K Number
K191909
Date Cleared
2020-03-23

(250 days)

Product Code
Regulation Number
868.5260
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Flexicare's HepaShield Bacterial Viral Breathing System Filters are intended to reduce the transmission of bacteria and viruses to/from a patient during anesthesia. For use with ventilators, anesthesia machines and open flow systems where filtration of inspired and/or expired gases is desired.

Flexicare's HepaShield Bacterial Viral Breathing System Filters are single patient for use on a single patient for up to 24hrs and are available in Adult size. FlepaShield Bacterial Viral Breathing System Filters are designed to be used in hospital environments by trained personnel.

Device Description

Flexicare's HepaShield Bacterial Viral Breathing System Filters are designed to reduce the transmission of bacteria and viruses to and from a patient who requires aesthesia, artificial respiration or other types of assisted respiration

Flexicare's HepaShield Bacterial Viral Breathing System Filters consist of a top/bottom housing, pleated paper filter pack and a luer port cap. The Female luer-lock port allows connection of a luer-terminating monitoring line for monitoring of patient exhaled CO2 & is supplied with a tethered cap to seal port when not in use.

The patient side of the Flexicare's HepaShield Bacterial Viral Breathing System Filters feature a 22mm Male and a 15mm Female conical. The machine side features a 22mm Female and a 15mm Male conical.

All conical connectors comply with dimensions stated within BS EN ISO 5356-1 standard.

Flexicare's HepaShield Bacterial Viral Breathing System Filters are available in Adult sizes.

Flexicare's HepaShield Bacterial Viral Breathing System Filters are available in a both Sterile and non-sterile state, packaged in individually sealed polybags, or blister trays (if sterile).

AI/ML Overview

The provided text describes the acceptance criteria and study results for the Flexicare HepaShield Bacterial Viral Breathing System Filter, which is a medical device.

1. Table of acceptance criteria and the reported device performance:

TestStandard / Pre-Determined Acceptance CriteriaReported Device Performance (Results)
Visual InspectionProduct packaging must remain sealed & undamaged. All components of devices must be free of flash, cracking, warping, discoloration or contamination.Pass
Compliance testing (Internal Volume/dead space)BS EN ISO 9360: 2009 (Methodology only, no pass criteria)Methodology only, no pass criteria - Comparable performance outcome between Flexicare's new devices and the predicate devices (47ml vs 35ml for predicate)
Pressure dropBS EN ISO 23328-2 (Refers to: BS EN ISO 9360: 2009) - Methodology only, no pass criteriaMethodology only, no pass criteria - Comparable performance outcome between Flexicare's new devices and the predicate devices (1.70 cmH2O @ 30LPM; 3.92 cmH2O @ 60LPM; 6.56 cmH2O @ 90LPM)
Gas Leakage (for comparison only, HME aspects not applicable)Pre-determined Acceptance Criteria* (implies visual inspection criteria for gas leakage if unspecified)methodology only, no pass criteria
Conical Connector complianceBS EN ISO 5356-1 2004Pass
Leak testingNot explicitly stated (likely internal specification)Pass
Drop testingNot explicitly stated (likely internal specification)Pass
Cytotoxicity, Irritation, Sensitization, Systemic toxicity, Material MediatedBS EN ISO 10993-10:2010, BS EN ISO 10993-5:2009Pass
PyrogenicityBS EN ISO 10993-11:2009Pass
Bacterial Endotoxin(USP) guidelines <161> and <85>, ANSI/AAMI ST72:2011Pass
Particulate emissions (gas pathway)EN ISO 18562-2:12017Pass
VOC emissions (gas pathway)EN ISO 18562-3:2017Pass
Gauging tests on luerNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
Liquid leakage from luerNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
Air leakage from luerNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
Luer separation forceBS EN ISO 80369-7:2016Pass
Luer unscrewing torqueNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
Luer ease of assemblyNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
Luer resistance to overridingNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
Luer testing for stress crackingNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
Shelf life testingStandards included within this table (implying all relevant performance criteria are met over shelf life)Pass
Filter integrityBased on ASTM F2101 (Nelson Labs Protocol), BS EN ISO 23328-1 (2008) (Methodology only, no pass criteria within standard)Methodology only, no pass criteria within standard (Reported BFE - 99.99999%, VFE - 99.9999%, Salt Method filtration efficiency - 99.89%)
Pressure Drop (as part of Filter integrity or separate measurement)BS EN ISO 23328-2 (2009) (Methodology only, no pass criteria within standard)Methodology only, no pass criteria within standard
Housing LeakageBS EN ISO 23328-2(2009) (Methodology only, no pass criteria within standard)Methodology only, no pass criteria within standard (Reported <2 ml/min)

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document primarily refers to non-clinical bench testing and adherence to consensus standards. It does not provide specific sample sizes for each test beyond stating that the device "passed all performance tests." The data provenance is from laboratory testing performed by Flexicare, likely at their facilities in the UK or a contracted lab. This is prospective testing as it's part of the premarket notification process for a new device.

The document implicitly indicates that testing was done in accordance with international standards (e.g., ISO, EN ISO, ASTM, USP), which are globally recognized, but the specific country of origin for the data generation would be the UK or the location of any contracted testing laboratories.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This is a medical device (filter), not an AI or diagnostic imaging device. Therefore, the "ground truth" is established through objective physical and biological measurements in a laboratory setting based on recognized international standards. There are no human experts "establishing ground truth" in the same way as for diagnostic image interpretation. The expertise lies in the engineers and technicians performing the tests and interpreting the results against the defined standards.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable. This is not a study involving human interpretation or subjective assessments that would require an adjudication method. The tests are objective measurements against defined criteria in standards.

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 is a physical medical device (filter), not an AI-assisted diagnostic tool.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

Not applicable. This is a physical medical device (filter), not an algorithm. The testing described is for the standalone performance of the filter.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

The "ground truth" for this device is based on objective, quantifiable physical and biological measurements as defined by recognized international standards (e.g., ISO, ASTM, EN ISO, USP) for filtration efficiency, pressure drop, biocompatibility, connector compliance, and mechanical integrity.

8. The sample size for the training set

Not applicable. There is no AI component or "training set" for this physical device.

9. How the ground truth for the training set was established

Not applicable. There is no AI component or "training set" for this physical device.

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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, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

March 23, 2020

Flexicare Medical Limited Joel Biddle Regulatory Manager Cynon Vallev Business Park Mountain Ash, cf45 4er UK

Re: K191909

Trade/Device Name: HepaShield Bacterial Viral Breathing System Filter Regulation Number: 21 CFR 868.5260 Regulation Name: Breathing Circuit Bacterial Filter Regulatory Class: Class II Product Code: CAH Dated: February 19, 2020 Received: February 24, 2020

Dear Joel Biddle:

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/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 Advice (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,

Elizabeth Claverie, M.S. Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

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

510(k) Number (if known)

K191909

Device Name HepaShield Bacterial Viral Breathing System Filter

Indications for Use (Describe)

Flexicare's HepaShield Bacterial Viral Breathing System Filters are intended to reduce the transmission of bacteria and viruses to/from a patient during anesthesia. For use with ventilators, anesthesia machines and open flow systems where filtration of inspired and/or expired gases is desired.

Flexicare's HepaShield Bacterial Viral Breathing System Filters are single patient for use on a single patient for up to 24hrs and are available in Adult size. FlepaShield Bacterial Viral Breathing System Filters are designed to be used in hospital environments by trained personnel.

Type of Use (Select one or both, as applicable)

[X] Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

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Image /page/3/Picture/0 description: The image is a logo for "flexicare". The logo is in blue and consists of a stylized letter "f" with three curved lines above it. Below the word "flexicare" is the tagline "TOTAL QUALITY - TOTAL CARE" in a smaller font size. The logo is clean and modern, and the blue color gives it a sense of trustworthiness and reliability.

510(k) Summary

K191909

510(k) Sponsor, Contact Person and Date Summary Prepared:

Flexicare Medical Limited Cynon Valley Business Park Mountain Ash. CF45 4ER. United Kingdom

Joel Biddle Senior Compliance Engineer Telephone: 00 44 1443 474 647 Fax: 00 44 1443 474 222

Summary prepared on: March 16th, 2020. Device Name:

Trade Name: HepaShield Bacterial Viral Breathing System Filter

Common/Usual Name: Breathing circuit bacterial filter.

