K Number
K102750
Device Name
O2-IN-A-BOX, O2-IN-A-BOX
Manufacturer
Date Cleared
2011-02-11

(141 days)

Product Code
Regulation Number
868.5440
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Emergency Use - OTC: Intended to produce oxygen for emergency use. There is a minimum 6 LPM flow rate for at least 15 minutes established a minimum total oxygen capacity of 90 liters. Environment of use - locations where emergency oxygen maybe needed. Rx use: A portable oxygen generator intended to produce oxygen to provide supplemental oxygen as prescribed by a physician. Environment of use – Home, institutional, travel / mobile environments.
Device Description
A portable oxygen generator that utilizes a chemical reaction to generate oxygen. It is available in two versions: Emergency Use - OTC and Rx use. The Emergency Use version provides a minimum flow rate of 6 LPM for at least 15 minutes with a total oxygen capacity of 90 liters. The Rx use version provides variable flow rates (0.5 LPM for 60 minutes/30 liters capacity and 3 LPM for 30 minutes/90 liters capacity) as prescribed by a physician. Both versions are single use and disposable and use a standard oxygen mask or nasal cannula for patient interface.
More Information

Not Found

No
The device description and performance studies focus on chemical reaction and mechanical properties, with no mention of AI or ML.

Yes.

The device is intended to produce oxygen for emergency use and to provide supplemental oxygen as prescribed by a physician, which are therapeutic applications.

No

The device is an oxygen generator intended to produce oxygen for emergency use or as supplemental oxygen as prescribed by a physician. It does not perform any diagnostic function.

No

The device description clearly states it is a "portable oxygen generator that utilizes a chemical reaction to generate oxygen," indicating it is a physical device with hardware components.

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

Here's why:

  • IVD devices are used to examine specimens derived from the human body. The intended use and device description clearly state that this device generates oxygen for inhalation, either for emergency use or as prescribed supplemental oxygen. It does not involve the analysis of any biological samples.
  • The device's function is to provide a therapeutic gas (oxygen) directly to the patient. This falls under the category of medical devices used for treatment or support, not for diagnostic testing.
  • The performance studies and key metrics focus on the device's ability to generate and deliver oxygen at specific flow rates and durations. They do not involve any measurements or analysis of patient samples or biological markers.

Therefore, this device is a medical device, specifically an oxygen generator, but it does not fit the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

  • Emergency Use - OTC: Intended to produce oxygen for emergency use. There is a minimum 6 LPM flow rate for at least 15 minutes established a minimum total oxygen capacity of 90 liters. Environment of use - locations where emergency oxygen maybe needed.
  • Prescriptive Use: A portable oxygen generator intended to produce oxygen to provide supplemental oxygen as prescribed by a physician.
    | Flow rate | Delivery Time | Total Oxygen Capacity |
    |---|---|---|
    | 0.5 LPM | 60 minutes | 30 liters |
    | 3 LPM | 30 minutes | 90 liters |
    Environment of use – Home, institutional, travel / mobile environments

Product codes

CAW

Device Description

The O2-in-a-boxTM is a portable oxygen generator available in two versions: Emergency Use - OTC and Rx use. The device utilizes a chemical reaction to generate oxygen. For Emergency Use - OTC, it provides a minimum 6 LPM flow rate for at least 15 minutes, with a total oxygen capacity of 90 liters. For Rx use, it offers variable flow rates and durations: 0.5 LPM for 60 minutes (30 liters total oxygen) and 3 LPM for 30 minutes (90 liters total oxygen). Both versions are single-use and disposable, and deliver > 99% oxygen. Patient interface is via a standard oxygen mask or nasal cannula.

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

Patient Population: No limitations (for OTC), Require supplemental oxygen (for Rx use).

Intended User / Care Setting

  • Emergency Use - OTC: emergency locations
  • Rx use: Home, institutional, travel / mobile environments. Caregivers, self directed (administers oxygen).

