K Number
K100554
Device Name
RESPIRATORY HUMIDIFIER , HEATED DELIVERY SYSTEM, ADAPTOR, MODELS MR880, RT241, 900MR441
Date Cleared
2010-05-28

(91 days)

Product Code
Regulation Number
868.5450
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Fisher & Paykel Healthcare 880 Respiratory Humidification System (880 System) is intended to be used to warm and humidify breathing gases delivered to spontaneously breathing patients requiring assisted breathing and / or mucosal humidification. The system is intended to be used in a hospital environment by trained healthcare providers.
Device Description
The 880 Respiratory Humidification System (880 System) is designed to condition gases for patients by raising the delivered water vapor content and temperature of the gases. The 880 System consists of the following components: - · MR880 Respiratory Humidifier (MR880) - · Accessories: - a) RT241 Heated Delivery System - b) 900MR441 Adaptor The MR880 is an electrically powered heat controller, utilizing a microprocessor with embedded software, to control a heating element that transfers heat to the water in a humidification chamber (chamber). An unheated tube connects a gas source to the chamber input port. The chamber output port is connected to a heated inspiratory tube designed for exclusive use with the MR880. The gas is heated by means of a heaterwire placed internally within the heated inspiratory tube and enables the humidified gas to be transported to the patient whilst simultaneously minimizing the loss of humidity as condensation. The MR880 controls the amount of heat provided to the chamber and the power to the heaterwire in the heated inspiratory tube via a proprietary algorithm. Sensors external and internal to the gas path provide feedback on ambient room temperature, gas flow and gas temperature to regulate temperature and humidity delivery to the patient.
More Information

Not Found

No
The description mentions a "microprocessor with embedded software" and a "proprietary algorithm" to control heating elements and regulate temperature and humidity. This indicates standard embedded system control logic, not AI or ML. There is no mention of learning, adaptation, or complex pattern recognition characteristic of AI/ML.

Yes

The device is intended to warm and humidify breathing gases delivered to patients requiring assisted breathing and/or mucosal humidification, which directly contributes to a patient's treatment and well-being.

No

The document states the device is intended to warm and humidify breathing gases, control heat, and regulate temperature and humidity delivery. It does not mention any diagnostic functions (e.g., disease detection, identification, or monitoring).

No

The device description clearly outlines multiple hardware components, including the MR880 Respiratory Humidifier (an electrically powered heat controller), accessories like a heated delivery system and adaptor, a humidification chamber, and a heated inspiratory tube with a heaterwire. While it mentions embedded software and a microprocessor, the core functionality relies on these physical components to warm and humidify breathing gases.

Based on the provided information, the Fisher & Paykel Healthcare 880 Respiratory Humidification System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states that the system is used to "warm and humidify breathing gases delivered to spontaneously breathing patients". This is a therapeutic function, directly interacting with the patient's respiratory system.
  • Device Description: The description details how the system conditions gases for delivery to the patient, involving heating and humidification of the air/oxygen mix. This is a life support or therapeutic device function.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. The 880 System does not perform any such analysis of biological specimens.

Therefore, the 880 System falls under the category of a respiratory support or therapeutic device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Fisher & Paykel Healthcare 880 Respiratory Humidification System (880 System) is intended to be used to warm and humidify breathing gases delivered to spontaneously breathing patients requiring assisted breathing and / or mucosal humidification. The system is intended to be used in a hospital environment by trained healthcare providers.

The 880 System is designed for use with an air-oxygen mix, up to 100% oxygen, provided by an external flow source. The flow may be from 5 L/min depending on the type of patient interface.

Product codes

BTT, BBT

Device Description

The 880 Respiratory Humidification System (880 System) is designed to condition gases for patients by raising the delivered water vapor content and temperature of the gases.

The 880 System consists of the following components:

  • · MR880 Respiratory Humidifier (MR880)
  • · Accessories:
    • a) RT241 Heated Delivery System
    • b) 900MR441 Adaptor

The MR880 is an electrically powered heat controller, utilizing a microprocessor with embedded software, to control a heating element that transfers heat to the water in a humidification chamber (chamber).

An unheated tube connects a gas source to the chamber input port. The chamber output port is connected to a heated inspiratory tube designed for exclusive use with the MR880. The gas is heated by means of a heaterwire placed internally within the heated inspiratory tube and enables the humidified gas to be transported to the patient whilst simultaneously minimizing the loss of humidity as condensation.

The MR880 controls the amount of heat provided to the chamber and the power to the heaterwire in the heated inspiratory tube via a proprietary algorithm.

Sensors external and internal to the gas path provide feedback on ambient room temperature, gas flow and gas temperature to regulate temperature and humidity delivery to the patient.

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

The system is intended to be used in a hospital environment by trained healthcare providers.

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

Non-clinical testing of the 880 System has been carried out covering mechanical, electrical and thermal safety; electromagnetic compatibility, functional verification and performance.

The 880 System complies with requirements of IEC 60601-1-2 Electromagnetic Compatibility. The MR880 has been submitted for testing to IEC 60601-1 Medical electrical equipment -General requirements for safety.

Testing carried out on the 880 System indicates that they meet design and performance functional requirements. The proposed device meets the requirements of medical electrical equipment and respiratory humidifier standards for safety and performance. The 880 System is substantially equivalent to the predicate 850 System in terms of safety, effectiveness and purpose.

Key Metrics

Not Found

Predicate Device(s)

K073706 Fisher & Paykel Healthcare MR850 Respiratory Humidifier

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5450 Respiratory gas humidifier.

