K Number
K141793
Date Cleared
2015-03-06

(247 days)

Product Code
Regulation Number
868.1840
Panel
AN
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The PulmOne MiniBoxPFT™ 2.0 is intended to measure lung function in adult and pediatric patients while at rest (including spirometry and lung volumes). The PulmOne MiniBoxPFT™ 2.0 is to be used by either a physician, respiratory therapist, or technician.

Device Description

The PulmOne MiniBoxPFT™ 2.0 is intended to measure lung function in adult and pediatric patients while at rest (including spirometry and lung volumes). The PulmOne MiniBoxPFT™ 2.0 is to be used by either a physician, respiratory therapist, or technician. A single-use, disposable viral-bacterial filter separates the patient from the internal components of the device.

The MiniBoxPFT™ 2.0 measures all common spirometric measurements as well as relative and absolute lung volumes, including the following (the full list is detailed in Section 11 - Device Description):

Absolute Lung Volumes:
Total lung capacity (TLC) L
Thoracic Gas Volume (TGV) L
Residual volume (RV) L

Relative Lung Volumes:
Inspiratory capacity (IC) L
Expiratory reserve volume (ERV) L

Spirometry:
Forced vital capacity (FVC) L
Forced inspiratory vital capacity (FIVC) L
Slow vital capacity (SVC) L
Slow inspiratory vital capacity (IVC) L
Forced expiratory volume in 1 second (FEV1) L
Forced inspiratory volume in 1 second (FIV1) L
Ratio of FEV1 to SVC (FEV1/SVC) %
Ratio of FEV1 to FVC (FEV1/FVC) %
Forced expiratory volume in 6 seconds (FEV6) L
Ratio of FEV1 to FEV6 (FEV1/FEV6) %
Peak expiratory flow (PEF) L/s
Peak inspiratory flow (PIF) L/s
Forced Expiratory Flow at 50% of FVC (FEF50) L/s
Maximum Voluntary Ventilation (MVV) L/min

AI/ML Overview

Here's a summary of the acceptance criteria and the study details for the PulmOne MiniBoxPFT™ 2.0 device, based on the provided FDA 510(k) summary:

1. Table of Acceptance Criteria and Reported Device Performance:

Feature/TestAcceptance CriteriaReported Device Performance
Spirometry MeasurementsMet ATS guidelines for accuracy and repeatability.Successfully met ATS guidelines.
Lung Volume Measurement Repeatability & ReproducibilityInter-device repeatability and intra-device reproducibility within accepted known range.Validated to be within the accepted known range.
Total Lung Capacity (TLC) Measurement (vs. Predicate)Met pre-defined success criteria demonstrating substantial equivalence to predicate.Successfully met study success criteria and demonstrated substantial equivalence.
Flow range+/- 16 L/s (Predicate)+/- 16 L/s (Proposed Device)
Volume accuracy+/- 3% or 50mL (Predicate)+/- 3% or 50mL (Proposed Device)
Flow accuracy+/- 5% or 200 mL/s (Predicate)+/- 5% or 200 mL/s (Proposed Device)
Dynamic resistance

§ 868.1840 Diagnostic spirometer.

(a)
Identification. A diagnostic spirometer is a device used in pulmonary function testing to measure the volume of gas moving in or out of a patient's lungs.(b)
Classification. Class II (performance standards).