K Number
K112824
Device Name
QUALITY LIFE TECHNOLOGIES COMPRESSOR NEBULIZER
Date Cleared
2012-06-21

(267 days)

Product Code
Regulation Number
868.5630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Quality Life Technologies Compressor Nebulizer is an AC powered air compressor that provides a source of compressed air for home health care use. The product is used in conjunction with a jet (pneumatic) nebulizer to convert liquid medication into an aerosol form with particles smaller than 5 microns diameter for inhalation into the patient's respiratory tract for the treatment of respiratory disorders. The target population for this device consists of adult patients suffering from, but not limited to asthma, cystic fibrosis, and chronic obstructive pulmonary disease. Further, additional applications for aerosolized medication are constantly under investigation and this device may be deemed suitable for such applications as prescribed. The intended environment for use of the product is in the patient's home on the order of a physician.
Device Description
Our Quality Life Technologies Compressor Nebulizer works to convert the medication to a high-quality mist of fine particles and spray liquid medications in aerosol form into gases that are directly delivered to the patient.
More Information

No
The summary describes a standard compressor nebulizer and does not mention any AI or ML capabilities. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

Yes.
The device converts liquid medication into an aerosol for inhalation to treat respiratory disorders, indicating a therapeutic purpose.

No

The device is described as an AC powered air compressor that provides compressed air for a jet nebulizer to convert liquid medication into an aerosol form for inhalation. Its purpose is for treatment of respiratory disorders, not for diagnosis.

No

The device description clearly indicates it is an AC powered air compressor and works to convert liquid medication into an aerosol form, which are hardware components.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Quality Life Technologies Compressor Nebulizer is a medical device that delivers medication to the patient's respiratory tract. It works by converting liquid medication into an aerosol for inhalation.
  • Intended Use: The intended use is for the treatment of respiratory disorders by delivering medication directly to the patient's lungs. It does not involve testing or analyzing samples from the body.

The device is a therapeutic device used for drug delivery, not a diagnostic device used for testing biological samples.

N/A

Intended Use / Indications for Use

The Quality Life Technologies Compressor Nebulizer is an AC powered air compressor that provides a source of compressed air for home health care use. The product is used in conjunction with a jet (pneumatic) nebulizer to convert liquid medication into an aerosol form with particles smaller than 5 microns diameter for inhalation into the patient's respiratory tract for the treatment of respiratory disorders.

The target population for this device consists of adult patients suffering from, but not limited to asthma, cystic fibrosis, and chronic obstructive pulmonary disease. Further, additional applications for aerosolized medication are constantly under investigation and this device may be deemed suitable for such applications as prescribed.

The intended environment for use of the product is in the patient's home on the order of a physician.

Product codes (comma separated list FDA assigned to the subject device)

CAF

Device Description

Our Quality Life Technologies Compressor Nebulizer works to convert the medication to a high-quality mist of fine particles and spray liquid medications in aerosol form into gases that are directly delivered to the patient.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Respiratory tract

Indicated Patient Age Range

Adult patients

Intended User / Care Setting

Home health care user; in the patient's home on the order of a physician.

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)

The performance requirements for Quality Life Technologies Compressor Nebulizer were met:
The patient contact components of the Quality Life Technologies Compressor Nebulizer met the requirements of ISO 10993 Part-1, "Biological Evaluation of Medical Devices".
Quality Life Technologies Compressor Nebulizer met the requirements of IEC 60601-1 and IEC 60601-1-2.
The performance of the Quality Life Technologies Compressor Nebulizer was tested by third party lab and demonstrated substantially equivalent to that of the predicate device.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K931015, K870027

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K052438

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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

510(k) Summary k / 12824

JUN 2 1 2012

Summary Prepared Date: 04/12/2012

Submission Sponsor:

Quality Life Technologies Co., Ltd

No.5 Lao Fu Wu Road, Huang Wu Industrial District, Dong Keng Town, Dongguan, Guangdong, P.R.China 523447

Submission Correspondent:

Mr. Leon Lu Director of Quality and Requlatory Affairs

MEDevice Services, LLC

3500 South Dupont Highway Dover, Delaware 19901 USA Phone: 1-877-202-1588 Fax: 1-888-202-8884 Email: info@medeviceservices.com Website: www.medeviceservices.com

Trade/Device Name:

Quality Life Technologies Compressor Nebulizer, Models NBA02-XXX Common or Usual Name: Nebulizer (direct patient interface) Device Class: II Classification Name: Nebulizer (direct patient interface) Regulation Number: 21 CFR 868.5630 Product Code: CAF Review Panel: Anesthesiology

Predicate Device:

  • K931015, DEVILBISS HEALTH CARE, INC. THUNGER TIGER CORP. . � DEVILBISS MODEL 4650 COMPRESSOR NEUBULIZER
  • K870027, SALTER LABS . HAND HELD PHEUMATIC POWERED (DISPOSABLE) NEBULIZER

1

  • K052438, EMG Technology Co., Ltd . EMG Handle Nebulizer NB02 Series

Device Description:

Our Quality Life Technologies Compressor Nebulizer works to convert the medication to a high-quality mist of fine particles and spray liquid medications in aerosol form into gases that are directly delivered to the patient.