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)

Performance testing was performed:

  • VOC / PM 2.5 and Residual Hydrogen Peroxide.
  • Bacteria / Mold Testing.
  • Environmental testing high and low temperature conditions.
  • Mechanical testing vibration.
  • Flow rate and flow duration for Emergency OTC and Rx Use including external container temperature and temperature of gas at outlet.
  • % oxygen generated.

The proposed devices met and passed all the performance testing as outlined above.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

  • % Oxygen - 99% (for OTC) / > 99% (for Rx)
  • Flow rate minimum - 6 LPM (for OTC) / > 1-5 lpm (Predicate for Rx), 0.5 LPM and 3.0 LPM (Proposed device for Rx)
  • Duration at least 15 minutes (for OTC) / Limited by battery life (Predicate for Rx), 0.5 LPM - 60 min - 30 l O2 and 3.0 LPM - 30 LPM - 90 l O2 (Proposed device for Rx)
  • 90 liter oxygen capacity (for OTC)
  • Housing temperature:

§ 868.5440 Portable oxygen generator.

(a)
Identification. A portable oxygen generator is a device that is intended to release oxygen for respiratory therapy by means of either a chemical reaction or physical means (e.g., a molecular sieve).(b)
Classification. Class II (performance standards).

0

FEB 1 1 2011

510(k) Summary Page 1 of 5 10-Feb-11

| Get-O2, Inc.
27 Bayberry Lane

Westport, CT 06880Tel - 603-570-2579
Official Contact:Richard P. Imbruce, Ph.D, President
Proprietary or Trade Name:O2-in-a-boxTM - Emergency Use - OTC
O2-in-a-boxTM - Rx use
Common/Usual Name:Portable oxygen generator
Classification Name:Portable Oxygen Generator
CAW - 868.5440
Predicate Devices:OxySure - Model 615 - K052396 - Emergency Use
Oxytec - Model 900 - K043615 - Rx use

Device Description

Indications for Use

Emergency Use - OTC

Intended to produce oxygen for emergency use.

There is a minimum 6 LPM flow rate for at least 15 minutes established a minimum total oxygen capacity of 90 liters.

Prescriptive Use -

A portable oxygen generator intended to produce oxygen to provide supplemental oxygen as prescribed by a physician.

Flow rateDelivery TimeTotal Oxygen Capacity
0.5 LPM60 minutes30 liters
3 LPM30 minutes90 liters

Environment of Use

Emergency - OTC - locations where emergency oxygen maybe needed Rx use - Home, institutional, travel / mobile environments

Performance Testing

Performance testing was performed:

  • VOC / PM 2.5 and Residual Hydrogen Peroxide .
  • Bacteria / Mold Testing .
  • Environmental testing high and low temperature conditions .

1

510(k) Summary Page 2 of 5 10-Feb-11

  • Mechanical testing vibration ●
  • . Flow rate and flow duration for Emergency OTC and Rx Use including external container temperature and temperature of gas at outlet
  • . % oxygen generated

The proposed devices met and passed all the performance testing as outlined above.

Comparative Table - OTC - Emergency Use

| Features | Predicate
OxySure K052396 | Proposed Device
O₂-in-a-box™
OTC - Emergency Use |
|------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|
| Indications for use | To produce oxygen for emergency
use | To produce oxygen for
emergency use |
| Environment of Use | Home, emergency locations | emergency locations |
| Patient Population | Not discussed | No limitations |
| Contraindications | None | None |
| Method for oxygen generation | Chemical reaction | Chemical reaction |
| Patient interface | Standard oxygen mask or nasal
cannula | Standard oxygen mask or nasal
cannula |
| Specifications | % Oxygen - 99%
Flow rate minimum - 6 LPM
Duration at least 15 minutes
90 liter oxygen capacity | % Oxygen - 99%
Flow rate minimum - 6 LPM
Duration at least 15 minutes
90 liter oxygen capacity |
| Single use, disposable | Yes | Yes |
| OTC designation | Yes | Yes |
| Performance testing | | |
| Flow rate | > 6 LPM | > 6 LPM |
| Duration of flow | At least 15 minutes | At least 15 minutes |
| % oxygen | >99% | > 99% |
| VOC / PM₂.₅ | Yes | Yes |
| Housing temperature | Yes | Yes |
| Temperature of gas at outlet | Yes | Yes |
| Accessories | Mask
Oxygen cannula | Mask
Oxygen cannula |

OTC - Emergency Use Substantial Equivalence

The O2-in-a-box™ for Emergency Use - OTC is viewed as substantially equivalent to the predicate device because:

Indications for Use -

Intended to produce oxygen for emergency use. There is a minimum 6 LPM flow rate for at least 15 minutes established a minimum total oxygen capacity of 90 liters.

