K Number
K170378
Device Name
AirLife Adult Heated Wire BiPAP/NIV Circuit
Manufacturer
Date Cleared
2017-09-14

(219 days)

Product Code
Regulation Number
868.5270
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
AirLife Adult Heated Wire BiPAP/NIV Circuit is intended for use with adult population that requires mechanical ventilation. The AirLife Adult Heated Wire BiPAP/NIV Circuit is used with spontaneously breathing individuals that benefit from high flow therapy. The product is single use device, non-sterile and used in professional healthcare environments under a doctor's supervision and by skilled clinicians. The AirLife Adult Heated Wire BiPAP/NIV Circuit is designed to work with noninvasive ventilators and compatible to the Fisher & Paykel MR850 humidifier.
Device Description
The AirLife Adult Heated Wire BiPAP/NIV Circuit is intended to deliver and warm breathing gases before they enter the patient's airway. The heated wire circuit is intended for use for adult population that requires non-invasive (NIV) mechanical ventilation. It is intended for spontaneously breathing individuals who require mechanical ventilation. The duration of use is up to 7 days in a hospital environment. The aim is to maintain adequate ventilation and minimize the effort of breathing. The AirLife Adult Heated Wire BiPAP/NIV Circuit is a corrugated plastic tube with a spiral resistance wires within the tubing that generate heat to maintain temperatures and humidity. It is intended to warm gases before they enter a patient's airway. The device delivers humidity to patients requiring active non-invasive humidification, acting as a conduit transporting gases between ventilators, humidifiers and the patient. The AirLife Adult Heated Wire BiPAP/NIV Circuit is designed to operate at a minimum flow rate of 3 LPM and a maximum flow rate of 60 LPM.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and functionality of a heated breathing circuit, with no mention of AI or ML algorithms for data analysis, decision-making, or control.

Yes.

The device is intended for use with individuals requiring mechanical ventilation and high flow therapy, delivering and warming breathing gases to maintain adequate ventilation and minimize breathing effort. These functions directly address a medical condition (respiratory support) and aim to improve patient health, consistent with the definition of a therapeutic device.

No

The device is a heated wire circuit intended to deliver and warm breathing gases to patients, acting as a conduit between ventilators, humidifiers, and the patient. It does not perform any diagnostic function.

No

The device description clearly states it is a "corrugated plastic tube with spiral resistance wires within the tubing that generate heat," indicating it is a physical hardware device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Function: The AirLife Adult Heated Wire BiPAP/NIV Circuit is described as a device that delivers and warms breathing gases to a patient's airway. It acts as a conduit for gases between ventilators, humidifiers, and the patient.
  • No Specimen Analysis: The description does not mention the device being used to analyze any biological specimens from the patient. Its function is purely related to delivering and conditioning breathing gases.

Therefore, the AirLife Adult Heated Wire BiPAP/NIV Circuit falls under the category of a medical device used for respiratory support, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

AirLife Adult Heated Wire BiPAP/NIV Circuit is intended for use with adult population that requires mechanical ventilation. The AirLife Adult Heated Wire BiPAP/NIV Circuit is used with spontaneously breathing individuals that benefit from high flow therapy.

The product is single use device, non-sterile and used in professional healthcare environments under a doctor's supervision and by skilled clinicians. The AirLife Adult Heated Wire BiPAP/NIV Circuit is designed to work with noninvasive ventilators and compatible to the Fisher & Paykel MR850 humidifier.

Product codes

BZE

Device Description

The AirLife Adult Heated Wire BiPAP/NIV Circuit is intended to deliver and warm breathing gases before they enter the patient's airway. The heated wire circuit is intended for use for adult population that requires non-invasive (NIV) mechanical ventilation. It is intended for spontaneously breathing individuals who require mechanical ventilation. The duration of use is up to 7 days in a hospital environment. The aim is to maintain adequate ventilation and minimize the effort of breathing.

The AirLife Adult Heated Wire BiPAP/NIV Circuit is a corrugated plastic tube with a spiral resistance wires within the tubing that generate heat to maintain temperatures and humidity. It is intended to warm gases before they enter a patient's airway. The device delivers humidity to patients requiring active non-invasive humidification, acting as a conduit transporting gases between ventilators, humidifiers and the patient. The AirLife Adult Heated Wire BiPAP/NIV Circuit is designed to operate at a minimum flow rate of 3 LPM and a maximum flow rate of 60 LPM.

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

Intended User / Care Setting

professional healthcare environments under a doctor's supervision and by skilled clinicians.

