K Number
K173280
Device Name
Neonatal ConchaSmart Breathing Circuits
Date Cleared
2018-08-02

(290 days)

Product Code
Regulation Number
868.5270
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Neonatal ConchaSmart Breathing Circuits are intended for neonatal and infant patients in professional healthcare environments as a conduit for respiratory gas between a patient and a ventilator or Infant Flow Generator (for single limb configuration) and include heated wire(s) for use with the Hudson RCI Neptune Heated Humidifier. The heated wires are intended to aid in maintaining the set patient temperature and minimize condensation in the ventilator tubing.
Device Description
The Neonatal ConchaSmart Breathing Circuits are intended for neonatal and infant patients in professional healthcare environments as a conduit for respiratory gas between a patient and a ventilator or Infant Flow Generator (for single limb configuration) and includes heated wire(s) for use with the Hudson RCI Neptune Heated Humidifier. The heated wires are intended to aid in maintaining the set patient temperature and minimize condensation in the ventilator tubing. These devices are made of corrugated tubing (10mm in diameter), which houses the heated wires and are kitted with various adaptors and connectors to aid the respiratory care clinician in system configuration. In general these heated wire circuits are connected to both a ventilator and a Hudson RCI Neptune Heated Humidifier. The single limb configuration is compatible with the CareFusion Infant Flow system. All Neonatal ConchaSmart Breathing Circuits have a useful life of 21 days. Neonatal ConchaSmart Breathing Circuits are sold non-sterile.
More Information

No
The summary describes a passive breathing circuit with heated wires and connectors, and there is no mention of AI or ML in the intended use, device description, or performance studies.

No.
The device acts as a conduit for respiratory gas and aids in maintaining temperature and minimizing condensation, but it does not directly treat a medical condition.

No

The device is described as a "conduit for respiratory gas between a patient and a ventilator or Infant Flow Generator" and includes heated wires to maintain temperature and minimize condensation. Its purpose is to facilitate gas delivery and conditioning, not to diagnose a condition or illness.

No

The device description clearly states it is made of corrugated tubing and includes heated wires, which are physical hardware components.

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

Here's why:

  • Intended Use/Indications for Use: The intended use clearly states the device is a "conduit for respiratory gas between a patient and a ventilator or Infant Flow Generator." It also mentions heated wires for maintaining temperature and minimizing condensation. This describes a device used in vivo (within the body or in direct contact with the body) for respiratory support, not for testing samples in vitro (outside the body).
  • Device Description: The description reinforces the function as a conduit for respiratory gas and its connection to ventilators and humidifiers. It describes physical components like tubing and connectors.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or treatment. The device's function is purely mechanical and related to delivering respiratory gas.

In summary, the Neonatal ConchaSmart Breathing Circuits are a medical device used for respiratory support, not for performing diagnostic tests on biological samples.

N/A

Intended Use / Indications for Use

The Neonatal ConchaSmart Breathing Circuits are intended for neonatal and infant patients in professional healthcare environments as a conduit for respiratory gas between a patient and a ventilator or Infant Flow Generator (for single limb configuration) and include heated wire(s) for use with the Hudson RCI Neptune Heated Humidifier. The heated wires are intended to aid in maintaining the set patient temperature and minimize condensation in the ventilator tubing.

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

BZE

Device Description

The Neonatal ConchaSmart Breathing Circuits are intended for neonatal and infant patients in professional healthcare environments as a conduit for respiratory gas between a patient and a ventilator or Infant Flow Generator (for single limb configuration) and includes heated wire(s) for use with the Hudson RCI Neptune Heated Humidifier. The heated wires are intended to aid in maintaining the set patient temperature and minimize condensation in the ventilator tubing.

These devices are made of corrugated tubing (10mm in diameter), which houses the heated wires and are kitted with various adaptors and connectors to aid the respiratory care clinician in system configuration. In general these heated wire circuits are connected to both a ventilator and a Hudson RCI Neptune Heated Humidifier. The single limb configuration is compatible with the CareFusion Infant Flow system.

