The IntelliCuff device is intended to continuously measure and automatically maintain the userset cuff pressure of an endotracheal tube (ETT) or tracheostomy tube (TT) during mechanical ventilation.

The device can be used with any mechanical ventilator, as follows:

. When used with a non-Hamilton Medical ventilator, IntelliCuff adjusts the cuff pressure to values set on the device.
When used with a Hamilton Medical ventilator, IntelliCuff adjusts the cuff pressure to values set either on the device or on the ventilator, depending on configuration.

The device is to be used during ventilation of adults, pediatrics, and neonates, who are intubated with ETT or TT, in the following areas:

In the intensive care ward or in the recovery room ●
In the operation room during intubation narcosis
For emergency medical care or primary care ●
During transport within and outside of the hospital
. During transfer by rescue vehicles, ship, jet, or helicopter

Device Description

The IntelliCuff device continuously measures and automatically maintains cuff pressure during mechanical ventilation of adults, pediatrics, and neonates using a cuffed endotracheal tube or tracheostomy tube. It is an integrated and continuous cuff pressure control solution that secures airway management in intensive care units, operating rooms, and during interhospital transport.

When the IntelliCuff device is connected to a Hamilton Medical ventilator, cuff pressure settings can be manually adjusted by either selecting the appropriate values on the ventilator or the cuff pressure controller.

It is designed for immediate use; no calibration or maintenance is required. It operates in the recommended range of desired cuff pressures for various cuffed endotracheal tubes to provide suitable solutions for various clinical patient situations. For inflation, room air is used and no contact to the respiratory gas system of a patient occurs. A large-scale display and convenient and intuitive interaction buttons maximize safe use and visibility of all important data.

The associated accessories include:

Cuff Pressure Tube with Filter
Device Mount Solution ●
USB Power Supply and Car Adapter

AI/ML Overview

The provided text is a 510(k) Summary for the IntelliCuff device, which is an automatic cuff pressure controller for endotracheal and tracheostomy tubes. Unfortunately, the document does not contain a specific study demonstrating acceptance criteria for device performance as it does not report quantitative performance metrics against specific acceptance thresholds.

The document primarily focuses on demonstrating substantial equivalence to a predicate device through:

Technological characteristics comparison: Showing that the IntelliCuff shares the same fundamental technological elements with predicate devices (e.g., inflation/deflation, user-controlled set pressure, software control, alarm system).
Compliance with regulatory standards: Reporting that the device has undergone various electrical safety, electromagnetic compatibility (EMC), mechanical, and software verification and validation testing in accordance with relevant IEC and RTCA standards. These tests confirm the device's safety and functionality within its intended environment.
Human Factors/Usability Study: Indicating conformance with FDA guidance for optimizing medical device design.

While these are crucial aspects of device clearance, they do not provide quantitative acceptance criteria for the device's primary function (continuously measuring and automatically maintaining cuff pressure) and the results of a study against those criteria. Such data would typically involve metrics like accuracy of pressure measurement, stability of pressure maintenance, response time to pressure deviations, etc., along with predefined acceptable ranges.

Therefore, I cannot fulfill all parts of your request with the information provided. The document states that "The test results show that the device has adequate performance for its intended use" and "the IntelliCuff device was found to have an adequate performance profile that is similar to the predicate devices" but does not quantify this performance or explicitly state acceptance criteria.

Here's a breakdown of what can be extracted from the provided text, and what cannot:

1. Table of Acceptance Criteria and Reported Device Performance:

Cannot be created. The document mentions compliance with general safety and performance standards (e.g., IEC 60601-1, IEC 60601-1-2, RTCA/DO 160G) but does not provide specific, quantitative acceptance criteria for cuff pressure measurement or maintenance, nor does it report specific performance values against such criteria. It states that "The test results show that the device has adequate performance for its intended use" but without specific metrics.

2. Sample size used for the test set and the data provenance:

Not specified for performance testing. The document mentions "Electrical safety and EMC testing," "Mechanical testing," "Software Verification and Validation Testing," and a "Human Factors / Usability Study." While these involve testing, the sample size (e.g., number of devices tested, number of simulated or actual cases) for these tests is not given. The "data provenance" (country of origin, retrospective/prospective) is also not detailed for any specific performance study, as no such study with quantitative performance metrics is described.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

Not specified. This information would typically be relevant for studies involving human assessment or interpretation (e.g., image-based diagnostics, clinical outcomes). Since the IntelliCuff is a mechanical/electronic device for pressure control, the concept of "ground truth established by experts" in this context is not directly applicable to its core performance testing as described. For a human factors study, experts (usability engineers, clinicians) might be involved, but their number and qualifications are not listed.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

Not applicable/Not specified. Adjudication methods are typically used in studies involving subjective interpretation of data (e.g., by human readers). This type of method is not described for the performance testing of the IntelliCuff device.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

No such study was performed/described. MRMC studies are used for evaluating diagnostic aids, often involving AI, where human readers interpret cases with and without the aid. The IntelliCuff device is an automated pressure controller, not a diagnostic aid for human interpretation, so an MRMC study is not relevant to its function and was not reported.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

Implied, but not explicitly detailed. The various compliance tests (electrical safety, EMC, mechanical, software V&V) are essentially standalone tests of the device's functionality and safety. The entire document describes the device (the algorithm and hardware) as a standalone system for continuous pressure maintenance. However, specific standalone performance metrics for things like pressure accuracy or response time are not given in the summary.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

Not explicitly stated for core performance, but implied by standards. For compliance with standards like IEC 60601-1 (safety) or RTCA/DO 160G (mechanical), the "ground truth" would be the specified limits and test methodologies defined by those standards. For software verification and validation, the "ground truth" would be the documented software requirements. For a human factors study, the "ground truth" relates to usability objectives and error rates, often compared against benchmarks or user feedback. However, for direct performance metrics like pressure accuracy, the "ground truth" would typically come from highly accurate reference measurement equipment. This is not detailed in the summary.

8. The sample size for the training set:

Not applicable. The IntelliCuff device is described as a cuff pressure controller. The provided text does not indicate that it uses machine learning or AI models that require a "training set" in the conventional sense (e.g., for image recognition or predictive analytics). Its functionality appears to be based on control system algorithms rather than learned models.

9. How the ground truth for the training set was established:

Not applicable. As no training set is mentioned or implied for a machine learning model, this question is not relevant based on the provided text.

Summary

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of a human figure, represented by three overlapping profiles, suggesting a sense of community and care. The logo is presented in black and white.

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

January 29, 2016

Hamilton Medical AG Steffen Boden Regulatory Affairs/Quality Engineer Via Crusch 8, 7402 Bonaduz Switzerland

Re: K150893

Trade/Device Name: IntelliCuff Regulation Number: 21 CFR 868.5750 Regulation Name: Inflatable Tracheal Tube Cuff Regulatory Class: II Product Code: BSK Dated: December 18, 2015 Received: December 28, 2015

Dear Mr. Boden,

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

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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 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 contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/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 Industry and Consumer Education 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 vours.

Tejashri Purohit-Sheth, M.D.

Tejashri Purohit-Sheth, M.D. Clinical Deputy Director DAGRID/ODE/CDRH FOR

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

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INDICATIONS FOR USE STATEMENT

K150893 510(k) Number:

Device Name: IntelliCuff

Indication for Use:

The IntelliCuff device is intended to continuously measure and automatically maintain the userset cuff pressure of an endotracheal tube (ETT) or tracheostomy tube (TT) during mechanical ventilation.

The device can be used with any mechanical ventilator, as follows:

. When used with a non-Hamilton Medical ventilator, IntelliCuff adjusts the cuff pressure to values set on the device.
When used with a Hamilton Medical ventilator, IntelliCuff adjusts the cuff pressure to values set either on the device or on the ventilator, depending on configuration.

The device is to be used during ventilation of adults, pediatrics, and neonates, who are intubated with ETT or TT, in the following areas:

In the intensive care ward or in the recovery room ●
In the operation room during intubation narcosis
For emergency medical care or primary care ●
During transport within and outside of the hospital
. During transfer by rescue vehicles, ship, jet, or helicopter

Prescription Use	X
(Part 21 CFR 801 Subpart D)	AND/OR
Over-The-Counter Use
(21 CFR 801 Subpart C)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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Project-Name:	IntelliCuff - 510(k) Submission	Hamilton Medical AG	Doc.-No.: IntelliCuff
Doc.-Title:	Part 5: 510(k) Summary		Doc.-Version: 1.4

IntelliCuff - 510(k) Submission

510(k) Summary

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Image /page/4/Picture/0 description: The image shows the logo for Hamilton Medical. The words "HAMILTON" and "MEDICAL" are stacked on top of each other in a bold, blue font. Below the logo, the text "Intelligent Ventilation since 1983" is written in a smaller, lighter blue font.

510(K) SUMMARY

l. Submitter

Hamilton Medical AG Via Crusch 8 7402 Bonaduz Switzerland

Establishment registration number: 3001421318

Phone: +41 58 610 10 20 Fax: +41 58 610 00 20

Contact person: Mr. Steffen Boden, Quality Engineer / Regulatory Affairs E-mail: stboden@hamilton-medical.ch

Preparation date: January 28, 2016

II. Device

(Trade) Name of Device: Common or Usual Name: Classification Name: Regulatory Class: Product Code:

IntelliCuff Cuff Pressure Controller Cuff, Tracheal Tube, Inflatable (21 CFR 868.5750) -BSK

lll. Predicate Device(s)

Primary Predicate Device

ARM MEDICAL DEVICES, INC PYTON Cuff Regulator; K092733

This predicate has not been subject to a design-related recall

Reference Device

Hamilton Medical AG HAMILTON-G5; K103803, K131774

This reference device has been subject to a design-related recall: Recall Number Z-1185-2012.

The recall was not related to the cuff pressure controller component to which the IntelliCuff device is compared to.

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Image /page/5/Picture/0 description: The image contains the logo for Hamilton Medical. The logo is in blue and consists of the words "HAMILTON" and "MEDICAL" stacked on top of each other. There is a small icon of a stylized "H" inside a circle to the right of the word "HAMILTON". Below the logo is the tagline "Intelligent Ventilation since 1983".

IV. Device Description

The associated accessories include:

Cuff Pressure Tube with Filter
Device Mount Solution ●
USB Power Supply and Car Adapter

V. Indications for Use / Intended Use

The IntelliCuff device is intended to continuously measure and automatically maintain the userset cuff pressure of an endotracheal tube (ETT) or tracheostomy tube (TT) during mechanical ventilation.

The device can be used with any mechanical ventilator, as follows:

. When used with a non-Hamilton Medical ventilator, IntelliCuff adjusts the cuff pressure to values set on the device.
. When used with a Hamilton Medical ventilator, IntelliCuff adjusts the cuff pressure to values set either on the device or on the ventilator, depending on configuration.

The device is to be used during ventilation of adults, pediatrics, and neonates, who are intubated with ETT or TT, in the following areas:

. In the intensive care ward or in the recovery room
In the operation room during intubation narcosis
. For emergency medical care or primary care
During transport within and outside of the hospital
. During transfer by rescue vehicles, ship, jet, or helicopter

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Image /page/6/Picture/0 description: The image shows the logo for Hamilton Medical. The logo is in blue and consists of the words "HAMILTON MEDICAL" in a bold, sans-serif font. Below the logo is the tagline "Intelligent Ventilation since 1983" in a smaller, lighter font. The logo is simple and modern, and the tagline conveys the company's focus on ventilation technology.

VI. Comparison of Technological Characteristics with the Predicate Device(s)

The application of set pressure to seal a cuffed endotracheal tube or tracheostomy tube including the supervision and maintenance of a set cuff pressure is the technological principle for both the subject and predicate devices.

The indication statements for the IntelliCuff device are comparable to those for the predicate devices.

Technological characteristics and performance specifications of the IntelliCuff device are substantially equivalent to those of the predicate devices. At a high level, the subject and predicate devices are based on the following same technological elements:

. Inflation and Deflation of an endotracheal tube or tracheostomy tube
User-controlled set pressure ●
. Software-controlled pressure supervision and automatic pressure adjustment
Use of ambient / room air
Alarm system ●
Battery backup power ●

The following technological differences exist between the subject and predicate devices:

. Use of an additional pressure sensor
The primary predicate device is an ICU ventilator with build-in cuff pressure adjustment . functionality whereas the subject device is a portable device for cuff pressure adjustment only

Hamilton Medical has demonstrated the IntelliCuff device to have adequate performance. The IntelliCuff device is considered to be substantially equivalent to currently marketed predicate devices that have been previously cleared by FDA.

VII. Performance data

The following performance data were provided in support of the substantial equivalence determination.

Electrical safety and Electromagnetic Compatibility

Electrical safety and EMC testing were conducted on the IntelliCuff device, consisting of the cuff pressure controller and power supply. The device complies with the IEC 60601-1 standard for safety and the IEC 60601-1-2 standard for EMC.

Additional testing

A Human Factors / Usability Study was conducted and the IntelliCuff device was found to be in conformance with the 'Draft Guidance for Industry and Food and Drug Administration Staff -Applying Human Factors and Usability Engineering to Optimize Medical Device Design'. Additional testing on the IntelliCuff device was conducted according to IEC 60601-1-8, IEC 62366. IEC 60601-1-6 and IEC 62304 standards. Furthermore, a control system analysis was conducted and compliance with applicable clauses of IEC 60601-1-10 was demonstrated. The test results show that the device has adequate performance for its intended use.

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Image /page/7/Picture/0 description: The image shows the logo for Hamilton Medical. The logo is blue and consists of the words "HAMILTON" and "MEDICAL" stacked on top of each other. Below the words is the phrase "Intelligent Ventilation since 1983."

Image /page/7/Picture/1 description: The image contains the word "IntelliCuff" in blue font. The word is written in a sans-serif font, and the "C" in "Cuff" is capitalized. There is a registered trademark symbol to the upper right of the word "Cuff".

FAA Regulations

In accordance with the US Department of Transportation (DOT) and the Federal Aviation Administration (FAA) along with their rules on the "Use of Respiratory Assistive Devices on Aircraft', the IntelliCuff device meets the applicable safety requirements for Medical Portable a + Electronic Devices (M-PED) by not exceeding the maximum level of radiated radio frequency interference as described in the RTCA/DO 160G, Section 21, Category M.

Mechanical testing

Mechanical safety testing was conducted on the IntelliCuff device. The system complies with the IEC 60601-1 standard for safety and RTCA DO-160G Sect. 8, Cat. R and Cat. U, and Sect. 7 Cat. B.

Software Verification and Validation Testing

Software verification and validation testing was conducted and documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a 'major' level of concern, since a failure or latent flaw in the software could directly result in serious injury or death to the patient or operator.

The results of the software verification and validation testing demonstrate that all specified requirements have been implemented correctly and completely.

Summary

Based on the non-clinical performance as documented, the IntelliCuff device was found to have an adequate performance profile that is similar to the predicate devices.

VIII. Conclusion

The non-clinical test results show that the IntelliCuff device has adequate performance for its intended use and the device performs as intended in the specified use conditions. The hardware and software verification and validation support a determination of substantial equivalence. In addition, the conclusions drawn from the non-clinical tests demonstrate that the device is as safe, as effective, and performs just as well as the predicate devices.

Regulation Number and Section

§ 868.5750 Inflatable tracheal tube cuff.

(a)
Identification. An inflatable tracheal tube cuff is a device used to provide an airtight seal between a tracheal tube and a patient's trachea.(b)
Classification. Class II (performance standards).