K Number
K130001
Device Name
CARE SU01A SUCTION ASPIRATOR
Date Cleared
2013-07-25

(204 days)

Product Code
Regulation Number
878.4780
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CARE SU01A Suction aspirator is intended for professional use to remove infectious materials from wounds or fluids from a patient airway or respiratory support unit. The intended large population for this device is both adult and pediatric patients.
Device Description
The SU01 A Suction aspirator is designed to provide general suction for use in hospitals or clinics. This Suction aspirator is a professional medical suctioning device that produces a maximum vacuum of 560 mmHg. It is used with a power supply allowing operation on AC voltage (120 VAC, 60 Hz). The device is equipped with 850ml collection bottle and has been designed for convenient and reliable and reliable usages. The vacuum pump of the SU01A transmits negative pressure throughout the tubing-system and the collection bottle to patient tubing that aspirates secretions or liquid form the body. The vacuum pump can be manually adjusted using the regulating value and the vacuum gage. The aspirated fluids are collected in the collection bottle that is isolated from the pump by a bacteria filter. It also has a mechanical overflow protection in the lid of the collection bottle to further prevent the fluids from being sucked into the pump.
More Information

Not Found

No
The device description focuses on mechanical components and manual control, with no mention of AI/ML terms or functionalities.

No
The device is used to remove infectious materials or fluids, which falls under diagnostic or procedural support rather than directly treating a condition.

No

The device is described as an aspirator used to remove materials or fluids from wounds, airways, or respiratory units. Its function is to collect fluids and secretions, not to diagnose a condition or illness.

No

The device description clearly outlines physical components such as a vacuum pump, collection bottle, tubing system, power supply, regulating valve, and vacuum gage. It also mentions mechanical overflow protection and a bacteria filter. These are all hardware components, indicating it is not a software-only device.

Based on the provided information, the CARE SU01A Suction aspirator is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is to "remove infectious materials from wounds or fluids from a patient airway or respiratory support unit." This is a direct intervention on the patient's body to remove substances, not to perform tests on samples taken from the body.
  • Device Description: The description details a mechanical suctioning device that creates negative pressure to aspirate fluids. It does not describe any components or processes for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing samples, reagents, or any diagnostic purpose. The device's function is purely for physical removal of fluids.

IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. The CARE SU01A Suction aspirator does not perform this function.

N/A

Intended Use / Indications for Use

The CARE SU01A Suction aspirator is intended for professional use to remove infectious materials from wounds or fluids from a patient airway or respiratory support unit. The intended large population for this device is both adult and pediatric patients.

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

JCX

Device Description

Powered suction pumps are described in FDA regulations, 21 CFR 878.4780, as:

"A powered suction pump is an AC-powered device intended to be used to remove infectious materials from wounds or fluids from patient's airway or respiratory support system. The device may be used during surgery in the operating room or at the patient's bedside. The device may include a microbial filter. The FDA classified the device as a class II medical device".

The SU01 A Suction aspirator is designed to provide general suction for use in hospitals or clinics. This Suction aspirator is a professional medical suctioning device that produces a maximum vacuum of 560 mmHg. It is used with a power supply allowing operation on AC voltage (120 VAC, 60 Hz). The device is equipped with 850ml collection bottle and has been designed for convenient and reliable and reliable usages.

The vacuum pump of the SU01A transmits negative pressure throughout the tubing-system and the collection bottle to patient tubing that aspirates secretions or liquid form the body. The vacuum pump can be manually adjusted using the regulating value and the vacuum gage. The aspirated fluids are collected in the collection bottle that is isolated from the pump by a bacteria filter. It also has a mechanical overflow protection in the lid of the collection bottle to further prevent the fluids from being sucked into the pump.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Wounds, patient airway or respiratory support unit.

Indicated Patient Age Range

The intended large population for this device is both adult and pediatric patients.

Intended User / Care Setting

Professional use in hospitals or clinics.

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)

No clinical studies were performed.

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.

K042349

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

§ 878.4780 Powered suction pump.

