K Number
K183349
Device Name
AeroDVx System
Manufacturer
Date Cleared
2019-07-19

(228 days)

Product Code
Regulation Number
870.5800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The AeroDVx ™ System is comprised of a gradient compression sleeve, portable intermittent pneumatic pump, and hand pump designed to provide static or intermittent pneumatic compression to the calf and foot, in both the hospital and outpatient setting. It is intended to provide treatment for: 1. DVT Prophylaxis 2. Enhancement of blood circulation 3. Reduction of post-operative pain and swelling 4. Reduction of wound-healing time 5. Stasis dermatitis 6. Treatment and assistance of healing cutaneous ulceration 7. Venous stasis ulcers 8. Leg ulcers 9. Chronic venous insufficiency 10. Reduction of edema 11. Lymphedema
Device Description
The AeroDVx ™ System is comprised of a gradient compression sleeve, electronic intermittent pneumatic pump and hand pump to provide static and/or intermittent pneumatic compression for compression therapy or DVT Prophylaxis. The AeroDVx™ gradient compression sleeve is composed of a family of non-sterile single patient use medical devices. The AeroDVx ™ Gradient Compression Sleeve contains a single bladder with a built-in gradient profile and inelastic straps to affix it to the patient's leg. The AeroDVx TM Gradient Compression Sleeve is available in four sizes and two different lengths (standard and short). The wrap is composed of two polyurethane laminates that are sealed together creating an internal bladder system. The bladder system contains circular and bar welds that were engineered with their spacing and location to provide gradient compression profile when worn and inflated. An inflation source is attached to the inflation valve on the sleeve. The insertion of the inflation source onto the check valve of pressure opens the leur valve so that the bladder can be inflated or deflated based on the direction of airflow. There will be two inflation sources provided: a portable, battery-operated intermittent pneumatic pump, the AeroDVx™ Pump, to provide intermittent pneumatic compression and a hand pump to provide static compression. The system is intended for hospital and outpatient use.
More Information

Not Found

No
The description focuses on mechanical compression and does not mention any computational or learning capabilities.

Yes
The device is intended to provide "treatment for" various conditions such as DVT Prophylaxis, enhancement of blood circulation, reduction of pain, and healing of ulcers, which are all therapeutic claims.

No

The text describes a device that provides static or intermittent pneumatic compression for therapeutic purposes (e.g., DVT prophylaxis, enhancing blood circulation), rather than for diagnosing a condition.

No

The device description explicitly states it is comprised of a gradient compression sleeve, portable intermittent pneumatic pump, and hand pump, which are all hardware components.

Based on the provided information, 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 AeroDVx ™ System is a mechanical device that applies external compression to the calf and foot. It does not analyze any biological specimens.
  • Intended Use: The intended uses listed are all related to physical therapy and circulatory support, not diagnostic testing of biological samples.
  • Device Description: The description focuses on the physical components (sleeve, pumps) and their mechanical function (providing compression). There is no mention of analyzing biological samples.

Therefore, the AeroDVx ™ System falls under the category of a therapeutic medical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The AeroDVx ™ System is comprised of a gradient compression sleeve, portable intermittent pneumatic pump, and hand pump designed to provide static or intermittent pneumatic compression to the calf and foot, in both the hospital and outpatient setting. It is intended to provide treatment for:

  1. DVT Prophylaxis
  2. Enhancement of blood circulation
  3. Reduction of post-operative pain and swelling
  4. Reduction of wound-healing time
  5. Stasis dermatitis
  6. Treatment and assistance of healing cutaneous ulceration
  7. Venous stasis ulcers
  8. Leq ulcers
  9. Chronic venous insufficiency
  10. Reduction of edema
  11. Lymphedema

