K Number
K153506
Device Name
Qora AIM Stool Management Kit, Qora Aeon Stool Management Kit, Qora Arida Stool Management Kit
Date Cleared
2016-05-06

(151 days)

Product Code
Regulation Number
876.5980
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Qora AIM™ Stool Management Kit is indicated for fecal management by diverting and collecting liquid or semi- formed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device, including replacement with other same devices, should not exceed 29 days. The Qora Aeon™ Stool Management Kit is indicated for fecal management by diverting and collecting liquid or semi- formed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device, including replacement with other same devices, should not exceed 29 days. The Qora Arida™ Stool Management Kit is indicated for fecal management by diverting and collecting liquid or semi- formed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device is intended to be until the collection pouch is filled or until it has been utilized for 72 hours, whichever comes first. The replacement with other same devices should not exceed 29 days.
Device Description
The Qora AIM™, Qora Aeon™, and Qora Arida™ Stool Management Kits are non-sterile, single-use devices packaged in a product box. Each kit contains one hygienic device applicator that houses a soft indwelling fecal diverter. The Qora AIM™ and Qora Aeon™ kits contain an additional two odor-proof collection bags. The primary component of the device is the fecal diverter. It consists of soft, pliable, and self-expanding indwelling diverter that remains apposed to the rectal wall and the transit sheath. The indwelling diverter is sufficiently compliant to collapse and expand with the adjacent anatomy during peristaltic contractions of the rectum. This pliancy within the rectum is designed to help reduce abrasion and subsequent clinical complicator is used to hygienically insert and deploy the indwelling diverter at the intended location inside the rectum. The Qora Arida™ collection pouch is a thin, biocompatible conduit that facilitates the transfer and collection of fecal material from the indwelling diverter. The use of thin material is engineered to reduce the foreign body sensation and risk of anal sphinction. Furthermore, the Qora Arida™ kit offers a single port attached to the side of the collection pouch. The port is used to withdraw the device in a trauma-free way from the patient. The Qora AIM™ and Qora Aeon™ kits utilize a transit sheath that is a thin, biocompatible conduit that facilitates the transfer fecal material from the indwelling diverter to the collection bag. The use of thin sheath is designed to reduce the foreign body sensation and risk of anal sphinction. The bag connection interface at the end of the transit sheath prevents accidental soiling of bed sheets, garments, etc. during the exchange of a collection bag or other regular maneuvers during patient handling. Furthermore, the Qora AlM™ and Qora Aeon™ kits offer three ports attached to the side of the transit sheath. One port is used to irrigate the indwelling diverter if needed. The second port is used to collect samples from within the transit sheath if desired. The third and final port is used to withdraw the device in a trauma-free way from the patient.
More Information

Not Found

No
The device description focuses on mechanical components and materials for fecal management, with no mention of AI or ML technologies.

No
The device is indicated for fecal management by diverting and collecting stool, which is a management and containment function, not a therapeutic treatment for a medical condition.

No

The device is a fecal management system designed to divert and collect stool from bedridden patients, not to diagnose medical conditions.

No

The device description clearly outlines physical components like a hygienic device applicator, fecal diverter, collection bags, transit sheath, and collection pouch. These are hardware components, not software.

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

Here's why:

  • Intended Use: The intended use is for "fecal management by diverting and collecting liquid or semi-formed stool to minimize skin contact in bedridden patients." This describes a physical process of managing waste, not a diagnostic test performed on a sample in vitro (outside the body).
  • Device Description: The device is described as a "stool management kit" with components like a "fecal diverter," "transit sheath," and "collection bags/pouch." These are all designed for the physical collection and containment of stool.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze the stool sample for diagnostic purposes (e.g., detecting pathogens, biomarkers, etc.). While one port is mentioned for collecting samples, the device itself is not performing the diagnostic test.
  • No Mention of IVD Characteristics: The description lacks any characteristics typically associated with IVDs, such as reagents, assays, or analytical procedures.

The device is clearly intended for the physical management of fecal matter in a clinical setting, which falls under the category of a medical device, but not specifically an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Qora AIM™ Stool Management Kit is indicated for fecal management by diverting and collecting liquid or semi- formed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device, including replacement with other same devices, should not exceed 29 days.

The Qora Aeon™ Stool Management Kit is indicated for fecal management by diverting and collecting liquid or semi- formed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device, including replacement with other same devices, should not exceed 29 days.