Classification Name: Breathing circuit bacterial filter: 21 CFR 868.5260

Product Codes: CAH (Breathing circuit bacterial filter)

Predicate Device:

Pall's Ultipor 25 Bacterial Viral Breathing System Filter (K013093)

Device Description:

Flexicare's HepaShield Bacterial Viral Breathing System Filters are designed to reduce the transmission of bacteria and viruses to and from a patient who requires aesthesia, artificial respiration or other types of assisted respiration

Flexicare's HepaShield Bacterial Viral Breathing System Filters consist of a top/bottom housing, pleated paper filter pack and a luer port cap. The Female luer-lock port allows connection of a luer-terminating monitoring line for monitoring of patient exhaled CO2 & is supplied with a tethered cap to seal port when not in use.

The patient side of the Flexicare's HepaShield Bacterial Viral Breathing System Filters feature a 22mm Male and a 15mm Female conical. The machine side features a 22mm Female and a 15mm Male conical.

All conical connectors comply with dimensions stated within BS EN ISO 5356-1 standard.

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Image /page/4/Picture/0 description: The image shows the logo for Flexicare. The logo is blue and features a stylized "F" followed by the word "lexicare." Below the word "lexicare" is the phrase "TOTAL QUALITY - TOTAL CARE." The logo is clean and professional, and the blue color gives it a sense of trustworthiness.

Flexicare's HepaShield Bacterial Viral Breathing System Filters are available in Adult sizes.

Flexicare's HepaShield Bacterial Viral Breathing System Filters are available in a both Sterile and non-sterile state, packaged in individually sealed polybags, or blister trays (if sterile).

Indications For Use:

Flexicare's HepaShield Bacterial Viral Breathing System Filters are intended to reduce the transmission of bacteria and viruses to/from a patient during anesthesia. For use with ventilators, anesthesia machines and open flow systems where filtration of inspired and/or expired gases is desired.

Flexicare's HepaShield Bacterial Viral Breathing System Filters are single use devices for use on a single patient for up to 24hrs and are available in Adult size. Flexicare's HepaShield Bacterial Viral Breathing System Filters are designed to be used in hospital environments by trained personnel.

Technoloqical Characteristic Comparison Table:

The table below shows the similarities and differences between the Flexicare's HepaShield Bacterial Viral Breathing System Filter and the predicate device manufactured by Pall.

Flexicare's HepaShield Breathing SystemFilterPall's Ultipor 25 Breathing System Filter
510(k)K191909K013093
ComponentsFilter housing topFilter housing bottomFilter Media packTethered luer port capOuter shrink sleeveFilter housing topFilter housing bottomFilter Media packTethered luer port cap
Assembly MethodUltrasonic welded housingUltrasonic welded housing
Target populationAdultAdult
Emergency useYesYes
Environment of useHospitalHospital
Patient use/Duration of useSingle use, disposable, <24hrsSingle use, disposable, <24hrs
Contraindications- DO NOT place the HepaShieldBacterial Viral Breathing SystemFilter between a humidificationdevice or nebulizing device and thepatient.- Single Use. Do not reuse.- DO NOT attempt to decontaminatethis product in any way. Thisincludes rinsing, washing ordecontamination using gas, heat,steam, or boiling water.- When used in conjunction with a- Do not install the filter in eitherpositions A or B in conjunction withheater water-bath humidifiers ornebulizers.- Do not Reuse.- Do not Soak, rinse, wash, sterilize ortreat with liquid disinfectants.- Note: This Product is free of naturalrubber latex.

