K Number
K132903
Device Name
DRE VENTURA
Manufacturer
Date Cleared
2014-07-01

(288 days)

Product Code
Regulation Number
868.5160
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Ventura anesthesia gas delivery machine is designed to deliver a combination of medical gases and volatile anesthetic agents to a breathing system.
Device Description
The DRE Ventura anesthetic machine is a constant flow anesthesia gas delivery system intended for human use. The intended use for the Ventura anesthesia gas delivery machine is for the application of continuous flow anesthesia in a hospital. office based anesthesia settings, induction room or operating room. The units are intended to provide concentrations and flows of anesthesia gases and vapors into a patient breathing system. The anesthesia machine is designed for use by suitably qualified practitioners only. The basic device is commonly referred to as an anesthesia trolley. The Ventura is fitted with facilities to deliver 3 gases – oxygen, nitrous oxide or air. Up to 4 'E' size cylinders can be fitted along with pipeline supplies for all gases. It has a number of drawers for storage. In order to make the unit fully functional, the Ventura can be fitted with FDA cleared equipment, such as: Anesthetic agent vaporizer, specifically Selectatec compatible designs, Carbon dioxide absorber, Gas scavenging system, Ventilator of the complete standalone type. The Ventura has an anti-hypoxic device is built into the oxygen gas control system to enable a safe supply anesthetic gases under varying flow conditions.
More Information

No
The description focuses on the mechanical and gas delivery aspects of the device, and there are no mentions of AI, ML, or related concepts.

Yes
Explanation: The device is described as an "anesthesia gas delivery machine" that delivers "medical gases and volatile anesthetic agents to a breathing system" for human use, which directly impacts the physiological state of the patient to facilitate medical procedures.

No

Explanation: The device is described as an "anesthesia gas delivery machine" designed to deliver gases and anesthetic agents to a breathing system. Its purpose is to administer anesthesia, not to diagnose a medical condition.

No

The device description clearly outlines a physical anesthesia gas delivery machine ("anesthesia trolley") with hardware components like gas controls, cylinder fittings, drawers, and compatibility with other physical medical devices (vaporizers, absorbers, ventilators). It is not solely software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "deliver a combination of medical gases and volatile anesthetic agents to a breathing system" for anesthesia. This is a therapeutic and life-support function, not a diagnostic test performed on samples taken from the body.
  • Device Description: The description details a system for delivering gases and vapors to a patient's breathing system. It mentions components like vaporizers, CO2 absorbers, and ventilators, all of which are involved in the process of administering anesthesia and supporting respiration.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information based on in vitro testing.

In summary, the Ventura anesthesia gas delivery machine is a medical device used for administering anesthesia to a patient, which falls under the category of therapeutic or life-support devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The intended use for the Ventura anesthesia gas delivery machine is for the application of continuous flow anesthesia in a hospital. office based anesthesia settings, induction room or operating room. The units are intended to provide concentrations and flows of anesthesia gases and vapors into a patient breathing system. The anesthesia machine is designed for use by suitably qualified practitioners only.

Indications for Use: The Ventura anesthesia gas delivery machine is designed to deliver a combination of medical gases and volatile anesthetic agents to a breathing system.

Product codes

BSZ

Device Description

The DRE Ventura anesthetic machine is a constant flow anesthesia gas delivery system intended for human use.

The basic device is commonly referred to as an anesthesia trolley.

The Ventura is fitted with facilities to deliver 3 gases – oxygen, nitrous oxide or air. Up to 4 'E' size cylinders can be fitted along with pipeline supplies for all gases. It has a number of drawers for storage.

In order to make the unit fully functional, the Ventura can be fitted with FDA cleared equipment, such as:

  • Anesthetic agent vaporizer, specifically Selectatec compatible designs ●
  • Carbon dioxide absorber .
  • . Gas scavenging system
  • . Ventilator of the complete standalone type

The Ventura has an anti-hypoxic device is built into the oxygen gas control system to enable a safe supply anesthetic gases under varying flow conditions.

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

Adult, the subject device is not indicated for pediations

Intended User / Care Setting

Environment of Use: Locations where an anesthesia delivery device may be required.
The anesthesia machine is designed for use by suitably qualified practitioners only.