The Qora Arida™ Stool Management Kit is indicated for fecal management by diverting and collecting liquid or semi- formed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device is intended to be until the collection pouch is filled or until it has been utilized for 72 hours, whichever comes first. The replacement with other same devices should not exceed 29 days.

Product codes

KNT

Device Description

The Qora AIM™, Qora Aeon™, and Qora Arida™ Stool Management Kits are non-sterile, single-use devices packaged in a product box. Each kit contains one hygienic device applicator that houses a soft indwelling fecal diverter. The Qora AIM™ and Qora Aeon™ kits contain an additional two odor-proof collection bags.

The primary component of the device is the fecal diverter. It consists of soft, pliable, and self-expanding indwelling diverter that remains apposed to the rectal wall and the transit sheath. The indwelling diverter is sufficiently compliant to collapse and expand with the adjacent anatomy during peristaltic contractions of the rectum. This pliancy within the rectum is designed to help reduce abrasion and subsequent clinical complicator is used to hygienically insert and deploy the indwelling diverter at the intended location inside the rectum.

The Qora Arida™ collection pouch is a thin, biocompatible conduit that facilitates the transfer and collection of fecal material from the indwelling diverter. The use of thin material is engineered to reduce the foreign body sensation and risk of anal sphinction. Furthermore, the Qora Arida™ kit offers a single port attached to the side of the collection pouch. The port is used to withdraw the device in a trauma-free way from the patient.

The Qora AIM™ and Qora Aeon™ kits utilize a transit sheath that is a thin, biocompatible conduit that facilitates the transfer fecal material from the indwelling diverter to the collection bag. The use of thin sheath is designed to reduce the foreign body sensation and risk of anal sphinction. The bag connection interface at the end of the transit sheath prevents accidental soiling of bed sheets, garments, etc. during the exchange of a collection bag or other regular maneuvers during patient handling. Furthermore, the Qora AlM™ and Qora Aeon™ kits offer three ports attached to the side of the transit sheath. One port is used to irrigate the indwelling diverter if needed. The second port is used to collect samples from within the transit sheath if desired. The third and final port is used to withdraw the device in a trauma-free way from the patient.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Rectum, Anal sphincter

Indicated Patient Age Range

18 years and older

Intended User / Care Setting

Hospitals and nursing homes

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 of the subject devices for structural and functional use characteristics has been performed (lumen size, device dimensions, functional strength, simulated use, etc.). In this testing, the subject devices were found to be substantially equivalent to the predicate device for dimensional, functional, and structural integrity testing.

The components of the Qora AIM™, Qora Aeon™, and Qora Arida™ Stool Management Kits have been evaluated for biocompatibility in accordance with the U.S. Food and Drug Administration's guidance entitled Use of International Standard 180 -10993, "Biological Evaluation of Medical Devices Part 1: Evaluation and Testing', issued May 1, 1995. The results of this testing demonstrate that the Qora AIM™, and Qora Arida™ Stool Management Kits are considered to be non-sensitizing, non-cytotoxic, and non-irritating, and has been found safe in such respect for its intended use.

Based on the comparison of intended use, indications for use, and technological characteristics, the three line extensions are substantially equivalent to the Consure 120 SMS (K133465), with respect to intended use, indications for use, performance, and technological characteristics. The line extensions do not raise any new issues of safety or effectiveness.

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.

K133465

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

§ 876.5980 Gastrointestinal tube and accessories.

(a)
Identification. A gastrointestinal tube and accessories is a device that consists of flexible or semi-rigid tubing used for instilling fluids into, withdrawing fluids from, splinting, or suppressing bleeding of the alimentary tract. This device may incorporate an integral inflatable balloon for retention or hemostasis. This generic type of device includes the hemostatic bag, irrigation and aspiration catheter (gastric, colonic, etc.), rectal catheter, sterile infant gavage set, gastrointestinal string and tubes to locate internal bleeding, double lumen tube for intestinal decompression or intubation, feeding tube, gastroenterostomy tube, Levine tube, nasogastric tube, single lumen tube with mercury weight balloon for intestinal intubation or decompression, and gastro-urological irrigation tray (for gastrological use).(b)
Classification. (1) Class II (special controls). The barium enema retention catheter and tip with or without a bag that is a gastrointestinal tube and accessory or a gastronomy tube holder accessory is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I (general controls) for the dissolvable nasogastric feed tube guide for the nasogastric tube. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 876.9.

