K Number
K112856
Device Name
LUCINA-MELODI
Date Cleared
2012-05-10

(223 days)

Product Code
Regulation Number
884.5160
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Lucina-Melodi Advance Breast Pump is intended to express and collect milk from the breast of lactating women. This device may be used by more than one user if the collection kit is changed.
Device Description
The Lucina Melodi Advanced Breast Pump is a battery powered breast pump powered by a smart software. It has a 2 phase suction cycle. Phase 1 runs at a higher speed than phase 2. It is portable and is battery powered, with a rechargeable battery build in the system. It weighs less than 1 kg. it is intended for continuous usage from User A to User B to User C etc. It can be use on both breasts at the same time as well as single breast one at a time. The device has a build in color LCD screen, and east to use buttons and graphic user interface. The device can be run on battery power and also while plugged in to the AC adapter. Internally it gets its suction from a diaphragm motor. The PCB board will control the speed and the suction of the motor to provide optimal suction or based on the settings that the user sets at.
More Information

Not Found

No
The description mentions "smart software" and control of speed and suction based on user settings or "optimal suction," but there is no explicit mention of AI, ML, or any learning or adaptive capabilities. The control appears to be based on pre-programmed logic or user input, not on algorithms that learn from data.

No
The device is a breast pump intended to express and collect milk, which is not considered a therapeutic function that prevents, treats, or diagnoses a disease or condition.

No

The device is a breast pump, which is used to express and collect milk. Its intended use and description do not mention diagnosis, detection, or monitoring of any medical condition.

No

The device description explicitly mentions hardware components such as a battery, motor, PCB board, LCD screen, and buttons, indicating it is a physical device with integrated software, not a software-only medical device.

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

Here's why:

  • IVD Definition: In vitro diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information about a person's health. This information is used for diagnosis, monitoring, or screening.
  • Device Function: The Lucina-Melodi Advance Breast Pump's intended use is to "express and collect milk from the breast of lactating women." It is a mechanical device that physically interacts with the body to collect a substance.
  • Lack of Diagnostic Function: The device does not analyze the collected milk or any other bodily fluid to provide diagnostic information about the user's health. It simply facilitates the collection process.

The description clearly indicates it's a powered breast pump, which is a medical device, but not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Lucina-Melodi Advance Breast Pump is intended to express and collect milk from the breast of lactating women. This device may be used by more than one user if the collection kit is changed.

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

HGX

Device Description

The Lucina Melodi Advanced Breast Pump is a battery powered breast pump powered by a smart software. It has a 2 phase suction cycle. Phase 1 runs at a higher speed than phase 2. It is portable and is battery powered, with a rechargeable battery build in the system. It weighs less than 1 kg. it is intended for continuous usage from User A to User B to User C etc. It can be use on both breasts at the same time as well as single breast one at a time. The device has a build in color LCD screen, and east to use buttons and graphic user interface. The device can be run on battery power and also while plugged in to the AC adapter. Internally it gets its suction from a diaphragm motor. The PCB board will control the speed and the suction of the motor to provide optimal suction or based on the settings that the user sets at.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Breast

Indicated Patient Age Range

Lactating women (implied adult)

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)

Bench testing was done on the Lucina-Melodi Advance Breast Pump. Continuous usage test to prove that the machine can withhold strenuous and continuous usage, as well as post testing for consistency to measure pressure over time to ensure that the pressure stays consistent within a defined suction range. A microbiological tightness validation test for the membrane of the barrier diaphragm in the breast shield set was also conducted.

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.

K102516, K020518

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.

Not Found

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

§ 884.5160 Powered breast pump.

(a)
Identification. A powered breast pump in an electrically powered suction device used to express milk from the breast.(b)
Classification. Class II (performance standards).

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K112856 page 1 of 4

Traditional 510k Summary

General Information

    1. Applicant
  1. Contact Person
  • Trade/Proprietary Name 3. Including Model Number of Device
  • Common Name or 4. Classification Name (21 CFR Part 807.87) of Device
  • Class in which Device has 5. been placed
    1. Reason for Premarket Notification
    1. Identification of Legally Marketed Device Which We Can Claim Substantial Equivalence (Predicate Device)
  • Brief Description of Device 8.

