K Number
K161768
Device Name
LUCAS 3 Chest Compression System
Manufacturer
Date Cleared
2016-11-09

(135 days)

Product Code
Regulation Number
870.5200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
LUCAS Chest Compression System is to be used for performing external cardiac compressions on adult patients who have acute circulatory arrest defined as absence of spontaneous breathing and pulse, and loss of consciousness. LUCAS must only be used in cases where chest compressions are likely to help the patient. The LUCAS device is intended for use as an adjunct to manual CPR when effective manual CPR is not possible (e.g., during patient transport or extended CPR when fatigue may prohibit the delivery of effective/consistent compressions to the victim, or when insufficient EMS personnel are available to provide effective CPR).
Device Description
The LUCAS 3 Chest Compression System is a portable tool designed to serve as an adjunct to manual chest compressions. The LUCAS device assists rescuers by delivering effective, consistent and continuous chest compressions as recommended in the American Heart Association quidelines and the European Resuscitation Council quidelines. The LUCAS chest compression system can be used in a wide variety of situations and settings; on the scene, during patient movement, during transportation in road and air ambulances, in hospitals and catheterization laboratories. The device consists of the following components: - . A Back Plate which is positioned underneath the patient as a support for the external chest compressions. - An Upper Part which contains the proprietary and rechargeable LUCAS Battery and the ● compression mechanism with the disposable Suction Cup. - A Stabilization Strap which helps to secure the position of the device in relation to the ● patient. - A Carrying Case. ● In addition the following optional Accessories are offered as part of the system: - LUCAS Battery, Dark Grey ● - LUCAS Power Supply - LUCAS Car Power Cable, 12-28VDC ● - LUCAS PCI Back Plate ● - LUCAS Battery Charger ● - LUCAS Anti Slip, Slim Back Plate - o LUCAS Trolley The LUCAS 3 CHEST COMPRESSION SYSTEM captures data for post event review which may be transmitted locally using Bluetooth (transmission only available when device is powered OFF). LUCAS 3 has substantially the same performance characteristics as the predicate device LUCAS 2.
More Information

Not Found

No
The document describes a mechanical chest compression system and mentions data capture for post-event review, but there is no mention of AI or ML being used for real-time decision-making, analysis, or control of the device's operation.

Yes

The device performs external cardiac compressions on patients experiencing acute circulatory arrest, which is a key therapeutic intervention. It is intended to assist in CPR, a life-saving medical procedure.

No

This device is designed to perform external cardiac compressions, acting as an adjunct to manual CPR. Its purpose is to deliver therapeutic compressions, not to diagnose a medical condition.

No

The device description explicitly lists multiple hardware components (Back Plate, Upper Part, Stabilization Strap, Carrying Case, Battery, Power Supply, Cables, etc.) that are integral to its function of performing chest compressions. While it captures data and transmits it via Bluetooth, the core function is delivered through physical hardware.

Based on the provided information, the LUCAS Chest Compression System is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is to perform external cardiac compressions on patients experiencing circulatory arrest. This is a mechanical intervention performed directly on the patient's body.
  • Device Description: The device is described as a portable tool that delivers chest compressions. It consists of mechanical components like a back plate, upper part with a compression mechanism, and a stabilization strap.
  • Lack of In Vitro Activity: There is no mention of the device being used to examine specimens (like blood, urine, or tissue) outside of the body to provide diagnostic information. IVD devices are specifically designed for this purpose.

The LUCAS Chest Compression System is a therapeutic device used to provide life support through mechanical means.

N/A

Intended Use / Indications for Use

LUCAS Chest Compression System is to be used for performing external cardiac compressions on adult patients who have acute circulatory arrest defined as absence of spontaneous breathing and pulse, and loss of consciousness.

LUCAS must only be used in cases where chest compressions are likely to help the patient.

The LUCAS device is intended for use as an adjunct to manual CPR when effective manual CPR is not possible (e.g., during patient transport or extended CPR when fatigue may prohibit the delivery of effective/consistent compressions to the victim, or when insufficient EMS personnel are available to provide effective CPR).

Product codes

DRM

Device Description

The LUCAS 3 Chest Compression System is a portable tool designed to serve as an adjunct to manual chest compressions. The LUCAS device assists rescuers by delivering effective, consistent and continuous chest compressions as recommended in the American Heart Association quidelines and the European Resuscitation Council quidelines.

The LUCAS chest compression system can be used in a wide variety of situations and settings; on the scene, during patient movement, during transportation in road and air ambulances, in hospitals and catheterization laboratories.

The device consists of the following components:

  • A Back Plate which is positioned underneath the patient as a support for the external chest compressions.
  • An Upper Part which contains the proprietary and rechargeable LUCAS Battery and the ● compression mechanism with the disposable Suction Cup.
  • A Stabilization Strap which helps to secure the position of the device in relation to the ● patient.
  • A Carrying Case. ●

In addition the following optional Accessories are offered as part of the system:

  • LUCAS Battery, Dark Grey ●
  • LUCAS Power Supply
  • LUCAS Car Power Cable, 12-28VDC ●
  • LUCAS PCI Back Plate ●
  • LUCAS Battery Charger ●
  • LUCAS Anti Slip, Slim Back Plate
  • o LUCAS Trolley

The LUCAS 3 CHEST COMPRESSION SYSTEM captures data for post event review which may be transmitted locally using Bluetooth (transmission only available when device is powered OFF).

