K Number
K102649
Device Name
NEOPOP INFANT RESUSCITATOR WITH FLOW METER
Date Cleared
2011-01-06

(114 days)

Product Code
Regulation Number
868.5915
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The NeoPIP Infant Resuscitator with Flow Meter is a manually operated, gas powered device with integrated flow meter intended for controlled and accurate resuscitation of neonates and infants in the clinical environment.
Device Description
The NeoPIP Infant Resuscitator with Flow Meter is intended to deliver oxygen or blended gas to a neonate while controlling peak inspiratory pressure. Positive end expiratory pressure is controlled at the patient end of the breathing circuit. The device also provides a maximum pressure relief capability which is adjustable. The device is intended for emergency resuscitation and is manually operated.
More Information

Not Found

No
The summary describes a manually operated, gas-powered mechanical device with no mention of AI, ML, image processing, or data-driven performance metrics.

Yes
The device is intended for controlled and accurate resuscitation of neonates and infants, which is a therapeutic intervention. It delivers oxygen or blended gas and controls pressure to aid breathing.

No
The device is described as a resuscitator intended for controlled and accurate resuscitation, delivering oxygen or blended gas, and controlling pressure. Its function revolves around active intervention for resuscitation, not diagnosis.

No

The device description clearly states it is a "manually operated, gas powered device with integrated flow meter" and describes physical components like a breathing circuit and pressure relief capability, indicating it is a hardware device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states it's for "controlled and accurate resuscitation of neonates and infants." This is a therapeutic and life-support function, not a diagnostic one.
  • Device Description: The description focuses on delivering gas, controlling pressure, and providing resuscitation. These are all related to patient treatment and support, not analyzing samples from the body to diagnose a condition.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing information for diagnosis.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. This device does not fit that description.

N/A

Intended Use / Indications for Use

The NeoPIP Infant Resuscitator with Flow Meter is a manually operated, gas powered device intended for controlled and accurate resuscitation of neonates and infants in the clinical environment.
The NeoPIP Infant Resuscitator with Flow Meter is a manually operated, gas powered device with integrated flow meter intended for controlled and accurate resuscitation of neonates and infants in the clinical environment.

Product codes

BTM

Device Description

The NeoPIP Infant Resuscitator with Flow Meter is intended to deliver oxygen or blended gas to a neonate while controlling peak inspiratory pressure. Positive end expiratory pressure is controlled at the patient end of the breathing circuit. The device also provides a maximum pressure relief capability which is adjustable. The device is intended for emergency resuscitation and is manually operated.

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

neonates and infants

Intended User / Care Setting

Not Found

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)

K892885, K072021, K092085

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5915 Manual emergency ventilator.

(a)
Identification. A manual emergency ventilator is a device, usually incorporating a bag and valve, intended to provide emergency respiratory support by means of a face mask or a tube inserted into a patient's airway.(b)
Classification. Class II (performance standards).

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K102649

JAN 6 2011

510(k) Summary of Safety and Effectiveness Section I

Applicant:

NeoForce Group Inc 35 Commerce Drive lvyland, Pa 18974 Registration Number: 3005599562

Contact Person:

Monica Ferrante VP Regulatory Ph 215-672-6800 x203 Fax 215-672-1123

Device trade/proprietary name:

NeoPIP Infant Resuscitator with Flow Meter

Device common/usual/classification name:

Emergency Resuscitation Device

Classification:

Anesthesiology 21 CFR 868.5915 Manual Emergency Ventilator, BTM, Class II

Performance Standards:

None applicable

Predicate Device:

K892885 Fisher & Paykel, Neopuff Infant Resuscitator K072021 NeoPIP Infant Resuscitation Unit K092085 Ispira Resusciation System

Device Description

The NeoPIP Infant Resuscitator with Flow Meter is intended to deliver oxygen or blended gas to a neonate while controlling peak inspiratory pressure. Positive end expiratory pressure is controlled at the patient end of the breathing circuit. The device also provides a maximum pressure relief capability which is

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adjustable. The device is intended for emergency resuscitation and is manually operated.

Intended Use

The NeoPIP Infant Resuscitator with Flow Meter is a manually operated, gas powered device intended for controlled and accurate resuscitation of neonates and infants in the clinical environment.

Substantial Equivalence

The NeoPIP is believed to be substantially equivalent to currently marketed manual emergency resuscitation devices with regards to intended use, safety and effectiveness.

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Image /page/2/Picture/0 description: The image shows a logo for the Department of Health & Human Services USA. The logo features the department's seal, which includes an abstract symbol resembling three overlapping waves or lines. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the seal.

DEPARTMENT OF HEALTH & HUMAN SERVICES

6 Air

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

Ms. Monica Ferrante Vice President of Regulatory Affairs NeoForce Group Incorporated 35 Commerce Drive lvyland, Pennsylvania 18974

Re: K102649

Trade/Device Name: NeoPIP Infant Resuscitator with Flow Meter Regulation Number: 21 CFR 868.5915 Regulation Name: Manual Emergency Ventilator Regulatory Class: II Product Code: BTM Dated: December 21, 2010 Received: December 22, 2010

Dear Ms. Ferrante:

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.

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Page 2- Ms. Ferrante ·

Enclosure

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/Industrv/default.htm.

Sincerely yours,

h 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

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Section A SMDA Requirements

A.1 Indication for Use Statement

510(k) Number:

Device Name: NeoPIP Infant Resuscitator with Flow Meter

Indications for Use:

The NeoPIP Infant Resuscitator with Flow Meter is a manually operated, gas powered device with integrated flow meter intended for controlled and accurate resuscitation of neonates and infants in the clinical environment.

This is a prescription device.

(Please do not write below this line continue on another page if needed) Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use × (Per 21 CFR 801.109)

OR Over-the-Counter Use

(Optional Format 1/2/96)

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

510(k) Number: