K Number
K080652
Device Name
MERCURY VCO2 MODULE WITH CAPNOSTAT 5
Date Cleared
2008-06-20

(105 days)

Product Code
Regulation Number
868.1850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The intended use of the Mercury module with Capnostat 5 is to provide: spirometric, and carbon dioxide monitoring in neonatal, pediatric and adult patients during general anesthesia and in the intensive care unit (ICU) and the emergency department (ED). Separate combination CO2/flow sensors are provided for adult, pediatric and neonatal use.
Device Description
The Mercury module with Capnostat 5 is intended for non-invasive monitoring of the inspired and expired airflow and airway pressure of intention norminds for monthsive non emergency room (ER) patients, as well as capnography in all of these clinical settings. It is intended to serve the same purposes as the flow and carbon dioxide monitoring component of the NICO monitor. The Mercury module with Capnostat 5 is the flow and carbon dioxide monitoring component of the presently 510(k) cleared NICO with MARS monitor. It has been designed to include all of the functionality of the flow and carbon dioxide monitoring components of NCO with CO massurament workilling for a with Capnostat 5 is intended to provide all of the existing flow and CO2 measurement capabilities of the NICO Model 7300 of continuous monitoring of respiratory flow and pressure, and CO2 during anesthesia and intensive care and in the emergency department. The flow sensors connect to a patient airway circuit and provide physiological information to the Mercury module. The parameters directly measured and computed by the module (when connected to a Capnostal 5 sensor) include airway flow and pressure, volume, and CO2. The monitor calculates flow by measuring the pressure drop across a known resistance placed in the breathing circuit. CO2 is measured as the absorption of a known intensity of infrared light by CO2 molecules in the airway.
More Information

Not Found

No
The summary describes standard physiological monitoring techniques (pressure drop for flow, infrared absorption for CO2) and does not mention any AI/ML terms or methodologies.

No
The device is described as a non-invasive monitor for respiratory parameters (airflow, pressure, volume, and CO2), which provides diagnostic information rather than directly treating a condition.

No

The device monitors physiological parameters (spirometry, CO2, airflow, airway pressure, volume) but does not diagnose a medical condition.

No

The device description explicitly mentions hardware components like "flow sensors" and the "Capnostat 5 sensor" which connect to a patient airway circuit and provide physiological information to the module. It also describes the physical measurement of flow and CO2 using pressure drop and infrared light absorption, indicating hardware involvement beyond just software processing.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that the device monitors physiological parameters directly from the patient's airway (airflow, pressure, and CO2). It does not analyze samples taken from the body.
  • Intended Use: The intended use is for monitoring patients during anesthesia, in the ICU, and in the ED, which involves direct patient connection and measurement of respiratory function.

Therefore, the Mercury module with Capnostat 5 falls under the category of a patient monitoring device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use
The intended use of the Mercury module with Capnostat 5 is to provide: spirometric, and carbon dioxide monitoring in neonatal, pediatric and adult patients during general anesthesia and in the intensive care unit (ICU) and the emergency department (ED). Separate combination CO2/flow sensors are provided for adult, pediatric and neonatal use.

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

Device Description
The Mercury module with Capnostat 5 is intended for non-invasive monitoring of the inspired and expired airflow and airway pressure of intention norminds for monthsive non emergency room (ER) patients, as well as capnography in all of these clinical settings. It is intended to serve the same purposes as the flow and carbon dioxide monitoring component of the NICO monitor. The Mercury module with Capnostat 5 is the flow and carbon dioxide monitoring component of the presently 510(k) cleared NICO with MARS monitor. It has been designed to include all of the functionality of the flow and carbon dioxide monitoring components of NCO with CO massurament workilling for a with Capnostat 5 is intended to provide all of the existing flow and CO2 measurement capabilities of the NICO Model 7300 of continuous monitoring of respiratory flow and pressure, and CO2 during anesthesia and intensive care and in the emergency department. The flow sensors connect to a patient airway circuit and provide physiological information to the Mercury module. The parameters directly measured and computed by the module (when connected to a Capnostal 5 sensor) include airway flow and pressure, volume, and CO2. The monitor calculates flow by measuring the pressure drop across a known resistance placed in the breathing circuit. CO2 is measured as the absorption of a known intensity of infrared light by CO2 molecules in the airway.

