K Number
K092335
Date Cleared
2010-04-09

(248 days)

Product Code
Regulation Number
868.1860
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

K-jump Health Co, Ltd. Peak Flow Meter, Model KN-9710, is intended for monitoring expiratory-breath function at home under direction of a physician or licensed health care professional. It measures the peak expiratory flow (PEF) and timed forced expiratory volumes over 1 second (FEV1). This device can be used from 6-year-old children to adult patients for monitoring and managing of chronic respiratory conditions, especially asthma and COPD.

Device Description

The Peak Flow Meter, KN-9710, uses hot wire on the thin film inside the air flow measurement tube. The hot wire will electrically heat up to a constant temperature. As air flow passes through the air flow measuring tube, the wires cool off, requiring extra electrical energy to heat up to the the constant temperature. The air flow sensor will instantly feed back a voltage to maintain temperature. And the proper proportion and evaluation of the peak flow rate and volume will be determined. The KN-9710 is a compact, small and light-weight designed portable handheld device that electronically measures the Peak Expiratory Flow (PEF) as will as the Forced Expiratory Volume in the first second of expiration (FEV1).

AI/ML Overview

Here's an analysis of the acceptance criteria and study detailed in the provided document:

The document describes the K-jump Health Co., Ltd. Peak Flow Meter, Model KN-9710, intended for monitoring expiratory-breath function. The primary performance criteria revolve around the accuracy and precision of its measurements for Peak Expiratory Flow (PEF) and Forced Expiratory Volume in the first second (FEV1), as well as compliance with safety and biocompatibility standards.


1. Table of Acceptance Criteria and Reported Device Performance

Parameter/CharacteristicAcceptance Criteria (ATS 1994 update)Reported Device Performance
Flow measuring accuracy$\pm$ 10% or $\pm$ 20 l/min (whichever is greater for PEF)Well within required ATS accuracy specification
Volume measuring accuracy$\pm$ 5% or $\pm$ 0.1 L (whichever is greater for FEV1)Well within required ATS accuracy specification
Interdevice variability(ATS 1994 update requirements for variability)Complies with all variability requirements
Intradevice variability(ATS 1994 update requirements for variability)Complies with all variability requirements
Electrical SafetyIEC 60601-1Complied
Electromagnetic CompatibilityIEC 60601-1-2Complied
BiocompatibilityISO 10993-1 (Cytotoxicity, Skin Sensitization, Skin Irritation)Complied (reports showed compliance with biological evaluation standard)

Note: The document only explicitly states the predicate device's flow and volume accuracy comparison. For the subject device's performance, it broadly states "well within the required ATS (ATS 1994 update) accuracy specification" and "comply with all variability requirements" for both interdevice and intradevice variability. The specific numerical performance of the KN-9710 is not directly provided in the text beyond stating it met the ATS specifications.


2. Sample Size Used for the Test Set and Data Provenance

  • Sample Size: The device performance was tested using 24 standard waveforms and 26 flow-time waveforms.
  • Data Provenance: The test was conducted at an independent laboratory, LDS Hospital (Salt Lake City, UT), U.S.A. The testing involved comparing the device's measurements against generated values from a precision waveform generator, rather than human patient data. Therefore, the data is prospective in the sense that the test was specifically designed and executed to evaluate the device against established waveforms.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications

This section is not applicable as the ground truth was established by a precision waveform generator, not human experts. The reference standard was the generated values produced by this equipment, which is designed to simulate respiratory patterns with known, precise PEF and FEV1 values.


4. Adjudication Method for the Test Set

This section is not applicable. There was no human adjudication process since the comparison was between the device's output and the known, precisely generated values from a waveform generator.


5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. This type of study typically involves human readers or operators assessing cases with and without AI assistance. This submission describes a standalone technical performance study of a measurement device.


6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

Yes, a standalone study was done. The description explicitly states: "The KN-9710 electronic peak flow meter was tested at an independent laboratory... The peak expiratory (PEF) and forced expiratory volume in one second (FEV1) measurement from the KN-9710 were compared against the generated values." This indicates the algorithm and hardware of the device were tested for their accuracy and precision in measuring PEF and FEV1 without human intervention impacting the measurement itself.


7. The Type of Ground Truth Used

The type of ground truth used was generated values from a precision waveform generator. This is a highly controlled, synthetic "ground truth" designed to emit specific, known respiratory flow and volume patterns.


8. The Sample Size for the Training Set

The document does not specify a sample size for a training set. This is typical for submissions of this nature, as the device is a measurement instrument calibrated against physical standards and engineering specifications, rather than a machine learning algorithm that requires a dataset for training. If the device's internal algorithms involve machine learning, the training set information is not provided in this document.


9. How the Ground Truth for the Training Set Was Established

This information is not applicable/not provided. As mentioned above, the document describes the testing and validation of the device, not its development or any potential machine learning training phase.

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EXHIBIT 1

510(k) SUMMARY

APR - 9 2010

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.

The assigned 510(k) number is: K092335

1. Submitter's Identification:

K-jump Health Co., Ltd. No. 56 Wu Kung 5th Road Wu Ku Industrial Park Taipei Hsien, 248, Taiwan Tel: +886-2-22991378 Fax: +886-2-22331386

Contact: Mr. Jason Cheng Date Summary Prepared: July 31, 2009

2. Name of Device:

K-jump Health Co., Ltd. Peak Flow Meter, Model KN-9710

3. Common or Usual Name:

Peak Flow Meter [ 21 CFR 868.1860 ]

4. Predicate Device Information:

  • K010009, Peak Flow Meter, Model KoKo Peak KP and KP+, PDS Health Products, -Inc., U.S.A
  • K040723, Peak Flow Meter with PEF and FEV1, Model PF-100, Microlife Intellectual -Property GmbH, Switzerland

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5. Device Description:

The Peak Flow Meter, KN-9710, uses hot wire on the thin film inside the air flow measurement tube. The hot wire will electrically heat up to a constant temperature. As air flow passes through the air flow measuring tube, the wires cool off, requiring extra electrical energy to heat up to the the constant temperature. The air flow sensor will instantly feed back a voltage to maintain temperature. And the proper proportion and evaluation of the peak flow rate and volume will be determined. The KN-9710 is a compact, small and light-weight designed portable handheld device that electronically measures the Peak Expiratory Flow (PEF) as will as the Forced Expiratory Volume in the first second of expiration (FEV1).

6. Intend Use:

The KN-9710 is intended for monitoring expiratory-breath function at home under direction of a physician or licensed health care professional. It measures the peak expiratory flow (PEF) and timed forced expiratory volumes for 1 second (FEV1) through its mouthpiece. This device can be used from 6-year-old children to adult patients for monitoring and managing of chronic respiratory conditions, especially asthma and COPD.

7. Comparison to Predicate Devices:

The subject device is substantially equivalent to the predicate devices, K010009, Model KoKo Peak KP and KP+. The substantial equivalence chart is provided as follows:

CharacteristicsK-jump Device(Subject Device)KoKo KP+, PDSHealthcare Product,USA, K#010009PF-100MicrolifeK#040723
Model No.KN-9710KoKo KP+PF-100
MeasurementmethodHot wire on the thin filmCantilever beamRotating wing wheel
Maximum recordedflow rate900 l/min999 l/min900 l/min
Maximum recordedvolume9.0 Liter9.99 Liter9.99 Liter
Volume measuringaccuracy$\pm$ 5% or $\pm$ 0.1 L$\pm$ 3.5% or $\pm$ 0.1 L$\pm$ 5% or $\pm$ 0.1 L
Flow measuringaccuracy$\pm$ 10% or $\pm$ 20 l/min$\pm$ 5% or $\pm$ 20 l/min$\pm$ 10 or $\pm$ 20 l/min
Test duration1 to 2 seconds1 to 2 seconds1 to 2 seconds

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Correction FactorsAltitudeNoneNone
# of Results stored240 Tests64 Tests240 Tests
Storage mediumNon-volatile EEPROMNon-volatile EEPROMNon-volatile EEPROM
Time/DateReal-time clockReal-time clockReal-time clock
User warnings
Low batteryYesYesYes
Memory lowNoNoNo
Memory fullNoNoNo
Alarm typeYesYesYes
Color zones3 zones (green, yellow, red)3 zones (green, yellow, red)Manually recorded in seperative "traffic light scheme"
Device configurationUse device keyUse device displayUse device key
DisplayLCD displayLCD displayLCD display
Power sourceTwo 1.5V AA batteriesTwo 1.5 silver oxide batteriesTwo 1.5 AAA batteries
Dimension144X131X33mm120X50X20mm144X77X48mm
Weight198g82g150g
Operating condition10°C ~40°C (Altitude 0-1400m)15°C ~25°C (Altitude 1400-3000m)10% ~85% RH, non-condensing10℃ ~ 38℃0% ~100% RH, non-condensing10℃~ 40℃10% ~85% RH, non-condensing
Storage condition-5℃ ~ 50℃10% ~85% RH, non-condensing-20℃ ~ 60℃-5℃ ~ 50℃10% ~ 90% RH, Non-condensing

8. Discussion of Non-Clinical Tests Performed for Determination of Substantial Equivalence are as follows:

The following performance testing was conducted:

  • The KN-9710 electronic peak flow meter was tested at an independent laboratory, LDS Hospital (Salt Lake City, UT), using a precision waveform generator. The peak expiratoy (PEF) and forced expiratory volume in one second (FEV1) measurement from the KN-9710 were compared against the generated values. Both PEF and FEV1 values were well within the required ATS (ATS 1994 update) accuracy specification using the 24 standard waveforms and the 26 flow-time waveforms. Interdevice and intradevice variability testing demonstrated the KN-9710 to comply with all variability requirements. Our evaluation showed the KN-9710 met ATS (ATS 1994 update) monitoring device Page 3 of 4

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recommendations for accuracy and precision in the measurement of PEF and FEV1.

  • · The recognized consensus standards for safety of medical electrical equipment: IEC 60601-1 for safety and IEC.60601-1-2 for electromagnetic compatibility are complied.
  • · The biocompability of KN-9710 is tested according to the guidance #G95-1. The cytotoxicity, skin sensitization and skin irritation test reports showed KN-9710 complied with the biological evaluation standard ISO 10993-1.

9. Discussion of Clinical Tests Performed:

Not Applicable. Determination of substantial equivalence is not based on assessment of clinical data.

10. Conclusions:

K-jump Health Co., Ltd. Peak Flow Meter, Model KN-9710, has the same intended use and similar characteristics as the predicate device. Moreover, the subject device demonstrates product safety by successful completion of testing to the IEC60601-1 standard and electromagnetic standard, IEC 60601-1-2. The device claims to meet the American Thoracic society (ATS 1994 update) recommendations. Performance test at LDS Hospital demonstrates the the KN-9710 meets the ATS (ATS 1994 update) standard recommendations.

From the above information we conclude the the subject device, KN-9710, is substantially equivalent to the predicate devices.

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Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle or bird-like figure with three curved lines representing its wings or body. The logo is black and white.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Mr. Jason Cheng Regulatory Affairs K-jump Health Company, Limited No. 56, Wu Kung 5th Road Wu Ku Industrial Park Taipei Hsien, 248 TAIWAN

Re: K092335

Trade/Device Name: K-jump Health Co., Ltd. Peak Flow Meter, Model KN-9710 Regulation Number: 21 CFR 868.1860 Regulation Name: Peak-Flow Meter for Spirometry Regulatory Class: II Product Code: BZH Dated: April 2, 2010 Received: April 2, 2010

APR - 9 2010

Dear Mr. Cheng:

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. Please note: CDRF does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.

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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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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-fm e number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Cinthen 9,2

Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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EXHIBIT B

Indications for Use Statement

page 1 of

510(k) Number (if known):__K092335

Device Name: K-jump Health Co., Ltd. Peak Flow Meter, Model KN-9710

Indications for Use:

K-jump Health Co, Ltd. Peak Flow Meter, Model KN-9710, is intended for monitoring expiratory-breath function at home under direction of a physician or licensed health care professional. It measures the peak expiratory flow (PEF) and timed forced expiratory volumes over 1 second (FEV1). This device can be used from 6-year-old children to adult patients for monitoring and managing of chronic respiratory conditions, especially asthma and COPD.

Prescription Use × (Per 21 CFR 801 Subpart D) Over-The Counter Use (21 CFT 807 Subpart C)

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

OR

Division Sign-Off) ിvision of Anesthesiology, General Hearter of CDRH, Office of Device Evaluation (ODE) ifection Control, Dental Devices

-10(k) Number: K092335

§ 868.1860 Peak-flow meter for spirometry.

(a)
Identification. A peak-flow meter for spirometry is a device used to measure a patient's maximum ventilatory flow rate.(b)
Classification. Class II (performance standards).