K Number
K131622
Device Name
MROZ REVERSE OSMOSIS SYSTEM
Manufacturer
Date Cleared
2013-09-20

(109 days)

Product Code
Regulation Number
876.5665
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Amerilyater MROZ Reverse Osmosis System is a water treatment device intended for use in hemodialysis applications. It is intended to be used as a component in the AmeriWater Water Purification System (K991519), and is intended to purify potable water for use in making dialysate for hemodialysis and to meet current AAMI and Federal (U.S.) standards. The AmeriWater MROZ is intended for use in water rooms in a hospital, clinic, or dialysis center. The device is intended to be a component in a complete water purfication system, and is not a complete water treatment system. It must be preceeded by pro-treatment devices, and may need to be followed by post-treatment devices as well to meet current AAM and Federal (U.S.) standards. Model MRO3Z is a 3 membrane system designed to supply 6,600 gallons per day (gpd) of product water. Model MRO4Z is a 4 membrane system designed to supply 8,800 gpd of product water. Model MRO5Z Is a 5 membrane system designed to supply 11,000 gpd of product water. Model MRO6Z is a 6 membrane systems designed to supply 13,200 gpd of product water. Model MRO7Z is a 7 membrane system designed to supply 15,400 gpd of product water. Model MRO8Z is an 8 membrane system designed to supply 17,600 gpd of product water. Each model is available in a 208V, 230V, or 460V variant and includes a divert- to-drain feature to prevent patient exposure to unsafe product water. Each model includes temperature compensated online monitors that display conductivity and percent rejection. The conductivity monitor activates an audible and visual alarm when the product water conductivity exceeds a preset alarm limit.
Device Description
The AmeriWater MROZ Reverse Osmosis System is a water treatment system intended for use in hemodialysis applications. The system is designed to remove organic and inorganic substances and contaminants from potable water. The purified (or treated) water will then be used to prepare and dilute dialysate concentrate to form dialysate. The AmeriWater MROZ Reverse Osmosis System is intended to be used in water rooms located in hospitals, clinics, and dialysis centers. There is no direct contact between the patient and any part of the device invasive. Materials that contact that contact the product water include: ABS, Acrylic, Nylon, PVC, Polyethylene, Polypropylene, Stainless Steel, Tygon, and Thin Film Composite Membrane (polyimide). The MROZ Reverse Osmosis System purifies water by applying pressure (greater than the osmotic pressure difference) to the feed water to reverse the water flow through a semi-permeable membrane so that the water moves from a more concentrated solution to a less concentrated solution resulting in purified permeate flow. Basically, the feed water is supplied to the membrane where it is split into permeate which has passed through the membrane and the concentrate which passes over the membrane and carries the contaminants to drain. The AmeriWater MROZ Reverse Osmosis System produces water that meets current AAMI and Federal (U.S.) standards for water used in hemodialysis applications.
More Information

Not Found

No
The document describes a standard reverse osmosis water purification system with basic monitoring and alarm functions. There is no mention of AI, ML, or any advanced data processing or learning capabilities.

No
The device is a water treatment system intended for purifying water for hemodialysis applications, not directly treating a patient.

No
The device is a water treatment system for hemodialysis applications, purifying water for dialysate. It does not diagnose medical conditions.

No

The device description clearly outlines a physical water treatment system with components like membranes, pumps, and electrical connections, not solely software.

Based on the provided text, the AmeriWater MROZ Reverse Osmosis System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is to purify water for use in making dialysate for hemodialysis. This is a water treatment process, not a diagnostic test performed on biological samples.
  • Device Description: The device description focuses on the physical process of reverse osmosis to remove contaminants from water. It does not describe any components or functions related to analyzing biological specimens.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD device, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Providing diagnostic information about a patient's health
    • Using reagents or assays
    • Measuring biomarkers or other biological indicators

The device is clearly intended to prepare a necessary component (purified water) for a medical procedure (hemodialysis), but it does not perform a diagnostic function itself.

N/A

Intended Use / Indications for Use

The AmeriWater MROZ Reverse Osmosis System is a water treatment device intended for use in hemodialysis applications. It is intended to be used as a component in the AmeriWater Water Purification System (K991519), and is intended to purify potable water for use in making dialysate for hemodialysis and to meet current AAMI and Federal (U.S.) standards. The AmeriWater MROZ is intended for use in water rooms in a hospital, clinic, or dialysis center. The device is intended to be a component in a complete water purification system, and is not a complete water treatment system. It must be preceeded by pre-treatment devices, and may need to be followed by post-treatment devices as well to meet current AAM and Federal (U.S.) standards.

Model MRO3Z is a 3 membrane system designed to supply 6,600 gallons per day (gpd) of product water. Model MRO4Z is a 4 membrane system designed to supply 8,800 gpd of product water. Model MRO5Z Is a 5 membrane system designed to supply 11,000 gpd of product water. Model MRO6Z is a 6 membrane systems designed to supply 13,200 gpd of product water. Model MRO7Z is a 7 membrane system designed to supply 15,400 gpd of product water. Model MRO8Z is an 8 membrane system designed to supply 17,600 gpd of product water. Each model is available in a 208V, 230V, or 460V variant and includes a divert- to-drain feature to prevent patient exposure to unsafe product water. Each model includes temperature compensated online monitors that display conductivity and percent rejection. The conductivity monitor activates an audible and visual alarm when the product water conductivity exceeds a preset alarm limit.

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

FIP

Device Description

The AmeriWater MROZ Reverse Osmosis System is a water treatment system intended for use in hemodialysis applications. The system is designed to remove organic and inorganic substances and contaminants from potable water. The purified (or treated) water will then be used to prepare and dilute dialysate concentrate to form dialysate. The AmeriWater MROZ Reverse Osmosis System is intended to be used in water rooms located in hospitals, clinics, and dialysis centers. There is no direct contact between the patient and any part of the device invasive. Materials that contact that contact the product water include: ABS, Acrylic, Nylon, PVC, Polyethylene, Polypropylene, Stainless Steel, Tygon, and Thin Film Composite Membrane (polyimide). The MROZ Reverse Osmosis System purifies water by applying pressure (greater than the osmotic pressure difference) to the feed water to reverse the water flow through a semi-permeable membrane so that the water moves from a more concentrated solution to a less concentrated solution resulting in purified permeate flow. Basically, the feed water is supplied to the membrane where it is split into permeate which has passed through the membrane and the concentrate which passes over the membrane and carries the contaminants to drain. The AmeriWater MROZ Reverse Osmosis System produces water that meets current AAMI and Federal (U.S.) standards for water used in hemodialysis applications.

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

Not Found

Intended User / Care Setting

used in water rooms located in hospitals, clinics, and dialysis centers.

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)

Non-clinical testing was conducted to verify and validate the performance of the reverse osmosis function. Results of performance testing indicate that the device produces water that meets current AAMI and Federal (U.S.) standards. Test results from biocompatibility testing, performance testing, and electrical safety testing indicate that the device is safe and effective for its intended purpose.

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.

K924695, K991519, K111740

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

§ 876.5665 Water purification system for hemodialysis.

(a)
Identification. A water purification system for hemodialysis is a device that is intended for use with a hemodialysis system and that is intended to remove organic and inorganic substances and microbial contaminants from water used to dilute dialysate concentrate to form dialysate. This generic type of device may include a water softener, sediment filter, carbon filter, and water distillation system.(b)
Classification. Class II (special controls). The device, when it is a water purification subsystem disinfectant, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

0

..............................................................................................................................................................................

1303 STANLEY AVENUE DAYTON, OH 45404 USA 937-461-8833, 800-535-5585 937-461-1988 www.AMERIWATER.com

510(K) SUMMARY
510(K) Number:K131622 June 18, 2013
Submitter:AmeriWater
Contact:Brian R. Bowman, Quality & Regulatory Administrator
1303 Stanley Avenue, Dayton, OH 45404
Phone: (937)461-8833 Fax: (937)461-1988
brianbowman@ameriwater.com
Proprietary Name:AmeriWater MROZ Reverse Osmosis System
Common Name:Reverse Osmosis System SEP 2 0 2013
Classification Name:Water purification system for hemodialysis
Classification:Class II Medical Device under §876.5665
Panel: Gastroenterology
Product Code: FIP
Predicate Devices:AmeriWater Aseptech Portable RO+ cleared for market under K924695,
AmeriWater MRO systems included in K991519,
AmeriWater MRO Portable RO System cleared for market under K111740

The AmeriWater MROZ Reverse Osmosis System is a water treatment system intended Device Description: for use in hemodialysis applications. The system is designed to remove organic and inorganic substances and contaminants from potable water. The purified (or treated) water will then be used to prepare and dilute dialysate concentrate to form dialysate. The AmeriWater MROZ Reverse Osmosis System is intended to be used in water rooms located in hospitals, clinics, and dialysis centers. There is no direct contact between the patient and any part of the device invasive. Materials that contact that contact the product water include: ABS, Acrylic, Nylon, PVC, Polyethylene, Polypropylene, Stainless Steel, Tygon, and Thin Film Composite Membrane (polyimide). The MROZ Reverse Osmosis System purifies water by applying pressure (greater than the osmotic pressure difference) to the feed water to reverse the water flow through a semi-permeable membrane so that the water moves from a more concentrated solution to a less concentrated solution resulting in purified permeate flow. Basically, the feed water is supplied to the membrane where it is split into permeate which has passed through the membrane and the concentrate which passes over the membrane and carries the contaminants to drain. The AmeriWater MROZ Reverse Osmosis System produces water that meets current AAMI and Federal (U.S.) standards for water used in hemodialysis applications.

Indications for Use: The AmeriWater MROZ Reverse Osmosis System is a water treatment device intended for use in hemodialysis applications. It is intended to be used as a component in the AmeriWater Water Purification System (K991519), and is intended to purify potable water for use in making dialysate for hemodialysis and to meet current AAMI and Federal (U.S.) standards. The AmeriWater MROZ is intended for use in water rooms in a hospital, clinic, or dialysis center. The device is intended to be a component in a complete water purification system, and is not a complete water treatment system. It must be preceeded by pre-treatment devices, and may need to be followed by post-treatment devices as well to meet current AAM and Federal (U.S.) standards. Model MRO3Z is a 3 membrane system designed to supply 6,600 gallons per day (gpd) of product water. Model MRO4Z is a 4 membrane system designed to supply 8,800 gpd of product water. Model MRO5Z is a 5 membrane system designed to supply 11,000 gpd of product water. Model MRO62 is a 6 membrane systems designed to supply 13,200 god of product water. Model MRO7Z is a 7

1

membrane system designed to supply 15,400 gpd of product water. Model MRO8Z is an 8 membrane system memorate system designed to supply 15, 100 gpd of product hatel. Thousin in a 200V, 230V, or 460V varian and includes a divert- to-drain feature to prevent patient exposure to unsafe product water. Each model includes temperature compensated online monitors that display conductivity and percent rejection. The conductivity terriportales an audible and visual alarm when the product water conductivity exceeds a preset alarm limit.

Statement of Substantial Equivalence: The AmeriWater MROZ is substantially equivalent to the Aseptech Portable RO+ cleared for market under K924695, the AmeriWater MRO systems included in K991519, and the AmeriWater MRO Portable RO System cleared for market under K111740. The MROZ is the same in design, operation, technology, and intended purpose as the predicate device with the exception that the predicate devices are completely enclosed in a cabinet and a portion of the MROZ is an open frame design. The following table compares and contrasts the predicate devices and the new device. The MROZ is designed to meet the needs of dialysis facilities that require higher product water output than those provided by the predicate devices.

AmeriWater MROZK991519K924695K111740
Intended UseThe MROZ is intended for
use in hemodialysis
applications. It is designed
to pre-treat and purify
potable water for use in
making dialysate for
hemodlalysis and to meet
current AAMI and Federal
(U.S.) standards. The
MROZ is intended for use
in a hospital, clinic, or
dialysis center.The AmeriWater
Purification System for
Hemodialysis is intended to
be used in hemodialysis to
remove organic and
inorganic substances and
microbial contaminants
from water. Purified (or
treated) water will then be
used to prepare and dilute
dialysate concentrate to
form dialysate and/or rinse
dialyzers for multiple use.The Aseptech Portable
RO+ is a standalone water
treatment system for use in
hemodialysis applications.
lt is designed to pre-treat
and purify potable water for
use in making dialysate for
hemodialysis. The
Aseptech Protable RO+ is
intended to be used in
hospitals, clinics, home
care, and dialysis centers.The AmeriWater MRO
Portable Reverse Osmosis
Systems are water
treatment systems intended
for use in hemodialysis
applications. They are
designed to pre-treat and
purify potable water for use
in making dialysate for
hemodialysis and to meet
current AAMI and Federal
(U.S.) standards. The
MROS model is intended
for use in a hospital, clinic,
dialysis center, or for home
care for single patient use.
The AmeriWater Portable
MRO1 model is for
treatment of up to two
patients in a hospital, clinic,
or dialysis centers.
TechnologyReverse OsmosisReverse OsmosisReverse OsmosisReverse Osmosis
EnclosureOpen frame with partial
cabinet, stationary (no
casters)Cabinet with castersCabinet with castersCabinet with casters
Water
Contacting
MaterialsABS, Acrylic, Nylon, PVC,
Polyester, Polyethylene,
Polypropylene, Stainless
Steel, Tygon, and Thin Film
Composite Membrane
(polyimide)ABS, Acrylic, Nylon, PVC,
Polyester, Polyethylene,
Polypropylene, Stainless
Steel, Tygon, and Thin Film
Composite Membrane
(polyimide), CarbonABS, Acrylic, Nylon, PVC,
Polyester, Polypropylene,
Stainless Steel, Tygon, and
Thin Film Composite
Membrane (polyimide).
Carbon, Resin - petreatedABS, Acrylic, Nylon, PVC,
Polyester, Polyethylene,
Polypropylene, Stainless
Steel, Tygon, and Thin Film
Composite Membrane
(polyimide), Carbon
Power
Requirements208V/230V/460V,
60Hz, 20A115V/ 208V/230V/460V,
60Hz, 20A115V, 60Hz, 20A115V, 60Hz, 20A
Minimum Feed
Pressure20 psi20 psi20 psi20 psi
Maximum Feed
Pressure50 psi90 psi90 psi50 psi
Maximum
Output Product
Water17,600 gpd6,000 gpd2,400 gpd1,296 gpd

