(121 days)
Not Found
No
The description focuses on hardware components, control systems based on ventilator waveforms, and gas monitoring, with no mention of AI or ML algorithms for decision-making, control, or analysis.
Yes
The device is described as a "delivery system" for "INOmax (nitric oxide for inhalation) therapy gas" and is stated to provide "constant concentration of nitric oxide (NO), as set by the user, to the patient throughout the inspired breath." It delivers a therapeutic gas for medical treatment, specifically noted for neonates in the NICU.
No
The device is a delivery system for a therapy gas, INOmax, and includes monitoring of inspired gases (O2, NO2, NO) to ensure safe and effective delivery, not to diagnose a patient's condition.
No
The device description clearly outlines numerous hardware components including a delivery CPU, flow controller, injector, monitoring CPU, gas cells, user interface with display and alarms, battery, high pressure regulator, tubing, filter, safety shutoff valve, proportional solenoid, flow sensor, check valve, water trap, zero valve, sample pump, sample flow sensor, and electrochemical gas monitoring cells. This is 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 primary intended use is to deliver a therapy gas (nitric oxide) to a patient's breathing circuit. This is a therapeutic intervention, not a diagnostic test performed on samples taken from the body.
- Device Description: The description focuses on the mechanics of gas delivery, monitoring of gas concentrations within the breathing circuit, and safety features related to gas delivery. It does not describe any components or processes for analyzing biological samples.
- Lack of IVD Characteristics: There is no mention of analyzing blood, urine, tissue, or any other biological specimen. The device interacts directly with the patient's respiratory system to deliver a therapeutic agent.
Therefore, the INOmax DS delivery system is a therapeutic device, not an In Vitro Diagnostic device.
N/A
Intended Use / Indications for Use
The INOmax DS delivery system delivers INOmax® (nitric oxide of inhalation) therapy gas into the inspiratory limb of the patient breathing circuit in a way that provides a constant concentration of nitric oxide (NO), as set by the user, to the patient throughout the inspired breath. It uses a specially designed injector module, which enables tracking of the ventilator waveforms and the delivery of a synchronized and proportional dose of NO. It may be used with most ventilators.
The INOmax DS provides continuous integrated monitoring of inspired O2, NO2, and NO, and a comprehensive alarm system.
The INOmax DS incorporates a battery that provides up to 6 hours of uninterrupted NO delivery in the absence of an external power source.
The INOmax DS includes a backup NO delivery capability that provides a fixed flow of 250 mL/min of NO which along with user supplied 10 L/min of oxygen provides 20 ppm in the gas flow to a patients breathing circuit. It may also use the INOblender for backup.
Product codes
MRN, MRO, MRP, MRQ
Device Description
The INOmax DS provides a constant dose of INOmax (nitric oxide) therapy gas into the inspiratory limb of the ventilator circuit. The INOmax DS uses a "dual-channel" design to ensure the safe delivery of INOmax. The first channel has the delivery CPU, the flow controller and the injector. The monitoring system, which includes a separate monitor CPU, the gas cells monitoring systems, and the user interface including the display and NO2 and O2 alarms. This channel approach to delivery and monitoring permits the monitoring system to shutdown INOmax delivery if it detects a fault in the system. INOmax drug is stored as a gas mixture of NO/N2 in an aluminum cylinder at a nominal pressure of 2200 psig.
The cylinder is attached to a high pressure regulator which incorporates a pressure gauge that indicates cylinder pressure when the cylinder valve is open. The regulator is attached via tubing to the INOmax DS using one of the two NO/NO2 quick connect inlets on the back of the machine.
The INOmax enters the back of the INOmax DS, passes through a filter, then a safety shutoff valve, which is open under normal operations.
An injector module is placed in the ventilator gas flow between the inspiratory outlet and the humidifier. Based on the ventilator flow, the INOmax cylinder concentration and set INOmax dose, the proportional solenoid delivers INOmax into the ventilator circuit via the injector module. This allows the INOmax DS to deliver a constant dose of INOmax regardless of the ventilator flow pattern or breath rate.
A flow sensor inside the INOmax DS also monitors the NO flow out of the machine. A check valve is included prior to the INOmax DS drug outlet to prevent pressure effects from the ventilator breathing circuit interfering with the NO flow sensor reading.