Intended Use:

The Quality Life Technologies Compressor Nebulizer is an AC powered air compressor that provides a source of compressed air for home health care use. The product is used in conjunction with a jet (pneumatic) nebulizer to convert liquid medication into an aerosol form with particles smaller than 5 microns diameter for inhalation into the patient's respiratory tract for the treatment of respiratory disorders.

The target population for this device consists of adult patients suffering from, but not limited to asthma, cystic fibrosis, and chronic obstructive pulmonary disease. Further, additional applications for aerosolized medication are constantly under, investigation and this device may be deemed suitable for such applications as prescribed.

The intended environment for use of the product is in the patient's home on the order of a physician.

| Descriptive

InformationProposed DevicePredicate Device
510(k) NumberNONEK931015
ManufacturerQuality Life Technologies Co., LtdDEVILBISS HEALTH CARE, INC
Proprietary or
Model NameQuality Life Technologies
Compressor Nebulizer, Models
NBA02-XXXDEVILBISS MODEL 4650
COMPRESSOR NEUBULIZER
Indication for UseThe Quality Life Technologies
Compressor Nebulizer is an AC
powered air compressor that
provides a source of compressed
air for home health care use. The
product is used in conjunction with
a jet (pneumatic) nebulizer to
convert liquid medication into an
aerosol form with particles smaller
than 5 microns diameter forThe DeVilbiss compressor/nebulizer is an
AC powered air compressor that provides
a source of compressed air for home
health care use. The product is used in
conjunction with a jet (pneumatic)
nebulizer to convert liquid medication into
an aerosol form with particles smaller
than 5 microns diameter for inhalation into
the patient's respiratory tract for the
treatment of respiratory disorders.

Comparison to Predicate Devices:

2

| inhalation into the patient's
respiratory tract for the treatment of
respiratory disorders. | The target population for this device
consists of adult patients suffering from,
but not limited to asthma, cystic fibrosis, |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| The target population for this device
consists of adult patients suffering
from, but not limited to asthma,
cystic fibrosis, and chronic
obstructive pulmonary disease.
Further, additional applications for
aerosolized medication are
constantly under investigation and
this device may be deemed suitable
for such applications as prescribed. | and chronic obstructive pulmonary
disease. Further, additional applications
for aerosolized medication are constantly
under investigation and this device may
be deemed suitable for such applications
as prescribed.
The intended environment for use of the
product is in the patient's home on the
order of a physician. |
| The intended environment for use
of the product is in the patient's
home on the order of a physician. | |

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| Descriptive

InformationProposed DevicePredicate Device
510(k) NumberNONEK870027
ManufacturerQuality Life Technologies Co., LtdSALTER LABS
Proprietary or
Model NameQuality Life Technologies Compressor
Nebulizer, Models NBA02-XXXHAND HELD PHEUMATIC
POWERED (DISPOSABLE)
NEBULIZER
Indication for UseThe Quality Life Technologies
Compressor Nebulizer is an AC
powered air compressor that provides
a source of compressed air for home
health care use. The product is used in
conjunction with a jet (pneumatic)
nebulizer to convert liquid medication
into an aerosol form with particles
smaller than 5 microns diameter for
inhalation into the patient's respiratory
tract for the treatment of respiratory
disorders.Hand Held Pheumatic Powered
(Disposable) Nebulizer is to convert
liquid medication into an aerosol form
with particles smaller than 5 microns
diameter for inhalation into the
patient's respiratory tract for the
treatment of respiratory disorders
The target population for this device
consists of adult patients suffering
from, but not limited to asthma, cystic
fibrosis, and chronic obstructive
pulmonary disease. Further, additional
applications for aerosolized medication
are constantly under investigation and
this device may be deemed suitable for
such applications as prescribed.
The intended environment for use of
the product is in the patient's home on
the order of a physician.
PrincipleAerosolizes liquid into aerosol form by
compressing air.Aerosolizes liquid into aerosol form by
compressing air
MMAD