K Number
K063488
Device Name
MAXO2 CU
Manufacturer
Date Cleared
2007-02-22

(97 days)

Product Code
Regulation Number
868.1720
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The MaxO2 CU is a continuous use monitor of oxygen concentration in a patient breathing environment. It may be provided with an oxygen concentration dilution method which could be of a flowmeter, manifold or venturi design, which can deliver a set or adjustable FiO2 oxygen concentrations and flow rates to the patient. It is not intended for use with life supporting systems.
Device Description
The MaxO2 CU is a combination of a continuous use oxygen monitor and a venturi oxygen dilution system in one device. An analogous device could be assembled by attaching a wall mount oxygen flow meter to a commercially available venturi and attaching the venturity a standard in-line oxygen analyzer. The MaxO2 CU offers this set-up to the clinician in one package. There are two models, one with adjustable flow and adjustable FiO2. The other has fixed flow and adjustable FiO. The flow adjustment is accomplished by adjusting the flow of oxygen through the venturi orifice. The adjustable oxygen % is accomplished by adjusting the flow of oxygen into the region surrounding the venturi orifice. This oxygen is drawn into the venturi stream in place of room air, increasing oxygen content in the mixture. The oxygen analyzer electronics, sensor, and programming are identical to the MaxQ+ predicate K040484.
More Information

Not Found

No
The description focuses on mechanical and electronic components for oxygen monitoring and dilution, with no mention of AI or ML algorithms.

No.
The device is described as an oxygen concentration monitor and a venturi oxygen dilution system, which helps manage the breathing environment for a patient. However, the "Intended Use" explicitly states, "It is not intended for use with life supporting systems." While it plays a role in oxygen delivery, it does not directly treat a disease or condition itself, but rather monitors and adjusts the oxygen concentration, which is a supportive function rather than a direct therapeutic one.

No

The device is described as a "continuous use monitor of oxygen concentration," and its purpose is to "deliver a set or adjustable FiO2 oxygen concentrations and flow rates to the patient." It is not stated that the device diagnoses a patient's condition.

No

The device description explicitly states it is a "combination of a continuous use oxygen monitor and a venturi oxygen dilution system in one device," and describes physical components like a venturi, flow meter, and oxygen analyzer electronics and sensor. This indicates it is a hardware device with integrated software, not a software-only device.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is a "continuous use monitor of oxygen concentration in a patient breathing environment." This involves monitoring a physiological parameter (oxygen concentration in inhaled air) directly related to the patient's respiratory function.
  • Device Description: The device description reinforces this by explaining how it measures oxygen concentration in the gas mixture delivered to the patient.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or treatment. IVDs typically analyze biological samples.

Therefore, the MaxO2 CU is a medical device used for monitoring a patient's breathing environment, not an IVD.

N/A

Intended Use / Indications for Use

The MaxO2 CU is a continuous use monitor of oxygen concentration in a patient breathing environment. It may be provided with an oxygen concentration dilution method which could be of a flowmeter, manifold or venturi design, which can deliver a set or adjustable FiO2 oxygen concentrations and flow rates to the patient. It is not intended for use with life supporting systems.

Product codes

CCL

Device Description

The MaxO2 CU is a combination of a continuous use oxygen monitor and a venturi oxygen dilution system in one device. An analogous device could be assembled by attaching a wall mount oxygen flow meter to a commercially available venturi and attaching the venturity a standard in-line oxygen analyzer. The MaxO2 CU offers this set-up to the clinician in one package. There are two models, one with adjustable flow and adjustable FiO2. The other has fixed flow and adjustable FiO. The flow adjustment is accomplished by adjusting the flow of oxygen through the venturi orifice. The adjustable oxygen % is accomplished by adjusting the flow of oxygen into the region surrounding the venturi orifice. This oxygen is drawn into the venturi stream in place of room air, increasing oxygen content in the mixture. The oxygen analyzer electronics, sensor, and programming are identical to the MaxQ+ predicate K040484.

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

Hospital, Sub-acute institutions, Homecare, intra-hospital 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

Not Found

Key Metrics

Display range: 0-100% oxygen
Display Resolution: 0.1% oxygen
Response Time: 90% of final value in ~ 15 seconds @ 23C
Accuracy: + 3% full scale
Linearity error: 900,000 % oxygen hours

Predicate Device(s)

Maxtec - MAXO2 + - K040484, Ceramatec - Handi - K973282, Sensidyne - K010328

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.1720 Oxygen gas analyzer.

(a)
Identification. An oxygen gas analyzer is a device intended to measure the concentration of oxygen in respiratory gases by techniques such as mass spectrometry, polarography, thermal conductivity, or gas chromatography. This generic type of device also includes paramagnetic analyzers.(b)
Classification. Class II (performance standards).

