K Number
K062913
Device Name
ASTRAGUARD PULMONARY FUNCTION FILTER
Date Cleared
2007-01-26

(121 days)

Product Code
Regulation Number
868.1840
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The AstraGuard Pulmonary Function Filter is intended for use in reducing possible bacterial and/or viral cross contamination of spirometers and pulmonary testing instruments, associated valves and hoses, from aerosols and particulates, which may be present in a patient's exhaled gas. The device is indicated for diagnostic applications.
Device Description
The SDI AstraGuard Pulmonary Function Filter is an electrostatic polypropylene medium enclosed in a molded polystyrene shell. The highly efficient medium is ultrasonically welded to the shell body.
More Information

Not Found

No
The description focuses on the physical filtration mechanism and materials, with no mention of AI or ML.

No
The device is described as a filter used to prevent cross-contamination in diagnostic pulmonary instruments, not to treat a condition or disease. Its intended use is for "diagnostic applications."

Yes

The "Intended Use / Indications for Use" section explicitly states, "The device is indicated for diagnostic applications."

No

The device description clearly states it is a physical filter made of electrostatic polypropylene medium enclosed in a molded polystyrene shell, indicating it is a hardware device.

Based on the provided information, the AstraGuard Pulmonary Function Filter is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is to reduce cross-contamination of spirometers and pulmonary testing instruments. This is a barrier function to protect the equipment and potentially other patients, not to perform a diagnostic test on a patient's sample in vitro.
  • Device Description: The description details a physical filter medium and housing. There is no mention of reagents, assays, or any components designed to analyze a biological sample.
  • Lack of IVD Characteristics: The information does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing a biological sample (blood, urine, tissue, etc.)
    • Detecting or measuring specific analytes
    • Providing diagnostic information about a patient's health status based on sample analysis.
  • Predicate Devices: The predicate devices listed are also pulmonary function filters, which serve the same barrier purpose and are not classified as IVDs.

While the device is used in a diagnostic application (pulmonary function testing), its function is supportive to the diagnostic process by preventing contamination, rather than being a diagnostic test itself.

N/A

Intended Use / Indications for Use

The AstraGuard Pulmonary Function Filter is intended for use in reducing possible bacterial and/or viral cross contamination of spirometers and pulmonary testing instruments, associated valves and hoses, from aerosols and particulates, which may be present in a patient's exhaled gas. The device is indicated for diagnostic applications.

Product codes

CAH

Device Description

The SDI AstraGuard Pulmonary Function Filter is an electrostatic polypropylene medium enclosed in a molded polystyrene shell. The highly efficient medium is ultrasonically welded to the shell body.

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)

K934509, K043148, K934475

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.1840 Diagnostic spirometer.

(a)
Identification. A diagnostic spirometer is a device used in pulmonary function testing to measure the volume of gas moving in or out of a patient's lungs.(b)
Classification. Class II (performance standards).

0

Koco2913

510(k) SummaryJAN 26 2007
[As Required by 21 CFR 807.92]
Owner / Submitter of 510(k)SDI Diagnostics, Inc.
Michael J. Boyle - President
10 Hampden Drive
Easton, MA 02375
e-mail: mjboyle@sdidiagnostics.com
Establishment Registration No.:1221256
Contact:Cosimo Cariolo
e-mail: ccariolo@sdidiagnostics.com
Tel: (508) 238-7033, fax (508) 230-8497
Trade Name:SDI AstraGuard Pulmonary Function filter
Common Name:Disposable PFT Filter
Classification Name:Filter, Bacterial
Regulation Number21 CFR 868.5260
Classification Panel:Anesthesiology
Regulatory Class:II
Product Code:CAH
Predicate Devices510(k) #K934509 SDI Pulmoguard Filter
510(k) #K043148 Alliance Tech Medical All Flow Filter
510(k) # K934475 Koko Disposable PFT Filter II
Device Description:The SDI AstraGuard Pulmonary Function Filter is an
electrostatic polypropylene medium enclosed in a molded
polystyrene shell. The highly efficient medium is ultrasonically
welded to the shell body.
Intended Use:The AstraGuard Pulmonary Function Filter is intended for use in
reducing possible bacterial and/or viral cross contamination of
spirometers and pulmonary testing instruments, associated
valves and hoses, from aerosols and particulates, which may be
present in a patient's exhaled gas. The device is indicated for
diagnostic applications

1

Image /page/1/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS). The seal features a stylized caduceus, a symbol often associated with medicine and healthcare, with a double helix-like design representing the interconnectedness of health and science. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" are arranged in a circular pattern around the caduceus, indicating the department's full name and national affiliation. The seal is presented in black and white, giving it a formal and official appearance.

ood and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Cosimo Cariolo Director of Marketing SDI Diagnostics, Incorporated 10 Hampden Drive Easton, Massachusetts 02375

JAN 2 6 2007

Re: K062913

Trade/Device Name: AstraGuard Pulmonary Function Filter Regulation Number: 21 CFR 868.1840 Regulation Name: Diagnostic Spirometer Regulatory Class: II Product Code: BZG Dated: January 10, 2007 Received: January 16, 2007

Dear Mr. Cariolo:

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.

2

Page 2 - Mr. Cariolo

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 regulties. 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 82pirend 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Suyite Y. Michin Oms

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

3

SDI Diagnostics, Inc. AstraGuard Pulmonary Function filter 510(k) Submission

INDICATIONS FOR USE STATEMENT

510(k) Number (if known) K062913

AstraGuard Pulmonary Function Filter Device Name:

Indications for Use:

The AstraGuard Pulmonary Function Filter is intended to for use in reducing possible The AstraOuard Pulmonary Panonination of spirometers and pulmonary testing bacterial and/or viral cross contamination of epirements and particulates, which may be Instruments, associated varies and more is indicated for diagnostic applications.

(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Matt Welch

on Sign-Cfi) on of Anesthesiology, General Hospital, . Tion Control, Dental Devices

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Prescription Use
(per 21 CFR 801.109

OR

Over-the-Counter Use (Optional Format 1-2-96)