2

Summary of Performance Testing: Non-clinical testing was conducted to verify and validate the performance of the reverse osmosis function. Results of performance testing indicate that the device produces water that meets current AAMI and Federal (U.S.) standards. Test results from biocompatibility testing, performance testing, and electrical safety testing indicate that the device is safe and effective for its intended purpose.

.

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight, with three stylized wing-like shapes.

Public Health Service

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

September 20, 2013

AmeriWater, Inc. % Brian R. Bowman Quality and Regulatory Administrator 1303 Stanley Avenue Dayton, OH 45404

Re: K131622

Trade/Device Name: AmeriWater MROZ Reverse Osmosis System Regulation Number: 21 CFR§ 876.5665 Regulation Name: Water purification system for hemodialysis Regulatory Class: II Product Code: FIP Dated: August 19, 2013 Received: August 22, 2013

Dear Brian R. Bowman,

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.

4

Page 2 - Brian R. Bowman

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/ucm115809.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" (21 CFR 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.

Sincerely yours,

Benjamin R. Fisher -S

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

AmeriWater

4888888888888888888

1303 STANLEY AVENUE DAYTON, OH 45404 USA 937-461-8833, 800-535-5585 1 EL FAX 937-461-1988 www.AMERIWATER.com

Image /page/5/Picture/3 description: The image shows two overlapping black circles with white text. The larger circle on the left contains the text "Suez environnement" in a stylized font. The smaller circle on the right contains the text "Degrémont" along with a graphic element above it. The overall design appears to be a logo or emblem.

INDICATIONS FOR USE

510(K) Number (if known): K131622

Device Name: AmeriWater MROZ Reverse Osmosis System

Indications For Use: The Amerilyater MROZ Reverse Osmosis System is a water treatment device intended for use in hemodialysis applications. It is intended to be used as a component in the AmeriWater Water Purification System (K991519), and is intended to purify potable water for use in making dialysate for hemodialysis and to meet current AAMI and Federal (U.S.) standards. The AmeriWater MROZ is intended for use in water rooms in a hospital, clinic, or dialysis center. The device is intended to be a component in a complete water purfication system, and is not a complete water treatment system. It must be preceeded by pro-treatment devices, and may need to be followed by post-treatment devices as well to meet current AAM and Federal (U.S.) standards.

Model MRO3Z is a 3 membrane system designed to supply 6,600 gallons per day (gpd) of product water. Model MRO4Z is a 4 membrane system designed to supply 8,800 gpd of product water. Model MRO5Z Is a 5 membrane system designed to supply 11,000 gpd of product water. Model MRO6Z is a 6 membrane systems designed to supply 13,200 gpd of product water. Model MRO7Z is a 7 membrane system designed to supply 15,400 gpd of product water. Model MRO8Z is an 8 membrane system designed to supply 17,600 gpd of product water. Each model is available in a 208V, 230V, or 460V variant and includes a divert- to-drain feature to prevent patient exposure to unsafe product water. Each model includes temperature compensated online monitors that display conductivity and percent rejection. The conductivity monitor activates an audible and visual alarm when the product water conductivity exceeds a preset alarm limit.

× 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)

Benjamin R. Fisher -S 2013.09.20 13:57:29 -04'00'