Mentions image processing
Not Found

Mentions AI, DNN, or ML
Not Found

Input Imaging Modality
Not Found

Anatomical Site
airway

Indicated Patient Age Range
neonatal, pediatric and adult

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): 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.
K030886

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

§ 868.1850 Monitoring spirometer.

(a)
Identification. A monitoring spirometer is a device used to measure continuously a patient's tidal volume (volume of gas inhaled by the patient during each respiration cycle) or minute volume (the tidal volume multiplied by the rate of respiration for 1 minute) for the evaluation of the patient's ventilatory status.(b)
Classification. Class II (performance standards).

0

Respironics Novametrix LLC
Mercury Module with Capnostat 5 CO2 Sensor
Special 510(k) - Device Modification

K080652

JUN 2 0 2008

Section iv - 510 (k) Summary

[ Refer to 21 C.F.R § 807,92 ]

| Submitted by: | Respironics Novametrix, LLC
5 Technology Drive
Wallingford, CT 06492 |
|----------------------|----------------------------------------------------------------------------|
| Contact Person: | Kevin Mader
Q.A. and Regulatory Manager
Phone: 203-697-6466 |
| Date Prepared: | 6/13/2008 |
| Proprietary Name: | Mercury Module with Capnostat 5 CO2 sensor |
| Common Name: | Spirometer with CO2 sensor |
| Classification Name: | Class II, 21 CFR 868.1850 and 868.1400 |
| Predicate Device: | NICO monitor, Model 7300 [510(k) K030886] |

Description of Device: The Mercury module with Capnostat 5 is intended for non-invasive monitoring of the inspired and expired airflow and airway pressure of intention norminds for monthsive non emergency room (ER) patients, as well as capnography in all of these clinical settings. It is intended to serve the same purposes as the flow and carbon dioxide monitoring component of the NICO monitor

Intended Use of the Device: Mercury Module with Capnostat 5 CO2 sensor has the same intended use as the predicate device. For reference, the inter of the Mercury Module with Capnostal 5 CO2 sensor is to provide spirometric, and carbon dioxide monitoring in neonatal, pediatric and addit patients during general anesthesia and in the internation in heolidar, pediative and addit
(CU) (ED).

Technological Characteristics The Mercury module with Capnostat 5 is the flow and carbon dioxide monitoring component of the presently 510(k) cleared NICO with MARS monitor. It has been designed to include all of the functionality of the flow and carbon dioxide monitoring components of NCO with CO massurament workilling for a with Capnostat 5 is intended to provide all of the existing flow and CO2 measurement capabilities of the NICO Model 7300 of continuous monitoring of respiratory flow and pressure, and CO2 during anesthesia and intensive care and in the emergency department. The flow sensors connect to a patient airway circuit and provide physiological information to the Mercury module. The parameters directly measured and computed by the module (when connected to a Capnostal 5 sensor) include airway flow and pressure, volume, and CO2. The monitor calculates flow by measuring the pressure drop across a known resistance placed in the breathing circuit. CO2 is measured as the absorption of a known intensity of infrared light by CO2 molecules in the airway.

1

Image /page/1/Picture/11 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 2 0 2008

Mr. Kevin Mader Quality Assurance and Regulatory Manager Respironics Novametrix, LLC 5 Technology Drive Wallingford, Connecticut 06492

Re: K080652

ﺔ ﺍﻟﻤﺘﺤﺪﺓ

Trade/Device Name: Mercury Module with Capnostat 5 Regulation Number: 21 CFR 868.1850 Regulation Name: Monitoring Spirometer Regulatory Class: II Product Code: BZK Dated: May 27, 2008 Received: May 28, 2008

Dear Mr. Mader:

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. Mader

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 vours.

Suitte Y. Michie Ons.

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

Section ii Indications for Use

510(k) Number (if known):

Device Name: Mercury Module with Capnostat 5

Indications for Use:

The intended use of the Mercury module with Capnostat 5 is to provide:

  • � spirometric, and carbon dioxide monitoring in neonatal, pediatric and adult patients during general anesthesia and in the intensive care unit (ICU) and the emergency department (ED). Separate combination CO2/flow sensors are provided for adult, pediatric and neonatal use.
    Prescription Use ___________x (Per 21 CFR 801 Subpart D)

AND/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)

Min. Vdnd

Page 1 of __

(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number. K080652

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