All Neonatal ConchaSmart Breathing Circuits have a useful life of 21 days. Neonatal ConchaSmart Breathing Circuits are sold non-sterile.

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

Neonatal and infant patients

Intended User / Care Setting

Professional healthcare environments

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 following testing was performed on the proposed devices:

  • IEC 60601-1 Medical Electrical Equipment Part 1: General Requirements for . Safety, 1988; Amendment 1, 1991-11, Amendment 2, 1995, applicable sections
  • ISO 8185:2007 - Respiratory tract humidifiers for medical use -- Particular requirements for respiratory humidification systems, applicable sections
  • . ISO 5356-1:2015 - Anaesthetic and respiratory equipment -- Conical connectors --Part 1: Cones and sockets, applicable sections
  • ISO 5367:2014 Anaesthetic and respiratory equipment -- Breathing sets and . connectors, applicable sections
  • Biocompatibility .
    • o ISO 10993-1:2009 Biological evaluation of medical devices -- Part 1: Evaluation and testing within a risk management process
    • o ISO 10993-5:2009 Biological evaluation of medical devices -- Part 5: Tests for in vitro cytotoxicity
    • o ISO 10993-10:2010 Biological evaluation of medical devices -- Part 10: Tests for irritation and skin sensitization
    • o ISO 10993-17:2002 Biological evaluation of medical devices -- Part 17: Establishment of allowable limits for leachable substances
    • o ISO 10993-18:2002 Biological evaluation of medical devices -- Part 18: Chemical characterization of materials
  • Shelf Life (accelerated aging)
  • Useful life

The proposed devices were tested to the neonatal requirements of ISO 5367:2014. In addition, testing was performed to ensure compatibility with the Hudson RCI Neptune Heated Humidifier and a useful life of 21 days. Cytotoxicity, sensitization, irritation, and Extractable and Leachable testing were performed to demonstrate biocompatibility of the patient contacting materials.

Test Results:

  • Shelf Life testing: The proposed Neonatal ConchaSmart Breathing Circuits were aged according to ASTM F1980: Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices for the equivalent of one year. Result: N/A (for test setup only)
  • Useful Life testing: The proposed Neonatal ConchaSmart Breathing Circuits were tested for a 21 day useful life after accelerated aging equivalent to one year using worst case use scenarios. During and after the useful life testing, the circuits were tested for applicable sections of ISO 5367. Result: PASS
  • Design Verification testing: ISO 8185:2007 Testing: The proposed Neonatal ConchaSmart Breathing Circuit, when used with the Hudson RCI Neptune Heated Humidifier, must perform as intended post accelerated aging and useful life testing when subject to the test methods from applicable sections of ISO 8185:2007 Respiratory tract humidifiers for medical use -- Particular requirements for respiratory humidification systems. Result: PASS
  • Design Verification testing: IEC 60601-1:1988 + A1:1991 + A2:1995 Testing: The proposed Neonatal ConchaSmart Breathing Circuit, when used with the Hudson RCI Neptune Heated Humidifier, must perform as intended post accelerated aging and useful life testing when subject to the test methods from applicable sections of IEC 60601-1 Medical electrical equipment - Part 1: General requirements for safety. Result: PASS
  • Design Verification testing: ISO 5367:2014 Testing: The proposed Neonatal ConchaSmart Breathing Circuit, when used with the Hudson RCI Neptune Heated Humidifier, must perform as intended post accelerated aging and useful life testing when subject to the test methods from applicable sections of ISO 5367:2014 - Anaesthetic and respiratory equipment -- Breathing sets and connectors. Result: PASS
  • Design Verification testing: ISO 5356-1:2015 Testing: The proposed Neonatal ConchaSmart Breathing Circuit must perform as intended post accelerated aging and useful life testing when subject to the test methods from the following applicable sections of ISO 5356-1:2015 – Anaesthetic and respiratory equipment -- Conical connectors -- Part 1: Cones and sockets. Result: PASS
  • Design Verification testing: Additional Design Testing: The proposed Neonatal ConchaSmart Breathing Circuit must perform as intended post accelerated aging and useful life testing when subject to the test methods from additional design testing including component break and slip testing. Result: PASS

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.

K103767

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.

K140556, K151959

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

§ 868.5270 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

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo in blue, with the words "U.S. FOOD & DRUG" above the word "ADMINISTRATION".

August 2, 2018

Teleflex Medical, Inc Brian Gall Senior Regulatory Affairs Specialist, Respiratory Division 3015 Carrington Mill Blvd Morrisville, North Carolina 27560

Re: K173280

Trade/Device Name: Neonatal ConchaSmart Breathing Circuits Regulation Number: 21 CFR 868.5270 Regulation Name: Breathing System Heater Regulatory Class: Class II Product Code: BZE Dated: June 29, 2018 Received: July 2, 2018

Dear Brian Gall:

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 mav, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be avare that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

James J. Lee -S

for Tina Kiang, Ph.D. 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) K173280

Device Name

Neonatal ConchaSmart Breathing Circuit

Indications for Use (Describe)

The Neonatal ConchaSmart Breathing Circuits are intended for neonatal and infant patients in professional healthcare environments as a conduit for respiratory gas between a patient and a ventilator or Infant Flow Generator (for single limb configuration) and include heated wire(s) for use with the Hudson RCI Neptune Heated wires are intended to aid in maintaining the set patient temperature and minimize condensation in the ventilator tubing.

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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3

510(k) SUMMARY

A. Name, Address, Phone and Fax Number of Applicant

Teleflex Medical, Inc. 3015 Carrington Mill Blvd Morrisville, NC 27560 Phone: 919-228-4350

B. Contact Person

Brian Gall Regulatory Affairs Group Lead, Respiratory Division

C. Date Prepared

31 July 2018

D. Device Name

Trade Name:Neonatal ConchaSmart Breathing Circuits
Common Name:Breathing system heater
Product Code:BZE
Regulation Number:868.5270
Classification:II
Classification Panel:Anesthesiology

E. Predicate Device

The Neonatal ConchaSmart Breathing Circuits are substantially equivalent to the following devices:

  • K103767 RT265 and RT266 Dual Heated Infant Breathing Circuits .
    In addition, the following devices are used as reference devices as described:

K140556 has been added as a reference 510(k). The primary reason for referencing K140556 is that this is the adult version of the proposed device. The adult breathing circuits were added as a reference for the following primary reasons:

  • . Different technological characteristics (single vs. dual limb) do not raise different questions of safety and effectiveness from the predicate device since the adult circuit is available in both configurations.
  • . The materials used in the proposed neonatal breathing circuit and the reference are similar and well understood.
  • . The useful life testing strategy of the reference device was accepted. It is an equivalent test method to the proposed device.
  • . The heated wires used in the reference device are similar to the proposed device. The intent of using the adult circuits as a reference was to show that Teleflex has market knowledge of the interaction of this type of heated wire being used with similar materials with the Hudson RCI Neptune Heated Humidifier system.

4

K151959 has been added as a reference 510(k). The primary reason for referencing K151959 the following:

  • . It is a single limb breathing circuit cleared to be used with a heated humidifier for neonatal and infant patient populations.
  • . The testing related to the single limb configuration was similar (biocompatibility to ISO 10993; circuit construction and performance to ISO 5356-1, ISO 5367, and ISO 8185; and electrical testing to IEC 60601-1).

F. Device Description

The Neonatal ConchaSmart Breathing Circuits are intended for neonatal and infant patients in professional healthcare environments as a conduit for respiratory gas between a patient and a ventilator or Infant Flow Generator (for single limb configuration) and includes heated wire(s) for use with the Hudson RCI Neptune Heated Humidifier. The heated wires are intended to aid in maintaining the set patient temperature and minimize condensation in the ventilator tubing.

These devices are made of corrugated tubing (10mm in diameter), which houses the heated wires and are kitted with various adaptors and connectors to aid the respiratory care clinician in system configuration. In general these heated wire circuits are connected to both a ventilator and a Hudson RCI Neptune Heated Humidifier. The single limb configuration is compatible with the CareFusion Infant Flow system.

