K Number
K212371
Date Cleared
2022-03-18

(231 days)

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

The F&P Evora Full Face mask is intended to be used by adults weighing ≥ 66lbs (30kgs) who have been diagnosed by a physician as requiring CPAP or Bi-Level therapy. The F&P Evora Full Face mask is intended for single patient use in the home and for multiple patient use in the hospital or other clinical setting where proper disinfection of the device can occur between patient uses.

Device Description

The F&P Evora™ Full Face Mask (hereafter named "Evora Full") is a non-invasive compact full-face mask that seals underneath the patient's nose and lips. The mask connects to a single breathing tube by a 22mm male swivel adaptor to receive pressurised air from a continuous positive airway pressure device (CPAP or Bi-level). The exhaust holes on the seal of the mask allow exhaled air to be flushed out while the system is in operation. The Evora Full mask is a prescription only device, provided in non-sterile state

AI/ML Overview

This document is a 510(k) summary for the F&P Evora™ Full Face Mask. It focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study proving a device meets specific acceptance criteria based on its own performance metrics against expert ground truth.

Therefore, many of the requested sections (acceptance criteria table, sample sizes, number of experts, adjudication methods, MRMC studies, standalone performance, training set details) are not applicable to this document as it outlines a substantial equivalence argument for a medical device.

However, I can extract information regarding some performance data and the comparison to the predicate device.

1. Table of Acceptance Criteria and the Reported Device Performance

The document does not explicitly state acceptance criteria in the format of a requirement with a corresponding performance metric for the subject device to pass. Instead, it compares the subject device's technical specifications to those of the predicate device (F&P Vitera™ Full Face Mask, K190713). Substantial equivalence implies that the differences do not raise new questions of safety or effectiveness.

Design / Technological CharacteristicPredicate Device (F&P Vitera™ Full Face Mask, K190713)Subject Device (F&P Evora™ Full Face Mask)Comments (Implying "Acceptance" through Equivalence)
Classification21 CFR §868.590521 CFR §868.5905Identical
Intended Use/Indications for UseThe F&P Vitera Full Face mask is intended to be used by adults weighing ≥ 66lbs (30kgs) who have been diagnosed by a physician as requiring CPAP or Bi-Level therapy. The F&P Vitera Full Face mask is intended for single patient use in the home and for multiple patient use in the hospital or other clinical setting where proper disinfection of the device can occur between patient uses.The F&P Evora Full Face mask is intended to be used by adults weighing ≥ 66lbs (30kgs) who have been diagnosed by a physician as requiring CPAP or Bi-Level therapy. The F&P Evora Full Face mask is intended for single patient use in the home and for multiple patient use in the hospital or other clinical setting where proper disinfection of the device can occur between patient uses.Identical
AvailabilityPrescription use only (Part 21 CFR 801 Subpart D)Prescription use only (Part 21 CFR 801 Subpart D)Identical
Patient PopulationAdult (> 30kg)Adult (> 30kg)Identical
ApplicationCPAP or Bi-Level therapyCPAP or Bi-Level therapyIdentical
Operating EnvironmentHome, hospital or other clinical settingHome, hospital or other clinical settingIdentical
Pressure Range4 to 30 cmH2O4 to 30 cmH2OIdentical
Resistance to Flow (at 50 L/min)0.24 ± 0.15 cmH2O0.9 ± 0.3 cmH2OThis difference does not raise new questions of safety and effectiveness.
Resistance to Flow (at 100 L/min)0.47 ± 0.15 cmH2O2.2 ± 0.3 cmH2OThis difference does not raise new questions of safety and effectiveness.
Dead Space (Small/S-M)Small: 245.8 ccS-M: 162.6 cm3This difference does not raise new questions of safety and effectiveness.
Dead Space (Large/L)Large: 321.8 ccL: 164.1 cm3This difference does not raise new questions of safety and effectiveness.
Sound Power Level29.8 dBA, with uncertainty 2.5 dBA28.2 dBA, with uncertainty 2.5 dBASubstantially equivalent
Sound Pressure Level21.8 dBA, with uncertainty 2.5 dBA20.2 dBA, with uncertainty 2.5 dBASubstantially equivalent
Shelf-Life5 years2 yearsThis difference does not raise new questions of safety and effectiveness.
Breathing CircuitSingle Inspiratory TubeSingle Inspiratory TubeIdentical
Operating Temperature5 to 40°C5 to 40°CIdentical
Storage Temperature-20 to 50°C-20 to 50°CIdentical
Swivel22mm ISO conical connector22mm ISO conical connectorIdentical
SterilityDevice not provided sterileDevice not provided sterileIdentical
ReusabilityReusable - Multi Patient UseReusable - Multi Patient UseIdentical
High Level Disinfection Methods80°C for 10 mins, 75°C for 30 mins, 90°C for 1 min90°C for 1 minEquivalent. The subject device contains a subset of the high-level disinfection methods compared to the predicate.
Accessory (Oxygen/Pressure Port)Available as a separate part (900HC452)Available as a separate part (900HC452)Identical.

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

This document is a 510(k) summary for a medical device (face mask), not an AI/software device. There is no mention of a "test set" in the context of an algorithm's performance. The "performance data" refers to non-clinical tests conducted on the physical device components. There is no information regarding country of origin or retrospective/prospective nature of any specific data beyond the general regulatory context.

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)

Not applicable. This document is not about an AI/software device that requires expert-established ground truth for a test set.

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

Not applicable.

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 not an AI-assisted device.

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

Not applicable. This is not an algorithm.

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

Not applicable. The "ground truth" for this device's performance would be engineering specifications and standards compliance, as demonstrated by the non-clinical tests listed.

8. The sample size for the training set

Not applicable. This is not an AI/software device that would have a training set.

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

Not applicable.

§ 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).