K Number
K192488
Date Cleared
2020-05-22

(254 days)

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

The CO2 Sidestream Module is designed to provide carbon dioxide monitoring system during anesthesia / recovery, in the intensive care unit (ICU), and in Respiratory care. The CO2 Sidestream Module is used for adult patients.

Device Description

The CO2 Sidestream module is a non-dispersive infrared gas analyzer with an autozero adjustment system and gain control. The operation of the CO2 Sidestream module is based on CO2 energy absorption rates. CO2 molecules absorb infrared light energy of specific wavelengths, with the amount of energy absorbed being directly related to the CO2 concentration. When an IR light beam is passed through a gas sample containing CO2, the electronic signal from the infrared sensor (which measures the remaining light energy), can be obtained. This signal is then compared to the energy of the IR source, and calibrated to reflect CO2 concentration in the sample accurately. Calibration is performed using the infrared sensor's response to a known concentration of CO2 stored in the Module's memory. As the sample gas passes through a three-way valve, with the change of temperature and time, the valve leading to the pure air will close for 3-4 seconds to adjust the zero point. The circuit module retains the atmospheric absolute pressure sensors and control of the pressure sensor. Modules can measure atmospheric pressure, and atmospheric can compensate for the calculation for the concentrations of carbon dioxide, which improves the design accuracy. The Module then determines CO2 concentration in the breathing gases by measuring the amount of light absorbed by these gases. EtCO2 displays a numerical value in millimeters of mercury (mmHg), percent (%), or kilopascals (kPa). Respiration rate is calculated by measuring the time interval between detected breaths.

AI/ML Overview

The provided text describes the acceptance criteria and a study demonstrating the device's compliance.

1. A table of acceptance criteria and the reported device performance

Acceptance CriteriaReported Device Performance
EtCO2 Measurement Range0-150 mmHg, 0-19.7%, 0-20 kPa
EtCO2 Accuracy0-40 mmHg: ±2 mmHg
41-70 mmHg: ±5% of reading
71-100 mmHg: ±8% of reading
101-150 mmHg: ±10% of reading
Respiration Rate Measurement Range3 - 150 breaths/minute (RPM)
Respiration Rate Accuracy±1% of reading or ±1 breaths/min, whichever is greater
In Vitro CytotoxicityViability%: 87.9% (No toxicity)
Skin Sensitization0% skin sensitization rate (No evidence of sensitization)
Skin IrritationPrimary irritation index: 0 (Negligible)
Emissions of Particulate MatterParticulate Matter: $3.2 \times 10^{-3}$ µg/m3 (Particle size ≤2.5 μm)
$3.2 \times 10^{-3}$ µg/m3 (Particle size ≤10 μm) (Qualified)
Emissions of Volatile Organic CompoundsEach VOC

§ 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).