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)

We have performed bench tests and found that the DRE Ventura met all requirements specifications and applicable standards requirements and was found to be equivalent in comparison to the predicate. Testing includes:

  • Functional Attributes
  • . Performance Tolerances
  • Environmental Conditions ●
  • Compatibility with specified devices .
  • . A variety of performance requirements related to gas flow and oxygen measurement accuracy in compliance with the following performance standards:
    • BS EN 60601-2-13:2006 (IEC 60601-2-13) Medical electrical equipment. Particular requirements for the safety and essential performance of anaesthetic systems.
    • . ASTM F 1850 ASTM F1850-00(2005) Particular Requirements for Anesthesia Workstations and Their Components.
    • 트 ISO 21647:2004+Cor 1:2005 Medical electrical equipment - Particular requirements for the basic safety and essential performance of respiratory gas Monitors

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

Not Found

Predicate Device(s)

Penlon -Prima K061102

Reference Device(s)

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

§ 868.5160 Gas machine for anesthesia or analgesia.

(a)
Gas machine for anesthesia —(1)Identification. A gas machine for anesthesia is a device used to administer to a patient, continuously or intermittently, a general inhalation anesthetic and to maintain a patient's ventilation. The device may include a gas flowmeter, vaporizer, ventilator, breathing circuit with bag, and emergency air supply.(2)
Classification. Class II (performance standards).(b)
Gas machine for analgesia —(1)Identification. A gas machine for analgesia is a device used to administer to a patient an analgesic agent, such as a nitrous oxide-oxygen mixture (maximum concentration of 70 percent nitrous oxide).(2)
Classification. Class II (performance standards).

0

JUL 0 1 2014

510(k) Summary Page 1 of 5 7/1/2014

| DRE Medical, Inc.
1800 Williamson Court
Louisville, KY 40026 USA | Tel - 502 244 4444
Fax - 502 244 0369 |
|------------------------------------------------------------------------|----------------------------------------------------------|
| Official Contact: | Mike Spencer CEO |
| Proprietary or Trade Name: | Ventura |
| Common/Usual Name: | gas-machine, anesthesia |
| Classification Name/Code: | BSZ - gas-machine, anesthesia
CFR 868.5160
Class 2 |
| Device: | DRE Ventura |
| Predicate Device: | Penlon -Prima K061102 |

Device Description:

The DRE Ventura anesthetic machine is a constant flow anesthesia gas delivery system intended for human use.

The intended use for the Ventura anesthesia gas delivery machine is for the application of continuous flow anesthesia in a hospital. office based anesthesia settings, induction room or operating room. The units are intended to provide concentrations and flows of anesthesia gases and vapors into a patient breathing system. The anesthesia machine is designed for use by suitably qualified practitioners only.

The basic device is commonly referred to as an anesthesia trolley.

The Ventura is fitted with facilities to deliver 3 gases – oxygen, nitrous oxide or air. Up to 4 'E' size cylinders can be fitted along with pipeline supplies for all gases. It has a number of drawers for storage.

In order to make the unit fully functional, the Ventura can be fitted with FDA cleared equipment, such as:

  • Anesthetic agent vaporizer, specifically Selectatec compatible designs ●
  • Carbon dioxide absorber .
  • . Gas scavenging system
  • . Ventilator of the complete standalone type

The Ventura has an anti-hypoxic device is built into the oxygen gas control system to enable a safe supply anesthetic gases under varying flow conditions.

Indications for Use: The Ventura anesthesia gas delivery machine is designed to deliver a combination of medical gases and volatile anesthetic agents to a breathing system.

1

510(k) Summary Page 2 of 5 7/1/2014

Environment of Use: Locations where an anesthesia delivery device may be required.

Patient Population: Adult, the subject device is not indicated for pediations

Contraindications

.

There are no known contraindications.

Differences between the proposed and predicate devices:

There are a few differences between the proposed Ventura and the predicate. They include:

  • Integral oxygen monitor vs. in-line oxygen monitor
    • The oxygen monitor has the same features as the add-on but it is just integrated ০ for convenience of the user.
  • Add of secondary pressure regulator for all gases vs. only for oxygen . No technological differences ୍
  • Difference ancillary components mounting systems GCX type vs. Modura ●
    • o No technological differences

These differences do not pose any significant technological differences nor do they raise any new safety concerns.

Summary of substantial equivalence

The DRE Ventura was compared to the predicate Penlon Prima (K061102) as in the device comparison table below.

DRE VenturaPenlon Prima
Proposed Device510(k)- K061102
Indications for UseThe Ventura anesthesia gas delivery machine is
designed to deliver a combination of medical
gases and volatile anesthetic agents to a
breathing system.The Penlon Prima is designed to deliver a
combination of medical gases and volatile
anesthetic agents to a breathing system.
Environment of useLocations where an anesthesia delivery device
may be required.Locations where an anesthesia delivery device
may be required.
ConfigurationsThe trolley may be configured with up to 3
different gases, oxygen, nitrous oxide and airThe trolley may be configured with up to 3
different gases, oxygen, nitrous oxide and air
Components to be fitted to
make it a complete systemVaporizers
Ventilator
Carbon Dioxide absorberVaporizers
Ventilator
Carbon Dioxide absorber
This components are
standalone 510(k) cleared
devicesWaste Gas Scavenging system (AGSS)
Breathing circuit
Oxygen monitor (built-in)Waste Gas Scavenging system (AGSS)
Breathing circuit
Oxygen monitor (separate)
ConstructionStructural aluminum extrusions, PU moldings
and panels.
Aluminum and stainless steel sheet.Structural aluminum extrusions, PVC moldings
and panels. Aluminum and stainless steel sheet.
Gas suppliesOxygen, Air and/or Nitrous oxide. Pipeline
supply or cylinder to ISO standards for
pressure, purity and non-interchangeable
connections. Inlet 100 micron filtersOxygen, Air and/or Nitrous oxide. Pipeline
supply or cylinder to ISO standards for
pressure, purity and non-interchangeable
connections. Inlet 100 micron filters
Gas flowsO2: 200ml - 10 1/minO3: 200ml - 10 l/min
Air: 200ml - 12 l/minAir: 200ml - 10 l/min
N2O: 200ml - 10 l/minN2O: 200ml - 10 1/min
Flowmeter position.Left Hand Side (LHS) of machine.LHS of machine.
Oxygen control on LHS of flowmeter. N2O atOxygen control on LHS of flowmeter. N2O
right extreme position.at right extreme position.
Flow tubesDiameter and length indexed.Diameter and length indexed.
Oxygen added after all other gasses.Oxygen added after all other gasses.
Flowmeter illumination.YesYes
Low oxygenYes, Ritchie Whistle system and adjustable 25Yes, Ritchie Whistle system and adjustable
pressure/concentration- 100% user set.30 - 100% user set.
alarms.Default 25%.Default 30%.
Detected with fuel cell.Detected with fuel cell.
Nitrous cut off system.Yes, Pressure operated, sprung return cut offYes, Pressure operated, sprung return
spool valve.cut off spool valve.
Anti Hypoxic system.Yes, mechanical anti hypoxic link system.Yes, mechanical anti hypoxic link system.
Min 23%. Powered by oxygen pressure.Min 27%. Powered by oxygen pressure.
Air/Nitrous oxide selectionYesYes
switch.
Auxiliary gas drive outletsYes, Oxygen and AirYes, Oxygen and Air
Cylinder pressure reducer.Single stage brass pressure regulator c/wSingle stage brass pressure regulator c/w
pressure relief valve safety system.pressure relief valve safety system.
Secondary pressure regulatorYes, all gasses.Yes, O2 only.
Individual supply pressure
gaugesYes.Yes.
Internal pipeworkDiameter indexed for individual gas suppliesDiameter indexed for individual gas
supplies
Low pressure pipework .Yes, internalYes
pressure relief valve at CGO./
Vaporizer mounting system.Selectatec compatible x2.Selectatec compatible x2.
Indexed to prevent non-interlock vaporizersIndexed to prevent non-interlock vaporizers
being attachedbeing attached.
02 flushYes, front LHS of machine downstream of allYes, front LHS of machine downstream of
other gasses and vapors.all other gasses and vapors.
Braked castorsYesYes
Ancillary componentGCX typeModura type
mounting system.
Auxiliary electrical outlet
sockets.Yes x4. Independently fusedYes x4. Independently fused
Oxygen MonitorYes integratedRequired add on
Compliance with StandardsASTM F1208 - 89 Standard Specification forASTM F1208 - 89 Standard Specification
Minimum Performance and Safetyfor Minimum Performance and Safety
Requirements for Anesthesia BreathingRequirements for Anesthesia Breathing
Systems.Systems.
ISO 8835-2:2007. Inhalational anesthesiaISO 8835-2:2007. Inhalational anesthesia
systems -- Part 2: Anesthetic breathing systemssystems -- Part 2: Anaesthetic breathing
systems
ASTM F1343 - 02. Standard Specification forASTM F1343 - 02. Standard Specification
Anesthetic Gas Scavenging Systems-Transferfor Anesthetic Gas Scavenging Systems-
and Receiving SystemsTransfer and Receiving Systems
ISO 8835-3:2007. Inhalational anesthesia
systems -- Part 3: Transfer and receiving
systems of active anaesthetic gas scavenging
systemsISO 8835-3:2007. Inhalational anesthesia
systems -- Part 3: Transfer and receiving
systems of active anaesthetic gas scavenging
systems
ISO 8835-4:2004. Inhalational anesthesia
systems -- Part 4: Anaesthetic vapor delivery
devicesISO 8835-4:2004. Inhalational anesthesia
systems -- Part 4: Anaesthetic vapor
delivery devices
ASTM F1101 - 90 (Reapproved 2003).
Standard Specification for Ventilators Intended
for Use During Anesthesia
ISO 8835-5:2004. Inhalational anesthesia
systems -- Part 5: Anaesthetic ventilatorsASTM F1101 - 90 (Reapproved 2003).
Standard Specification for Ventilators
Intended for Use During Anesthesia
ISO 8835-5:2004. Inhalational anesthesia
systems -- Part 5: Anaesthetic ventilators
ISO 5356-1:2004. Anaesthetic and respiratory
equipment -- Conical connectors -- Part 1:
Cones and sockets. Part 1 refers to the
connections on the breathing circuit. These
connections are not generally used on the
machine but they mate with ISO 5356-2:2006.
Anaesthetic and respiratory equipment --
Conical connectors -- Part 2: Screw-threaded
weight-bearing connectors, which are on the
anaesthetic machine. (Dimensional standards)ISO 5356-1:2004, Anaesthetic and
respiratory equipment -- Conical connectors
-- Part 1: Cones and sockets. Part 1 refers to
the connections on the breathing circuit.
These connections are not generally used on
the machine but they mate with ISO 5356-
2:2006. Anaesthetic and respiratory
equipment -- Conical connectors -- Part 2:
Screw-threaded weight-bearing connectors,
which are on the anaesthetic machine.
(Dimensional standards)

· Device Comparison Table

2

.

510(k) Summary

  • (
    ・・

:

3

510(k) Summary Page 4 of 5 7/1/2014

Indications - Equivalent indications

Prescriptive - The DRE Ventura is prescriptive as is the predicate.

Design and Technology - The DRE Ventura has equivalent design and features as the predicate and has the identical technology to the predicate.

Performance and Specifications - The DRE Ventura has equivalent specifications of performance as the predicate.

Compliance with standards – The DRE Ventura and predicate device declare compliance with IEC 60601-1, IEC 60601-1-2, and IEC 60601-2-13. Additionally, the Ventura complies with ISO 7767

Materials - Materials used are identical to the predicate.

Environment of Use - Same

Patient Population – Adult. The subject device is not indicated for pediatric populations

Performance Testing

4

510(k) Summary Page 5 of 5 7/1/2014

We have performed bench tests and found that the DRE Ventura met all requirements specifications and applicable standards requirements and was found to be equivalent in comparison to the predicate. Testing includes:

  • Functional Attributes
  • . Performance Tolerances
  • Environmental Conditions ●
  • Compatibility with specified devices .
  • . A variety of performance requirements related to gas flow and oxygen measurement accuracy in compliance with the following performance standards:
    • BS EN 60601-2-13:2006 (IEC 60601-2-13) Medical electrical equipment. Particular requirements for the safety and essential performance of anaesthetic systems.
    • . ASTM F 1850 ASTM F1850-00(2005) Particular Requirements for Anesthesia Workstations and Their Components.
    • 트 ISO 21647:2004+Cor 1:2005 Medical electrical equipment - Particular requirements for the basic safety and essential performance of respiratory gas Monitors

Conclusion

The DRE Ventura is substantially equivalent to the predicate Penlon Prima (K061102) in indications for use, patient population, and environment for use, technology characteristics, specifications / performance and compliance with international standards.

5

Image /page/5/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three lines representing its body and wings. The logo is surrounded by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

July 1, 2014

DRE Medical, Inc. c/o Paul Dryden Regulatory Consultant 1800 Williamson Court Louisville, KY 40026

Re: K132903

Trade/Device Name: DRE Ventura Regulation Number: 21 CFR 868.5160 Regulation Name: Gas Machine for Anesthesia or Analgesia Regulatory Class: Class II Product Code: BSZ Dated: May 29, 2014 Received: May 30, 2014

Dear Mr. Dryden:

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. Ilsting 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

6

Page 2 - Mr. Dryden

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 (OS) 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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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.

Sincerely yours,

. Tejasbri Purohit-Sheth, M.D. Tejashri Purohit-Sheth, M.D. Cliaical Deputy Director DAGRID/ODE/CDRH FOR が、 Section of the county of

Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital. Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

7

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: December 31, 2013 See PRA Statement on fast page.

510(k) Number (if known) K132903

Device Name DRE Ventura

Indications for Use (Describe)

The Ventura anesthesia gas delivery machine is deliver a combination of medical gases and volatile anesthetic agents to a breathing system.

f

Type of Use (Select one or both, as applicable)

2 Prescription Use (Part 21 CFR 801 Subpart D)

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

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

Todd D. Courtney -S 2014.07.01 10:15:43 -04'00'

FORM FDA 3881 (9/13)

8

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