K Number
K181981
Date Cleared
2019-02-06

(196 days)

Product Code
Regulation Number
868.1400
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The CO2 Sample Lines are intended to be used where exhaled gas is monitored. The intended population: Patients requiring expired gas monitoring, adult to pediatrics. The intended environment of use: Hospital-OR, sub-acute, and pre-hospital settings.

Device Description

Breath gas analysis is commonly performed to provide informatin related to a patient's condition. An example of a gas analysis often performed is capnography using an analyzer called a capnograph. Capnography is the monitoring of the time dependent respirary carbon dioxide(CO2) concentration, which may be used to directly monitor the inhaled and exhaled concentration of CO2, and indirectly monitor the CO2 concentration in a patient's blood. CO2 monitoring of patients respired gases can be used to display of information about CO2 production, pulmonary(lung) perfusion, alveolar ventilation (alveoli are hollow cavities in the lungs in which gas exchange is being performed) and respiratory patterns related to a patient's condition during anesthesia. In breath analysis systems, for example capnograraphy, breath gas can be sampled either by a mainstream or a sidestream analyzer. CO2 Sampling Lines are availabe for CQ2 sampling when mainstream capnography is used, so as to perform a mainstream capnographic measurement of the level of CO2. The CO2 Sampling Line is a sterile, disposable, singlie patient use cannula that allows sampling of patients exhaled gases. It consists of flexible extruded plastic tubes with standard connectors on each end. The cannula is a straight and flexible tube which permits the passage of a fluid such as carbon dioxide through an orifice (a buccal or nasal cavity of a patient). In addition, the CO2 sampling line is adapted used to connect between the patient's end of the breathing system and the distant analyzer, such as the capnograph monitor, along this tube, the patient's breath is continuously sampled.

AI/ML Overview

The provided text is a 510(k) premarket notification for a medical device: a CO2 Sampling Line. This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than proving clinical efficacy or the performance of a novel AI algorithm. Therefore, the document primarily describes non-clinical performance testing of the physical CO2 Sampling Line device itself, not an AI model.

Many of the requested details about acceptance criteria for AI models, such as sample sizes for test/training sets, data provenance, expert ground truth establishment, adjudication methods, MRMC studies, and standalone AI performance, are not applicable to this type of device submission. The device is a physical medical instrument, not an AI or software as a medical device (SaMD).

However, I can extract the acceptance criteria and performance data that are relevant to this physical device based on the provided text.


Acceptance Criteria and Device Performance for CO2 Sampling Line

The device under review is a CO2 Sampling Line, a physical medical instrument. The acceptance criteria and performance are related to its physical and material properties, rather than the performance of an AI algorithm.

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria CategorySpecific Test/CharacteristicAcceptance Criteria (Implicit from "meets all pre-determined criteria" and comparison to predicate)Reported Device Performance
General PerformanceDimensions(Met pre-determined criteria)Met
Back Pressure (flow rates)Maximum back pressure < 2 psiMaximum back pressure < 2 psi
Bond Strength (tensile strength)Achieved over 2 times the minimum allowable valueAchieved over 2 times the minimum allowable value
Liquid leakage(Met pre-determined criteria)Met
Air leakage(Met pre-determined criteria)Met
Separation force(Met pre-determined criteria)Met
Unscrewing torque(Met pre-determined criteria)Met
Ease of assembly(Met pre-determined criteria)Met
Resistance to overring(Met pre-determined criteria)Met
Stress cracking(Met pre-determined criteria)Met
BiocompatibilityCytotoxicity (ISO 10993-5)BiocompatiblePassed
Irritation (ISO 10993-10)BiocompatiblePassed
Sensitization (ISO 10993-10)BiocompatiblePassed
Sterilization & Shelf-LifeSterilization (ISO 11135)Sterile (SAL 10^-6)Met (SAL 10^-6)
EO Residue (ISO 10993-7)Conform to ISO 10993-7 (4mg/device for EO, 9mg/device for ECH)Conform to ISO 10993-7
Shelf Life (simulated aging)Performance maintained after 5 years simulated agingPerformance maintained after 5 years simulated aging
PackagingTensile seal strength (ISO 11607)(Met pre-determined criteria)Met
Packaging Integrity (ISO 11607)(Met pre-determined criteria)Met
Peel/Open testing (ISO 11607)(Met pre-determined criteria)Met

2. Sample size used for the test set and data provenance:
This document describes non-clinical performance testing of a physical device. "Test set" in the context of AI models (i.e., a dataset used to evaluate model performance) is not applicable here. The testing involves physical samples of the CO2 Sampling Line device. The document does not specify the exact number of device samples used for each physical or biological test, but it states "Testing data and results are included in this submission, and demonstrated that the CO2 Sampling Line meets all the pre-determined testing and acceptance criteria." Data provenance is from the manufacturer's internal testing as part of their 510(k) submission, implied to be conducted in China (country of origin of the submitter). The data is retrospective in the sense that it was collected prior to the submission.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
Not applicable. Ground truth as typically understood for AI models (e.g., expert labels on medical images) is not relevant to the physical characteristics of a CO2 sampling line. The "ground truth" for the device's performance is established by standardized testing protocols (e.g., ISO standards) and measurable physical properties.

