K Number
K072002
Device Name
FILTER CARESTAR 30; FILTER SAFESTAR 55; FILTER/HME TWINSTAR 55
Date Cleared
2008-01-31

(192 days)

Product Code
Regulation Number
868.5260
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
CareStar 30 and SafeStar 55 are Breathing System Filters which are designed to reduce possible airborne or liquid-borne cross contamination with micro-organisms and particulate matter via anaesthetic or ventilator breathing systems. The products may either be used on the patient side or on the device side of the ventilator/ anaesthetic device and are used as a hygienic measure alternatively to decontamination of breathing system and/or breathing gas conveying parts of the ventilator. TwinStar 55 is a Breathing System Filter and a Heat and Moisture Exchanger. The combination of a filter and a Heat and Moisture Exchanger offer the benefit of both product features. Heat and Moisture Exchanger are used as a conditioning system for mechanically ventilated patients whose upper airways are bypassed. In almost all cases of mechanical ventilation they are a fully valid alternative to heated humidifiers. The products are the only conditioning opportunity of breathing gases in cases of emergency ventilation or during transport since Heated Humidifiers are almost impossible to use. The products mentioned above are designed for disposable use and should be changed at least every 24 hours.
Device Description
The filters CareStar 30 and SafeStar 55 are designed to reduce possible air or liquid borne cross contamination with microorganisms via anesthetic or ventilator breathing systems. The strategic use of an effective breathing filter protects, bi-directionally, both the patient and equipment. The filter CareStar 30 contains an electrostatic filter pad while the filter SafeStar 55 incorporates a mechanical pleated filter pad. Both filters consist of a plastic body which incorporates 22 female / 15 male connectors in accordance with EN ISO 5326 and a luer lock connector which may only be used for gas monitoring. The Filter/HME TwinStar 55 is designed to combine the feature of reducing possible cross contamination with micro-organisms and an ideal heat and moisture return. The Filter/HME TwinStar 55 consist of a plastic body which incorporates an electrostatic filter pad, 22 female / 15 male connectors in accordance with EN ISO 5326 and a gas luer lock connector which may only be used for gas monitoring.
More Information

Not Found

No
The device description and performance metrics focus solely on the physical filtration and heat/moisture exchange properties of the breathing system filters. There is no mention of any computational or analytical functions that would suggest the use of AI or ML.

Yes
These devices are designed to reduce cross-contamination and to condition inspired gas for patients undergoing mechanical ventilation, which are therapeutic functions.

No

The device is a breathing system filter and heat and moisture exchanger, designed to reduce cross-contamination and condition breathing gas during mechanical ventilation. It does not perform any diagnostic functions.

No

The device description clearly states the products consist of a "plastic body" and "filter pad," indicating they are physical hardware components, not software.

Based on the provided information, these devices are not In Vitro Diagnostic (IVD) devices.

Here's why:

  • Intended Use: The intended use clearly states that these are Breathing System Filters designed to reduce cross-contamination in anesthetic or ventilator breathing systems. They are used as a hygienic measure during ventilation. This is a mechanical function related to filtering air, not a diagnostic test performed on biological samples.
  • Device Description: The description details the physical components of the filters (filter pads, plastic body, connectors) and their function in filtering air. There is no mention of analyzing biological samples or providing diagnostic information.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analysis of biological specimens (blood, urine, tissue, etc.)
    • Detection or measurement of analytes (biomarkers, pathogens, etc.)
    • Providing information for diagnosis, monitoring, or prognosis of a disease or condition.

These devices are classified as medical devices, specifically breathing system filters and heat and moisture exchangers, used in the context of respiratory support. Their function is to physically filter the air and/or condition it, not to perform a diagnostic test.

N/A

Intended Use / Indications for Use

CareStar 30 and SafeStar 55 are Breathing System Filters which are designed to reduce possible airborne or liquid-borne cross contamination with micro-organisms and particulate matter via anaesthetic or ventilator breathing systems.

The products may either be used on the patient side or on the device side of the ventilator/ anaesthetic device and are used as a hygienic measure alternatively to decontamination of breathing system and/or breathing gas conveying parts of the ventilator.

TwinStar 55 is a Breathing System Filter and a Heat and Moisture Exchanger. The combination of a filter and a Heat and Moisture Exchanger offer the benefit of both product features. Heat and Moisture Exchanger are used as a conditioning system for mechanically ventilated patients whose upper airways are bypassed. In almost all cases of mechanical ventilation they are a fully valid alternative to heated humidifiers. The products are the only conditioning opportunity of breathing gases in cases of emergency ventilation or during transport since Heated Humidifiers are almost impossible to use.

The products mentioned above are designed for disposable use and should be changed at least every 24 hours.

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

73CAH, 73BYD

Device Description

The filters CareStar 30 and SafeStar 55 are designed to reduce possible air or liquid borne cross contamination with microorganisms via anesthetic or ventilator breathing systems. The strategic use of an effective breathing filter protects, bi-directionally, both the patient and equipment.