0

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 text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with flowing lines connecting them.

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

May 6, 2016

Consure Medical Pvt Ltd. % Alan Donald President Matrix Medical Consulting, Inc. 8880 Rio San Diego Drive, Suite 800 San Diego, CA 92108

Re: K153506

Trade/Device Name: Qora AIM™ Stool Management Kit, Qora Aeon™ Stool Management Kit, Qora Arida™ Stool Management Kit Regulation Number: 21 CFR 876.5980 Regulation Name: Gastrointestinal Tube and Accessories Regulatory Class: Class II Product Code: KNT Dated: March 23, 2016 Received: April 4, 2016

Dear Alan Donald,

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. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR

1

Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated 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/ResourcesforYou/Industry/default.htm. 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 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.

for

Sincerely yours.

Herbert P. Lerner -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

2

| DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration | Form Approved: OMB No. 0910-0120
Expiration Date: January 31, 2017
See PRA Statement below. |

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
510(k) Number (if known)K153506
Device NameQora AIM Stool Management Kit
Qora Aeon Stool Management Kit
Qora Arida Stool Management Kit
Indications for Use ( Describe )
The Qora AIM Stool Management Kit is indicated for fecal management by diverting and collecting liquid or semi- formed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device, including replacement with other same devices, should not exceed 29 days.
The Qora Aeon Stool Management Kit is indicated for fecal management by diverting and collecting liquid or semi- formed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device, including replacement with other same devices, should not exceed 29 days.
The Qora Arida Stool Management Kit is indicated for fecal management by diverting and collecting liquid or semi- formed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device is intended to be until the collection pouch is filled or until it has been utilized for 72 hours, whichever comes first. The replacement with other same devices should not exceed 29 days.
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)Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)
Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the
time to review instructions, search existing data sources, gather and maintain the data needed and complete
and review the collection of information. Send comments regarding this burden estimate or any other aspect
of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services

Food and Drug Administration

Office of Chief Information Officer

Paperwork Reduction Act (PRA) Staff

PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB number."

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Image /page/3/Picture/1 description: The image shows the logo for Consure Medical. The word "consure" is written in teal, with a red curved line running vertically through the middle of the word. Below the word "consure" is the word "MEDICAL" in gray.

SECTION 5 510(k) Summary

| Device/Trade Name(s): | Qora AIMTM Stool Management Kit
Qora AeonTM Stool Management Kit
Qora AridaTM Stool Management Kit |
|----------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device Type/Common Name: | Rectal Tube |
| 510(k) Submitter: | Consure Medical Pvt. Ltd
5L, Third Floor
Shahpur Jat
New Delhi, Delhi 110049
INDIA
Contact: Mr.Nishith Chasmawala, CEO
Phone: +91 99 1002 8379, +91 11 4161 7344 |
| Establishment Registration
Number: | 3011802696 |
| Address Of
Manufacturing/Packaging
Facility: | Contract Medical International GmbH.
Lauensteiner Strasse 37
Dresden 01277
Germany
Contact: Mr. Jan Kloboucnik, QA/RA Director
Telephone: +42 494 949 564 |
| Authorized Contact Person: | Alan Donald, President
Matrix Medical Consulting, Inc.
8880 Rio San Diego Drive, Suite 800
San Diego, California 92108
Phone: +1 619 359 4103
Fax: +1 858 753 1801 |
| Recommended Regulation: | 21 CFR 876.5980 |
| Device Classification Name: | Gastrointestinal Tube and Accessories |
| Device Class: | Class II |
| Panel: | Gastroenterology-Urology Devices |
| Product Code: | KNT |
| Predicate Device: | Consure 120 SMS |
| Predicate Device Product Code: | KNT, 510(k) K133465 |
| Date Summary Prepared | May 4, 2016 |

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Image /page/4/Picture/1 description: The image shows the logo for Consure Medical. The word "consure" is written in teal, with the "s" being a red, curved line. Below the "ure" in "consure" is the word "MEDICAL" in gray, in a smaller font size than the rest of the logo.

Device Descriptions

Fecal incontinence (FI) is the inability to control bowel movements resulting in the involuntary and untimely release of feces or flatus. Although FI is a benign condition, its clinical sequelae are often devastating to both the patient and the health system. The condition is believed to affect 8-15 percent of the general population, with the highest prevalence among the elderly and in acute care settings.

The Qora AIM™, Qora Aeon™, and Qora Arida™ Stool Management Kits are non-sterile, single-use devices packaged in a product box. Each kit contains one hygienic device applicator that houses a soft indwelling fecal diverter. The Qora AIM™ and Qora Aeon™ kits contain an additional two odor-proof collection bags.

The primary component of the device is the fecal diverter. It consists of soft, pliable, and self-expanding indwelling diverter that remains apposed to the rectal wall and the transit sheath. The indwelling diverter is sufficiently compliant to collapse and expand with the adjacent anatomy during peristaltic contractions of the rectum. This pliancy within the rectum is designed to help reduce abrasion and subsequent clinical complicator is used to hygienically insert and deploy the indwelling diverter at the intended location inside the rectum.

The Qora Arida™ collection pouch is a thin, biocompatible conduit that facilitates the transfer and collection of fecal material from the indwelling diverter. The use of thin material is engineered to reduce the foreign body sensation and risk of anal sphinction. Furthermore, the Qora Arida™ kit offers a single port attached to the side of the collection pouch. The port is used to withdraw the device in a trauma-free way from the patient.

The Qora AIM™ and Qora Aeon™ kits utilize a transit sheath that is a thin, biocompatible conduit that facilitates the transfer fecal material from the indwelling diverter to the collection bag. The use of thin sheath is designed to reduce the foreign body sensation and risk of anal sphinction. The bag connection interface at the end of the transit sheath prevents accidental soiling of bed sheets, garments, etc. during the exchange of a collection bag or other regular maneuvers during patient handling. Furthermore, the Qora AlM™ and Qora Aeon™ kits offer three ports attached to the side of the transit sheath. One port is used to irrigate the indwelling diverter if needed. The second port is used to collect samples from within the transit sheath if desired. The third and final port is used to withdraw the device in a trauma-free way from the patient.

Indications for Use

The Indications for Use for the three products are as below:

The Qora AIM" Stool Manaqement Kit is indicated for fecal manaqement by diverting and collecting liquid or semiformed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device, including replacement with other same devices, should not exceed 29 days.

The Qora Aeon™ Stool Management Kit is indicated for fecal management by diverting and collecting liquid or semi-formed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device, including replacement with other same devices, should not exceed 29 days.

The Qora Arida'" Stool Management Kit is indicated for fecal management by diverting and collecting liguid or semi-formed stool to minimize skin contact in bedridden patients. The device is for use in patients 18 years and older only. The uninterrupted use for this device is intended to be until the collection pouch is filled or until it has been utilized for 72 hours, whichever comes first. The replacement with other same devices should not exceed 29 days.

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Image /page/5/Picture/1 description: The image shows the logo for Consure Medical. The word "consure" is written in teal, with a red curved line in the middle of the word. Below the word "ure" is the word "MEDICAL" in gray. The logo is simple and modern.

Substantial Equivalence

A summary of the equivalence between the Qora AIM™ Stool Management Kit, Qora Aeon™ Stool Management Kit, and Qora Arida™ Stool Management Kit and the predicate device is given in the following table.

MODIFIED DEVICESPREDICATE
ParameterQora AIMTM SMKQora AeonTM SMKQora AridaTM SMKConsure 120 SMS
(K133465)
Intended UseFecal managementFecal managementFecal managementFecal management
Intended UsersBedridden patientsBedridden patientsBedridden patientsBedridden patients
Indications For
UseThe Qora AIMTM Stool
Management Kit is
indicated for fecal
management by
diverting and
collecting liquid or
semi-formed stool to
minimize skin contact
in bedridden
patients. The device
is for use in patients
18 years and older
only. The
uninterrupted use for
this device, including
replacement with
other same devices,
should not exceed 29
days.The Qora AeonTM
Stool Management
Kit is indicated for
fecal management by
diverting and
collecting liquid or
semi-formed stool to
minimize skin contact
in bedridden
patients. The device
is for use in patients
18 years and older
only. The
uninterrupted use for
this device, including
replacement with
other same devices,
should not exceed 29
days.The Qora AridaTM
Stool Management
Kit is indicated for
fecal management by
diverting and
collecting liquid or
semi-formed stool to
minimize skin contact
in bedridden
patients. The device
is for use in patients
18 years and older
only. The
uninterrupted use for
this device is
intended to be until
the collection pouch
is filled or until it has
been utilized for 72
hours, whichever
comes first. The
replacement with
other same devices
should not exceed 29
days.The Consure 120 SMS
is indicated for fecal
management by
diverting and
collecting liquid or
semi-formed stool to
minimize skin contact
in bedridden
patients.
Patient
Population18 years and older18 years and older18 years and older18 years and older
Environment Of
UseHospitals and nursing
homesHospitals and nursing
homesHospitals and nursing
homesHospitals and nursing
homes
Condition Of UseSingle useSingle useSingle useSingle use
Period Of Usage29 days29 days29 days5 days
Insertion MethodHygienic ApplicatorHygienic ApplicatorHygienic ApplicatorHygienic Applicator
Diverter Outer
Diameter55mm55mm55mm55mm
Detachable
Collection BagYesYesNoYes
Irrigation PortYesYesNoYes
Sampling PortYesYesNoNo
Retrieval ByCollapsing diverterCollapsing diverterCollapsing diverterCollapsing diverter
Closed Waste Bag
VolumeApproximately 1 literApproximately 1 literApproximately 1.5
literApproximately 1 liter
Interface PortSide catheter
connector portSide catheter
connector portSide catheter
connector portSide catheter
connector port
Odor ProtectionYesYesNoNo
MaterialsDiverter: Urethane
based TPU that
cushions stainless
steel wire form
lattice that is MRI
Safe. Urethane base
TPU film to divert
fecal matter into
collection bag.
Collection Bag:
Hypoallergenic
EVA/PVDC odor
barrier film.Diverter: Urethane
based TPU that
cushions stainless
steel wire form
lattice. Urethane
base TPU film to
divert fecal matter
into collection bag.
Collection Bag:
Hypoallergenic
EVA/PVDC odor
barrier film.Diverter: Urethane
based TPU that
cushions stainless
steel wire form
lattice. Urethane
base TPU film to
divert fecal matter
into collection bag.
Collection Bag:
Urethane based TPU
filmDiverter: Urethane
based TPU that
cushions stainless
steel wire form
lattice. Urethane
base TPU film to
divert fecal matter
into collection bag.
Collection Bag:
Urethane based TPU.
SterilitySupplied non-sterile,
disposable, single
patient use.Supplied non-sterile,
disposable, single
patient useSupplied non-sterile,
disposable, single
patient useSupplied non-sterile,
disposable, single
patient use.
PackagingDevice tray in tamper
proof duplex box.Device tray in tamper
proof duplex box.Device in tamper
proof duplex box.Cardboard tray in
Tyvek Pouch.

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Image /page/6/Picture/1 description: The image shows the logo for Consure Medical. The word "consure" is written in teal, with a red curved line in place of the "s". Below the word "ure" is the word "MEDICAL" in gray. The logo is simple and modern, and the colors are eye-catching.

Summary of Performance Data (Non-Clinical Testing):

Non-clinical testing of the subject devices for structural and functional use characteristics has been performed (lumen size, device dimensions, functional strength, simulated use, etc.). In this testing, the subject devices were found to be substantially equivalent to the predicate device for dimensional, functional, and structural integrity testing.

The components of the Qora AIM™, Qora Aeon™, and Qora Arida™ Stool Management Kits have been evaluated for biocompatibility in accordance with the U.S. Food and Drug Administration's guidance entitled Use of International Standard 180 -10993, "Biological Evaluation of Medical Devices Part 1: Evaluation and Testing', issued May 1, 1995. The results of this testing demonstrate that the Qora AIM™, and Qora Arida™ Stool Management Kits are considered to be non-sensitizing, non-cytotoxic, and non-irritating, and has been found safe in such respect for its intended use.

This 510(k) submission for the Qora AlM™ Stool Management Kit, Qora Aeon" Stool Management Kit, and the Qora Arida"" Stool Management Kit is intended to address line extensions to the previously FDA cleared Consure 120 SMS (K133465). Based on the comparison of intended use, indications for use, and technological characteristics, the three line extensions are substantially equivalent to the Consure 120 SMS (K133465), with respect to intended use, indications for use, performance, and technological characteristics. The line extensions do not raise any new issues of safety or effectiveness.