4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:
Not applicable. Adjudication methods are typically used for establishing consensus among human reviewers/experts on data labels for AI model evaluation. For physical device testing, the results are derived from objective measurements per specified test methods.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, if so, what was the effect size of how much human readers improve with AI vs without AI assistance:
Not applicable. This device is not an AI or software that assists human readers.

6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:
Not applicable. This is not an AI algorithm.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):
The "ground truth" for this physical device is defined by international standards (e.g., ISO, ASTM for materials and performance) and pre-determined engineering specifications. For biocompatibility, it's established by recognized biological testing protocols (e.g., ISO 10993 series) against endpoints like cytotoxicity, irritation, and sensitization.

8. The sample size for the training set:
Not applicable. This device is not an AI model that requires a training set.

9. How the ground truth for the training set was established:
Not applicable. No training set for an AI model is involved.

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Image /page/0/Picture/0 description: The image contains two logos. The logo on the left is the Department of Health & Human Services - USA logo. The logo on the right is the FDA U.S. Food & Drug Administration logo. The FDA logo is in blue.

Tylenol Medical Instruments Co., Ltd Huang Kaigen RA Manager 3rd Floor, No. 10, Xinhua Road, Sanjiao Town Zhong Shan, 528445 Cn

Re: K181981

Trade/Device Name: CO2 Sampling Line Regulation Number: 21 CFR 868.1400 Regulation Name: Carbon Dioxide Gas Analyzer Regulatory Class: Class II Product Code: CCK Dated: December 23, 2018 Received: January 3, 2019

Dear Huang Kaigen:

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. Although this letter refers to your product as a device, please be aware 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 requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part

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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.htm); 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,

Todd D. Courtney -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

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

Form Approved: OMB No. 0910-0120
Expiration Date: 06/30/2020
See PRA Statement below.

Indications for Use

510(k) Number (if known)K181981
Device NameCO2 Sampling Line
Indications for Use (Describe)
The CO2 Sample Lines are intended to be used where exhaled gas is monitored.
The intended population: Patients requiring expired gas monitoring, adult to pediatrics
The intended environment of use: Hospital-OR, sub-acute, and pre-hospital settings
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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FORM FDA 3881 (7/17)

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510(k) Summary

In accordance with 21 CFR 807.92 the following summary of information is provided:

Date:2019/1/24
Submitter:Tylenol Medical Instruments Co., LtdAddress: 3rd Floor, No.10, Xinhua Road, Sanjiao Town,Zhongshan City, Guangdong 528445, China
Contact Person:Huang KaigenRegulatory Affairs ManagerTylenol Medical Instruments Co., Ltd.Email: Event789@126.comTel: +86-760-22819958Fax:+86-760-22819958
Device Name:CO2 Sampling Line
Common Name:CO2 Sampling Line
Regulation Number:21 CFR 868.1400
Regulation Name:Carbon dioxide gas analyzer
  • Predicate Device(s): K151421- Nasal CO2 Sample Line; O2 Delivery/CO2 Sampling Nasal Cannula; Oral/Nasal CO2 Sampling Cannula; O2 Delivery with Oral/Nasal CO2 Sampling Cannula: Divided O2 Delivery/CO2 Sampling Nasal Cannula and Sample Lines Lines

1. Intended Use

Product Code:

Regulatory Class:

The CO2 Sample Lines are intended to be used where exhaled gas is monitored. The intended population: Patients requiring expired gas monitoring, adult to pediatrics. The intended environment of use: Hospital-OR, sub-acute, and pre-hospital setting,

CCK

Class II

2. Device Description

Breath gas analysis is commonly performed to provide informatin related to a patient's condition. An example of a gas analysis often performed is capnography using an analyzer called a capnograph. Capnography is the monitoring of the time dependent respirary carbon dioxide(CO2) concentration, which may be used to directly monitor the inhaled and exhaled concentration of CO2, and indirectly monitor the CO2 concentration in a patient's blood.