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Image /page/5/Picture/0 description: The image shows the logo for Flexicare. The logo is blue and features a stylized "f" with three curved lines above it. The word "flexicare" is written in a sans-serif font to the right of the "f". Below the word "flexicare" is the tagline "TOTAL QUALITY - TOTAL CARE".

humidified breathing system, theHepaShield Bacterial Viral BreathingSystem Filter is contraindicated foruse at the patient end.
Supplied sterileBoth Non-sterile & sterile variantsNon-sterile
Product labellingHepaShield Bacterial Viral Breathing SystemFilterPALL Ultipor BREATHING SYSTEM FILTER
Indications for useFlexicare's HepaShield Bacterial ViralBreathing System Filters are intended toreduce the transmission of bacteria andviruses to/from a patient during anesthesia.For use with ventilators, anesthesiamachines and open flow systems wherefiltration of inspired and/or expired gases isdesired.Flexicare's HepaShield Bacterial ViralBreathing System Filters are single usedevices for use on a single patient for up to24hrs and are available in Adult size.Flexicare's HepaShield Bacterial ViralThe Pall Ultipor Anesthesia Breathing CircuitSystem with a Breathing System Filter("BSF") is intended for use in theadministration of medical gases duringanesthesia. The circuit connects theanesthesia gas machine to the patient, bymeans of an oronasal facemask or by aconnection to an artificial airway, such as anendotracheal tube or laryngeal mask. ThePall Ultipor 25 BSF minimizes viral andbacterial contamination of the inspiratoryand expiratory limbs of the circuit with aminimum efficiency of 99.999%.

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Image /page/6/Picture/0 description: The image is a logo for "flexicare". The logo is in blue and consists of a stylized "f" followed by the word "lexicare" in a sans-serif font. Below the word "lexicare" is the tagline "TOTAL QUALITY - TOTAL CARE" in a smaller sans-serif font. The logo is clean and modern, and the blue color gives it a sense of trustworthiness and reliability.

Breathing System Filters are designed to beused in hospital environments by trainedpersonnel.Source: K013093 510(k) summary
Intended useInstruction leafletInstruction leaflet
Patient connectionET tube, Laryngeal Mask Airway, Cathetermount, Breathing circuitET tube, Laryngeal Mask Airway, Cathetermount, Breathing circuit
Standard 22/15mmconnections in compliancewith ISO 5356-1YesYes
Luer port for gas samplingin compliance with ISO80369-7YesYes
ConfigurationsStraight with luer portStraight with luer port
Filtration MethodMechanicalMechanical
Placement within circuitPatient sideMachine sidePatient sideMachine side
Weight (g)42g26g
Internal Volume/deadspace as per ISO 9360-147ml35ml
Bacterial/ Viral Filtrationefficiency/ filter integrity(Fresh)BFE - 99.99999%VFE - 99.9999%BFE - 99.999%
Salt Method filtrationefficiency99.89%Not stated
Tidal Volume range (ml)141ml-800mlNot stated
Pressure Drop/ Flowresistance per BS EN ISO23328-2/ BS EN ISO 9360-11.70 cmH2O @ 30LPM3.92 cmH2O @ 60LPM6.56 cmH2O @ 90LPM1.43 cmH2O @ 30LPM3.10 cmH2O @ 60LPM4.96 cmH2O @ 90LPM
Leakage per BS EN ISO23328-2/ BS EN ISO 9360-1<2 ml/min<2 ml/min
Compliance per BS EN ISO9360-10.057 ml/cmH2O0.029 ml/cmH2O
Reuse, Cleaning &DisinfectionN/A - Single use (max 24hrs)N/A - Single use (max 24hrs)
Shelf Life5 years5 years
PackagingPolybagPolybag
Temp/humidity req'sNot statedNot stated
Standards metISO 5356-1ISO 10993-1BS EN ISO 23328-1BS EN ISO 80369-7510(K) Summary does not specify
BiocompatibilityISO 10993 compliantEN ISO 18562 compliantNot stated

Summary of Nonclinical Testing: Flexicare's HepaShield Bacterial Viral Breathing System Filter has been evaluated in accordance with standards listed in table:

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Image /page/7/Picture/0 description: The image shows the logo for Flexicare. The logo is blue and features a stylized "f" with three curved lines above it. To the right of the "f" is the word "lexicare" in a sans-serif font. Below the word "lexicare" is the phrase "TOTAL QUALITY - TOTAL CARE" in a smaller font.