0

510(k) Summary

Non-Confidential Summary of Safety and Effectiveness Page 1 of 2

12-Feb-07

FEB 2 2 2007

| Maxtec, Inc.
6526 South Cottonwood 300 West
Salt Lake City, UT 84107 | Tel -- 801-266-5300
Fax - 801-270-5590 |
|----------------------------------------------------------------------------|----------------------------------------------------------------------------------|
| Official Contact: | Tod Cook- QA |
| Proprietary or Trade Name: | MaxO2 CU |
| Common/Usual Name: | Oxygen analyzer with flowmeter and gas source |
| Classification Name: | Analyzer, Oxygen, Gaseous-phase |
| Device: | MaxO2 CU |
| Predicate Devices: | Maxtec - MAXO2 + - K040484
Ceramatec - Handi - K973282
Sensidyne - K010328 |

The MaxO2 CU is a combination of a continuous use oxygen monitor and a venturi oxygen dilution system in one device. An analogous device could be assembled by attaching a wall mount oxygen flow meter to a commercially available venturi and attaching the venturity a standard in-line oxygen analyzer. The MaxO2 CU offers this set-up to the clinician in one package. There are two models, one with adjustable flow and adjustable FiO2. The other has fixed flow and adjustable FiO. The flow adjustment is accomplished by adjusting the flow of oxygen through the venturi orifice. The adjustable oxygen % is accomplished by adjusting the flow of oxygen into the region surrounding the venturi orifice. This oxygen is drawn into the venturi stream in place of room air, increasing oxygen content in the mixture. The oxygen analyzer electronics, sensor, and programming are identical to the MaxQ+ predicate K040484.

Indications for Use:
Indicated Use --The MaxO2 CU is a continuous use monitor of oxygen
concentration in a patient breathing environment. It may be
provided with an oxygen concentration dilution method which
could be of a flowmeter, manifold or venturi design, which can
deliver a set or adjustable FiO2 oxygen concentrations and flow
rates to the patient. It is not intended for use with life supporting
systems.
Environment of Use --Hospital, Sub-acute institutions, Homecare, intra-hospital
transport

1

K063488 – MaxO2 CU 510(k) Response to E-mail of 12-Feb-07

Non-Confidential Summary of Safety and Effectiveness Page 2 of 2 12-Feb-07

Device Attributes:
AttributeMaxO2 CU
Features
Display range0-100% oxygen
Display Resolution0.1% oxygen
Response Time90% of final value in ~ 15 seconds @ 23C
Accuracy+ 3% full scale
Linearity error900,000 % oxygen hours
Sensor typeGalvanic fuel cell
Power requirement2 replaceable AA battery
WeightN/A
Display3 digit LCD
On / Auto-off buttonStandard ON/OFF (No auto OFF)
Connection or use with other
components allowing for adjustment
of flow and FiO2Yes
Built in oxygen diluter (venturi or flowmeter
manifold).
CalibrationsCalibrate to room air or 100% oxygen
AlarmsNone
Except Low battery
MaterialsSame as K040484
PerformanceNone under 514

Differences between Other Legally Marketed Predicate Devices

The MaxO2 CU is viewed as substantially equivalent to the following predicate device – Maxtec Max O2 + - K040484, Ceramatec - Handi - K973282, and Sensidyne - K010328.

There are no significant differences that affect the safety or effectiveness of the intended device as compared to the predicate devices.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized human figure with outstretched arms, representing care and protection. The figure is positioned to the right of the department's name, which is arranged in a circular fashion around the logo. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

EB 2 2 2007

Maxtec, Incorporated C/O Mr. Paul Dryden ProMedic, Incorporated 3460 Pointe Creek Court, #102 Bonita Springs, Florida 34134

Re: K063488

Trade/Device Name: Max02 CU Regulation Number: 21 CFR 868.1720 Regulation Name: Oxygen Gas Analyzer Regulatory Class: II Product Code: CCL Dated: January 23, 2007 Received: January 24, 2007

Dear Mr. Dryden:

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. Dryden

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.

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,

Chiu Lin, Ph.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

4

K063488 - MaxO2 CU 510(k) Response to E-mail of 12-Feb-07

4 Indications for Use Statement

Page 1 of 1

510(k) Number:

K063488 (To be assigned)

Device Name: MaxO2 CU

Indications for Use:

The MaxO2 CU is a continuous use monitor of oxygen concentration in a patient breathing environment. It may be provided with an oxygen concentration dilution method which could be of a flowmeter, manifold or venturi design, which can deliver set or adjustable FiO2 oxygen concentrations and flow rates to the patient. It is not intended for use with life supporting systems.

Prescription Use XX (Part 21 CFR 801 Subpart D)

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)

W. Mala for M. Husband

.... CONSERVED SEQUENCE

K0 63488

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