2

510(k) Summary Page 3 of 5 10-Feb-11

Environment of use -

Locations where emergency oxygen may be needed.

Technology -

The O2-in-a-box™ for Emergency Use - OTC utilizes chemicals to be mixed when the device is ready for use. There chemical reaction generates oxygen. The used a chemical reaction to generate oxygen is identical technology to predicate OxySure (K052396).

Materials -

The materials in the gas pathway have been tested via VOC and PM2,5 as is expected for such devices. The test results demonstrate that the O2-in-a-box™ for Emergency Use - OTC does not generate unwanted particulate matter or undesirable gases. This is similar to the predicate OxySure (K052396).

Environment of Use -

The O2-in-a-box™ for Emergency Use - OTC has the identical environments of use, i.e. emergency settings, as does the predicate OxySure (K052396).

Patient Population -

The patient population is not specified by the predicate in the 510(k) Summary but the intended use is for individuals require oxygen in an emergency setting. This would be identical to the predicate OxySure (K052396).

Performance Specifications and Testing -

The O--in-a-box™ for Emergency Use - OTC has the minimum performance specifications required to meet emergency use, which are - at least a flow rate of 6 LPM for at least 15 minutes. This is identical to the predicate OxySure (K052396).

The O2-in-a-box™ for Emergency Use - OTC is equivalent to the predicate, OxySure (K052396), for performance specifications and testing.

The rationale for choosing the predicate is summarized as follows:

RX Use Substantial Equivalence

The O2-in-a-box™ for Rx Use is viewed as substantially equivalent to the predicate devices because:

3

510(k) Summary Page 4 of 5 10-Feb-11

Comparative Table - Rx Use

FeaturesPredicateProposed Device
Oxytec Model 900O2-in-a-boxTM
K043615OTC - Emergency Use
Indications for useFor prescription use by patientsFor prescription use by
requiring high concentration ofpatients requiring oxygen on a
oxygen on a supplemental basissupplemental basis
Environment of UseHome, institutional, travel /Home, institutional, travel /
mobile environmentsmobile environments
Patient PopulationRequire supplemental oxygenRequire supplemental oxygen
ContraindicationsNoneNone
Method for oxygen generationMolecular sieveChemical reaction
Patient interfaceStandard oxygen mask or nasalStandard oxygen mask or nasal
cannulacannula
Single use, disposableNoYes
Rx designationYesYes
Who designates use and setsClinician prescribes and designateClinician prescribes and
flow rateflow ratedesignate flow rate
Who administers oxygenCaregivers, self directedCaregivers, self directed
Performance testing
Flow rate range> 1-5 1pm0.5 LPM and 3.0 LPM
Duration of flow / O2 capacityLimited by battery life0.5 LPM - 60 min - 30 l O2
3.0 LPM - 30 LPM - 90 l O2
% oxygen89% +/- 3%> 99%
VOC / PM25YesYes
Housing temperature2 -in-a-box™ portable oxygen generator -- Rx Use

Indications for Use:

A portable oxygen generator intended to produce oxygen to provide supplemental oxygen as prescribed by a physician.

Flow rateDelivery TimeTotal Oxygen Capacity
0.5 LPM.60 minutes30 liters
3 LPM30 minutes90 liters

Environment of use – Home, institutional, travel / mobile environments

1 100

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Prescription Use XX_orOver-the-counter use _
(Part 21 CFR 801 Subpart D)(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

11/02750 510(k) Number: __

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