K Number
K110273
Date Cleared
2011-06-09

(129 days)

Product Code
Regulation Number
868.5630
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The AeroVent Plus™ CHC is a single patient use collapsible holding chamber that provides the means of delivering MDI packaged drugs into a ventilator breathing circuit. The intended environments for use include the home, hospitals and clinics.

Device Description

The AeroVent Plus™ Collapsible Holding Chamber (CHC) is a single patient use device used for the administration of MDI packaged drugs to mechanically ventilated patients without the need to compromise the integrity of the breathing circuit by having to open the circuit to administer the medication. The AeroVent Plus™ CHC remains collapsed in the breathing circuit until such time that a treatment is required. The AeroVent Plus™ CHC is then expanded while remaining in the circuit and treatment is given. Upon completion of the treatment the AeroVent Plus™ CHC is then once again collapsed in the circuit.

It is designed only for use in the inspiratory limb of a breathing circuit, to accommodate conventional pMDI canisters as well as most pMDI canisters with integrated dose counters (GSK type) while maintaining the counter function.

AI/ML Overview

The medical device, AeroVent Plus™ Collapsible Holding Chamber (CHC), is a single-patient-use device for administering MDI packaged drugs to mechanically ventilated patients without compromising the breathing circuit. It is designed for use in the inspiratory limb of a breathing circuit and accommodates conventional pMDI canisters and most pMDI canisters with integrated dose counters.

This summary describes the device's acceptance criteria and the study that indicates it meets those criteria.

1. Table of Acceptance Criteria and Reported Device Performance

TestAcceptance Criteria (Compared to Predicate Device AeroVent® CHC)Reported Device Performance (AeroVent Plus™ CHC)
MMAD (Mass Median Aerodynamic Diameter)Comparable performanceComparable to AeroVent® CHC
Pressure Leak TestingComparable performanceComparable to AeroVent® CHC
Environmental TestingComparable performanceComparable to AeroVent® CHC
Mechanical Life CycleComparable performanceComparable to AeroVent® CHC
Use with Integrated Dose CountersMaintain counter function for pMDI products with integrated dose countersAllows for activation of the counter (unlike predicate devices)
FittingsComply with ISO5356-1 standardComplies with ISO5356-1 standard

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

The document does not explicitly state the sample sizes for the non-clinical tests (MMAD, Pressure Leak Testing, Environmental Testing, Mechanical Life Cycle). It also does not specify the country of origin for the data or whether the studies were retrospective or prospective.

3. Number of Experts and Their Qualifications for Ground Truth

No experts were used to establish ground truth for a test set, as this device's performance was evaluated through non-clinical laboratory testing comparing it to a predicate device, not by diagnostic accuracy or interpretation by human experts.

4. Adjudication Method for the Test Set

No adjudication method was used for a test set involving human interpretation, as the evaluation relied on non-clinical engineering and performance testing.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

No MRMC study was conducted. The device is not an AI-assisted diagnostic tool, and its effectiveness was demonstrated through non-clinical comparison to a predicate device.

6. Standalone Performance Study

Yes, a standalone performance was done in the sense that the device itself was subjected to several non-clinical tests (MMAD, Pressure Leak Testing, Environmental Testing, Mechanical Life Cycle) and its performance was compared to a predicate device.

7. Type of Ground Truth Used

The ground truth or benchmark for the performance tests was established by comparison to a legally marketed predicate device (AeroVent® Collapsible Holding Chamber) and compliance with an industry standard (ISO5356-1). This is a form of device performance comparison against a known standard/predicate, rather than expert consensus, pathology, or outcomes data typically associated with diagnostic devices.

8. Sample Size for the Training Set

No training set was described or utilized, as this device relies on mechanical and material properties rather than machine learning algorithms.

9. How Ground Truth for the Training Set Was Established

Not applicable, as there was no training set.