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CO2 monitoring of patients respired gases can be used to display of information about CO2 production, pulmonary(lung) perfusion, alveolar ventilation (alveoli are hollow cavities in the lungs in which gas exchange is being performed) and respiratory patterns related to a patient's condition during anesthesia.

In breath analysis systems, for example capnograraphy, breath gas can be sampled either by a mainstream or a sidestream analyzer. CO2 Sampling Lines are availabe for CQ2 sampling when mainstream capnography is used, so as to perform a mainstream capnographic measurement of the level of CO2.

The CO2 Sampling Line is a sterile, disposable, singlie patient use cannula that allows sampling of patients exhaled gases. It consists of flexible extruded plastic tubes with standard connectors on each end. The cannula is a straight and flexible tube which permits the passage of a fluid such as carbon dioxide through an orifice (a buccal or nasal cavity of a patient).

In addition, the CO2 sampling line is adapted used to connect between the patient's end of the breathing system and the distant analyzer, such as the capnograph monitor, along this tube, the patient's breath is continuously sampled.

Professional Doctor or Anesthesiologists utilize CO2 sampling line allowing mainstream capnographic measurement in certain clinical scenarios in Hospital-OR sub-acute and prehospital settings.

The contact duration of CO2 sampling line is less than 24h.

3. Substantial Equivalence-Comparison to Predicate Devices

The CO2 Sampling Line described in this 510(k) has similar technological and performance characteristics to the predicate devices. The similarities and differences between the proposed and predicate devices have been identified and explained in the comparison matrix which has been included in Section 12 of this submission. These differences do not raise different questions of safety and effectiveness.

Similarities Between Proposed and Predicate Device

The proposed CO2 Sampling Line and the predicate devices, K151421 Nasal CO2 Sample Line; O2 Delivery/CO2 Sampling Nasal Cannula: Oral/Nasal CO2 Sampling Cannula: O2 Delivery with Oral/Nasal CO2 Sampling Cannula; Divided O2 Delivery/CO2 Sampling Nasal Cannula and Sample Lines, have the similar intended use, principle of operation, performance characteristics and scientific technology.

Differences Between Proposed and Predicate Device

The differences between proposed and predicate devices, as shown in the following:

Shelf Life

The proposed device's shelf life is 5 years, for which, the performance testing after simulated 5 year aging, while the predicate device's shelf life is 3 years.

The only minor difference between the proposed device and the predicate devices is the shelf Traditional 510(k) for CO2 Sampling Line –K181981 2

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life. The proposed device is tested after simulated 5 year aging, while the predicate device is tested after 3 year aging.

Although they have small difference in shelf life, both of them are used where exhaled gas is monitored. They have the same intended use, principle of operation, performance characteristics and scientific technology. So the difference does not raise different questions of safety or effectiveness.

There are many FDA cleared CO2 Sampling Lines which are available in various shelf life. Therefore, this different shelf life does not raise different questions of safety or effectiveness concerns as both devices are intended to be used in the same populations.

The non-clinical data support the substantial equivalence of the proposed device. Also test results demonstrate that the proposed device is as safe and effective as the predicate and therefore substantially equivalent to the predicate device. The proposed device has the same classification information, similar intended use and technological characteristics as compared to the predicate devices.

Therefore the proposed CO2 Sampling Line are substantially equivalent to the K151421 Nasal CO2 Sample Line; O2 Delivery/CO2 Sampling Nasal Cannula; Oral/Nasal CO2 Sampling Cannula; O2 Delivery with Oral/Nasal CO2 Sampling Cannula; Divided O2 Delivery/CO2 Sampling Nasal Cannula and Sample Lines. The proposed device has the same classification information, similar intended use and technological characteristics as compared to the predicate devices.

4. Summary of Non-Clinical Performance Testing

The following performance testing was conducted for the CO2 Sampling Line:

1) General performance testing including:

  • ※ Dimensions
  • ※ Back pressure(flow rates)
  • ※ Bond Strength(tensile strength)
  • ※ Liquid leakage
  • ※ Air leakage
  • ※ Separation force
  • ※ Unscrewing torque
  • ※ Ease of assembly
  • ※ Resistance to overring
  • ※ Stress cracking

Testing datas and results are included in this submission, and demonstrated that the CO2 Sampling Line meets all the pre-determined testing and acceptance criteria.

2) Biocompatibility testing as per ISO 10993-1:2009 including:

  • ※ Cytotoxicity as per ISO 10993-5:2009
  • ※ Irritation as per ISO 10993-10:2010
  • ※ Sensitization as per ISO 10993-10:2010

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Biocompatibility testing reports are included in this submission, and demonstrated that the device componets that are in contact with the patient are biocompatible.