(a)
Identification. A powered suction pump is a portable, AC-powered or compressed air-powered device intended to be used to remove infectious materials from wounds or fluids from a patient's airway or respiratory support system. The device may be used during surgery in the operating room or at the patient's bedside. The device may include a microbial filter.(b)
Classification. Class II.

0

K130001

JUL 2 5 2013

510(K) SUMMARY

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

Submitter's Information 1.0

Establishment Registration Name:

Foshan Care Medical Technology Co., Ltd.

The 2F and 3F, G Building, No.1 Huabao Road Southern, Zhangcha, Chancheng District, Foshan, Guangdong, P. R. China 528000

Contact Person of applicant

Mr. Gang Wu - Chairman of directors

The 2F and 3F, G Building, No.1 Huabao Road Southern, Zhangcha, Chancheng District, Foshan, Guangdong, P. R. China 528000

TEL: +86-757-8802 3265 FAX: +86-757-8382 8966 Email: wugang@gse.cn

Contact Person of the Submission:

Ms. Kathy Guo

Foshan Care Medical Technology Co., Ltd.

The 2F and 3F, G Building, No.1 Huabao Road Southern, Zhangcha, Chancheng District, Foshan, Guangdong, P. R. China 528000

Email: medicaldevicefda@163.com

Device Information 2.0

Type of 510(k) submission:Traditional
Device Common Name:Power Suction Unit
Trade Name:Model SU01A Suction aspirator
Model:SU01A
Classification name:Apparatus, Suction, Ward Use, Portable, AC-
Powered
Review Panel:General & Plastic Surgery

Page 1 of 4

1

Product Code:JCX
Regulation Class:II
Regulation Number:878.4780

Predicate Device Information 3.0

Sponsor:EMG Technology Company, Ltd
Device:Suction Unit, Model:SUA01
510(K) Number:K042349
Product Code:JCX
Regulation Class:II
Regulation
Number:878.4780

Device description 4.0

Powered suction pumps are described in FDA regulations, 21 CFR 878.4780, as:

"A powered suction pump is an AC-powered device intended to be used to remove infectious materials from wounds or fluids from patient's airway or respiratory support system. The device may be used during surgery in the operating room or at the patient's bedside. The device may include a microbial filter. The FDA classified the device as a class II medical device".

The SU01 A Suction aspirator is designed to provide general suction for use in hospitals or clinics. This Suction aspirator is a professional medical suctioning device that produces a maximum vacuum of 560 mmHg. It is used with a power supply allowing operation on AC voltage (120 VAC, 60 Hz). The device is equipped with 850ml collection bottle and has been designed for convenient and reliable and reliable usages.

The vacuum pump of the SU01A transmits negative pressure throughout the tubing-system and the collection bottle to patient tubing that aspirates secretions or liquid form the body. The vacuum pump can be manually adjusted using the regulating value and the vacuum gage. The aspirated fluids are collected in the collection bottle that is isolated from the pump by a bacteria filter. It also has a mechanical overflow protection in the lid of the collection bottle to further prevent the fluids from being sucked into the pump.

Intended Use 5.0

The CARE SU01A Suction aspirator is intended for professional use to remove infectious materials from wounds or fluids from a patient airway or respiratory support unit. The intended large population for this device is both adult and pediatric patients.

Determination of Substantial Equivalence 6.0

Page 2 of 4

2

Summary of Technological Characteristics of the Device Compared to the Predicate Device

The CARE SU01 A Suction aspirator uses the same fundamental technology as the EMG SUA01 Suction Unit for most features. The indications for use of CARE SU01A Suction aspirator are the same as EMG SUA01 Suction Unit. CARE SU01A Suction aspirator is similar to the predicate devices in its indications for use and patient population. The user interface is also similar to the predicated devices. The main difference is in the volume of the collection bottle, which is increased but still sufficient for the expected daily volumes. The smaller size improves mobility.