MAY 1-0 2012

Genadyne Biotechnologies, Inc. 16 Midland Ave, Hicksville, NY 11801 (t) 516.487.8787 (f) 516.487.7878

Mr. Chien-Ming GOH (Andrew) Vice President Genadyne Biotechnologies Inc. 16 Midland Ave. Hicksville, NY 11801 (t) 516.487.8787 (f) 516.487.7878

Lucina-Melodi Advance Breast Pump

Powered Breast Pump (21 CFR 884.5160, Product Code HGX)

Class II

Introduction of an already approved device (K102516) with a new indication for use.

Medela Symphony Powered Breast Pump (K020518) Lucina-Melodi Powered Breast Pump (K102516)

The Lucina Melodi Advanced Breast Pump is a battery powered breast pump powered by a smart software. It has a 2 phase suction cycle. Phase 1 runs at a higher speed than phase 2. It is portable and is battery powered, with a rechargeable battery build in the system. It weighs less than 1 kg. it is intended for continuous usage from User A to User B to User C etc. It can be use on both breasts at the same time as well as single breast one at a time.

The device has a build in color LCD screen, and east to use buttons and graphic user interface. The device can be run on battery power and also while

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KII 2856. page. 2 of. 4

plugged in to the AC adapter. Internally it gets its suction from a diaphragm motor. The PCB board will control the speed and the suction of the motor to provide optimal suction or based on the settings that the user sets at.

The technology of the Lucina-Melodi Advance Breast Pump is identical to the predicate device (Lucina-Melodi Powered Breast Pump - K102516) and there are no technical differences which would raise new aspects regarding safety and effectiveness. Both employ the same software and hardware architecture.

The Lucina-Melodi Advance Breast Pump is intended to express and collect milk from the breast of lactating women. This device may be used by more than one user if the collection kit is changed.

Summary of Technological . Characteristics

10. Intended Use of the Device

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.
.
.

2

  1. Comparison to Predicate Device

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..

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:

Table of Comparison to Legally Marketed Device

Comparative Information
Predicate Device #1Predicate Device #2New Device
CompanyMedela Inc.Genadyne BiotechnologiesGenadyne Biotechnologies
Device NameMedela Symphony Powered Breast
PumpLucina-Melodi Powered Breast
PumpLucina-Melodi Advance Breast
Pump
510 (K) NumberK020518K102516
Technical Data
Vacuum Range50-250 mmHg50-250 mmHg50-250 mmHg
Power Requirements120V~, 50/60 Hz19 V, 30W19 V, 30W
Battery TypeNoneRechargeable Li-IonRechargeable Li-Ion
Dimensions8" x 7" x 4"6" x 4" x 2.36"6" x 4" x 2.36"
Weight~5 lbs.1.5 lbs.1.5 lbs.
Dual PumpingYesYesYes
Accessories
FilterNo filter present0.2µm hydrophobic bacteria filter0.2µm hydrophobic bacteria filter
Breast ShieldsYesYesYes
Storage BagYesYesYes
Valve FlangesYesYesYes
TubingYesYesYes
SplitterYesYesYes
SterileNon SterileNon SterileNon Sterile
Indication For UseThe Symphony Powered Breast
Pump is intended to express and
collect the mother's milk from the
breasts of a lactating woman, thus
identical to the predicate devices.Intended use of the powered breast
pump is to express and collect milk
from the breasts of lactating
women.The Lucina-Melodi Advance Breast
Pump is intended to express and
collect milk from the breast of
lactating women. This device may
be used by more than one user if
the collection kit is changed.
Testing
NAIEC 60601-1-2IEC 60601-1-2
NAFCC part 15 Class BFCC part 15 Class B
NAEN 55011EN 55011
NAIEC 61000-4-2IEC 61000-4-2
NAIEC 61000-4-3IEC 61000-4-3

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