3) Sterilization and Shelf-Life:

    • Sterilization as per ISO 11135:2014
  • ※ EO residue as per ISO 10993-7:2008
  • ※ Sensitization as per ISO 10993-10:2010

4) Packaging Testing:

  • ※ Tensile seal strength test as per ISO 11607:2006
  • ※ Packaging Integrity Test as per ISO 11607:2006
  • ※ Peel/Open testing as per ISO 11607:2006

Conclusions Drawn from the Non-Clinical Testing

The results of these tests demonstrate that the device is as safe, as effective, and performs as well as the identified predicates and support a determination of substantial equivalence.

5. Conclusion

The CO2 Sampling Line is substantially equivalent to predicate devices K151421 Nasal CO2 Sample Line; O2 Delivery/CO2 Sampling Nasal Cannula; Oral/Nasal CO2 Sampling Cannula; O2 Delivery with Oral/Nasal CO2 Sampling Cannula; Divided O2 Delivery/CO2 Sampling Nasal Cannula and Sample Lines. Based on the intended use, principle of operation, performance characteristics, and technological characteristics, the proposed CO2 Sampling Line is substantially equivalent to and as safe, as effective and performs as the legally marketed predicate devices.

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Substantial Equivalence Discussion

This comparison table identifies the similarities and differences of the proposed CO2 Sampling Line device to the legally marketed predicate K151421 Nasal CO2 Sample Line, Oral Nasal CO2 Sampling Cannula, O2 CralNasal Co2 Cannula, Sample Lines devices to which substantial equivalency is claimed.

Table 1 – Comparison between proposed CO2 Sampling Line & K151421 Nasal CO2 Sample Line, Oral Nasal CO2 Sampling Cannula, O2 Oral/Nasal Co2 Cannula, Sample Lines

Comparison between proposed device and predicate devices
Element of ComparisonProposed DevicePredicate DeviceDiscussion of Differences
Device NameCO2 Sampling LineNasal CO2 Sample Line, Oral Nasal CO2Sampling Cannula, O2 Oral/Nasal Co2Cannula, Sample Lines---
510K NumberK181981K151421---
Regulatory ClassClass IIClass IIIdentical
Classification Regulation21CFR 868.140021CFR 868.1400Identical
Classification PannelAnesthesiologyAnesthesiologyIdentical
Product CodeCCKCCKIdentical
Indications Use/IntendedUseThe Sample Lines are intended to be usedwhere exhaled gas is monitored.The Sample Lines are intended to be usedwhere exhaled gas is monitored.Identical
Directions for UsePrescription UsePrescription UseIdentical
Contact DurationLess than 24hLess than 24hIdentical
Inner Diameter(±0.2mm)1.0mm1.0mmIdentical
Outer Diameter(±0.2mm)2.5mm2.5mmThe modified devices use thesame molds and are unchangedfrom the predicate devices
Length(±60mm)3250mm3250mmfrom the predicate devices
Back Pressure(flow rates)Maximum back pressure was found to be lessthan 2 psi.Maximum back pressure was found to be lessthan 2 psi.Identical
Bond Strength(tensile strength)The bond strength test achieved over 2 timesthe minimum allowable value.The bond strength test achieved over 2 timesthe minimum allowable value.Identical
Patient PopulationPatients requiring expired gas monitoring, adultto pediatricsPatients requiring supplemental oxygenand/or expired gas monitoring, adult topediatricsIdentical
Patient contact MaterialTube-PVCTube-PVCIdentical
ConnectorStand ConnectorStand ConnectorIdentical
Design FeaturesTubing, ConnectorTubing, ConnectorIdentical
Single patient, disposableYesYesIdentical
Shelf Life5 year3 yearDifferent.Although they have small difference in shelf life, both of them are used where exhaled gas is monitored. They have the same intended use, principle of operation, performance characteristics and scientific technology. So the difference does not raise any new safety or effectiveness.
Method of sterilizationEthylene Oxide Sterilized per ISO 11135Ethylene Oxide Sterilized per ISO 11135Identical
The Sterility AssuranceLevelSAL 10-6SAL 10-6Identical
EO residualThe ethylene oxide residual is conform to ISO 10993:7 for Limited Exposure Devices of 4mg/device for EO and 9mg/device for ECHThe ethylene oxide residual is conform to ISO 10993:7 for Limited Exposure Devices of 4mg/device for EO and 9mg/device for ECHIdentical
Materials BiocompatibilityISO 10993-1Cytotoxicity testing per 10993-5Sensitization testing per ISO 10993-10ISO 10993-1Cytotoxicity testing per 10993-5Sensitization testing per ISO 10993-10Identical
Irritation Test per ISO 10993-10Irritation Test per ISO 10993-10
All the test passedAll the test passed
Applied StandardsISO 11607-1ISO 11607-1Identical
ISO 11607-2ISO 11607-2
ISO 10993-1ISO 10993-1
ISO 10993-5ISO 10993-5
ISO 10993-7ISO 10993-7
ISO 10993-10ISO 10993-10
ISO 11135ISO 11135
ISO 594-2ISO 594-2
PackagingSterileSterileIdentical
Hospital-OR, sub-acute, and pre-hospitalHospital-OR, sub-acute, and pre-hospital
Environments of UsesettingssettingsIdentical
SurfaceSmooth, TransparentSmooth, TransparentIdentical
Principles of operationThe CO2 sampling line is adapted used toconnect between the patient's end of thebreathing system and the distant analyzer, suchThe CO2 sampling line is adapted used toconnect between the patient's end of thebreathing system and the distant analyzer,such as the capnograph monitor, along thisIdentical
as the capnograph monitor, along this tube, thepatient's breath is continuously sampledtube, the patient's breath is continuouslysampled