All Neonatal ConchaSmart Breathing Circuits have a useful life of 21 days. Neonatal ConchaSmart Breathing Circuits are sold non-sterile.

G. Indications for Use

The Neonatal ConchaSmart Breathing Circuits are intended for neonatal and infant patients in professional healthcare environments as a conduit for respiratory gas between a patient and a ventilator or Infant Flow Generator (for single limb configuration) and include heated wire(s) for use with the Hudson RCI Neptune Heated Humidifier. The heated wires are intended to aid in maintaining the set patient temperature and minimize condensation in the ventilator tubing.

H. Technological Characteristics - Comparison to the Predicate

The proposed Heated Wire Breathing Circuits are substantially equivalent to the predicate device as the intended use, fundamental scientific technology, and operating principles are the same. The circuits differ with regards to limb configurations, tubing dimensions, and materials, however through testing and the introduction of reference predicates, the proposed devices are substantially equivalent to the predicate as indicated below:

5

| Comparative
Characteristics | RT265 and RT266 Dual Heated
Infant Breathing Circuits
Predicate (K103767) | Neonatal ConchaSmart Breathing
Circuits
Proposed | |
|------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|
| Indications for
Use | The dual-heated breathing circuits
are intended as conduits of
breathing gas for ventilation of infant
patients, and to maintain the
temperature of humidified inspired
gas. The RT265 is used for flow
rates greater than 4LPM, and the
RT266 is for flow rates between
0.3LPM and 4LPM. | The Neonatal ConchaSmart
Breathing Circuits are intended for
neonatal and infant patients in
professional healthcare
environments as a conduit for
respiratory gas between a patient
and a ventilator or Infant Flow
Generator (for single limb
configuration) and include heated
wire(s) for use with the Hudson RCI
Neptune Heated Humidifier. The
heated wires are intended to aid in
maintaining the set patient
temperature and minimize
condensation in the ventilator
tubing. | |
| Intended Use | The RT265 and RT266 infant
breathing circuits are intended to
deliver humidified breathing gases
for administration to an infant
patient. Gases available for medical
use do not contain sufficient
moisture and may damage or irritate
the respiratory tract, or desiccate
secretions of patients whose
supraglottic airways have been
bypassed. Thus humidified gases
via heated breathing circuit may be
indicated for patients requiring
mechanical ventilation, positive
pressure breathing assistance, or
general medical gases. These
gases may be delivered by
facemask or through bypassing
upper airways, for example use of
an endotracheal tube. | The proposed Neonatal
ConchaSmart breathing circuits are
intended to deliver humidified
breathing gases for administration
to an infant/neonate patient. Gases
available for medical use do not
contain sufficient moisture and may
damage or irritate the respiratory
tract, or desiccate secretions of
patients whose supraglottic airways
have been bypassed. Thus
humidified gases via heated
breathing circuit may be indicated
for patients requiring mechanical
ventilation, positive pressure
breathing assistance, or general
medical gases. These gases may
be delivered by nasal prongs using
the CareFusion Infant Flow system
and the single limb circuit, or
through bypassing upper airways,
for example through the use of an
endotracheal tube with the dual
limb configuration. | |
| Environment of
Use | Professional Healthcare
Environment | Professional Healthcare
Environment | |
| Patient
Population | Infant | Neonate/Infant | |
| Compatible
Humidifiers | MR850 Heated Humidifier | Hudson RCI Neptune Heated
Humidifier | |
| Comparative
Characteristics | RT265 and RT266 Dual Heated
Infant Breathing Circuits | Neonatal ConchaSmart Breathing
Circuits | |
| | Predicate (K103767) | Proposed | |
| Circuit
Configurations | Dual Limb Heated Wire Circuit | Dual Limb Heated Wire Circuit
Single Limb Heated Wire Circuit | |
| Flow Range | RT265 - flow rates greater than
4LPM
RT266 - 0.3LPM and 4LPM" | 1-15 LPM | |
| Kit components | Remote temperature port tubing
Water feed tube
Tubing adaptor set
15 mm adaptors
Luer tee connector
Step down adaptor
Humidifier limb | ConchaSmart Column, Non-sterile
Airway adaptors and connectors
Humidifier Limb tubing with
connectors
Remote Temp Port tubing with
connectors
Pressure Line tubing with
connectors | |
| Disposable vs.
Reusable | Disposable | Disposable | |
| Circuit Tubing
Diameter | 11mm | 10mm | |
| Design | Corrugated | Corrugated | |
| Wire Maximum
Power | Unknown | Single Limb: 21 Watts
Dual Limb: 21 to 30 Watts | |
| Min Circuit
Resistance | Unknown | Single Limb: 3 Ohms
Dual Limb: 0.8 to 4.7 Ohms | |
| Wire Material | Unknown | Single Limb: Nickel Chromium Iron
Dual Limb: Nickel Chromium Iron
and Nickel Chromium | |
| Wire Length | Unknown | Single Limb: 116 inches
Dual Limb: 94 to 141 inches | |
| Heated Wire
Specification | Unknown | Maximum of 2.5W per linear foot | |
| Circuit Length | 1.5 meters | Single Limb: 1.8 meters
Dual Limib: 1.5 meters to 1.8
meters | |
| Resistance to
Flow
(inspiratory
limb) | 2 cmH2O @ 13LPM | Less than 1.89 cmH2O @ 2.5LPM
(per ISO 5367:2014) | |
| Resistance to
Flow (expiratory
limb) | 2 cmH2O @ 13LPM | Less than 1.89 cmH₂O @ 2.5LPM
(per ISO 5367:2014) | |
| Compliance | 0.81 ml/cmH20 | Less than 1.5 ml/cmH₂O @ 60
cmH2O
(per ISO 5367:2014) | |
| Leakage | Maximum Circuit Gas Leakage:
75ml/min @ 60 cmH2O | Less than 30 ml/min @ 60 cmH2O
(per ISO 5367:2014) | |
| Useful Life | 7 days | 21 days | |
| Comparative
Characteristics | RT265 and RT266 Dual Heated
Infant Breathing Circuits
Predicate (K103767) | Neonatal ConchaSmart Breathing
Circuits
Proposed | |
| Standards | Interface Connection: ISO 5356-1
(no other standards cited in 510(k) summary or on labeling) | Interface Connection: ISO 5356-1:2015
Compliant to ISO 5367:2014
Tested per ISO 10993 and
Guidance for Industry and Food
and
Drug Administration Staff: Use of
International Standard ISO
10993-1, "Biological evaluation of
medical devices - Part 1: Evaluation
and testing within a risk
management process" | |
| Heated Wire
Breathing
Circuit Materials | Not disclosed in 510(k) Summary | | |

