K Number
K172956
Device Name
Medicant Mucosal Atomizer
Date Cleared
2018-04-06

(192 days)

Product Code
Regulation Number
868.5170
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Medicant Mucosal Atomizer is intended for the application of topical anesthetics to the oropharynx and upper airway region.
Device Description
The proposed device delivers the solution through the nasal passages, directly to the laryngo-tracheal region via a wand-like configuration of the device is placed inside an endotracheal tube for a directed spray. The device is offered in 3 configurations, all supplied with a 3 cc syringe.
More Information

No
The device description and performance studies focus on mechanical and aerosol delivery characteristics, with no mention of AI or ML terms or functionalities.

No
The device is used to apply topical anesthetics, which are drugs, not to directly treat a disease or condition itself. It's a delivery system for a therapeutic agent, but not a therapeutic device in its own right.

No
The device is described as an atomizer for applying topical anesthetics, indicating a therapeutic or procedural function rather than diagnosis.

No

The device description clearly outlines a physical device with a wand-like configuration, syringe, and different configurations, indicating it is a hardware device for delivering a solution. The performance studies also focus on physical characteristics like aerosol performance, particle size, and mechanical testing.

Based on the provided information, the Medicant Mucosal Atomizer is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The Medicant Mucosal Atomizer is a device used to deliver a substance (topical anesthetics) to a specific anatomical site (oropharynx and upper airway region). It is a delivery system, not a diagnostic test performed on a sample.
  • Intended Use: The intended use clearly states it's for the "application of topical anesthetics," which is a therapeutic or procedural application, not a diagnostic one.
  • Device Description: The description focuses on the mechanism of delivery (atomization, wand configuration, syringe) and its use within an endotracheal tube, all related to drug delivery.
  • Performance Studies: The performance studies listed are related to the physical characteristics and delivery capabilities of the device (aerosol performance, particle size, spray characteristics, biocompatibility, mechanical testing), not the accuracy or performance of a diagnostic test.

Therefore, the Medicant Mucosal Atomizer is a medical device used for drug delivery, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Medicant Mucosal Atomizer is intended for the application of topical anesthetics to the oropharynx and upper airway region.

Product codes

CCT

Device Description

The proposed device delivers the solution through the nasal passages, directly to the laryngo-tracheal region via a wand-like configuration of the device is placed inside an endotracheal tube for a directed spray. The device is offered in 3 configurations, all supplied with a 3 cc syringe.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

oropharynx and upper airway region

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Hospitals and clinical settings where topical anesthetic solutions are needed.

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

Non-clinical performance testing included:

  • Aerosol Performance and Comparison Lidocaine and saline
    • Total Dose
    • Particle Size (MMAD microns)
    • Geometric Standard Deviation (GSD)
  • Plume Geometry - Lidocaine and saline
    • Spray Distance
    • Velocity
    • Dispersion Angle
  • Biocompatibility
  • Aging / Shelf-life post-aging performance
  • Mechanical drop test, bond tensile strength
  • ISO 594-1 Luer performance

Key Metrics

Not Found

Predicate Device(s)

K153470 - MADgic Laryngo-Tracheal Mucosal Atomization Device

Reference Device(s)

K070596 - Sharn Topical Applicator

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5170 Laryngotracheal topical anesthesia applicator.

(a)
Identification. A laryngotracheal topical anesthesia applicator is a device used to apply topical anesthetics to a patient's laryngotracheal area.(b)
Classification. Class II (performance standards).

0

510(k) Summary

Date Prepared:04-Apr-2018
Medica Holdings, LLC
5200 Meadows Rd Ste 150
Lake Oswego, OR 97035
Official Contact:George Reed
President
Proprietary or Trade Name:Medicant Mucosal Atomizer
Common/Usual Name:Laryngotracheal topical anesthesia applicator
Classification Name:21CFR 868.5170
CCT - Applicator (Laryngo-Tracheal), Topical Anesthesia
Class II
Predicate Device:K153470 - MADgic Laryngo-Tracheal Mucosal Atomization Device
Reference Device:K070596 - Sharn Topical Applicator
Device Description:The proposed device delivers the solution through the nasal passages,
directly to the laryngo-tracheal region via a wand-like configuration of
the device is placed inside an endotracheal tube for a directed spray.
The device is offered in 3 configurations, all supplied with a 3 cc
syringe.
DescriptionWith a 3 cc syringe
Nasal cone which is 1.65" longX
4.5" long tubeX
8.5" long tubeX

| Indications for Use: | The Medicant Mucosal Atomizer is intended for the application of
topical anesthetics to the oropharynx and upper airway region. |
|----------------------|------------------------------------------------------------------------------------------------------------------------------------|
| Patient Population: | Individuals requiring topical analgesia at the direction and discretion of
the clinician. |
| Environments of Use: | Hospitals and clinical settings where topical anesthethic solutions are
needed. |