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

JOW

Device Description

The AeroDVx ™ System is comprised of a gradient compression sleeve, electronic intermittent pneumatic pump and hand pump to provide static and/or intermittent pneumatic compression for compression therapy or DVT Prophylaxis. The AeroDVx™ gradient compression sleeve is composed of a family of non-sterile single patient use medical devices.
The AeroDVx ™ Gradient Compression Sleeve contains a single bladder with a built-in gradient profile and inelastic straps to affix it to the patient's leg. The AeroDVx TM Gradient Compression Sleeve is available in four sizes and two different lengths (standard and short). The wrap is composed of two polyurethane laminates that are sealed together creating an internal bladder system. The bladder system contains circular and bar welds that were engineered with their spacing and location to provide gradient compression profile when worn and inflated.
An inflation source is attached to the inflation valve on the sleeve. The insertion of the inflation source onto the check valve of pressure opens the leur valve so that the bladder can be inflated or deflated based on the direction of airflow.
There will be two inflation sources provided: a portable, battery-operated intermittent pneumatic pump, the AeroDVx™ Pump, to provide intermittent pneumatic compression and a hand pump to provide static compression.
The system is intended for hospital and outpatient use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

calf and foot, Knee / Lower Leg / Foot

Indicated Patient Age Range

Not Found

Intended User / Care Setting

hospital and outpatient setting

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)

Performance Data [21 CFR 807.92(b) (1)]:
The critical functions of the device have been tested for verification and have met the design inputs. All the components used in the manufacturing of the device are composed of biocompatible materials with a history of usage in the medical device industry and tested and passed the requirements of ISO 10993 for a surface device.

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.

K180389

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.

Not Found

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

§ 870.5800 Compressible limb sleeve.

(a)
Identification. A compressible limb sleeve is a device that is used to prevent pooling of blood in a limb by inflating periodically a sleeve around the limb.(b)
Classification. Class II (performance standards).

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July 19, 2019

Sun Scientific Inc Allan Alward Vice President Regulatory and R&D 145 Palisade Street Dobbs Ferry, New York 10522

Re: K183349

Trade/Device Name: AeroDVx System Regulation Number: 21 CFR 870.5800 Regulation Name: Compressible Limb Sleeve Regulatory Class: Class II Product Code: JOW Dated: March 14, 2019 Received: March 22, 2019

Dear Allan Alward:

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

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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 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/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance)and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Fernando Aguel Assistant Director DHT2B: Division of Circulatory Support, Structural and Vascular Devices OHT2: Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known)

K183349

Device Name

AeroDVx ™ System

Indications for Use (Describe)

The AeroDVx ™ System is comprised of a gradient compression sleeve, portable intermittent pneumatic pump, and hand pump designed to provide static or intermittent pneumatic compression to the calf and foot, in both the hospital and outpatient setting. It is intended to provide treatment for:

    1. DVT Prophylaxis
    1. Enhancement of blood circulation
    1. Reduction of post-operative pain and swelling
    1. Reduction of wound-healing time
    1. Stasis dermatitis
    1. Treatment and assistance of healing cutaneous ulceration
    1. Venous stasis ulcers
    1. Leq ulcers
    1. Chronic venous insufficiency
    1. Reduction of edema
    1. Lymphedema
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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As specified by 21 CFR 807.92) Prepared November 20, 2018

Device Name: AeroDVx TM System

Intended Use:

The AeroDVx ™ System is comprised of a gradient compression sleeve, portable intermittent pneumatic pump and hand pump designed to provide static or intermittent pneumatic compression to the calf and foot, in both the hospital and outpatient setting. It is intended to provide treatment for:

    1. DVT Prophylaxis
    1. Enhancement of blood circulation
    1. Reduction of post-operative pain and swelling
    1. Reduction of wound-healing time
    1. Stasis dermatitis
    1. Treatment and assistance of healing cutaneous ulceration
    1. Venous stasis ulcers
    1. Leg ulcers
    1. Chronic venous insufficiency
    1. Reduction of edema
    1. Lymphedema

No Previous NSE Decision:

This device has not been the subject of a previous NSE decision nor has there been submission or communication to the FDA regarding this device.