The filter CareStar 30 contains an electrostatic filter pad while the filter SafeStar 55 incorporates a mechanical pleated filter pad. Both filters consist of a plastic body which incorporates 22 female / 15 male connectors in accordance with EN ISO 5326 and a luer lock connector which may only be used for gas monitoring.

The Filter/HME TwinStar 55 is designed to combine the feature of reducing possible cross contamination with micro-organisms and an ideal heat and moisture return.

The Filter/HME TwinStar 55 consist of a plastic body which incorporates an electrostatic filter pad, 22 female / 15 male connectors in accordance with EN ISO 5326 and a gas luer lock connector which may only be used for gas monitoring.

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)

The comparison of the data shows similar values for the key performance data. Proposed devices show similar values in filtration efficiency, dead space, resistance to flow and recommended tidal volumes when compared to the legally marketed devices.

It must be pointed out that there is an interdependency regarding filtration efficiency, moisture loss, dead space and resistance to flow. A higher amount of media will result in a higher efficiency in filtration or humidification but with the consequence of having more dead space and higher resistance to flow.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

FilterCareStar 30MP01770FilterSafeStar 55MP01790Filter/HMETwinStar 55MP01805
Filtration efficiency(by Nelson Lab.)99.999% (BFE*), 99.99% (VFE*)99.9999% (BFE*), 99.9999% (VFE*)99.999% (BFE*), 99.99% (VFE*)
Resistance to flow(0.7 cmH2O at 30 L/min)(1.4 cmH2O at 30 L/min)(0.7 cmH2O at 30 L/min)
Internal volume30 mL55 mL55 mL
Productmoisture loss ISO 9360
Filter CareStar 50No
Filter SafeStar 55No
Filter / HME SafeStar 557,1 mg/L at VT = 500 mL

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.

K031653, K033008, K030990, K014282, K013089

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.

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

§ 868.5260 Breathing circuit bacterial filter.

(a)
Identification. A breathing circuit bacterial filter is a device that is intended to remove microbiological and particulate matter from the gases in the breathing circuit.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image shows the logo for Dräger medical. The word "Dräger" is in bold, and the word "medical" is in a thinner font. Below the logo, it says "A Dräger and Siemens Company" in a smaller font.

510(k) Summary

K072002

Summary of Safety and Effectiveness

JAN 31 2008

Applicants Name and Address:

Dräger Medical AG & Co. KG Moislinger Allee 53-55 23542 Lübeck Germany

Contact Person:

Dr. Karin Luebbers Senior Manager Regulatory Affairs

Tel. No.: + 49 (451) 882-5367 Fax No.: + 49 (451) 882-7-5367

Applicants US Contact Person

Ms. Kathy Anderson Sr. Director Regulatory Affairs

Tel. No .: (215) 660-2078 Fax No .: (215) 721-5424

Date submission was prepared:

2007-07-13

Device Name:

Trade Name:Filter CareStar 30
Common Name:Breathing circuit bacterial filter
Trade Name:Filter SafeStar 55
Common Name:Breathing circuit bacterial filter
Trade Name:Filter/HME TwinStar 55
Common Name:Breathing circuit bacterial filter

1

Breathing System Filters

Drägermedical

A Dräger and Siemens Company

Classification:

Regulation No.DeviceProduct Code
868.5260Breathing circuit bacterial filter(73CAH)
868.5375Heat and moisture condenser (artificial nose)(73BYD)

Legally Marketed Device to which Substantial Equivalence is claimed:

510(k) numberTrade nameCompany
K031653Datex-Ohmeda HMEF 750Datex-Ohmeda
K033008Air Safety HEPA and non-HEPA FiltersAirSafety
K030990Datex-Ohmeda Mini-Filter/S
Datex-Ohmeda Uni-Filter JuniorDatex-Ohmeda
K014282Bacstop, Bacstop mini, Bacstop HuminiMunktell
K013089EMS HEPA FilterEMS

Device Description:

The filters CareStar 30 and SafeStar 55 are designed to reduce possible air or liquid borne cross contamination with microorganisms via anesthetic or ventilator breathing systems. The strategic use of an effective breathing filter protects, bi-directionally, both the patient and equipment.

The filter CareStar 30 contains an electrostatic filter pad while the filter SafeStar 55 incorporates a mechanical pleated filter pad. Both filters consist of a plastic body which incorporates 22 female / 15 male connectors in accordance with EN ISO 5326 and a luer lock connector which may only be used for gas monitoring.

The Filter/HME TwinStar 55 is designed to combine the feature of reducing possible cross contamination with micro-organisms and an ideal heat and moisture return.