1

510(k) Summary

Comparison to the predicate device

Device ComparisonProposed DevicePrimary PredicateReference Device
Medicant Mucosal AtomizerMADgic Laryngo-Tracheal Mucosal
Atomization Device
K153470Sharn Topical Applicator
K070596
Indicated UseThe Medicant Mucosal Atomizer is
intended for the application of
topical anesthetics to the oropharynx
and upper airway regionThe MADgicTM Laryngo-Tracheal
Mucosal Atomization Device is
intended for the application of topical
anesthetics to the oropharynx and
upper airway regionIntended for atomizing topical
anesthetics to the
oropharynx and upper airway regions
Patient PopulationIndividuals requiring topical
anesthetics at the direction and
discretion of the clinician.Individuals requiring topical
anesthetics at the direction and
discretion of the clinician.Individuals requiring topical
anesthetics at the direction and
discretion of the clinician.
Environment of UseHospitals and clinical settings where
topical anesthetic solutions are
needed.Hospitals and clinical settings where
topical anesthetic solutions are
needed.Hospitals and clinical settings where
topical anesthetic solutions are
needed.
RxYesYesYes
DesignSingle Patient
Disposable, Non-sterileSingle Patient
Disposable, Non-sterileSingle Patient
Disposable, Non-sterile
ComponentsSyringe
Flexible tube - 4.5" and 8.5"
Atomizer tip / nozzle
Nasal coneSyringe
Flexible tube - 4.5" and 8.5"
Atomizer tip / nozzle
Nasal coneSyringe
Flexible tube
Atomizer tip / nozzle
Places insertedNasal
OrotrachealNasal
OrotrachealNasal
Orotracheal
Total Dose Delivered2.9 ml saline
2.8 ml lidocaine2.8 ml saline
2.8 ml lidocaineunknown
From a 3 ml syringe
Particle Size MMAD (μm)18.8 μm saline
18.7 μm lidocaine18.7 μm saline
18.7 μm lidocaineunknown
Plume GeometrySimilarSimilarunknown
BiocompatibilityCytotoxicity
Sensitization
IntracutaneousCytotoxicity
Sensitization
IntracutaneousTested to ISO 10993-1
Delivery formFine mist sprayFine mist sprayFine mist spray

2

510(k) Summary Page 3 of 4 04-Apr-2018

The Medicant Mucosal Atomizer is viewed as substantially equivalent to the predicate device because:

Indications for Use - The indications for use are similar between both devices. Discussion - The indications for use are identical for the proposed device and the predicate - MADgic Laryngo-Tracheal Mucosal Atomization Device - K153470.

Patient Population - The patient population for the proposed device and predicate device are different. The predicate narrowed the patient population to patients requiring intubation. However, we have included a reference device - Sharn Topical Applicator - K070596 - which has a similar patient population to the Medicant Mucosal Atomizer.

Discussion - The difference is patient population between the proposed device and the predicate -MADgic Laryngo-Tracheal Mucosal Atomization Device - K153470 - does not raise different questions of safety and effectiveness. The reference device - Sharn Topical Applicator - K070596 - has similar indications for use, patient population, and environment of use.

Environment of Use - The indications for use are similar between both devices. Discussion - The environment of use are similar for the proposed device and the predicate -MADgic Laryngo-Tracheal Mucosal Atomization Device - K153470.

Technology - The Medicant Mucosal Atomizer delivers the solution through the nasal passages, directly to the laryngo-tracheal region via a wand-like configuration or the device is placed inside an endotracheal tube for a directed spray. The delivery form results in a fine mist spray.

Discussion - The technology is similar for the proposed device as compared to the predicate - MADgic Laryngo-Tracheal Mucosal Atomization Device - K153470.

Non-Clinical Performance Testing Summary -

Non-clinical performance testing included:

  • Aerosol Performance and Comparison Lidocaine and saline ●
    • Total Dose o
    • Particle Size (MMAD microns) o
    • Geometric Standard Deviation (GSD) O
  • Plume Geometry - lidocaine and saline
    • o Spray Distance
    • Velocity O
    • Dispersion Angle o
  • Biocompatibility
  • Aging / Shelf-life post-aging performance ●
  • Mechanical drop test, bond tensile strength ●
  • ISO 594-1 Luer performance .

Biocompatibility of Materials -

The components in patient contact are characterized as similar for the proposed device and the predicate, which is:

  • . Externally Communicating, Tissue and

3

  • Surface Contact, Mucosa

510(k) Summary Page 4 of 4 04-Apr-2018

  • . Duration of Use - limited (