K Number
K110860
Device Name
COMP A-I-R
Date Cleared
2011-09-02

(157 days)

Product Code
Regulation Number
868.5630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The NE-C801 Nebulizer Compressor System is intended to provide air to the pneumatic nebulizer in order to aerosolize medications for inhalation by the patient for respiratory disorders. The system is designed for use with pediatric (defined by the prescribed medication) and adult patients in the home, hospital, and sub-acute settings.
Device Description
The Omron NE-C801 nebulizer compressor system is a standard nebulizer compressor system with an integral compressor and handheld, pneumatic nebulizer intended for general purpose use. It is powered by standard AC. This is a modification of the NE-C28 cleared under K060811.
More Information

No
The description focuses on the mechanical function of a nebulizer compressor and aerosol performance testing, with no mention of AI or ML.

Yes
The device is intended to aerosolize medications for inhalation by patients with respiratory disorders, which is a therapeutic purpose.

No

The device is described as a nebulizer compressor system intended to aerosolize medications for inhalation, which is a therapeutic function, not a diagnostic one.

No

The device description explicitly states it is a "standard nebulizer compressor system with an integral compressor and handheld, pneumatic nebulizer," indicating it is a hardware device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the device is for "aerosolize medications for inhalation by the patient for respiratory disorders." This is a therapeutic purpose, delivering medication directly to the patient's respiratory system.
  • Device Description: The description confirms it's a "nebulizer compressor system" that provides air to a nebulizer to create an aerosol for inhalation.
  • IVD Definition: In Vitro Diagnostics (IVDs) are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. This device does not perform any such tests on bodily samples.

The information provided describes a device used for drug delivery, not for diagnostic testing of biological samples.

N/A

Intended Use / Indications for Use

The NE-C801 Nebulizer Compressor System is intended to provide air to the pneumatic nebulizer in order to aerosolize medications for inhalation by the patient for respiratory disorders. The system is designed for use with pediatric (defined by the prescribed medication) and adult patients in the home, hospital, and sub-acute settings.

Product codes

CAF

Device Description

The Omron NE-C801 nebulizer compressor system is a standard nebulizer compressor system with an integral compressor and handheld, pneumatic nebulizer intended for general purpose use. It is powered by standard AC. This is a modification of the NE-C28 cleared under K060811. The modifications to the device do not change the intended use of the predicate device. The modifications to the device do not alter the fundamental scientific technology. As there are no changes in hardware that will impact performance, there is no need to validate the changes through a clinical investigation.

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

Pediatric (defined by the prescribed medication) and adult patients

Intended User / Care Setting

Home, hospital, and sub-acute settings

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:
Verification activities, as required by the risk analysis, for the modification were performed by the designated individual(s) and the results demonstrated that the predetermined acceptance criteria were met. Table 1 summarizes the comparison and Table 2 the testing.

Performance Testing:
We have performed a number of performance tests which are identical to those done with the predicate, K060811. These included:

  • IEC 60601-1
  • IEC 60601-1-2
  • Cascade Impactor particle testing with 3 devices for 3 runs with 3 drugs resulting in a 95% confidence interval
  • Compressor testing
    • VOC testing per EPA TO-15
    • PM2.5 testing per NIOSH NMAM 0600
    • Ozone testing per OSHA method ID 214

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

Total Delivered Dose (ug)

  • Pulmicort - 391.1
  • Intal - 12368.9
  • Salbutamol - 7883.3

Total delivered Dose fraction (%)

  • Pulmicort - 78.2%
  • Intal - 61.8%
  • Salbutamol - 77.0%

Particle size (MMAD) (Microns)

  • Pulmicort - 3.88
  • Intal - 2.91
  • Salbutamol - 2.54

Geometric Std. Dev. (GSD)

  • Pulmicort - 1.93
  • Intal - 2.27
  • Salbutamol - 2.62

Respirable Fraction (% Mass 0.5-5 microns)

  • Pulmicort-61.9%
  • Intal - 70.5%
  • Salbutamol - 66.4%

Total Respirable Dose (ug 0.5 -5.0 microns)

  • Pulmicort - 242.2
  • Intal - 8729.5
  • Salbutamol - 5335.0

Medication captured on USP Throat (ug)

  • Pulmicort - 13.3
  • Intal - 253.6
  • Salbutamol - 144.9

Medication captured on USP Throat Fraction (%)

  • Pulmicort - 3.4%
  • Intal - 2.0%
  • Salbutamol - 1.8%

Medication retained in Device (ug)

  • Pulmicort - 96.1
  • Intal - 8000.0
  • Salbutamol - 2072.2

Medication Retained in Device Fraction (%)

  • Pulmicort - 19.2%
  • Intal - 40.0%
  • Salbutamol - 41.4%

Coarse Particle (>4.7 um) Fraction (%)

  • Pulmicort - 37.1%
  • Intal - 27.7%
  • Salbutamol - 26.6%

Fine Particle (

§ 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).

