K Number
K081062
Device Name
AIRSONNETT AIRSHOWER AIR 3
Manufacturer
Date Cleared
2008-11-07

(207 days)

Product Code
Regulation Number
880.5045
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Airsonett Airshower Air 3 is a Mobile Air Cleaner intended to be used to remove particles from the air for medical purposes. The device is intended for home use only.
Device Description
The Airsonett Airshower Air 3 Mobile Medical Air Cleaner is an adjustable, portable, personal system for use in providing a controlled environment for medical applications that require a high degree of airborne particulate control. The system is controlled by embedded firmware and runs on standard 115 volt, 1.7 ampere power. Pushbutton controls include airflow and cooling capacity. Manual controls include till/angle of air outflow. The Airsonett Airshower Air 3 Mobile Medical Air Cleaner device provides a method, using air cooling, for guiding the treated ambient air so as to obtain an air flow distribution directly to the users breathing zone, thereby forming a treated air zone surrounding the user.
More Information

Not Found

No
The description focuses on mechanical air filtration and flow control, with no mention of AI or ML technologies. The control is described as "embedded firmware" with "pushbutton controls" and "manual controls."

Yes
The device is described as a "Mobile Air Cleaner intended to be used to remove particles from the air for medical purposes," and it forms a "treated air zone surrounding the user," which indicates it is used to provide a medical benefit or mitigate a condition.

No

Explanation: The provided text describes the device as a "Mobile Air Cleaner" intended to remove particles from the air for medical purposes, creating a controlled environment. It does not mention any function related to diagnosing a condition or disease.

No

The device description clearly states it is a "Mobile Medical Air Cleaner" and describes physical components like an adjustable, portable system, embedded firmware, power requirements, pushbutton controls for airflow and cooling, and manual controls for tilt/angle. This indicates it is a hardware device with embedded software, not a software-only medical device.

Based on the provided information, the Airsonett Airshower Air 3 is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Airsonett Airshower Air 3 Function: The description clearly states the device is a "Mobile Air Cleaner intended to be used to remove particles from the air for medical purposes." It works by creating a zone of treated air around the user's breathing zone.
  • No Sample Analysis: The device does not analyze any samples taken from the human body. Its function is purely related to air purification and delivery.

Therefore, the Airsonett Airshower Air 3 falls under the category of an air purification device for medical use, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The Airsonett Airshower Air 3 is a Mobile Air Cleaner intended to be used to remove particles from the air for medical purposes. The device is intended for home use only.

Product codes

FRF

Device Description

The Airsonett Airshower Air 3 Mobile Medical Air Cleaner is an adjustable, portable, personal system for use in providing a controlled environment for medical applications that require a high degree of airborne particulate control. The system is controlled by embedded firmware and runs on standard 115 volt, 1.7 ampere power. Pushbutton controls include airflow and cooling capacity. Manual controls include till/angle of air outflow.

The Airsonett Airshower Air 3 Mobile Medical Air Cleaner device provides a method, using air cooling, for guiding the treated ambient air so as to obtain an air flow distribution directly to the users breathing zone, thereby forming a treated air zone surrounding the user.

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

home use only.

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)

Summary of Testing: The device was tested for filter functionality and efficiency. Software functions were verified and validated. The device was EMC and safety tested according to relevant standards. The device functioned according to specifications.

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

Not Found

Predicate Device(s)

K981841

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5045 Medical recirculating air cleaner.

(a)
Identification. A medical recirculating air cleaner is a device used to remove particles from the air for medical purposes. The device may function by electrostatic precipitation or filtration.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image contains the word "Airsonett" in a sans-serif font. The text is black and appears to be slightly pixelated. To the left of the word, there is a pattern of small, dark circles that fade out towards the left side of the image.

510(k) Summary

Submitter:

NOV - 7 2008

Airsonett Inc 1171 Market Streeet, Suite 113 Fort Mill, SC 29708

Contact Information:

Constance G. Bundy C. G. Bundy Associates, Inc. 6470 Riverview Terrace Fridley, MN 55432 Phone: 763-574-1976 Fax: 763-571-2437 E-mail: cgbundy@attglobal.net

Submission Date:

April 9, 2008

Proprietary Name:

Airsonett Airshower Air 3 Mobile Medical Air Cleaner

Device Name and Classification:

Sec. 880.5045 Medical Recirculating Air Cleaner.

Equivalent Device Identification:

BREATHE EASY (Models AD and CD) by RespirAid Ltd (K981841)

Device Description:

The Airsonett Airshower Air 3 Mobile Medical Air Cleaner is an adjustable, portable, personal system for use in providing a controlled environment for medical applications that require a high degree of airborne particulate control. The system is controlled by embedded firmware and runs on standard 115 volt, 1.7 ampere power. Pushbutton controls include airflow and cooling capacity. Manual controls include till/angle of air outflow.