Establishment Registration Number:

Regulatory Contact Allan Alward 145 Palisade Street Dobbs Ferry. NY 10522 Tel: 914-479-5108

Sponsor/Manufacturer Sun Scientific Inc. 145 Palisade Street Dobbs Ferry, NY 10522 Tel: 914-479-5108

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Device Trade or Proprietary Names:

The device trade names are: AeroDVx ™ System

Device Common, Usual or Classification Names:

Gradient compression sleeve, Compressible limb sleeve Portable intermittent pneumatic pump

Classification Panel:

Classification of this device falls under the responsibility of the Division of Cardiovascular Devices, Office of Device Evaluation

Class:

Class II device under the following product codes/regulations:

  • JOW, 21 CFR 870.5800, sleeve, limb, compressible ■

Applicable Standards:

Compliance with Section 514 of the Food, Drug and Cosmetic Act

None, Section 514 has not established performance standards for this device.

Device Description:

Summary of the function of the device and its major components:

The AeroDVx ™ System is comprised of a gradient compression sleeve, electronic intermittent pneumatic pump and hand pump to provide static and/or intermittent pneumatic compression for compression therapy or DVT Prophylaxis. The AeroDVx™ gradient compression sleeve is composed of a family of non-sterile single patient use medical devices.

The AeroDVx ™ Gradient Compression Sleeve contains a single bladder with a built-in gradient profile and inelastic straps to affix it to the patient's leg. The AeroDVx TM Gradient Compression Sleeve is available in four sizes and two different lengths (standard and short). The wrap is composed of two polyurethane laminates that are sealed together creating an internal bladder system. The bladder system contains circular and bar welds that were engineered with their spacing and location to provide gradient compression profile when worn and inflated.

An inflation source is attached to the inflation valve on the sleeve. The insertion of the inflation source onto the check valve of pressure opens the leur valve so that the bladder can be inflated or deflated based on the direction of airflow.

There will be two inflation sources provided: a portable, battery-operated intermittent pneumatic pump, the AeroDVx™ Pump, to provide intermittent pneumatic compression and a hand pump to provide static compression.

The system is intended for hospital and outpatient use.

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Patient Contact Materials:

The device is composed of biocompatible materials including the patient contact components that are used in medical devices and have been tested per ISO 10993 and have successfully passed the requirements for surface contact per ISO 10993.

Cleaning, Disinfection, Sterilization and Pyrogenicity:

N/A - Non-sterile, single patient use.

510(k) Summary of Safety and Efficacy:

We believe that the AeroDVx™ System is substantially equivalent to the predicate devices and other technologies cleared by the FDA. The AeroWrap™ was previously cleared under K070457, which has been on the market for years and has had no safety issues. The Venera 508 DVT Prevention Therapy System has been FDA approved under K180389, and has had no safety issues.

Technological Characteristics:

Sun Scientific believes that the subject device is substantially equivalent to other devices that have previously received FDA 510(k) clearance including the predicate devices listed below.

Predicate Device:

The following devices have been identified as predicate devices:

  • . K180389 Suzhou Minhua Medical Apparatus Supplies Co., Ltd., Venera 508 (DVT) Prevention Therapy System

Predicate Device Comparison:

A comparison is presented in the table below:

Company NameSun ScientificSuzhou Minhua Medical
Model Name / NumberAeroDVx ™ SystemVenera 508
(DVT) Prevention Therapy System
510(k)K180389
Device classificationClass 2Class 2
SLEEVE

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| Indications for use. | AeroDVx TM Gradient Compression Sleeve when
coupled with an inflation source provides intermittent
and/or static pneumatic compression to the calf and
foot, and is intended to provide treatment for:

  1. DVT Prophylaxis
  2. Enhancement of blood circulation
  3. Reduction of post-operative pain and swelling
  4. Reduction of wound-healing time
  5. Stasis dermatitis
  6. Treatment and assistance of healing cutaneous
    ulceration
  7. Venous stasis ulcers
  8. Leg ulcers
  9. Chronic venous insufficiency
  10. Reduction of edema
  11. Lymphedema | Intended for:
  12. Prevention of DVT
  13. Enhance blood circulation
  14. Diminish postoperative pain and
    swelling
  15. Reduce wound healing time
  16. Aid in the treatment of: stasis
    dermatitis, venous stasis ulcers, arterial
    and diabetic leg ulcers, chronic venous
    insufficiency and reduction of edema in
    the lower limb |
    |--------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
    | Anatomy | Knee / Lower Leg / Foot | Knee / Thigh
    Knee |
    | Fabric | Polyurethane film laminate, non-woven
    polyester | White, non-woven polyester, PVC
    outer, white nylon Velcro fabric |
    | | Sun Scientific | Suzhou Minhua Medical |
    | | AeroDVx TM System | Venera 508
    (DVT) Prevention Therapy System |
    | PUMP | | |
    | Weight | 0.66 lbs | 0.66 lbs |
    | Dimensions | 6.1 x 2.2x 1.6 inches | 6.1 x 2.2x 1.6 inches |
    | Power | 3.7 Volt Li-ion Battery (rechargeable) | 3.7 Volt Li-ion Battery
    (rechargeable) |
    | Operating Time | 5 hours | 12 hours |
    | Charging Time | 5 hours | 5 hours |
    | Pump Max Pressure | 106 mm Hg ± 10 mm Hg | 50 mmHg ± 5mm Hg |
    | Cycle Time | 60 seconds | 60 seconds |
    | Interface Pressure Range | 50 mm Hg ± 5mm Hg | 50 mmHg ± 5mm Hg |
    | Mode of Operation | Continuous | Continuous |

Discussion on Comparison:

Similarities

The similarities between the AeroDVx™ System and the predicate device are:

  • Connection to an inflation source for compression therapy.
  • Similar methods of construction, materials and manufacturing. ●
  • o Similar indications for use.

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Differences

The main differences between the AeroDVx ™ System and the predicate device listed above are:

  • The AeroDVx ™ Sleeve is a combined lower leg and foot compression sleeve.
  • The AeroDVx ™ System provides gradient pressure from the ankle to the upper ● calf whereas the predicate device provides a single pressure along the bladder.
  • o The AeroDVx™ System has a check-valve that engages when the inflation source is removed and maintains passive air loss / pressure, whereas the predicate devices do not have a check valve.
  • o The AeroDVx™ attaches to the inflation source through tubing whereas Venera 508 has an electronic pump source attached directly to the sleeve.
  • The AeroDVx™ Sleeve can be used with the AeroDVx™ pump and a hand-held ● pump and is designed to provide both intermittent pneumatic compression as well as static pressure.

Table of Contents:

A table of contents is included at the beginning of this submission. The pages referred to in the contents correspond to the sequentially numbered pages of this premarket notification.

Truthful and Accurate Statement:

A "truthful and accurate" statement regarding all information provided in this premarket notification is included.

Confidentiality:

Sun Scientific, Inc. considers certain information in this premarket notification to be confidential business information and has taken measures to protect the release of this information. Sun Scientific, Inc. requests the FDA respect the confidentiality of this information to the extent possible under law. We expect the FDA will consult with Sun Scientific, Inc. prior to the release of any information in this premarket notification (outside the 510(k) summary) for any reason, including requests under the Freedom of Information Act.

Performance Data [21 CFR 807.92(b) (1)]:

The critical functions of the device have been tested for verification and have met the design inputs. All the components used in the manufacturing of the device are composed of biocompatible materials with a history of usage in the medical device industry and tested and passed the requirements of ISO 10993 for a surface device.

Conclusion [21 CFR 807.92(b) (3)]:

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We believe the differences are minimal and conclude that the subject device is as safe and effective as the predicate devices.