0

SEP - 2 2011 510(k) Summary Page 4 of 6 31-Aug-11

KI10860

Omron Healthcare, Inc.
1200 Lakeside DriveTel - 847-247-5626
Bannockburn, IL 60015 USAFax - 847-247-5626
Official Contact:Mirna DiPano - Director, Quality & Regulatory
Proprietary or Trade Name:NE-C801 Nebulizer Compressor system
Common/Usual Name:Nebulizer (direct patient interface)
Classification Name/Code:CAF
Nebulizer (direct patient interface)
CFR 868.5630
Device:NE-C801 nebulizer compressor system
Modified Device:Omron- NE-C28 - K060811

Device Description:

The Omron NE-C801 nebulizer compressor system is a standard nebulizer compressor system with an integral compressor and handheld, pneumatic nebulizer intended for general purpose use. It is powered by standard AC. This is a modification of the NE-C28 cleared under K060811.

The modifications to the device do not change the intended use of the predicate device. The modifications to the device do not alter the fundamental scientific technology. As there are no changes in hardware that will impact performance, there is no need to validate the changes through a clinical investigation.

Indications for Use:

The NE-C801 Nebulizer Compressor System is intended to provide air to the pneumatic nebulizer in order to aerosolize medications for inhalation by the patient for respiratory disorders. The system is designed for use with pediatric (defined by the prescribed medication) and adult patients in the home, hospital, and sub-acute settings.

Patient Population:

Pediatric (defined by the prescribed medication) and adult patients

Environment of Use:

Home, hospital, and sub-acute settings

Contraindications: None

1

510(k) Summary Page 2 of 6 31-Aug-11

Summary of Modifications:

The modifications to the device do not change the intended use of thepredicate device. The modifications to the device do not alter the fundamental scientific technology. As there are no changes in hardware that will impact performance, there is no need to validate the changes through a clinical investigation.

Modifications:

  • . Minor changes to nebulizer design
  • Changes to physical dimensions .
  • . Change to compressor design to make it smaller and lighter weight

There is no change in intended use, including patient population and environment of use. There is no change in contraindications.

Performance Testing:

Verification activities, as required by the risk analysis, for the modification were performedby the designated individual(s) and the results demonstrated that the predetermined acceptance criteria were met. Table 1 summarizes the comparison and Table 2 the testing.

Table 1 - Comparison and Equivalence of Model NE-C801 and the Predicate

FeaturesNewPredicate (K060811)
NE-C801NE-C28
Indications for useThe NE-C801 Nebulizer Compressor
System is intended to provide air to
the pneumatic nebulizer in order to
aerosolize medications for inhalation
by the patient for respiratory
disorders.The Omron Compressor Nebulizer Systems
include a compressor and nebulizer, Model
NE-C28 uses an AC powered compressor.
The electrically powered compressor provides
compressed air to the supplied pneumatic
nebulizer to aerosolize drugs for inhalation by
the patient. The nebulizer which when
driven by the integral air compressor,
nebulizes specific inhalable drugs for
inhalation by a patient for treatment of
respiratory disorders such as allergies, asthma,
cystic fibrous, COPD, etc.
Environment of UseHome, Hospital, Sub-acute settingsSame
Patient PopulationPediatric (defined by the prescribed
medication) and adult patientsSame - Pediatric and adult
ContraindicationsNoneNone
Principle of OperationPneumatic (gas powered) jet
nebulizerPneumatic (gas powered) jet nebulizer
AerosolizationContinuous during inhalation and
exhalationContinuous during inhalation and exhalation
Compressed gas sourceNebulizer compressor
Wall air / oxygen with flow rate
controlNebulizer compressor
Wall air / oxygen with flow rate
control
Typical flow rate8 Ipm8 Ipm

2

510(k) Summary Page 3 of 6

31-Aug-11

| Features | New
NE-C801 | Predicate (K060811)
NE-C28 |
|-----------------------------------------------|---------------------------------------------------------------------------|---------------------------------------------------------------------------|
| Components available in kit
with nebulizer | Mouthpiece / Hose
Face Mask
Oxygen / Delivery tubing
Aerosol tee | Mouthpiece / Hose
Face Mask
Oxygen / Delivery tubing
Aerosol tee |
| Component / Accessories
intended use | All are single patient, multi-use | All are single patient, multi-use |
| Standards met | IEC 60601-1
IEC 60601-1-2 | IEC 60601-1
IEC 60601-1-2 |
| Operating conditions | 10°C to 40°C 30% to 85% RH | 10°C to 40°C 30% to 85% RH |
| Storage conditions | -20°C to 60°C 10% to 95% RH | -20°C to 60°C 10% to 90% RH |
| Dimensions (mm) | 142(W) x 72(D) x 98(H) | 165(W) x 260(D) x 121(H) |
| Weight (kg) | 0.270 kg | 2.5 kg |