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)

The proposed device was tested to ensure compliance to the following standards: ISO 5367, 5th Ed: 2014-10-15; ISO 8185, 3rd Ed: 2008-06-15; ISO 5356-1: 3rd Ed; 2004-05-15; AAMI / ANSI ES60601-1:2005/(R)2012 And A1:2012, C1:2009/(R)2012 And A2:2010/(R)2012 (Consolidated Text); AAMI / ANSI / IEC 60601-1-2:2014. Key results show that the device passed tests for Inspiratory Limb, Extension Line, Dry Line, System Leak Test, Resistance to Flow, % Increase in Flow Resistance with Bending, Compliance of Breathing Tubes, Security of Attachment, Conical Connector, Resistance to Melt, Temperature Sensor Leakage, Temperature Sensor Compatibility, Breathing Tube Surface Temperature, Specific Enthalpy, Humidity Output, ANSI/AAMI IEC 60601-1:2005, and IEC 60601-1-2, Ed. 4.0, 2014-02.

Biocompatibility tests were conducted for an externally communicating, tissue by way of gas path and direct mucosal contact with prolonged contact (greater than 24 hours but less than 30 days), including Cytotoxicity, Sensitization, Irritation, Muscle Implantation, Genotoxicity and Extractables/Leachables, in accordance with standards: AAMI/ANSI/ISO 10993-1:2009; AAMI/ANSI/ISO 10993-3:2009 (R2014); AAMI/ANSI/ISO 10993-5:2009 (R2014); AAMI/ANSI/ISO 10993-6:2009 (R2014); AAMI/ANSI/ISO 10993-10:2010 (R2014); AAMI/ANSI/ISO 10993-11:2006 (R2010); AAMI/ANSI/ISO 10993-12: 2012; AAMI/ANSI/ISO 10993-17:2002; AAMI/ANSI/ISO 10993-18:2005.

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

Not Found

Predicate Device(s)

K983112

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5270 Breathing system heater.

(a)
Identification. A breathing system heater is a device that is intended to warm breathing gases before they enter a patient's airway. The device may include a temperature controller.(b)
Classification. Class II (performance standards).

0

Public Health Service

Image /page/0/Picture/2 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, stacked on top of each other.

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

September 14, 2017

Vyaire Medical Colleen Watson (O'Keeffe) Acting Director, Regulatory Affairs 75 North Fairway Drive Vernon Hills, Illinois 60061

Re: K170378

Trade/Device Name: AirLife Adult Heated Wire BiPAP/NIV Circuit Regulation Number: 21 CFR 868.5270 Regulation Name: Breathing system heater Regulatory Class: Class II Product Code: BZE Dated: August 11, 2017 Received: August 14, 2017

Dear Colleen Watson (O'Keeffe):

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 (DICE) 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 (DICE) 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,

Tara A. Ryan -S

Lori Wiggins, MPT, CLT Acting Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K170378

Device Name

AirLife Adult Heated Wire BiPAP/NIV Circuit

Indications for Use (Describe)

AirLife Adult Heated Wire BiPAP/NIV Circuit is intended for use with adult population that requires mechanical ventilation. The AirLife Adult Heated Wire BiPAP/NIV Circuit is used with spontaneously breathing individuals that benefit from high flow therapy.

The product is single use device, non-sterile and used in professional healthcare environments under a doctor's supervision and by skilled clinicians. The AirLife Adult Heated Wire BiPAP/NIV Circuit is designed to work with noninvasive ventilators and compatible to the Fisher & Paykel MR850 humidifier.

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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Image /page/3/Picture/0 description: The image shows the logo for Vyaire Medical. The logo is in blue and consists of the word "Vyaire" in a stylized font, with the word "MEDICAL" in smaller letters underneath. Above the word "Vyaire" are three light blue curved lines.

75 N. Fairway Dr.
Vernon Hills, IL 60061
Phone: 847 362-8107
Vyaire Medical.com

510(k) Summary

1. SUBMITTER

Carefusion/Vyaire Medical, Inc. 26125 Riverwoods Blvd Mettawa, IL 60045 Phone: (224) 706-6818

Contact Person: Colleen O'Keeffe Acting Director, Regulatory Affairs

Date Prepared: September 11, 2017

2. Device

Product Name:AirLife Adult Heated Wire BiPAP/NIV Circuit
Trade or proprietary
name:AirLife™
Device Name:Heated Breathing Circuit
Common Name:Heater, breathing system w/wo controller (not humidifier or
nebulizer)
Classification Name:Breathing system heater (21 CFR 868.5270)
Regulatory Class:II
Product Code:BZE

3. Predicate Device

RT 219 BiLevel /CPAP Circuit was cleared under 510(k) K983112 MR850 Respiratory Humidifier from Fisher and Paykel. The RT219 is an accessory of F&P 850 System. This predicate device has not been subject to a design-related recall.