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Table 2 - Determination of Substantial Equivalence

Do predicates have sameindication statements?YesThe CO2 Sampling Line and its predicates are intended tobe used in the same manner for the same purpose.Therefore CO2 Sampling Line has the same intended useand is substantially equivalent.
Do predicates have sametechnological characteristics?YesThe CO2 Sampling Line offers the same technologicalcharacteristics as the predicate device.
Are descriptive characteristicsprecise enough to ensureequivalenceYesInformation concerning the descriptive characteristics ofthe CO2 Sampling Line and its predicates are provided inTable 1. This shows that all features of CO2 SamplingLine exist in its predicates.

Similarities Between Proposed and Predicate Device

The proposed CO2 Sampling Line and the predicate devices, K151421 Nasal CO2 Sample Line; O2 Delivery/CO2 Sampling Nasal Cannula; Oral/Nasal CO2 Sampling Cannula; O2 Delivery with Oral/Nasal CO2 Sampling Cannula; Divided O2 Delivery/CO2 Sampling Nasal Cannula and Sample Lines, have the similar intended use, principle of operation, performance characteristics and scientific technology.

Differences Between Proposed and Predicate Device

The differences between proposed and predicate devices, as shown in the following:

Shelf Life

The proposed device's shelf life is 5years, for which, the performance testing after simulated 5 year aging, while the predicate device's shelf life is 3 years.

The only minor difference between the proposed device and the predicate devices is the shelf life. The proposed device is tested after simulated 5 year aging, while the predicate device is tested after 3 year aging.

Although they have small difference in shelf life, both of them are used where exhaled gas is monitored. They have the same intended use, principle of operation, performance characteristics and scientific technology. So the difference does not raise any new safety or effectiveness..

There are many FDA cleared CO2 Sampling Lines which are available in various shelf life. Therefore, this different shelf life does not raise any new safety or effectiveness concerns as both devices are intended to be used in the same populations.

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The non-clinical data support the substantial equivalence of the proposed device. Also test results demonstrate that the proposed device is as safe and effective as the predicate and therefore substantially equivalent to the predicate device. The proposed device has the same classification information, similar intended use and technological characteristics as compared to the predicate devices.

Summary and Conclusion

The minor differences in the device do not introduce different questions of safety and effectiveness. Changes or modifications to the device outside its intended use should not be done as this could affect the safety and effectiveness of the device. The CO2 Sampling Line has demonstrate compliance to the standards they were tested to. All of the testing performed are described and summarized in Section 18. All results demonstrate that the CO2 Sampling Lines is equivalent to the predicate devices in capability and it meets all of the standard test requirements.

Therefore the proposed CO2 Sampling Lines are substantially equivalent to the Nasal CO2 Sample Line; O2 Delivery/CO2 Sampling Nasal Cannula; Oral/Nasal CO2 Sampling Cannula; O2 Delivery with Oral/Nasal CO2 Sampling Cannula; Divided O2 Delivery/CO2 Sampling Nasal Cannula and Sample Lines Lines (K151421). The proposed device has the same classification information, similar intended use and technological characteristics as compared to the predicate devices.

§ 868.1400 Carbon dioxide gas analyzer.

(a)
Identification. A carbon dioxide gas analyzer is a device intended to measure the concentration of carbon dioxide in a gas mixture to aid in determining the patient's ventilatory, circulatory, and metabolic status. The device may use techniques such as chemical titration, absorption of infrared radiation, gas chromatography, or mass spectrometry.(b)
Classification. Class II (performance standards).