K Number
K182394
Manufacturer
Date Cleared
2019-05-17

(255 days)

Product Code
Regulation Number
868.5905
Panel
AN
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

WIZARD 310/320 series CPAP Mask is intended to provide an interface for Continuous Positive Airway Pressure (CPAP) or bi-level therapy. These masks are intended for single-patient reuse in the home and multi-patient, multi-use in the hospital environment. These masks are to be used on patients greater than 30 kg for whom positive airway pressure (CPAP or bi-level system) has been prescribed.

Device Description

The WiZARD 310 Nasal Mask and WiZARD 320 Full Face Mask provide an interface such that airflow from a positive pressure source is directed to the patient's nostril and mouth. The masks are held in place with adjustable headgear that straps the mask to the face. Series of vent are feature on the cushion that serves as an exhalation vent to purge the exhaled carbon dioxide from the mask. Air coming out from these holes is very diffuse and quiet. WiZARD 310/320 series CPAP mask are connected to the CPAP or bi-level system via standard 22 mm breathing tubing. A quickly-release mechanism also includes which allow the mask can be removed quickly.

The WiZARD 310 Nasal Mask and WiZARD 320 Full Face Mask are appropriate when used under the conditions and purposes intended as indicated in the labeling provided with the product. The WiZARD 310 Nasal Mask and WiZARD 320 Full Face Mask are the prescription device supplied non-sterile.

AI/ML Overview

The provided text describes a CPAP mask and its FDA 510(k) clearance, which focuses on demonstrating substantial equivalence to a predicate device, not on presenting novel acceptance criteria or a study proving a device's performance against specific clinical acceptance criteria.

Therefore, I cannot create a table of acceptance criteria and reported device performance because the provided document does not contain this information in the context of a new study proving performance. The document primarily highlights:

  • Comparison to a predicate device: The core of the submission is to show the WiZARD 310/320 series CPAP Mask is substantially equivalent to the WiZARD 210/220 Series CPAP Mask (K103174) and reference devices AirFit F20 (K170924) and AirFit N20 (K171212).
  • Safety and Performance Testing: Non-clinical testing was performed to demonstrate equivalent performance to the predicate device, focusing on biocompatibility and reliability.

Here's a breakdown of the information that can be extracted based on the provided text, and what information is not available within this document:

1. Table of Acceptance Criteria and Reported Device Performance:

  • Not explicitly provided as a set of clinical performance acceptance criteria with corresponding study results. The document focuses on demonstrating substantial equivalence through comparison to a predicate device and non-clinical testing.
  • Instead, the document lists "performance characteristics" that are deemed similar to the predicate device. These are not acceptance criteria in the sense of demonstrating a certain level of efficacy or diagnostic accuracy. They are design and functional specifications.

Summary of "Similar Performance Characteristics" to Predicate Device:

ItemPredicate Device (WiZARD 210/220 Series CPAP Mask, K103174)Subject Device (WiZARD 310/320 Series CPAP Mask)Remarks
Principles of OperationInterface for airflow from positive pressure sourceSameSubstantially equivalent
Patient Use TypeAdult >30 KgSameSubstantially equivalent
IndicationObstructive sleep apneaSameSubstantially equivalent
EnvironmentHome, HospitalSameSubstantially equivalent
ReuseSingle patient multi-use for home; Multi-patient multi-use for hospitalSameSubstantially equivalent
Patient Support SystemCPAP or bi-level systemSameSubstantially equivalent
Shelf Life5 yearsSameSubstantially equivalent
Use of Life6 monthsSameSubstantially equivalent
Mask SizeL/M/SSameSubstantially equivalent
SterilityClean, non-sterileSameSubstantially equivalent
Validated CleaningWarm waterSameSubstantially equivalent
Validated DisinfectionThermal water/High level chemical disinfectantSameSubstantially equivalent
Therapy Pressure Range4~20 cmH2OWiZARD 310: 430 cmH2O, WiZARD 320: 440 cmH2ODifference noted, but deemed not to raise new questions of safety/effectiveness.
Hose Connection22 mm hoseSameSubstantially equivalent
CPAP Tubing Connection PointPort compliance to ISO 5356-1SameSubstantially equivalent
Swivel Connection360 degree rotationSameSubstantially equivalent
Secure and Less-leak InterfaceSingle layer cushionSameSubstantially equivalent
Operation Range+5°C to +35°C, 15% to 95% R.HSameSubstantially equivalent
Storage and Transport-15°C to +60°C, 10% to 90% R.HSameSubstantially equivalent
Noise (dB)

§ 868.5905 Noncontinuous ventilator (IPPB).

(a)
Identification. A noncontinuous ventilator (intermittent positive pressure breathing-IPPB) is a device intended to deliver intermittently an aerosol to a patient's lungs or to assist a patient's breathing.(b)
Classification. Class II (performance standards).