The INOmax DS gas monitoring system provides monitored values for inspired NO, NO2, and O2. The sample gas is withdrawn from the circuit and goes through a water trap to remove excess water, a zero valve, a sample pump and finally a sample flow sensor to the gas monitoring cells. The zero valve allows the gas cells to be zeroed (during low calibration) without having to disconnect the sample line from the breathing circuit. The pump and sample flow sensor ensure a constant sample gas flow rate is maintained to the monitoring cells.
The gas monitoring cells are electrochemical; they are specific to each gas and provide an electronic signal, which is proportional to the concentration of the gas present.
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
The target patient population is controlled by the drug labeling for INOmax and is currently neonates.
Intended User / Care Setting
The primary targeted clinical setting is the Neonatal Intensive Care Unit (NICU) and secondary targeted clinical setting is the transport of neonates.
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 testing indicated the INOmax DS met its design input specifications, design output specifications and risk analysis requirements. Testing completed included:
- Validation of ventilators
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s)
Reference Device(s)
Not Found
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
§ 868.5165 Nitric oxide administration apparatus.
(a)
Identification. The nitric oxide administration apparatus is a device used to add nitric oxide to gases that are to be breathed by a patient. The nitric oxide administration apparatus is to be used in conjunction with a ventilator or other breathing gas administration system.(b)
Classification. Class II. The special control for this device is FDA's “Guidance Document for Premarket Notification Submissions for Nitric Oxide Administration Apparatus, Nitric Oxide Analyzer, and Nitrogen Dioxide Analyzer.”
0
OCT 3 * 2007
Image /page/0/Picture/1 description: The image shows the logo for "INO Therapeutics". The logo consists of the letters "INO" in a bold, sans-serif font, with the "O" forming a circle. To the right of the "O" is the word "Therapeutics" in a smaller, serif font. A horizontal line underlines the word "Therapeutics".
6 Route173 0 Nouter 75
Clinton, New Jersey 08809
Tel. 908-238-6312 / Fax 908-238-6402
| Date Prepared: | May 29, 2007 |
|---|---|
| Contact Person: | Richard K. Bourne, Ph.D., Vice President, Regulatory Affairs |
| Subject: | 510(k) Summary of Safety and Effectiveness Information for |
| INOmax DS. This summary of safety and effectiveness information is | |
| being submitted in accordance with the requirements of SMDA 1990 and | |
| 1992 and 21CFR 807.92. | |
| Proprietary Name: | INOmax DS |
| Common Name(s): | Nitric Oxide Administration Apparatus (primary) |
| Nitric Oxide Administration Apparatus, Back-up System | |
| Nitric Oxide Analyzer | |
| Nitrogen Dioxide Analyzer | |
| Classification(s): | Class II - 21CFR868.5165, MRN (primary) |
| Class II - 21CFR868.5165, MRO | |
| Class II - 21CFR868.2380, MRP | |
| Class II - 21CFR868.2385, MRQ | |
| Panel: | Anesthesiology |
| Predicate Device(s): | INO Therapeutics' INOmax DS (Delivery System) (primary) |
| 510 (k) Number K061901 | |
| INO Therapeutics' INOmax DS (Delivery System) | |
| 510 (k) Number K070867 | |
| Datex-Ohmeda INOvent Delivery System (now GE Healthcare) | |
| 510(k) Number K974562 | |
| Patient Population: | The targeted patient population is neonates. This is derived from the |
| INOmax drug package labeling. | |
| Clinical Setting: | The primary targeted clinical setting is the Neonatal Intensive Care Unit |
| (NICU) and secondary targeted clinical setting is the transport of neonates. | |
| This is derived from the INOmax drug package labeling. |
1
The technology utilized in the INOmax DS is very similar to the Datex-Technology: Ohmeda INOvent Delivery System (now GE Healthcare), with many of the subsystems and components being unchanged.