The Airsonett Airshower Air 3 Mobile Medical Air Cleaner device provides a method, using air cooling, for guiding the treated ambient air so as to obtain an air flow distribution directly to the users breathing zone, thereby forming a treated air zone surrounding the user.

The Airsonett Airshower Air 3 Mobile Medical Air Cleaner has been designed to meet the following product safety standards:

1

K081062

7

Image /page/1/Picture/1 description: The image shows the word "Airsonett" in a simple, sans-serif font. To the left of the word is a cluster of small, pixelated shapes that appear to be arranged in a grid-like pattern. The text is the primary focus of the image, with the pixelated shapes serving as a visual element to the side.

  • IEC 60601-1 Standard for Medica! Electrical Equipment Part 1 : g 「, General Requirements for safety (IEC 601-1:1988)

Intended Use

The Airsonett Airshower Air 3 is a Mobilc Air Cleancr intended to be used to remove particles from the air for medical purposes. The device is intended for home use only.

| Element of

ComparisonSubject DeviceClaimed SE Device
Airsonett ABRespirAid Ltd.
Type of Medical Re-
circulating Air
CleanerMobile Air Filtration systemMobile Air Filtration system
Intended useThe Airsonett Airshower Air
3 is a Mobile Air Cleaner
intended to be used to
remove particles from the air
for medical purposes. The
device is intended for home
use only.The BREATHE EASY device is
a medical recirculating air cleaner
designed to remove airborne
particles and allergens, such as:
dust, smoke, pollen, mold spores,
animal hair and dander, dust
mites and harmful fibers, that
may lead to allergic reactions.
Type of deviceOver the counter useOver the counter use
LabelingAirsonett Airshower Air-3BREATHE EASY
Product DescriptionHousing UnitHousing Unit
Air Inlet and Treated Air
OutletAir Inlet and Treated Air Outlet
BlowerBlower
HEPA filterHEPA filter
Air Warming UnitAir Warming Unit
Air Cooling Unit-
-Humidifier
Adjustable Air Guidance ArmAdjustable Support Arm
Control Panel-

Comparison Table:

2

K681062

Image /page/2/Picture/1 description: The image shows the word "Airsonett" in a simple, sans-serif font. To the left of the word is a faded, pixelated graphic that appears to be a stylized representation of the letters "irii". The text and graphic are presented in a straightforward, unadorned manner.

| Element of

ComparisonSubject DeviceClaimed SE Device
Airsonett Airshower makes
use of the Airshower
characteristics and cools the
air outflow; thereby using
thermal stratification for
guiding the air to a patient's
breathing zone.The Breathe Easy uses a flow
guide to isolate the respiratory
passages of a user from ambient
air. Method for guiding the
treated air outflow so as to obtain
a flow distribution in close
proximity to the head of the user,
thereby forming a treated air
envelope surrounding his
respiratory openings.
Power Requirements115 Volts (60Hz), 1.7 Amps115 Volts
StandardIEC 60601-1IEC 601-1
Air FlowAirflow in clean air zone (cool
side): Approx. 150 m³/h
Airflow warm side: Approx. 80
m³/h
Total airflow: Approx. 230 m³/h20-40 m³/h
Air Quality
in treated air
envelope
(referred as clean
zone in appendix
1.7)Class 100-1000 according to
FED STD 209EClass 100-1000 according to FED
STD 209E
Rate of Air Changed~1500 changes per hour400-600 changes per hour
Sound Level~38 dB(A)Maximum 50 dBA or less

Summary of Testing: The device was tested for filter functionality and efficiency. Software functions were verified and validated. The device was EMC and safety tested according to relevant standards. The device functioned according to specifications.

Conclusion: Airsonett Airshower Air-3 is substantially equivalent to Breathe Fasy regarding technology, intended use and performance.

3

Image /page/3/Picture/11 description: The image shows a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an emblem featuring a stylized eagle with outstretched wings. The eagle's body is formed by three vertical bars, and its wings are represented by curved lines. The seal is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Airsonett, Incorporated C/O Ms. Constance G. Bundy C.G. Bundy Associates, Incorporated 6470 Riverview Terrace Findley, Minnesota 55432

NOV - 7 2008

Re: K081062

Trade/Device Name: Airsonett Airshower Air 3 Regulation Number: 21 CFR 880.5045 Regulation Name: Medical Recirculating Air Cleaner Regulatory Class: II Product Code: FRF Dated: October 13, 2008 Received: October 21, 2008

Dear Ms. Bundy:

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. Bundy

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 Center for Devices and Radiological Health's (CDRH' s) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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.

Smitte Y. Michael MD
FOR DR. CHIU

Chiu S. Lin. Ph. D Division Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

LIN

Enclosure

5

Indications for Use

510(k) Number (if known): K081062

Device Name: Airsonett Airshower Air 3

Indications For Use:

The Airsonett Airshower Air 3 is a Mobile Air Cleaner intended to be used to remove particles from the air for medical purposes. The device is intended for home use only.

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (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)

Shuli A. Murphy MD

Page 1 of

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

510(k) Number: K081062