LUCAS 3 has substantially the same performance characteristics as the predicate device LUCAS 2.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Chest

Indicated Patient Age Range

adult

Intended User / Care Setting

rescuers, EMS personnel. Can be used on the scene, during patient movement, during transportation in road and air ambulances, in hospitals and catheterization laboratories.

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)

Appropriate performance testing has been conducted by both external and internal parties. Performance testing concludes that the functionality, safety, efficacy and capability of LUCAS 3 support conformance with the product specification and substantial equivalence with the predicate device.

LUCAS 3 has been tested by a 30 party accredited testing laboratory and found to comply with the recognized standard ANSI/AAMI ES 60601-1:2005(R)2012 for Medical Electrical Equipment, Part 1 General requirements for Basic Safety and essential performance, including collateral standards IEC 60601-1-2:2007/AC2010 Electromagnetic compatibility requirements and tests, IEC 60601-1-6:2010 + A1:2015 Usability, IEC 60601-1-8:2007 + A1:2013 Test and guidance for Alarms systems in MEE & MES and IEC 60601-1-12 MEE intended for use in emergency medical services environment.

The LUCAS Battery complies with IEC 62133:2012 Secondary cells and batteries containing alkaline or other non-acid electrolytes – Safety requirements for portable sealed secondary cells, and for batteries made from them, for use in portable applications.

The LUCAS 3 also complies with the international standards for Medical Vehicles and their equipment for Road Ambulance EN 1789:2014 and Air Ambulances, EN 13718-1:2014.

In all instances, the LUCAS 3 functioned as intended and demonstrated equivalent performance with the predicate device LUCAS 2.

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

Not Found

Predicate Device(s)

K090422

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.5200 External cardiac compressor.

(a)
Identification. An external cardiac compressor is an externally applied prescription device that is electrically, pneumatically, or manually powered and is used to compress the chest periodically in the region of the heart to provide blood flow during cardiac arrest. External cardiac compressor devices are used as an adjunct to manual cardiopulmonary resuscitation (CPR) when effective manual CPR is not possible (e.g., during patient transport or extended CPR when fatigue may prohibit the delivery of effective/consistent compressions to the victim, or when insufficient EMS personnel are available to provide effective CPR).(b)
Classification. Class II (special controls). The special controls for this device are:(1) Nonclinical performance testing under simulated physiological conditions must demonstrate the reliability of the delivery of specific compression depth and rate over the intended duration of use.
(2) Labeling must include the following:
(i) The clinical training necessary for the safe use of this device;
(ii) Adjunctive use only indication prominently displayed on labels physically placed on the device and in any device manuals or other labeling;
(iii) Information on the patient population for which the device has been demonstrated to be effective (including patient size and/or age limitations,
e.g., adult, pediatric and/or infant); and(iv) Information on the time necessary to deploy the device as demonstrated in the performance testing.
(3) For devices that incorporate electrical components, appropriate analysis and testing must demonstrate that the device is electrically safe and electromagnetically compatible in its intended use environment.
(4) Human factors testing and analysis must validate that the device design and labeling are sufficient for effective use by the intended user, including an evaluation for the time necessary to deploy the device.
(5) For devices containing software, software verification, validation, and hazard analysis must be performed.
(6) Components of the device that come into human contact must be demonstrated to be biocompatible.

0

Image /page/0/Picture/0 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract symbol that resembles a stylized human profile.

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

November 09, 2016

Jolife AB % John Smith Partner Hogan Lovells US LLP 555 13th Street NW Washington, District of Columbia 20004

Re: K161768

Trade/Device Name: LUCAS 3 Chest Compression System Regulation Number: 21 CFR 870.5200 Regulation Name: External Cardiac Compressor Regulatory Class: Class II Product Code: DRM Dated: August 15, 2016 Received: August 15, 2016

Dear John Smith:

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 Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device

1

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/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.

Sincerely.

M.R. Hilleman

for

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page

510(k) Number (if known) K161768

Device Name LUCAS 3 CHEST COMPRESSION SYSTEM

Indications for Use (Describe)

LUCAS Chest Compression System is to be used for performing external cardiac compressions on adult patients who have acute circulatory arrest defined as absence of spontaneous breathing and pulse, and loss of consciousness.

LUCAS must only be used in cases where chest compressions are likely to help the patient.

The LUCAS device is intended for use as an adjunct to manual CPR when effective manual CPR is not possible (e.g., during patient transport or extended CPR when fatigue may prohibit the delivery of effective/consistent compressions to the victim, or when insufficient EMS personnel are available to provide effective CPR).