| Specification | INOvent Delivery System | INOmax DS |
|---|---|---|
| Indications for Use | Similar to INOmax DS | Except battery backup is 6 hours and provides an integrated backup system for delivering a fixed flow of NO into a constant flow of breathing circuit gas to produce a constant concentration of NO. |
| Physical Dimensions | Height 215mm | |
| Width 350mm | ||
| Depth 430mm | ||
| Weight 21Kg | Height 220mm | |
| Width 350mm | ||
| Depth 160mm | ||
| Weight 5.5Kg | ||
| Ventilator Compatibility | Similar to INOmax DS | Except 2-60 L/min for inspiratory flow for neonatal and 4-120L/min for adult. |
| NO Delivery | Similar to INOmax DS | Except NO set resolution is 0.1/1/5 ppm depend on range, accuracy is +/-20% indicated or 2 ppm whichever greater, and NO inlet pressure is 1.7 to 2.3 Bar (25 to 33 psig). |
| NO Cylinder INOmax™ | Same as INOmax DS | Same |
| Gas Monitoring | Similar to INOmax DS | Except NO range resolution is 0 to 10ppm +/- (20% of reading +0.5ppm), calibration span is daily zero with span at pre-use test if needed, and NO accuracy is +/-20% of reading +0.5ppm. |
| Injector Module | Same as INOmax DS | Same |
| NO delivery Shut Off | Same as INOmax DS | Same |
| Calibration Gas Cylinders | NO Cal gas 40-80 ppm +/- 4% | |
| NO2 Cal gas 10-15 ppm +/- 10% | INOcal calibration gas, INO Therapeutics LLC | |
| NO Cal gas 45 ppm +/- 4% | ||
| NO2 Cal gas 10 ppm +/- 10% | ||
| Electrical Specifications | Similar to INOmax DS | Except no nurse call and battery back-up is 6 hours. |
| Environmental Specifications | Similar to INOmax DS | Except ambient operation and storage pressure are 57 to 110 kPa (430 to 825 mmHg) and 0.25 L/min when delivered into 10L/min provides 20 ppm, plus INOblender may also be used |
| NO Back-up Delivery | 20 ppm @ 15 L/min. | 0.25 L/min when delivered into 10L/min provides 20 ppm, plus INOblender may also be used |
The materials selected were based upon INO Therapeutics' INOmax DS Material(s) (Delivery System) and Datex-Ohmeda INOvent Delivery System (now GE Healthcare),
The INOmax DS provides a constant dose of INOmax (nitric oxide) Device Description: therapy gas into the inspiratory limb of the ventilator circuit. The INOmax DS uses a "dual-channel" design to ensure the safe delivery of INOmax.
2
The first channel has the delivery CPU, the flow controller and the injector The mot onainers the accurate delivery of NO. The second channel is the monitoring system, which includes a separate monitor CPU, the gas cells monitoring 373tems, and the user interface including the display and (10) NO2 and O2 channel approach to delivery and monitoring permits alarms: "The wary independent of monitoring but also allows the monitoring system to shutdown INOmax delivery if it detects a fault in the montoring by been to that the NO concentration could become greater than 100 ppm. INOmax drug is stored as a gas mixture of NO/N2 in an aluminum cylinder at a nominal pressure of 2200 psig.
The cylinder is attached to a high pressure regulator which incorporates a The oynikael is that indicates cylinder pressure when the cylinder valve is pressure gauge and regulator is attached via tubing to the INOmax DS using one of the two NO/NO2 quick connect inlets on the back of the machine.
The INOmax enters the back of the INOmax DS, passes through a filter, then a safety shutoff valve, which is open under normal operations.
An injector module is placed in the ventilator gas flow between the An myootor inspiratory outlet and the humidifier. Based on the ventilator flow, the INOmax cylinder concentration and set INOmax dose, the proportional solenoid delivers INOmax into the ventilator circuit via the injector module. This allows the INOmax DS to deliver a constant dose of INOmax regardless of the ventilator flow pattern or breath rate.
A flow sensor inside the INOmax DS also monitors the NO flow out of the machine. A check valve is included prior to the INOmax DS drug outlet to prevent pressure effects from the ventilator breathing circuit interfering with the NO flow sensor reading.
The INOmax DS gas monitoring system provides monitored values for inspired NO, NO2, and O2. The sample gas is withdrawn from the hropfling circuit and goes through a water trap to remove excess water, a zero valve, a sample pump and finally a sample flow sensor to the gas monitoring cells. The zero valve allows the gas cells to be zeroed (during low calibration) without having to disconnect the sample line from the breathing circuit. The pump and sample flow sensor ensure a constant sample gas flow rate is maintained to the monitoring cells.
The gas monitoring cells are electrochemical; they are specific to each gas and provide an electronic signal, which is proportional to the concentration of the gas present.
