K Number
K081805
Device Name
CUFFALERT
Manufacturer
Date Cleared
2008-11-14

(141 days)

Product Code
Regulation Number
868.5750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
To measure and monitor intra-cuff pressures of endotracheal, supraglottic airways, or tracheostomy tubes. The CuffAlert™ is not intended to replacement clinical judgment.
Device Description
The CuffAlert™ is a simple in-line pressure monitor which contains a calibrated diaphragm which distends with increases in cuff pressure. One can set the maximum pressure limit from 10 to 40 cm H2O by rotating and locking a knob. Once set, it is placed on the pilot ballowing it to be in-line with the cuff. If the cuff exceeds the set pressure limit on the CuffAlert™ the diaphragm distends making contact with the battery, thus activating the red LED. The accuracy of pressure measurement has been determined to be +/- 2 cm H2O @ 10 cm H2O; +/- 3 cm H2O @ 20 - 30 cm H2O; and +/- 4 cm H2O @ 40 cm H2O.
More Information

Not Found

No
The device description details a purely mechanical pressure monitoring system with a calibrated diaphragm and LED indicator, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No
The device measures and monitors pressure and provides alerts, but it does not actively treat or alleviate a medical condition. Its function is diagnostic/monitoring, not therapeutic.

No

The device monitors physical parameters (cuff pressure) and provides an alert when a set limit is exceeded. It does not provide information about the presence, absence, or state of a disease or condition. Its function is to measure and monitor, not to diagnose.

No

The device description clearly outlines a physical, in-line pressure monitor with a calibrated diaphragm, battery, and LED, indicating it is a hardware device, not software-only.

No, 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.
  • CuffAlert™ Function: The CuffAlert™ measures and monitors the pressure within the cuff of an airway tube. This is a physical measurement of a mechanical device, not a test performed on a biological sample from the patient.

The device description and intended use clearly indicate it's a pressure monitoring device for airway tubes, which falls outside the scope of In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

To measure and monitor intra-cuff pressures of endotracheal, supraglottic airways, or tracheostomy tubes.
The CuffAlert™ is not intended to replacement clinical judgment.

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

BSK

Device Description

The CuffAlert™ is a simple in-line pressure monitor which contains a calibrated diaphragm which distends with increases in cuff pressure.

One can set the maximum pressure limit from 10 to 40 cm H2O by rotating and locking a knob. Once set, it is placed on the pilot ballallowing it to be in-line with the cuff. If the cuff exceeds the set pressure limit on the CuffAlert™ the diaphragm distends making contact with the battery, thus activating the red LED.

The accuracy of pressure measurement has been determined to be +/- 2 cm H2O @ 10 cm H2O; +/- 3 cm H2O @ 20 - 30 cm H2O; and +/- 4 cm H2O @ 40 cm H2O.

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

To be used under medical supervision in hospitals, pre-hospital (EMS), extended care facilities and outpatient clinics, where a patient may be intubated.

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.

K912723, K951046

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

§ 868.5750 Inflatable tracheal tube cuff.

(a)
Identification. An inflatable tracheal tube cuff is a device used to provide an airtight seal between a tracheal tube and a patient's trachea.(b)
Classification. Class II (performance standards).

0

KOHISO5

NOV 14 2008

Non-Confidential Summary of Safety and Effectiveness

Page 1 of 2 6-Nov-08

| SunMed
12393 Belcher Rd. # 450

Largo, FL 33773Tel - (727) 530-7099
Official Contact:George Cranton, Director
Proprietary or Trade Name:CuffAlert™
Common/Usual Name:Cuff, tracheal tube, inflatable (accessory)
Classification Name:Cuff, tracheal tube, inflatable (accessory)
BSK - 868.5730
Predicate Devices:Posey Cufflator - K912723
Rusch Endotest - K951046

:

Device Description:

The CuffAlert™ is a simple in-line pressure monitor which contains a calibrated diaphragm which distends with increases in cuff pressure.

One can set the maximum pressure limit from 10 to 40 cm H2O by rotating and locking a knob. Once set, it is placed on the pilot ballowing it to be in-line with the cuff. If the cuff exceeds the set pressure limit on the CuffAlert™ the diaphragm distends making contact with the battery, thus activating the red LED.

The accuracy of pressure measurement has been determined to be +/- 2 cm H2O @ 10 cm H2O; +/- 3 cm H2O @ 20 - 30 cm H2O; and +/- 4 cm H2O @ 40 cm H2O.

| Indications for Use: | To measure and monitor intra-cuff pressures of endotracheal,
supraglottic airways, or tracheostomy tubes.
The CuffAlert™ is not intended to replacement clinical
judgment |
|----------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Patient Population: | Patients who are intubated. |
| Environment of Use: | To be used under medical supervision in hospitals, pre-hospital
(EMS), extended care facilities and outpatient clinics, where a
patient may be intubated. |
| Contraindications: | None |

1

Non-Confidential Summary of Safety and EffectivenessPage 2 of 26 Nov 08
-----------------------------------------------------------------------------
6-Nov-08
AttributeProposed CuffAlert™Posey Cufflator™
K912723Rusch
Endotest
K951046
Indications for UseTo measure and monitor intra-cuff pressures of endotracheal, supraglottic airways, or tracheostomy tubes.Monitor cuff pressureMonitor cuff pressure
Environments of useTo be used under medical supervision in hospitals, pre-hospital (EMS), extended care facilities and outpatient clinics, where a patient may be intubated.Not specifiedNot specified
Patient populationIntubated patientsIntubated patientsIntubated patients
Single patient, disposableYesNoNo
Range of measured pressure10 to 40 cm H₂O0 to 120 cm H₂ON/A
Detection of “good range”LED does not activateColor coded scaleColor coded scale
PowerBattery operatedManualManual
Accuracy+/- 2 cm H₂O @ 10 cm H₂O
+/- 3 cm H₂O @ 20 – 30 cm H₂O
+/- 4 cm H₂O @ 40 cm H₂ONot specifiedNot specified

Differences Between Other Legally Marketel Predicate Devices:
There are no significant differences that affect the safety or effectiveness of the intended devices of the pred

2

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 eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" are arranged in a circle around the eagle. The eagle is black, and the text is also black. The logo is simple and recognizable.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 1 4 2008

SunMed C/O Mr. Paul E. Dryden President ProMedic, Incorporated 24301 Woodsage Drive Bonita Springs, Florida 34134-2958

Rc: K081805

Trade/Device Name: CuffAlert™ Regulation Number: 21 CFR 868.5730 Regulation Name: Tracheal Tube Regulatory Class: II Product Code: BSK Dated: November 6, 2008 Received: November 7, 2008

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 Eederal 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 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,

Clare

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

Indications for Use Statement

Page 1 of 1

510(k) Number: K081805 (To be assigned)

CuffAlert™ Device Name:

Indications for Use:

To measure and monitor intra-cuff pressures of endotracheal, supraglottic airways, or tracheostomy tubes.

The CuffAlert™ is not intended to replacement clinical judgment.

Pationts who are intubated.

Environment of Use:

To be used under medical supervision in hospital (EMS), extended care facilities and outpatient clinics, where a patient may be intubated.

Prescription UseXX
(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)

signature

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

510(k) Number: K081805