6

7

Similarities

The proposed device and predicate are similar in that they have the same intended use and same indications for use. They are used for the same patient population in the dual limb configuration and were subjected to and passed testing to the same performance (ISO 5367, ISO 8185, ISO 5356-1), biological (ISO 10993), and electrical (IEC 60601-1 and IEC 60601-1-2) standards.

Differences

The main differences are the limb configuration of single limb, the flow rates, and the use of the device with the Neptune Heated Humidifier. With respect to the limb configurations, a reference predicate was introduced that is a single limb configuration cleared for the neonatal / infant population for use with a heated humidifier. The physical and electrical characteristics of the proposed device were testing according to IEC 60601-1 and IEC 60601-1-2 and were appropriate for the indicated Heated Humidifier (Hudson RCI Neptune). For the tubing dimensions, testing to ISO 5367 showed that the proposed device and the predicate were substantially equivalent.

I. Performance Data

The following testing was performed on the proposed devices.

  • IEC 60601-1 Medical Electrical Equipment Part 1: General Requirements for . Safety, 1988; Amendment 1, 1991-11, Amendment 2, 1995, applicable sections
  • ISO 8185:2007 - Respiratory tract humidifiers for medical use -- Particular requirements for respiratory humidification systems, applicable sections
  • . ISO 5356-1:2015 - Anaesthetic and respiratory equipment -- Conical connectors --Part 1: Cones and sockets, applicable sections
  • ISO 5367:2014 Anaesthetic and respiratory equipment -- Breathing sets and . connectors, applicable sections
  • Biocompatibility .
    • o ISO 10993-1:2009 Biological evaluation of medical devices -- Part 1: Evaluation and testing within a risk management process
    • o ISO 10993-5:2009 Biological evaluation of medical devices -- Part 5:

8

  • Tests for in vitro cytotoxicity o
  • ISO 10993-10:2010 Biological evaluation of medical devices -- Part 10: o Tests for irritation and skin sensitization
  • ISO 10993-17:2002 Biological evaluation of medical devices -- Part 17: o Establishment of allowable limits for leachable substances
  • o ISO 10993-18:2002 Biological evaluation of medical devices -- Part 18: Chemical characterization of materials
  • Shelf Life (accelerated aging) ●
  • . Useful life

The proposed devices were tested to the neonatal requirements of ISO 5367:2014. In addition, testing was performed to ensure compatibility with the Hudson RCI Neptune Heated Humidifier and a useful life of 21 days. Cytotoxicity, sensitization, irritation, and Extractable and Leachable testing were performed to demonstrate biocompatibility of the patient contacting materials.

Test DescriptionTest ObjectiveResults
Shelf Life testingThe proposed Neonatal ConchaSmart Breathing
Circuits were aged according to ASTM F1980:
Standard Guide for Accelerated Aging of Sterile
Barrier Systems for Medical Devices for the
equivalent of one year.N/A
(for test setup
only)
Useful Life testingThe proposed Neonatal ConchaSmart Breathing
Circuits were tested for a 21 day useful life after
accelerated aging equivalent to one year using worst
case use scenarios. During and after the useful life
testing, the circuits were tested for applicable sections
of ISO 5367PASS
All testing below was conducted on the proposed devices after the one year accelerated shelf
life and 21 day useful life testing. This was considered the worst case.
Design Verification
testing:
ISO 8185:2007 TestingThe proposed Neonatal ConchaSmart Breathing
Circuit, when used with the Hudson RCI Neptune
Heated Humidifier, must perform as intended post
accelerated aging and useful life testing when subject
to the test methods from applicable sections of ISO
8185:2007 Respiratory tract humidifiers for medical
use -- Particular requirements for respiratory
humidification systemsPASS
Design Verification
testing:
IEC 60601-1:1988 +
A1:1991 + A2:1995
TestingThe proposed Neonatal ConchaSmart Breathing
Circuit, when used with the Hudson RCI Neptune
Heated Humidifier, must perform as intended post
accelerated aging and useful life testing when subject
to the test methods from applicable sections of IEC
60601-1 Medical electrical equipment - Part 1:
General requirements for safety:PASS

J. Summary on Non-Clinical Testing

9

Test DescriptionTest ObjectiveResults
Design Verification
testing:
ISO 5367:2014 TestingThe proposed Neonatal ConchaSmart Breathing
Circuit, when used with the Hudson RCI Neptune
Heated Humidifier, must perform as intended post
accelerated aging and useful life testing when subject
to the test methods from applicable sections of ISO
5367:2014 - Anaesthetic and respiratory equipment --
Breathing sets and connectorsPASS
Design Verification
testing:
ISO 5356-1:2015
TestingThe proposed Neonatal ConchaSmart Breathing
Circuit must perform as intended post accelerated
aging and useful life testing when subject to the test
methods from the following applicable sections of ISO
5356-1:2015 – Anaesthetic and respiratory equipment
-- Conical connectors -- Part 1: Cones and sockets:PASS
Design Verification
testing:
Additional Design
TestingThe proposed Neonatal ConchaSmart Breathing
Circuit must perform as intended post accelerated
aging and useful life testing when subject to the test
methods from additional design testing including
component break and slip testing.PASS

K. Conclusion

As with the predicate, all of the acceptance criteria required through the use of the harmonized standards (including performance, biocompatibility, and electrical as discussed above) were met for the proposed device. In addition, the circuit was found to function as intended when used with the Neptune Heated Humidifier, for which it is intended to use. The device data and test results demonstrate that the devices meet the applicable standards for breathing circuits and are substantially equivalent to the predicate device.