Performance
Materials ISO 10993Identical to K060811
Particle Characterization per Cascade Impactor
Total Delivered Dose (ug)
MeanPulmicort - 391.1Pulmicort - 401.6
Intal - 12368.9Intal - 12233.3
Salbutamol - 7883.3Salbutamol - 7972.2
Total delivered Dose fraction
(%)Pulmicort - 78.2%Pulmicort - 80.3%
Intal - 61.8%Intal - 61.2%
Salbutamol - 77.0%Salbutamol - 79.7%
Particle size (MMAD)
(Microns)Pulmicort - 3.88Pulmicort - 3.73
Intal - 2.91Intal - 2.71
Salbutamol - 2.54Salbutamol - 2.35
Geometric Std. Dev.
(GSD)Pulmicort - 1.93Pulmicort - 2.05
Intal - 2.27Intal - 2.29
Salbutamol - 2.62Salbutamol - 2.59
Respirable Fraction
(% Mass 0.5-5 microns)Pulmicort-61.9%Pulmicort - 62.7%
Intal - 70.5%Intal - 72.8%
Salbutamol - 66.4%Salbutamol - 69.2%
Total Respirable Dose (ug
0.5 -5.0 microns)Pulmicort - 242.2Pulmicort - 251.9
Intal - 8729.5Intal - 8894.8
Salbutamol - 5335.0Salbutamol - 5514.4
Medication captured on USP
Throat (ug)Pulmicort - 13.3Pulmicort - 14.9
Intal - 253.6Intal - 213.4
Salbutamol - 144.9Salbutamol - 141.4
Medication captured on USP
Throat Fraction (%)Pulmicort - 3.4%Pulmicort - 3.8%
Intal - 2.0%Intal - 1.7%
Salbutamol - 1.8%Salbutamol - 1.8%
Medication retained in
Device (ug)Pulmicort - 96.1Pulmicort - 104.4
Intal - 8000.0Intal - 7533.3
Salbutamol - 2072.2Salbutamol - 1977.8
Medication Retained in
Device Fraction (%)Pulmicort - 19.2%Pulmicort - 20.9%
Intal - 40.0%Intal - 37.7%
Salbutamol - 41.4%Salbutamol - 39.6%

3

510(k) Summary Page 4 of 6 31-Aug-11

| Features | New
NE-C801 | Predicate (K060811)
NE-C28 |
|------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|
| Particle Characterization per Cascade Impactor | | |
| Coarse Particle (>4.7 um)
Fraction (%) | Pulmicort - 37.1%
Intal - 27.7%
Salbutamol - 26.6% | Pulmicort - 35.3%
Intal - 25.0%
Salbutamol - 24.6% |
| Fine Particle ( induction port throat. Aerosol was sampled directly from the outlet. Three (3) device samples were tested with 3 runs each, for a total of 9 sample points per each drug. Aerosol was sampled directly from the outlet. The following table is a summary of results with intervals given for a 95% confidence level.

| Mean / Std. Dev | Pulmicort
(250 ug/ml) | Intal
(10 mg/ml) | Salbutamol
(5 mg/ml) |
|---------------------------------------------------|--------------------------|---------------------|-------------------------|
| Total delivered Dose (ug) | 391.11
±16.51 | 12368.89
±269.61 | 7883.33
±116.96 |
| Total Delivered Dose Fraction (%) | 78.2%
±3.3% | 61.8%
±3.1% | 77.0%
±2.5% |
| Particle Size (MMAD) um | 3.88
±0.28 | 2.91
±0.14 | 2.54
±0.28 |
| Geometric Standard Deviation | 1.93
±0.20 | 2.27
±0.02 | 2.62
±0.03 |
| Respirable Fraction
(0.5-5 um) | 61.9%
±4.0% | 70.5%
±1.3% | 66.4%
±1.6% |
| Total Respirable Dose
(ug between 0.5-5 um) | 242.17
±18.90 | 8729.49
±497.57 | 5235.02
±233.61 |
| Medication Captured on USP
Throat | 13.34
±3.40 | 253.66
±27.42 | 144.94
±16.32 |
| Medication Captured on USP
Throat Fraction (%) | 3.4%
±0.4% | 2.0%
±0.1% | 1.8%
±0.1% |
| Medication Retained in Device | 96.11
±9.61 | 8000.00
±438.21 | 2072.22
±257.90 |

4

510(k) Summary Page 5 of 6 31-Aug-11

| Mean / Std. Dev | Pulmicort
(250 ug/ml) | Intal
(10 mg/ml) | Salbutamol
(5 mg/ml) |
|-----------------------------------------------|--------------------------|------------------------|-------------------------|
| Medication Retained in Device
Fraction (%) | 19.2%
$\u00b1$ 1.9% | 40%
$\u00b1$ 2.2% | 41.4%
$\u00b1$ 5.2% |
| Mean / Std. Dev | Pulmicort
(250 ug/ml) | Intal
(10 mg/ml) | Salbutamol
(5 mg/ml) |
| Coarse Particle Fraction (%) (>4.7 um) | 37.1%
$\u00b1$ 2.9% | 27.7%
$\u00b1$ 1.5% | 26.6%
$\u00b1$ 2.3% |
| Fine Particle Fraction (%) (