4. Device Description

The AirLife Adult Heated Wire BiPAP/NIV Circuit is intended to deliver and warm breathing gases before they enter the patient's airway. The heated wire circuit is intended for use for adult population that requires non-invasive (NIV) mechanical ventilation. It is intended for spontaneously breathing individuals who require mechanical ventilation. The duration of use is up to 7 days in a hospital environment. The aim is to maintain adequate ventilation and minimize the effort of breathing.

    1. Principle of Operation

4

Image /page/4/Picture/0 description: The image shows the logo for Vyaire Medical. The word "Vyaire" is written in a large, bold, blue font. Below the word "Vyaire" is the word "MEDICAL" written in a smaller, thinner, blue font. Above the word "Vyaire" is a blue, wave-like design.

75 N. Fairway Dr.
Vernon Hills, IL 60061
Phone: 847 362-8107
Vyaire Medical.com

The AirLife Adult Heated Wire BiPAP/NIV Circuit is a corrugated plastic tube with a spiral resistance wires within the tubing that generate heat to maintain temperatures and humidity. It is intended to warm gases before they enter a patient's airway. The device delivers humidity to patients requiring active non-invasive humidification, acting as a conduit transporting gases between ventilators, humidifiers and the patient. The AirLife Adult Heated Wire BiPAP/NIV Circuit is designed to operate at a minimum flow rate of 3 LPM and a maximum flow rate of 60 LPM.

Indication for use 6.

The AirLife Adult Heated Wire BiPAP/NIV Circuit is intended for use with adult only population that requires mechanical ventilation. The AirLife Adult Heated Wire BiPAP/NIV Circuit is used with spontaneously breathing individuals that benefit from high flow therapy.

The product is single use device, non-sterile and used in professional healthcare environments under a doctor's supervision and by skilled clinicians. The AirLife Adult Heated Wire BiPAP/NIV Circuit is designed to work with noninvasive ventilators and compatible with the Fisher & Paykel MR850 humidifier.

7. Comparison of technological characteristics with the predicate device

The fundamental scientific technology is the same for both proposed and predicate device. It is based on acting as an airway conduit between a breathing machine and the patient. The AirLife Adult Heated Wire BiPAP/NIV Circuit is substantially equivalent to the predicate device RT 219 BiLevel /CPAP Circuit regarding safety, effectiveness, design (technology), materials and intended use. The proposed AirLife Adult Heated Wire BiPAP/NIV Circuit is designed to operate at the same minimum flow rate of 3 LPM and maximum 60 LPM. Successful test results (specific enthalpy, humidity output and surface temperature) ensured that the flow rate of the proposed device does not raise any concerns regarding safety and effectiveness. The similarities and differences between the proposed device and the predicate device are outlined below:

Element of comparisonProposed DevicePredicate Device
Intended UseIntended to warm
breathing gases before
they enter a patient's
airwayIntended to warm breathing
gases before they enter a
patient's airway
Principle of OperationResistance wires within the
tubing generate heat to
maintain temperatures and
humidityResistance wires within the
tubing generate heat to
maintain temperatures and
humidity
Limb Length (Inspiratory)5 ft5 ft
Dryline Length1.7 ft1.7 ft

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Image /page/5/Picture/0 description: The image shows the logo for Vyaire Medical. The logo is in blue and features the word "Vyaire" in a stylized font. Below the word "Vyaire" is the word "MEDICAL" in a smaller, sans-serif font. Above the word "Vyaire" are three curved lines in a lighter shade of blue.

75 N. Fairway Dr.
Vernon Hills, IL 60061
Phone: 847 362-8107
Vyaire Medical.com

Element of comparisonProposed DevicePredicate Device
Unheated Extension Length1 ft1 ft
Intended Patient UseAdultAdult
UsageDisposableDisposable
DesignSingle LimbSingle Limb
Flow rateMax 60 LPMMax 70 LPM
Nominal Inside Diameter30 mm30 mm
DesignCorrugated Breathing Tube
with 22mm AdaptersCorrugated Breathing Tube
with 22mm Adapters
Circuit DesignSingleSingle
Maximum Power of Heater Base60W60W
Maximum Power of Circuit36W60W
Min circuit resistance per Limb20.5 Ω12.0 Ω
Maximum Power/foot of Limb7.2W/ft12W/ft
ConductorCopper/Ni alloyCopper alloy
Disposable Exhalation Port (DEP)PresentPresent
Compatible HumidifiersFisher and Paykel MR850Fisher and Paykel MR850

8. Performance Data

The proposed device was tested to ensure compliance to the following standards:

8.1 Performance Testing

Performance CharacteristicStandard
Anaesthetic and respiratory equipment – Breathing sets
and connectorsISO 5367, 5th Ed: 2014-
10-15
Respiratory tract humidifiers for medical use. Particular
requirements for respiratory humidification systemISO 8185, 3rd Ed: 2008-
06-15
Anaesthetic and respiratory equipment. Conical
connectors. Cones and socketsISO 5356-1: 3rd Ed;
2004-05-15
Medical Electrical Equipment - Part 1: General
Requirements For Basic Safety And Essential
Performance (iec 60601-1:2005, mod)AAMI / ANSI ES60601-
1:2005/(R)2012 And
A1:2012,

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Image /page/6/Picture/0 description: The image shows the logo for Vyaire Medical. The logo is in blue and features the word "Vyaire" in a stylized font. Below "Vyaire" is the word "MEDICAL" in a smaller, sans-serif font. Above the word "Vyaire" are two light blue curved lines.

75 N. Fairway Dr. Vernon Hills, IL 60061 Phone: 847 362-8107 Vyaire Medical.com

Performance CharacteristicStandard
C1:2009/(R)2012 And
A2:2010/(R)2012
(Consolidated Text)
Medical Electrical Equipment -- Part 1-2: General
Requirements For Basic Safety
And Essential Performance -- Collateral Standard:
Electromagnetic Disturbances -- Requirements And TestsAAMI / ANSI / IEC
60601-1-2:2014
Performance CharacteristicResults
Inspiratory LimbPass
Extension LinePass
Dry LinePass
System Leak TestPass
Resistance to FlowPass
% Increase in Flow Resistance with BendingPass
Compliance of Breathing TubesPass
Security of AttachmentPass
Conical ConnectorPass
Resistance to MeltPass
Temperature Sensor LeakagePass
Temperature Sensor CompatibilityPass
Breathing Tube Surface TemperaturePass
Specific EnthalpyPass
Humidity OutputPass
ANSI/AAMI IEC 60601-1:2005Pass
IEC 60601-1-2, Ed. 4.0, 2014-02Pass

8.2 Biocompatibility

Tests for an externally communicating, tissue by way of gas path and direct mucosal contact with prolonged contact (greater than 24 hours but less than 30 days): Cytotoxicity, Sensitization, Irritation, Muscle Implantation, Genotoxicity and Extractables/Leachables

Performance CharacteristicStandard
Biological Evaluation of Medical Devices-Part 1:
Evaluation and TestingAAMI/ANSI/ISO 10993-1:2009
Biological evaluation of medical devices – Part 3: Tests
for genotoxicity, carcinogenicity and reproductive
toxicityAAMI/ANSI/ISO 10993-3:2009 (R2014)
Biological Evaluation of Medical Devices-Part 5: Tests
for In Vitro CytotoxicityAAMI/ANSI/ISO 10993-5:2009 (R2014)
Biological evaluation of medical devices – Part 6: Tests
for local effects after implantationAAMI/ANSI/ISO 10993-6:2009 (R2014)

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Image /page/7/Picture/0 description: The image contains the logo for Vyaire Medical. The logo consists of the word "Vyaire" in a bold, sans-serif font, with the word "MEDICAL" in a smaller, lighter font underneath. Above the word "Vyaire" are two curved lines in a light blue color, which appear to be stylized representations of air waves.

75 N. Fairway Dr. Vernon Hills, IL 60061
Phone: 847 362-8107 Vyaire Medical.com

Performance CharacteristicStandard
Biological Evaluation of Medical Devices-Part 10: Tests
for Irritation and Skin Sensitization.AAMI/ANSI/ISO 10993-10:2010
(R2014)
Biological evaluation of medical devices – Part 11:
Tests for systemic toxicityAAMI/ANSI/ISO 10993-11:2006
(R2010)
Biological evaluation of medical devices – Part 12:
Sample preparation and reference materialsAAMI/ANSI/ISO 10993-12: 2012
Biological Evaluation of Medical Devices Part 17:
Establishment of allowable limits for leachable
substancesAAMI/ANSI/ISO 10993-17:2002
Biological Evaluation of Medical Devices Part 18:
Chemical characterization of materialsAAMI/ANSI/ISO 10993-18:2005

9. Conclusion

The non-clinical data demonstrates that the AirLife Adult Heated Wire BiPAP/NIV Circuit is as safe and as effective as the predicate and therefore substantially equivalent to the predicate device.