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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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

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FORM FDA 3881 (8/14)

Page 1 of 1 FDA

PSC Publishing Services (301) 443-6740 EF

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510(k) SUMMARY Jolife's LUCAS 3 CHEST COMPRESSION SYSTEM

Submitter's Name, Address, Telephone Number, Contact Person and Date Prepared

Malin Melander Jolife AB Scheelevagen 17 Ideon Science Park SE-223 70 Lund Sweden

Phone: +46 46 286 50 00 Cell Phone: +46 76 844 11 41 Facsimile: +46 46 286 50 10 Email: malin.melander@physio-control.com

Contact Person: John J. Smith Hogan Lovell US LLP 555 13th Street NW Washington, DC 20004

Phone: +1 202 637 3638

Date Prepared: June 27, 2016

Name of Device

LUCAS 3 CHEST COMPRESSION SYSTEM

Common or Usual Name

External Cardiac Compressor

Classification Name

External Cardiac Compressor (21 CFR 870.5200)

Predicate Devices

LUCAS 2, Jolife AB (K090422)

Indications for Use

LUCAS Chest Compression System is to be used for performing external cardiac compressions on adult patients who have acute circulatory arrest defined as absence of spontaneous breathing and pulse, and loss of consciousness.

LUCAS must only be used in cases where chest compressions are likely to help the patient.

The LUCAS device is intended for use as an adjunct to manual CPR when effective manual CPR is not possible (e.g., during patient transport or extended CPR when fatique may prohibit the delivery of effective/consistent compressions to the victim, or when insufficient EMS personnel are available to provide effective CPR).

4

Technological Characteristics

The LUCAS 3 Chest Compression System is a portable tool designed to serve as an adjunct to manual chest compressions. The LUCAS device assists rescuers by delivering effective, consistent and continuous chest compressions as recommended in the American Heart Association quidelines and the European Resuscitation Council quidelines.

The LUCAS chest compression system can be used in a wide variety of situations and settings; on the scene, during patient movement, during transportation in road and air ambulances, in hospitals and catheterization laboratories.

The device consists of the following components:

  • . A Back Plate which is positioned underneath the patient as a support for the external chest compressions.
  • An Upper Part which contains the proprietary and rechargeable LUCAS Battery and the ● compression mechanism with the disposable Suction Cup.
  • A Stabilization Strap which helps to secure the position of the device in relation to the ● patient.
  • A Carrying Case. ●

In addition the following optional Accessories are offered as part of the system:

  • LUCAS Battery, Dark Grey ●
  • LUCAS Power Supply
  • LUCAS Car Power Cable, 12-28VDC ●
  • LUCAS PCI Back Plate ●
  • LUCAS Battery Charger ●
  • LUCAS Anti Slip, Slim Back Plate
  • o LUCAS Trolley

The LUCAS 3 CHEST COMPRESSION SYSTEM captures data for post event review which may be transmitted locally using Bluetooth (transmission only available when device is powered OFF).

LUCAS 3 has substantially the same performance characteristics as the predicate device LUCAS 2.

Purpose of 510(k)

The purpose of this 510(k) is to modify the LUCAS 2 by addition of:

  • o a modified back plate,
  • a hard shell Carrying Case, 0
  • new colors of exterior plastic parts and o
  • capability to transmit data for post event review (not available during patient ● treatment).

Performance Data

Appropriate performance testing has been conducted by both external and internal parties. Performance testing concludes that the functionality, safety, efficacy and capability of LUCAS 3 support conformance with the product specification and substantial equivalence with the predicate device.

5

LUCAS 3 has been tested by a 30 party accredited testing laboratory and found to comply with the recognized standard ANSI/AAMI ES 60601-1:2005(R)2012 for Medical Electrical Equipment, Part 1 General requirements for Basic Safety and essential performance, including collateral standards IEC 60601-1-2:2007/AC2010 Electromagnetic compatibility requirements and tests, IEC 60601-1-6:2010 + A1:2015 Usability, IEC 60601-1-8:2007 + A1:2013 Test and guidance for Alarms systems in MEE & MES and IEC 60601-1-12 MEE intended for use in emergency medical services environment.

The LUCAS Battery complies with IEC 62133:2012 Secondary cells and batteries containing alkaline or other non-acid electrolytes – Safety requirements for portable sealed secondary cells, and for batteries made from them, for use in portable applications.

The LUCAS 3 also complies with the international standards for Medical Vehicles and their equipment for Road Ambulance EN 1789:2014 and Air Ambulances, EN 13718-1:2014.

In all instances, the LUCAS 3 functioned as intended and demonstrated equivalent performance with the predicate device LUCAS 2.

Substantial Equivalence

The LUCAS 3 has the same indications for use, similar technological characteristics and identical principles of operation as its predicate device LUCAS 2. The minor technological differences between the LUCAS 3 and its predicate devices do not raise different issues of safety or effectiveness. Performance data demonstrate that the LUCAS 3 is substantially equivalent.

Conclusions

The LUCAS 3 is substantially equivalent to the predicate device.