3
| Indications for Use: The INOmax DS delivery system delivers INOmax® (nitric oxide for | |
|---|---|
| inhalation) therapy gas into the inspiratory limb of the patient breathing | |
| circuit in a way that provides a constant concentration of nitric oxide | |
| (NO), as set by the user, to the patient throughout the inspired breath. It | |
| uses a specially designed injector module, which enables tracking of the | |
| ventilator waveforms and the delivery of a synchronized and proportional | |
| dose of NO. It may be used with most ventilators. |
The INOmax DS provides continuous integrated monitoring of inspired O2 NO2, and NO, and a comprehensive alarm system.
The INOmax DS incorporates a battery that provides up to 6 hours of uninterrupted NO delivery in the absence of an external power source.
The INOmax DS includes a backup NO delivery capability that provides a fixed flow of 250 mL/min of NO which along with user supplied 10 L/min of oxygen provides 20 ppm in the gas flow to a patients breathing circuit. It may also use the INOblender for backup.
The target patient population is controlled by the drug labeling for Nomax and is currently neonates. The primary targeted clinical setting is the Neonatal Intensive Care Unit (NICU) and secondary targeted clinical setting is the transport of neonates.
The testing indicated the INOmax DS met its design input specifications, Testing: design output specifications and risk analysis requirements. Testing completed included:
-
- Validation of ventilators
The INOmax DS was designed to comply with the applicable portions of Standard(s): the following product standards
- Validation of ventilators
-
FDA Guidance Document for Premarket Notification Submissions 1. for Nitric Oxide Delivery Apparatus, Nitric Oxide Analyzer and Nitrogen Dioxide Analyzer (Special Controls).
-
IEC 60601-1, plus amendments: Medical Electrical Equipment 2.
4
- IEC 60601-1-2: EMC/EMI 3.
- IEC 60601-1-4: Programmable Systems 4.
- IEC 60601-1-8: Alarms న.
- CGA V-1: Medical Cylinder Connections 6.
- ASTM F-1462-93: Oxygen Analyzers 7.
- ASTM F-1054-87: Conical Fittings 8.
The ventilators that are the subject of this application are marketed devices cleared through the 510(k) Premarket Notification Process. See attached table of ventilators and their 510(k) numbers.
Conclusions:
The INOmax DS device described in this Notice has the same intended use and indications, technological characteristics, and principles of operation and software applications as the previously cleared predicate device (INOmax DS:K061901). The only difference is that newly validated ventilators have been qualified with the INOmax DS. This difference does not present any new issues of safety or effectiveness. This device is substantially equivalent to the predicate device.
5
Image /page/5/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a stylized eagle with three lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Richard K. Bourne, Ph.D. Vice President, Regulatory Affairs INO Therapeutics, LLC 6 Route 173 Clinton, New Jersey 08809
OCT 3 2007
Re: K071516
Trade/Device Name: INOmax DS (Delivery System) Regulation Number: 21 CFR 868.5165 Regulation Name: Nitric Oxide Administration Apparatus Regulatory Class: II Product Code: MRN Dated: September 11, 2007 Received: September 13, 2007
Dear Dr. Bourne:
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.
6
Page 2 - Dr. Bourne
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 (OS) 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 (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely yours,
Chris Liu, 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
7
Indications for Use
510(k) Number (if known):
Device Name: INOmax DS (Delivery System)
Indications for Use:
The INOmax DS delivery system delivers INOmax® (nitric oxide of inhalation) therapy gas into the inspiratory limb of the patient breathing circuit in a way that provides a constant concentration of nitric oxide (NO), as set by the user, to the patient throughout the inspired breath. It uses a specially designed injector module, which enables tracking of the ventilator waveforms and the delivery of a synchronized and proportional dose of NO. It may be used with most ventilators.
The INOmax DS provides continuous integrated monitoring of inspired O2, NO2, and NO, and a comprehensive alarm system.
The INOmax DS incorporates a battery that provides up to 6 hours of uninterrupted NO delivery in the absence of an external power source.
The INOmax DS includes a backup NO delivery capability that provides a fixed flow of 250 mL/min of NO which along with user supplied 10 L/min of oxygen provides 20 ppm in the gas flow to a patients breathing circuit. It may also use the INOblender for backup.
The target patient population is controlled by the drug labeling for INOmax and is currently neonates. The primary targeted clinical setting is the Neonatal Intensive Care Unit (NICU) and secondary targeted clinical setting is the transport of neonates.
Prescription Use X (Part 21 CFR 801 Subpart D) and/or
Over-the-Counter-Use (Part 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)
Mhi Mhl
(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices
Page 1 of 1
1071516 510(k) Number: