K Number
K093716
Device Name
BABI PLUS INFANT NASAL CANNULA SYSTEM
Manufacturer
Date Cleared
2010-05-13

(162 days)

Product Code
Regulation Number
868.5905
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Single patient use device intended for use with neonates, infants and children under 10 Kg requiring a nasal prong interface during intermittent or continuous gas flow therapy in the hospital critical care unit.
Device Description
Single patient use nasal cannula offered in 8 different sizes which have been specifically designed for patents ≤ 10 Kg. The device includes a short length of 10 mm corrugated tubing allowing connection to a variety of devices. Pre-conditioned gas (heat, moisture, flow and oxygen concentration) is provided to the device's inspiratory circuit. The gas is channeled to the nasal cannula for inhalation. Expired gas is channeled away from the nasal cannula and eventually is vented to the surrounding environment. The device also includes a pressure monitor nasal prong (proximal airway) pressure.
More Information

No
The summary describes a mechanical nasal cannula with pressure monitoring and does not mention any AI/ML components or functionalities.

Yes
The device is a nasal cannula used for gas flow therapy, providing pre-conditioned gas to patients, which is a form of medical treatment.

No

Explanation: The device is a nasal cannula used for delivering gas flow therapy and monitoring proximal airway pressure, not for diagnosing medical conditions.

No

The device description clearly outlines a physical nasal cannula with tubing and a pressure monitor, indicating it is a hardware device, not software-only.

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 the device is a nasal cannula used for delivering gas flow therapy directly to the patient's nasal pharynx. It is a device that interacts with the patient's body externally to provide a therapeutic intervention (gas delivery) and monitoring (pressure).
  • No Sample Analysis: There is no mention of the device analyzing any biological samples from the patient.

The device is a medical device used for respiratory support and monitoring, not for diagnostic testing of biological samples.

N/A

Intended Use / Indications for Use

Single patient use device intended for use with neonates, infants and children under 10 Kg requiring a nasal prong interface during intermittent or continuous gas flow therapy in the hospital critical care unit.

Product codes

BZD

Device Description

Single patient use nasal cannula offered in 8 different sizes which have been specifically designed for patents

§ 868.5905 Noncontinuous ventilator (IPPB).

(a)
Identification. A noncontinuous ventilator (intermittent positive pressure breathing-IPPB) is a device intended to deliver intermittently an aerosol to a patient's lungs or to assist a patient's breathing.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the logo for A Plus Medical. The logo features the letter A in a stylized font, with a small figure standing on top of it. Next to the letter A is the text "A Plus Medical" in a bold font. Below that is the text "Solutions for Respiratory Care" in a smaller font.

KOS37Li

5.0. 510(k) Summary

December 1, 2009 Date:

Owner:

A Plus Medical 5431 Avenida Encinas, STE G Carlsbad, CA 92008-4411 + 760-930-4025 Tel: + 760-930-0040 Fax:

Owner/Operator Number:

10023166

Official Contact:

Thomas C. Loescher + 760-930-4025 Tel: + 760-930-0040 Fax:

Trade Names:

The Babi*Plus Nasal Cannula

Common/Usual Name:

Nasal Cannula, Infant Nasal Cannula

Classification Name:

Ventilator, non-continuous (respirator) Device Name: BZD Product Code: 868.5905 Regulation: II Device Class:

Device:

The Babi*Plus Nasal Cannula

Predicate Devices:

Number:.K871157
Product Name:Infant Nasal CPAP Cannula
Manufacturer:Hudson Oxygen Therapy Sales Company
(Teleflex Medical)
Product Codes:1683, 1685, 1686, 1687, 1688, 1689, 1690,
1691, 1692, 1693, 1694, 1695

Device Description:

Single patient use nasal cannula offered in 8 different sizes which have been specifically designed for patents ≤ 10 Kg. The device includes a short length of 10 mm corrugated tubing allowing connection to a variety of devices. Pre-conditioned gas (heat, moisture, flow and oxygen concentration) is provided to the device's inspiratory circuit. The gas is channeled to the nasal cannula for inhalation. Expired gas is channeled away from the nasal cannula and eventually is vented to the surrounding environment. The device also includes a pressure monitor nasal prong (proximal airway) pressure.

5411 Avenida Encinas, STE G Carlsbad, CA 92008-4411 2. +740-930-4025 Fax: +760-930-0040 ~ 13~~

MAY 1~3 2010

1

Image /page/1/Picture/0 description: The image shows the logo for A Plus Medical. The logo features the letter A in a stylized font, with the words "A Plus Medical" written in bold letters. Below the company name is the text "Solutions for Respiratory Care" in a smaller font. The logo is black and white.

Indications for Use:

Single patient use device intended for use with neonates, infants and children under 10 Kg requiring a nasal prong interface during intermittent or continuous gas flow therapy in the hospital critical care unit.

Contraindications:

Patients not requiring a nasal prong interface during intermittent or continuous gas flow therapy. Patients > 10 Kg.

Patient Population:

Patient population of neonate (premature infant), infant and child

Environment of Use:

Hospital Critical Care Unit

Comparative of Technological Characteristics:

  • The Babi*Plus Nasal Cannula and the predicate device provide flow-by gas the nasal pharynx via a cannula body and ● nasal prong.
  • Each device has an inspiratory side (circuit), nasal cannula body, nasal prong and an expiratory side (circuit). .
  • Each device allows pre-conditioned gas (heat, moisture, flow and oxygen concentration) to be delivered to the . inspiratory side (circuit) of the device.
  • Each device has an expiratory side (circuit) that allows expired gas to be channeled away from the nasal cannula, . eventually venting into the surrounding environment.
  • . A dimension analysis of the Babi*Plus Nasal Cannula and the predicate was performed which demonstrated substantially equivalent dimensions as well as calculated dead space (Vps) within the nasal prong.
  • . Bench Testing of the Babi*Plus Nasal Cannula and the predicate device to determine substantial equivalency in performance included:
    • . Testing of resistance to gas flow in the inspiratory circuit of the Babi*Plus Nasal Cannula and predicate device at gas flows of 1 to 12 LPM.
    • . Testing of resistance to gas flow in the expiratory circuit of the Babi*Plus Nasal Cannula and predicate device at gas flows of 1 to 12 LPM.
    • . Testing to show the accuracy of measuring nasal prong (proximal airway) pressure at various pressures and gas flows.

Conclusion:

  • The Babi*Plus Nasal Cannula is substantially equivalent to the identified predicate. .
  • The Babi*Plus Nasal Cannula and the identified predicate have substantially equivalent performance. .
  • . The Babi*Plus Nasal Cannula and the identified predicate are made from substantially equivalent material, have substantially equivalent intended uses, are used in similar patient populations and are used in the same environment.

5411 Avenida Encinas, STE G Carlsbad, CA 92008-4411 율. +740-930-4025 Fax: +760-930-0040 ~ 14~

2

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

MAY 1 3 2010

Mr. Tom Loescher President A Plus Medical, Incorporated 5431 Avenida Encinas, Suite G Carlsbad, California 92008

Re: K093716

Trade/Device Name: Babi Plus Infant Nasal Cannula System Regulation Number: 21 CFR 868.5905 Regulation Name: Noncontinuous Ventilator (IPPB) Regulatory Class: II Product Code: BZD Dated: April 15, 2010 Received: April 19, 2010

Dear Mr. Loescher:

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: CDRH 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.

3

Page 2- Mr. Tom Loescher

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

Sincerely yours,

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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Image /page/4/Picture/0 description: The image shows the logo for A Plus Medical. The logo features the letter A in a circle with a small dot above it. To the right of the circle is the text "A Plus Medical" in a bold, sans-serif font. Below the text is the phrase "Solutions for Respiratory Care" in a smaller font.

Indications for Use Statement

510(k) Number:

(To be assigned)

Device Name: Indications for Use: Babi*Plus Nasal Cannula System

Single patient use device intended for use with neonates, infants and children under 10 Kg requiring a nasal prong interface during intermittent or continuous gas flow therapy in the hospital critical care unit.

Prescription Use X (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)

L. Schultheis

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

510(k) Number: K093716