Summary of Non-clinical Tests:

The CARE SU01 A Suction aspirator complies with voluntary standards for electrical safety, electromagnetic compatibility, and performance. The following quality assurance measures were applied to the development of the system:

  • Electrical safety and electromagnetic compatibility testing per IEC 60601-1 ● and IEC 60601-1-2 standards, respectively
  • Medical suction equipment Part 1 : Electrically powered suction equipment -● Safety requirements per ISO 10079-1

Summary of Clinical Tests:

No clinical studies were performed

CONCLUSION:

Foshan Care considers the SU01 A Suction aspirator to be as safe, as effective, and substantially equivalent to the predicate devices.

7.0 Effectiveness and Safety Considerations

Effectiveness:

The SU01 A Suction aspirator complies with ISO10079-1:1999.

Safety Considerations:

The applicant devices comply with IEC60601-1, Medical electrical equipment - Part l : General requirements for safety and IEC60601-1-2, Medical electrical equipment - Part 1-2: General requirements for safety -Collateral standard: Electromagnetic compatibility - Requirements and tests.

The SU01A Suction aspirator is not a software controlled medical device, the software test according the software guidance "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices" is not applicable.

The accessories which contact the patients directly are provided by the hospital but not the manufacture. All the accessories of the SU01 A Suction aspirator are not contact the patients, the biocompatibility test is not applicable.

3

The clinical performance test is not applicable

Comparison to predicate device and conclusion 8.0

Comparison Analysis

The applicant device has same classification information, same indications and intended use, similar product design, similar technical specification and safety specification.

SU01A SuctionSUA01 SuctionResults
AttributePumpUnit
The pump shall be compliantMeet theMeet thePass
with IEC 60601-1requirementsrequirements
requirements
The pump shall be compliantMeet theMeet thePass
with IEC 60601-1-2requirementsrequirements
requirements
The pump shall be compliantMeet theMeet thePass
with ISO 10079-1requirementsrequirements
requirements
The pump controls shall beMeet theMeet thePass
easily identifiable by userrequirementsrequirements
The Collection Bottle should850ml800mlPass
have volume reference
markings
The Collection Bottle shouldMeet theMeet thePass
be able to withstandrequirementsrequirements
maximum pressure delivered
by the pump
The degree of collapse of theLess than 0,5Less than 0,5Pass
tubing shall be less than 0,5
throughout its entire length
when subjected to the
maximum vacuum stated
The resistance to implosionMeet theMeet thePass
for collection containerrequirementsrequirements
The flow rate of maximumMeet theMeet thePass
pumping powerrequirementsrequirements

Conclusion:

The applicant device is Substantially Equivalent (SE) to the predicate device which is US legally marketed device. Therefore, the applicant device is determined as safe and effectiveness.

Compare with predicate device, they are very similar in design principle, intended use, functions, material and the adopting applicable standards. The differences between applicant device and predicate device do not raise any new questions of safety or effectiveness.

Page 4 of 4

4

Image /page/4/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular pattern around the symbol. The logo is black and white and appears to be a scanned image.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

Foshan Care Medical Technology Co., Ltd. % Regulatory Technology Services, LLC Mr. Mark Job 1394 25th Street, NW Buffalo, Minnesota 55313

Re: K130001

Trade/Device Name: Care SU01A Suction Aspirator Regulation Number: 21 CFR 878.4780 Regulation Name: Powered suction pump Regulatory Class: Class II Product Code: JCX Dated: July 16, 2013 Received: July 17, 2013

Dear Mr. Job:

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.

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

July 25, 2013

5

Page 2 - Mr. Mark Job

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 15809.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/ResourcesforYou/Industry/default.htm.

FOR

Sincerely yours,

Peter D. Rumm -S

Mark N. Melkerson Acting Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Statement of Indications for Use

510(k) Number (if known): JS known): Suction aspirator Suction aspirator Device Name: SU01A Model:

Indications for Use:

The CARE SU01A Suction aspirator is intended for professional use to remove infectious The CARD DOGTT Caction abplaison a patient airway or respiratory support unit. The materials from Woulds of for this device is both adult and pediatric patients.

X Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of 1 =

DSD-DIVISION SIGN-OFF
Division of Surgical Devices
510(k) Number:K130001
Joshua C. Nipper -S