TestStandard / Pre Determined AcceptanceCriteriaResults
Visual InspectionPre-determined Acceptance Criteria*Pass
Compliance testingBS EN ISO 9360: 2009Methodology only, no passcriteria - Comparableperformance outcome betweenFlexicare's new devices andthe predicate devices
Pressure dropBS EN ISO 23328-2 (Refers to: BS EN ISO9360: 2009) - Methodology only, no pass criteriaMethodology only, no passcriteria - Comparable
Gas Leakage- for comparison only.HME aspects not applicable.performance outcome betweenFlexicare's new devices andthe predicate devices
Conical Connector complianceBS EN ISO 5356-1 2004Pass
Leak testingPass
Drop testingPass
Cytotoxicity, Irritation, Sensitization,Systemic toxicity, Material MediatedBS EN ISO 10993-10:2010BS EN ISO 10993-5:2009Pass
Pyrogenicity,BS EN ISO 10993-11:2009Pass
Bacterial Endotoxin(USP) guidelines <161> and <85>.ANSI/AAMI ST72:2011,Pass
Particulate emissions (gaspathway)EN ISO 18562-2:12017Pass
VOC emissions (gas pathway)EN ISO 18562-3:2017Pass
Gauging tests on luerPass
Liquid leakage from luerPass
Air leakage from luerPass
Luer separation forceBS EN ISO 80369-7:2016Pass
Luer unscrewing torquePass
Luer ease of assemblyPass
Luer resistance to overridingPass
Luer testing for stress crackingPass
Shelf life testingStandards included within this tablePass
Filter integrityBased on ASTM F2101 (Nelson Labs Protocol)Methodology only, no passcriteria within standard.
BS EN ISO 23328-1 (2008)Methodology only, no passcriteria within standard.
Pressure DropBS EN ISO 23328-2 (2009)Methodology only, no passcriteria within standard
Housing LeakageBS EN ISO 23328-2(2009)Methodology only, no passcriteria within standard

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Image /page/8/Picture/0 description: The image shows the logo for "flexicare" in blue. The logo features a stylized "f" with three curved lines above the word "flexicare". Below the word "flexicare" is the text "TOTAL QUALITY - TOTAL CARE".

* Pre-determined Acceptance Criteria - Visual inspection

Criteria: Product packaging must remain sealed & undamaged. All components of devices must be free of flash, cracking, warping, discoloration or contamination.

Methodology: Visual inspection under normal or corrected vision of device packaging (inspection of panels, seams and welds for unsealed areas/openings, pint quality, tares) and assembled device (inspection of device for cracking, warping, discolouration, cosmetic defects, flash and contamination within material).

Flexicare's HepaShield Bacterial Viral Breathing System Filter passed the performance testing when tested against methods and criteria from both pre-determined acceptance criteria methods and relevant FDA Recognized standards.

The results of this testing show that Flexicare's HepaShield Bacterial Viral Breathing System Filter passes all performance tests and perform at least as well as the marketed predicate device.

Consensus Standards

The recognized consensus standard for devices classified through FDA product code CAH are:

  • ISO 5356-1: 2004 Anaesthetic And Respiratory Equipment Conical Connectors: ● Part 1: Cones And Sockets.
  • EN ISO 18652: 2017 Biocompatibility Evaluation Of Breathing Gas Pathways In ● Healthcare Applications

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Image /page/9/Picture/0 description: The image shows the logo for Flexicare. The logo is blue and features a stylized "F" with three curved lines. The word "Flexicare" is written in a sans-serif font to the right of the "F". Below the word "Flexicare" is the phrase "TOTAL QUALITY - TOTAL CARE" in a smaller font.

Conclusion:

The conclusions drawn from the nonclinical tests demonstrates that the Flexicare HepaShield Bacterial Viral Breathing System Filter device is as safe, as effective, and performs as well as or better than the legally marketed predicate device, Pall's Ultipor 25 Bacterial Viral Breathing System Filter (K013093). .

§ 868.5260 Breathing circuit bacterial filter.

(a)
Identification. A breathing circuit bacterial filter is a device that is intended to remove microbiological and particulate matter from the gases in the breathing circuit.(b)
Classification. Class II (performance standards).