not Found
More Information

Not Found

Not Found

No
The summary describes a passive humidification device with an integrated booster, with no mention of AI or ML capabilities.

Yes
The device is described as a Heat and Moisture Exchanger (HME) intended for passive humidification during anaesthesia and respiratory care, which are therapeutic medical interventions.

No

Explanation: The device is described as a Heat and Moisture Exchanger (HME) intended for passive humidification during anaesthesia and respiratory care, and also has a booster ability to feed additional heat and moisture. These functions are therapeutic and supportive, not diagnostic.

No

The device description is not found, but the intended use clearly describes a physical Heat and Moisture Exchanger (HME) with an integrated booster, indicating a hardware component.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for "passive humidification during anaesthesia and respiratory care." This is a therapeutic and supportive function related to breathing, not the examination of specimens derived from the human body for the purpose of providing information for diagnosis, monitoring, or treatment.
  • Device Description: While the description is "Not Found," the intended use is the primary indicator of whether a device is an IVD.
  • Other Sections: The absence of information in sections like "Mentions image processing," "Mentions AI, DNN, or ML," "Input Imaging Modality," "Anatomical Site," "Description of the training set," "Description of the test set," "Summary of Performance Studies," and "Key Metrics" further supports that this is not an IVD. These sections are typically relevant for devices that perform analysis or interpretation of biological samples or medical images.

In summary, the function of a Heat and Moisture Exchanger (HME) in respiratory care is to manage the humidity of inhaled air, which is a direct intervention on the patient's breathing, not an analysis of biological samples.

N/A

Intended Use / Indications for Use

The Heat and Moisture Exchanger (HME) of the Medisize Gold is intended for passive humidification during anaesthesia and respiratory care. The integrated booster ability makes it possible to feed additional heat and moisture into the system during respiratory care, specifically, when the use of an HME alone is no longer adequate due to the patients moisture deficit.

Product codes

BTT

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5450 Respiratory gas humidifier.

(a)
Identification. A respiratory gas humidifier is a device that is intended to add moisture to, and sometimes to warm, the breathing gases for administration to a patient. Cascade, gas, heated, and prefilled humidifiers are included in this generic type of device.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three lines representing its body and wings. The eagle is positioned to the right of a circular text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA". The text is arranged around the circumference of the circle.

Public Health Service

2005 DEC 9

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Medisize BV C/O Mr. J.A. Van Vugt Responsible Third Party Official KEMA Quality B.V. 4377 County Line Road Chalfont, Pennsylvania 18914

Re: K052615

Trade/Device Name: Medisize Gold Regulation Number: 868.5450 Regulation Name: Respiratory Gas Humidifier Regulatory Class: II Product Code: BTT Dated: November 23, 2005 Received: November 28, 2005

Dear Mr. Van Vugt:

We have reviewed your Section 510(k) premarket notification of intent to market the device We nave roviewed your cermined the device is substantially equivalent (for the referenced above and have acteriminosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device mendments, or to devices that have been reclassified in accordance with the provisions of Amendinents, or to devices that have act (Act) that do not require approval of a premarket the I cuclar I ood, Drag, and Commay, therefore, market the device, subject to the general approval application (1177) . The general controls provisions of the Act include controls providens of an 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 If your device is classified (500 above) was controls. Existing major regulations affecting (1 Mrx), it may of subject to tack of Federal Regulations, Title 21, Parts 800 to 898. In your device ear be foundsh further announcements concerning your device in the Federal Register.

1

Page 2 - Mr. Van Vugt

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 mean that IDA has made a decemmations administered by other Federal agencies. of the Act of ally i ecclai statutes and reguirements, including, but not limited to: registration You must comply with an the rice s requirements) and 801); good manufacturing practice and listing (21 CFR Part 007), labeling (21 CFR Part (QS) regulation (21 CFR Part 820); and if requirentents as set form in the quality of closens (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) I mis letter wif anow you to begin maiing of substantial equivalence of your device to a premiarket nothleation. The I Dr maing or 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), IT you desire specific aurros for your 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 other general manufacturers, International and Consumer Assistance at its toll-free Division of Dinas 2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrl/industry/support/index.html.

Sincerely yours,

Ques

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

2

Section #3 -INDICATIONS FOR USE

510(k) Number (if known):

Unknown

Device Name:

Medisize Gold

Indications for Use:

    1. The Heat and Moisture Exchanger (HME) of the Medisize Gold is intended for passive humidification during anaesthesia and respiratory care.
    1. The integrated booster ability makes it possible to feed additional heat and moisture into the system during respiratory care, specifically, when the use of an HME alone is no longer adequate due to the patients moisture deficit.

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

OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Amy Sullivant

on of Anesthesiclogy, General Hospital tion Control. Dental Dev

K052615

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(Posted November 13, 2003)