The Filter/HME TwinStar 55 consist of a plastic body which incorporates an electrostatic filter pad, 22 female / 15 male connectors in accordance with EN ISO 5326 and a gas luer lock connector which may only be used for gas monitoring.

| | Filter
CareStar 30
MP01770 | Filter
SafeStar 55
MP01790 | Filter/HME
TwinStar 55
MP01805 |
|-------------------------------------------|----------------------------------|------------------------------------|--------------------------------------|
| Filtration efficiency
(by Nelson Lab.) | 99.999% (BFE*)
99.99% (VFE*) | 99.9999% (BFE*)
99.9999% (VFE*) | 99.999% (BFE*)
99.99% (VFE*) |
| Filtration mechanism | electrostatic | mechanical | electrostatic |
| Resistance to flow | (0.7 cmH2O
at 30 L/min) | (1.4 cmH2O
at 30 L/min) | (0.7 cmH2O
at 30 L/min) |
| Internal volume | 30 mL | 55 mL | 55 mL |

2

Breathing System Filters

A Dräger and Siemens Company

| Filter
CareStar 50
MP01770-10 | Filter
SafeStar 55
MP01790 | Filter / HME
SafeStar 55
MP01790 | |
|-------------------------------------|----------------------------------|----------------------------------------|----------------------------|
| Recommended tidal
volume | 100 to 1500 mL | 200 to 1500 mL | 200 to 1500 mL |
| Conical connectors
ISO 5356 | 22m/15f - 22f/15m | 22m/15f - 22f/15m | 22m/15f - 22f/15m |
| moisture loss
ISO 9360 | No | No | 7,1 mg/L
at VT = 500 mL |
| Gas sampling port | Yes | Yes | Yes |
| Materials: | | | |
| Housing: | PP | PP | PP |
| Filter medium | PP with synth. fibres | Paper with glass
fibre | Paper with glass
fibre |

BFE: Bacterial filtration efficiency

VFE: Virus filtration efficiency

Intended Use:

ProductIntended use:
Filter/HME TwinStarBreathing system filters for anesthetic and respiratory use and heat
and moisture exchangers (HMEs) for humidifying respired gases in
humans
Filter CareStarBreathing system filters for anesthetic and respiratory use
Filter SafeStarBreathing system filters for anesthetic and respiratory use

Substantial Equivalence:

The intended use of the breathing circuit filters is comparable to the referenced predicate devices.

The comparison of the data shows similar values for the key performance data. Proposed devices show similar values in filtration efficiency, dead space, resistance to flow and recommended tidal volumes when compared to the legally marketed devices.

It must be pointed out that there is an interdependency regarding filtration efficiency, moisture loss, dead space and resistance to flow. A higher amount of media will result in a higher efficiency in filtration or humidification but with the consequence of having more dead space and higher resistance to flow.

In summary Dräger Medical AG & Co. KG has demonstrated that the proposed devices are safe and effective. They are considered to be substantially equivalent to currently marketed predicate devices which have been previously cleared by the FDA.

017

3

Image /page/3/Picture/2 description: The image is a circular logo for the Department of Health and Human Services, USA. The logo features the department's emblem, which is a stylized representation of an eagle with three lines forming its body and head. The emblem is positioned to the right of the circle's center. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" is arranged around the upper half of the circle's perimeter.

JAN 31 2008

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Draeger Medical AG & Company KG C/O Ms. Kathy Anderson Senior Director Regulatory Affairs Draeger Medical System, Incorporated 3135 Quarry Road Telford, Pennsylvania 18969

Re: K072002

Trade/Device Name: Breathing System Filter CareStar 30, Breathing System Filter SafeStar 55, Breathing System Filter /Heat and Moisture Exchanger TwinStar 55 Regulation Number: 868.5260 Regulation Name: Breathing Circuit Bacterial Filter Regulatory Class: II Product Code: CAH Dated: January 25, 2008 Received: January 28, 2008

Dear Ms. Anderson:

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.

4

Page 2 – Ms. Anderson

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 (301) 443-6597 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

5

Indications for Use

510(k) Number (if known): K072002

Device Name:

Breathing System Filter CareStar 30. Breathing System Filter SafeStar 55, Breathing System Filter / Heat and Moisture Exchanger TwinStar 55

Indications for Use:

CareStar 30 and SafeStar 55 are Breathing System Filters which are designed to reduce possible airborne or liquid-borne cross contamination with micro-organisms and particulate matter via anaesthetic or ventilator breathing systems.

The products may either be used on the patient side or on the device side of the ventilator/ anaesthetic device and are used as a hygienic measure alternatively to decontamination of breathing system and/or breathing gas conveying parts of the ventilator.

TwinStar 55 is a Breathing System Filter and a Heat and Moisture Exchanger. The combination of a filter and a Heat and Moisture Exchanger offer the benefit of both product features. Heat and Moisture Exchanger are used as a conditioning system for mechanically ventilated patients whose upper airways are bypassed. In almost all cases of mechanical ventilation they are a fully valid alternative to heated humidifiers. The products are the only conditioning opportunity of breathing gases in cases of emergency ventilation or during transport since Heated Humidifiers are almost impossible to use.

The products mentioned above are designed for disposable use and should be changed at least every 24 hours.

Prescription Use Prescription Use _____________________________________________________________________________________________________________________________________________________________

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Mair Tholm

Division Sign-Off) )ivision of Anesthesiology, General Hospital ofection Control, Dental Devices

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