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K110273

JUN - 9 2011

510(k) SUMMAR Y

Date Prepared: June 9, 2011

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

    1. Submitter Information
Name:Monaghan Medical Corporation
Address:5 Latour Avenue; Suite 1600Plattsburgh, New York 12901
Telephone#:518-561-7330
Fax#:518-561-5660
Contact Person:Cari J. ReilRegulatory Affairs Manager
    1. Device Information
Device Trade Name:AeroVent Plus™ Collapsible Holding Chamber
Common Name:Aerosol Holding Chamber/Spacer
Classification Name:Nebulizer (Direct Patient Interface)
Classification Number:868.5630
    1. Legally Marketed Predicate Devices
Device Trade Name:AeroVent ® Collapsible Holding Chamber
510(k) Number:K894969
Manufacturer:Monaghan Medical Corporation
Device Trade Name:AeroVent II ™ Collapsible Holding Chamber
510(k) Number:K012939
Manufacturer:Monaghan Medical Corporation
    1. Device Description
      The AeroVent Plus™ Collapsible Holding Chamber (CHC) is a single patient use device used for the administration of MDI packaged drugs to mechanically ventilated patients without the need to compromise the integrity of the breathing circuit by having to open the circuit to administer the medication. The AeroVent Plus™ CHC remains collapsed in the breathing circuit until such time that a treatment is required. The AeroVent Plus™ CHC is then expanded while

{1}------------------------------------------------

remaining in the circuit and treatment is given. Upon completion of the treatment the AeroVent Plus™ CHC is then once again collapsed in the circuit.

It is designed only for use in the inspiratory limb of a breathing circuit, to accommodate conventional pMDI canisters as well as most pMDI canisters with integrated dose counters (GSK type) while maintaining the counter function.

    1. Intended Use
      The AeroVent Plus™ CHC is a single patient use collapsible holding chamber that provides the means of delivering MDI packaged drugs into a ventilator breathing circuit. The intended environments for use include the home, hospitals and clinics.
    1. Technological Characteristics
      The AeroVent PlusTM CHC has the same function and intended use as the predicate devices, AeroVent® CHC and Aerovent IITM CHC. It is also approximately the same size.

The AeroVent Plus™ CHC allows for use of pMDI products with integrated dose counters, allowing the activation of the counter. The AeroVent™ CHC or Aerovent ITM CHC did not have this ability.

The fittings on the AeroVent Plus™ CHC have been standardized to comply with the ISO5356-1 standard as on the predicate of the Aerovent IITM CHC.

    1. Non-Clinical Test Summary
      The AeroVent Plus™ CHC was tested to compare performance to the predicate device of AeroVent® CHC, including:
  • MMAD Mass Median Aerodynamic Diameter -

  • -Pressure Leak Testing

  • Environmental Testing -

  • Mechanical Life Cycle -

In all cases the AeroVent Plus™ CHC was comparable to the AeroVent @ CHC.

    1. Clinical Performance Summary
      Clinical testing was not completed as it is not required to show substantial equivalence.
    1. Conclusions
      The AeroVent Plus™ CHC meets performance requirements and raises no new issues of safety or effectiveness.

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

Ms. Cari J. Reil Regulatory Affairs Manager Monaghan Medical Corporation 5 Latour Avenue, Suite 1600 Plattsburgh, New York 12901

JUN - 9 2011

Re: K110273

Trade/Device Name: AeroVent Plus™ Collapsible Holding Chamber (CHC) Regulation Number: 21 CFR 868.5630 Regulation Name: Nebulizer Regulatory Class: II Product Code: CAF Dated: May 26, 2011 Received: May 27, 2011

Dear Ms. Reil:

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. Reil

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/ ucm 1 1 5809.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.

hh 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 -

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510(k) Number (if known): |< | | | 2 7 3

Device Name: _ AeroVent Plus™ Collapsible Holding Chamber (CHC)

Indications for Use:

The AeroVent Plus™ CHC is a single patient use collapsible holding chamber that provides the means of delivering MDI packaged drugs into a ventilator breathing circuit. The intended environments for use include the home, hospitals and clinics.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Anesthesiology, General Hospital
Infection Control, Dental Devices
510(k) Number:K110273
Prescription Use √(Per 21 CFR 801.109)orOver-The-Counter Use

Monaghan Medical Corporation · 5 Latour Avenue, Suite 1600 · Plattsburgh, NY 12901 · Toll Free 800-B33-9653 · Fax 518-561-5088 · www.monaghanmed.com

§ 868.5630 Nebulizer.

(a)
Identification. A nebulizer is a device intended to spray liquids in aerosol form into gases that are delivered directly to the patient for breathing. Heated, ultrasonic, gas, venturi, and refillable nebulizers are included in this generic type of device.(b)
Classification. Class II (performance standards).