(a)
Identification. A respiratory gas humidifier is a device that is intended to add moisture to, and sometimes to warm, the breathing gases for administration to a patient. Cascade, gas, heated, and prefilled humidifiers are included in this generic type of device.(b)
Classification. Class II (performance standards).

0

5 510(k) Summary

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ﮨﮯ۔

K100554/


MAY 2 8 2010

しつつ・、ここp………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

HEALTHCAR

Fisher & Paykel Healthcare Limited 15 Maurice Paykel Place, East Tamaki P O Box 14 348, Panmure Telephone: +64 9 574 0100 Facsimile: +64 9 574 0158 Website: www.fphcare.com

Contact personIvy Cheng
Date prepared4 February 2010
Trade name880 Respiratory Humidification System
Common nameRespiratory Gas Humidifier
Classification nameRespiratory Gas Humidifier
II (21 CFR § 868.5450), Product Code BTT
Predicate deviceK073706 Fisher & Paykel Healthcare MR850 Respiratory Humidifier

1

5.1 Description

The 880 Respiratory Humidification System (880 System) is designed to condition gases for patients by raising the delivered water vapor content and temperature of the gases.

The 880 System consists of the following components:

  • · MR880 Respiratory Humidifier (MR880)
  • · Accessories:
    • a) RT241 Heated Delivery System
    • b) 900MR441 Adaptor

The MR880 is an electrically powered heat controller, utilizing a microprocessor with embedded software, to control a heating element that transfers heat to the water in a humidification chamber (chamber).

An unheated tube connects a gas source to the chamber input port. The chamber output port is connected to a heated inspiratory tube designed for exclusive use with the MR880. The gas is heated by means of a heaterwire placed internally within the heated inspiratory tube and enables the humidified gas to be transported to the patient whilst simultaneously minimizing the loss of humidity as condensation.

The MR880 controls the amount of heat provided to the chamber and the power to the heaterwire in the heated inspiratory tube via a proprietary algorithm.

Sensors external and internal to the gas path provide feedback on ambient room temperature, gas flow and gas temperature to regulate temperature and humidity delivery to the patient.

5.2 Intended use

The 880 System is intended to be used to warm and humidify breathing gases delivered to spontaneously breathing patients requiring assisted breathing and / or mucosal humidification. The system is intended to be used in a hospital environment by trained healthcare providers.

The 880 System is designed for use with an air-oxygen mix, up to 100% oxygen, provided by an external flow source. The flow may be from 5 L/min to 45 L/min depending on the type of patient interface.

5.3 Technological characteristics comparison

The 880 System is substantially equivalent to the predicate MR850 Respiratory Humidification System (850 System) in its method of controlling the chamber output temperature. It differs from the predicate in its method of controlling the delivered gas temperature.

2

In the predicate 850 System, the heaterwire adaptor is simply an electrical connection to provide power to the heaterwire in the heated inspiratory tube. A separate temperature probe incorporating two separate sensors is required for independently controlling the chamber output temperature and the delivered gas temperature.

In the 880 System, the 900MR441 Adaptor combines the functions of the temperature probe and the heaterwire adaptor of the predicate system into a single assembly and incorporates an additional sensor for measuring ambient temperature. A proprietary algorithm has been developed in combination with a dedicated heated inspiratory tube which uses the ambient temperature in combination with the measured flow to control the power to the heated inspiratory tube, thus ensuring a consistent performance across the specified operating ambient temperature and flow range.

5.4 Non-clinical tests

Non-clinical testing of the 880 System has been carried out covering mechanical, electrical and thermal safety; electromagnetic compatibility, functional verification and performance.

The 880 System complies with requirements of IEC 60601-1-2 Electromagnetic Compatibility. The MR880 has been submitted for testing to IEC 60601-1 Medical electrical equipment -General requirements for safety.

5.5 Conclusion

Testing carried out on the 880 System indicates that they meet design and performance functional requirements. The proposed device meets the requirements of medical electrical equipment and respiratory humidifier standards for safety and performance. The 880 System is substantially equivalent to the predicate 850 System in terms of safety, effectiveness and purpose.

3

Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight.

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

Mr. Ivy Cheng Regulatory Affairs Engineer Fisher & Paykel Healthcare, Limited 15 Maurice Paykel Place East Tamaki New Zealand

MAY 2 8 2010

Re: K100554

Trade/Device Name: 880 Respiratory Humidification System Regulation Number: 21 CFR 868.5450 Regulation Name: Respiratory Gas Humidifier Regulatory Class: II Product Code: BBT Dated: May 13, 2010 Received: May 19, 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: CDRH, not evaluate information related to contract liability warranties. We remind you, forvever, 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.

4

Page 2- Mr. Cheng

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/Resourcesfor You/Industry/default.htm.

Sincerely yours.

for

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

5

4 Indications for Use Statement

510(k) Number

Device Name

Fisher & Paykel Healthcare 880 Respiratory Humidification System

The Fisher & Paykel Healthcare 880 Respiratory Humidification System (880 System) is intended to be used to warm and humidify breathing gases delivered to spontaneously breathing patients requiring assisted breathing and / or mucosal humidification. The system is intended to be used in a hospital environment by trained healthcare providers.

The 880 System is designed for use with an air-oxygen mix, up to 100% oxygen, provided by an external flow source. The flow may be from 5 L/min depending on the type of patient interface.

Prescription Use . (Part 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)

L Schullthen

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

N 100554 510(k) Number: