K Number
K151954
Device Name
A7 Anesthesia System
Date Cleared
2015-10-27

(104 days)

Regulation Number
868.5160
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The A7 Anesthesia System is a device used to administer to a patient, continuously or intermittently, a general inhalation anesthetic and to maintain a patient's ventilation. The A7 is intended for use by licensed clinicians, for patients requiring anesthesia within a health care facility, and can be used in adult and pediatric populations.
Device Description
The A7 Anesthesia System is a continuous flow inhalation gas anesthesia system that delivers anesthetic vapor and provides for automatic and manual modes of ventilation. The A7 incorporates O2, CO2, N2O and Agent concentration monitoring (Desflurane, Isoflurane, Enflurane, Sevoflurane and Halothane). The A7 consists of a main unit (includes an anesthetic ventilator and flow meter monitor assembly) and a detachable breathing system.
More Information

Not Found

No
The summary does not mention AI, ML, or related terms, and the device description focuses on standard anesthesia system functionalities and monitoring.

Yes
The device is described as an "Anesthesia System" used to "administer to a patient... a general inhalation anesthetic and to maintain a patient's ventilation," actions that are inherently therapeutic.

No
The A7 Anesthesia System is described as a device that administers anesthesia and maintains ventilation, and monitors gas concentrations. Its primary function is therapeutic/supportive (anesthesia delivery and ventilation assistance) rather than diagnosing a condition.

No

The device description clearly states it is a "continuous flow inhalation gas anesthesia system" consisting of a "main unit" and a "detachable breathing system," indicating it is a hardware device with integrated software, not a software-only device. The performance testing also references standards for electrical and mechanical safety (ANSI/AAMI ES60601-1, IEC 60601-1-2, IEC 60601-2-13), further confirming it is a hardware system.

Based on the provided information, the A7 Anesthesia System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states the device is used to "administer to a patient... a general inhalation anesthetic and to maintain a patient's ventilation." This describes a device used on a patient for treatment and life support, not for testing samples from a patient outside the body.
  • Device Description: The description details a system for delivering anesthetic gases and providing ventilation. While it includes monitoring of gases (O2, CO2, N2O, Agent concentration), this monitoring is part of the overall system for managing the patient's respiratory and anesthetic state in vivo, not for diagnostic testing of biological samples.
  • Lack of IVD Characteristics: The description does not mention any components or functions related to collecting, preparing, or analyzing biological samples (like blood, urine, tissue, etc.) for diagnostic purposes.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. The A7 Anesthesia System's function is entirely focused on direct patient care and intervention.

N/A

Intended Use / Indications for Use

The A7 Anesthesia System is a device used to administer to a patient, continuously or intermittently, a general inhalation anesthetic and to maintain a patient's ventilation.

The A7 is intended for use by licensed clinicians, for patients requiring anesthesia within a health care facility, and can be used in adult and pediatric populations.

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

BSZ, CCK, CBS, CBR, NHO, CBQ, NHP, CCL, KDP

Device Description

The A7 Anesthesia System is a continuous flow inhalation gas anesthesia system that delivers anesthetic vapor and provides for automatic and manual modes of ventilation. The A7 incorporates O2, CO2, N2O and Agent concentration monitoring (Desflurane, Isoflurane, Enflurane, Sevoflurane and Halothane). The A7 consists of a main unit (includes an anesthetic ventilator and flow meter monitor assembly) and a detachable breathing system.

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 and pediatric populations.

Intended User / Care Setting

licensed clinicians, for patients requiring anesthesia within a health care facility

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)

Software – The A7 Anesthesia System software has been fully verified and validated and documentation in accordance with FDA Guidance "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices: May 11, 2005" has been provided in this submission.

Performance Testing - The A7 Anesthesia system has been tested to comply with its product specifications and intended use. The following standards were adhered to for performance testing submitted in this 510(k):

  • ANSI/AAMI ES60601-1:2005/(R) 2012 and C1:2009/(R) 2012 and, A2:2010/(R) ● 2012 Medical electrical equipment - Part 1: General Requirements for basic safety and essential performance
  • IEC 60601-1-2:2007 Medical electrical equipment Part 1-2: General requirements . for basic safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests
  • . IEC 60601-1-8:2006 Medical electrical equipment - Part 1-8: General requirements for basic safety and essential performance - Collateral Standard: General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical systems
  • IEC 60601-2-13:Edition 3.1 2009-08 Medical electrical equipment Part 2-13: ● Particular requirements for the safety and essential performance of anesthetic systems
  • ISO 80601-2-55:2011 Medical electrical equipment Part 2-55: Particular ● requirements for the basic safety and essential performance of respiratory gas monitors
  • IEC 62304: 2006 Medical device software Software life cycle processes ●

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.

K142552, K042607

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

§ 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

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

October 27, 2015

Shenzhen Mindray Bio-Medical Electronics Co. LTD Yanhong Bai Manager Regulatory Affairs Mindray Building, Keji 12th Road South High-tech Industrial Park, Nanshan 518057. P.R China

Re: K151954

Trade/Device Name: A7 Anesthesia System Regulation Number: 21 CFR 868.5160 Regulation Name: Gas Machine for Anesthesia or Analgesia Regulatory Class: Class II Product Code: BSZ, CCK, CBS, CBR, NHO, CBQ,NHQ,NHP, CCL, KDP Dated: September 23, 2015 Received: September 24, 2015

Dear Mr. Bai,

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.

1

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 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 yours,

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, Respiratory General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K151954

Device Name A7 Anesthesia System

Indications for Use (Describe)

The A7 Anesthesia System is a device used to administer to a patient, continuously or intermittently, a general inhalation anesthetic and to maintain a patient's ventilation.

The A7 is intended for use by licensed clinicians, for patients requiring anesthesia within a health care facility, and can be used in adult and pediatric populations.

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

☑ Prescription Use (Part 21 CFR 801 Subpart D)
☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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510(K) SUMMARY

In accordance with 21 CFR 807.87(h) and (21 CFR 807.92) the 510(k) Summary for the A7 Anesthesia System is provided below.

Device Common Name:Gas-Machine, Anesthesia
Device Proprietary Name:A7 Anesthesia System
Submitter:SHENZHEN MINDRAY BIO-MEDICAL
ELECTRONICS CO., LTD.
Mindray Building, Keji 12th Road South
High-tech Industrial Park, Nanshan
Shenzhen 518057, P.R. China
Tel: +86 755 81885635
Fax: +86 755 26582680
Contact:Yanhong Bai
Manager Regulatory Affairs
SHENZHEN MINDRAY BIO-MEDICAL
ELECTRONICS CO., LTD.
Mindray Building, Keji 12th Road South
High-tech Industrial Park, Nanshan
518057, P.R. China
Tel: +86 755 81885635
Fax: +86 755 26582680
E-mail: baiyanhong@mindray.com
Date Prepared:July 15, 2015
Panel:Anesthesiology
Classification Regulation
and Product Code:Primary:
868.5160- BSZ Anesthesia Gas Machine Class II
Secondary:
868.1400 - CCK - Carbon Dioxide Gas Analyzer
868.1500 – NHO/CBQ/NHQ/NHP - Enflurane gas analyzer
868.1620 - CBS - Halothane Gas Analyzer
868.1700 - CBR - Nitrous Oxide Gas Analyzer
868.1720 - CCL- Oxygen Gas Analyzer
880.6740 - KDP- Vacuum Regulator

Predicate Devices:

K142552 - A7 Anesthesia System, ShenZhen Mindray Bio-Medical Electronics CO., LTD. K042607 - Primus US, Draeger Medical Inc.

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Indication for Use:

The A7 Anesthesia System is a device used to administer to a patient, continuously or intermittently, a general inhalation anesthetic and to maintain a patient's ventilation.

The A7 is intended for use by licensed clinicians, for patients requiring anesthesia within a health care facility, and can be used in adult and pediatric populations.

Device Description:

The A7 Anesthesia System is a continuous flow inhalation gas anesthesia system that delivers anesthetic vapor and provides for automatic and manual modes of ventilation. The A7 incorporates O2, CO2, N2O and Agent concentration monitoring (Desflurane, Isoflurane, Enflurane, Sevoflurane and Halothane). The A7 consists of a main unit (includes an anesthetic ventilator and flow meter monitor assembly) and a detachable breathing system.

Performance Data:

Software – The A7 Anesthesia System software has been fully verified and validated and documentation in accordance with FDA Guidance "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices: May 11, 2005" has been provided in this submission.

Performance Testing - The A7 Anesthesia system has been tested to comply with its product specifications and intended use. The following standards were adhered to for performance testing submitted in this 510(k):

  • ANSI/AAMI ES60601-1:2005/(R) 2012 and C1:2009/(R) 2012 and, A2:2010/(R) ● 2012 Medical electrical equipment - Part 1: General Requirements for basic safety and essential performance
  • IEC 60601-1-2:2007 Medical electrical equipment Part 1-2: General requirements . for basic safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests
  • . IEC 60601-1-8:2006 Medical electrical equipment - Part 1-8: General requirements for basic safety and essential performance - Collateral Standard: General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical systems
  • IEC 60601-2-13:Edition 3.1 2009-08 Medical electrical equipment Part 2-13: ● Particular requirements for the safety and essential performance of anesthetic systems
  • ISO 80601-2-55:2011 Medical electrical equipment Part 2-55: Particular ● requirements for the basic safety and essential performance of respiratory gas monitors
  • IEC 62304: 2006 Medical device software Software life cycle processes ●

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Substantial Equivalence:

The A7 that is the subject of this 510(k) submission has been modified from the A7 that was cleared in K142552 to include the Fresh Gas Flow Optimizer feature. The Fresh Gas Flow Optimizer displays a recommended value for fresh gas to assist the clinician in determining a value that will meet the needs of the patient. The predicate device as cleared by FDA did not provide this feature. This feature does not change the fresh gas flow setting nor does it supply an alarm if the user does not follow the recommended fresh gas flow setting.

A technical comparison of the subject device to the primary predicate device as cleared in K142552 is provided in the table below.

| Technical
Characteristics | Subject Device
A7 Anesthesia System
ShenZhen Mindray Bio-Medical
Electronics CO., LTD.
(Subject Device) | Predicate Device
A7 Anesthesia System
ShenZhen Mindray Bio-Medical
Electronics CO., LTD.
(K142552) | |
|-----------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Vaporizers | Two or Three, variable bypass | Two, variable bypass | |
| Agent - Sevoflurane | Yes | Yes | |
| Agent - Isoflurane | Yes | Yes | |
| Agent - Desflurane | Yes | Yes | |
| Agent - Halothane | Yes | Yes | |
| Agent - Enflurane | Yes | Yes | |
| Automatic Ventilator | Yes | Yes | |
| Bellows | Yes | Yes | |
| Bellows Volume | 1500mL | 1500mL | |
| Ventilation Modes | | | |
| VCV | Yes | Yes | |
| PCV | Yes | Yes | |
| PCV – VG | Yes | Yes | |
| SIMV - VC | Yes | Yes | |
| SIMV – PC | Yes | Yes | |
| PS | Yes | Yes | |
| Tidal Volume | Yes | Yes | |
| Specifications | | | |
| Range, ml | 20 - 1500 | 20 - 1500 | |
| Minute Volume | Yes | Yes | |
| Rate, bpm | 4-100 bpm | 4-100 bpm | |
| Inspiratory Flow, L/min | 110 L/min + fresh gas flow | 110 L/min + fresh gas flow | |
| | Technical
Characteristics | Subject Device
A7 Anesthesia System | Predicate Device
A7 Anesthesia System |
| | | ShenZhen Mindray Bio-Medical
Electronics CO., LTD.
(Subject Device) | ShenZhen Mindray Bio-Medical
Electronics CO., LTD.
(K142552) |
| | I:E Ratio | 4:1 to 1:8 with 0.5 increment | 4:1 to 1:8 with 0.5 increment |
| | Inspiratory Pause | Off, 5 - 60% of insp. Period | Off, 5 - 60% of insp. Period |
| | Air Flow Range | 015 L/min | 015 L/min |
| Fresh Gas | N2O Flow Range | 012 L/min | 012 L/min |
| | O2 Flow Range | 015 L/min | 015 L/min |
| | Individual Gas
Flow Accuracy | $±50$ ml/min or $±5%$ of setting value,
whichever is greater | $±120$ ml/min or $±10%$ of setting
value, whichever is greater |
| | Pressure Limit, cm H2O | 0 - 100 | 0 - 100 |
| | PEEP, cm H2O | Off, 3-30, 1 cmH2O increment | Off, 3-30, 1 cmH2O increment |
| | System Checks | Auto at start | Auto at start |
| | Airway Pressure Measured at | Inspiratory | Inspiratory |
| | High/Low Airway Pressure Alarm | Yes | Yes |
| | Pressure Limiting Alarm | Yes | Yes |
| | Sub Atmospheric Pressure Alarm | Yes | Yes |
| | Continuous Press Alarm | Yes | Yes |
| | Apnea >2 Minute Alarm | Yes | Yes |
| | Apnea Alarm | Yes | Yes |
| | High/Low Minute Volume Alarm | Yes | Yes |
| | High/Low O2 Concentration
Alarm | Yes | Yes |
| | Type of O2 Sensor | Paramagnetic | Paramagnetic or Galvanic (The
Paramagnetic sensor is utilized
when using the integrated gas
module. The Galvanic sensor is
utilized when the gas module is
not connected.) |
| | Heated Breathing Circuit | Yes | Yes |
| | Spirometry: Pressure-Volume and
Flow Volume loops | Yes | Yes |
| | Subject Device
A7 Anesthesia System | Predicate Device
A7 Anesthesia System | |
| Technical
Characteristics | ShenZhen Mindray Bio-Medical
Electronics CO., LTD.
(Subject Device) | ShenZhen Mindray Bio-Medical
Electronics CO., LTD.
(K142552) | |
| Anesthetic Gas Module Sampling
Rate | P/N 9200-10-10530 water trap: 120,
150, 200mL/min
P/N 9200-10-10574 water trap: 70,
90, 120mL/min | P/N 9200-10-10530 water trap:
120, 150, 200mL/min
P/N 9200-10-10574 water trap:
70, 90, 120mL/min | |
| Anesthetic Gas Module Sampling
Delay Time: | 10%: unspecified | 0-1%: +/-.1%
1-5%: +/-.2%
5-7%: +/-.3%
7-10%: +/-.5%

10%: unspecified | |
| Anesthetic Gas Module
Accuracy N2O: | 0-20%: +/-2%
20-100%: +/-3% | 0-20%: +/-2%
20-100%: +/-3% | |
| Anesthetic Gas Module
Accuracy Desflurane: | 0-1%: +/-.15%
1-5%: +/-.2%
5-10%: +/-.4%
10-15%: +/-.6%
15-18%: +/-1%
18%: unspecified | 0-1%: +/-.15%
1-5%: +/-.2%
5-10%: +/-.4%
10-15%: +/-.6%
15-18%: +/-1%
18%: unspecified | |
| Anesthetic Gas Module
Accuracy Sevflurane: | 0-1%: +/-.15%
1-5%: +/-.2%
5-8%: +/-.4%
8%: unspecified | 0-1%: +/-.15%
1-5%: +/-.2%
5-8%: +/-.4%
8%: unspecified | |
| Anesthetic Gas Module
Accuracy Enflurane/Isoflurane/
Halothane: | 0-1%: +/-.15%
1-5%: +/-.2%
5%: unspecified | 0-1%: +/-.15%
1-5%: +/-.2%
5%: unspecified | |
| Anesthetic Gas Module
Accuracy O2: | 0-25%: +/-1%
25-80%: +/-2%
80-100%: +/-3% | 0-25%: +/-1%
25-80%: +/-2%
80-100%: +/-3% | |
| Anesthetic Gas Module
Accuracy awRR: | 2-60rpm: +/-1rpm
60rpm: unspecified | 2-60rpm: +/-1rpm
60rpm: unspecified | |
| Technical
Characteristics | Subject Device
A7 Anesthesia System
ShenZhen Mindray Bio-Medical
Electronics CO., LTD.
(Subject Device) | Predicate Device
A7 Anesthesia System
ShenZhen Mindray Bio-Medical
Electronics CO., LTD.
(K142552) | |
| Anesthetic Gas Module
Measurement Rise Time: | CO2: ≤250ms
N2O: ≤250ms
O2: ≤500ms
Hal/Iso/Sev/Des: ≤300ms
Enf: ≤350ms | CO2: ≤250ms
N2O: ≤250ms
O2: ≤500ms
Hal/Iso/Sev/Des: ≤300ms
Enf: ≤350ms | |
| Measurement Range CO2 | 0-30% | 0-30% | |
| Measurement Range N2O | 0-100% | 0-100% | |
| Measurement Range Des | 0-30% | 0-30% | |
| Measurement Range Sev | 0-30% | 0-30% | |
| Measurement Range Enf/Iso/Hal | 0-30% | 0-30% | |
| Measurement Range O2 | 0-100% | 0-100% | |

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Substantial Equivalence Conclusion

The subject A7 Anesthesia System and the primary predicate are both gas anesthesia machines used to administer to a patient, continuously or intermittently, a general inhalation anesthetic and to maintain a patient's ventilation. These systems may be used in adult and pediatric populations. Both of the devices are prescription use, and are not suitable for use in an MRI environment.

Based on the technical comparison, the identical indications for use and the complete system level testing, the modifications to the A7 Anesthesia System do not raise different questions of safety and effectiveness and can be found substantially equivalent to the predicate device cleared in K142552.