K Number
K212773
Device Name
ARDO Alyssa
Manufacturer
Date Cleared
2022-04-15

(227 days)

Product Code
Regulation Number
884.5160
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Ardo Alyssa is a powered breast pump to be used by lactating women to express and collect milk from their breasts. The Ardo Alyssa is intended for a single user.

Device Description

The Ardo Alyssa is a powered breast pump that generates negative pressure to express millt from the breasts of lactating women. It is intended for a single user and can be used in professional healthcare and home environments. The pump can be used for single or double breast pumping. To operate as a single or double pumping system, the pump needs to be connected to a single or double pump sets to be provided with the Ardo Alyssa are identical to those cleared in K141742 for the Ardo Calypso Powered Breast Pump. The Ardo Alyssa has two operational modes (stimulation and expression), with eight vacuum levels in each mode. The device comprises an ON/OFF button and two +/- buttons for independently adjusting (increasing or decreasing) vacuum and cycle. The user also has an option to operate the device via the mobile app, MyArdoApp. A memory function enables storing and replaying a pump session, and a power pumping button enables execution of a predefined pump-pause program. The pump can be powered using the supplied power adapter or by an integrated rechargeable battery.

AI/ML Overview

The provided text is a 510(k) summary for the Ardo Alyssa powered breast pump. It details the device, its intended use, comparison to a predicate device, and the results of non-clinical performance testing.

However, the questions posed relate to the acceptance criteria and study proving a device meets acceptance criteria, specifically in the context of AI/ML performance metrics like sensitivity, specificity, or AUC, and the human expert involvement in ground truth establishment and MRMC studies. The Ardo Alyssa is a powered breast pump, not an AI/ML powered device, and the provided document does not contain information about AI-related performance metrics or studies involving human readers/experts in the way your questions imply.

Therefore, I cannot provide a table of acceptance criteria and reported device performance from this document in the format you expect for an AI/ML device. The "performance testing" section in the document refers to engineering and safety performance testing (e.g., vacuum pressure, electrical safety, battery life), not diagnostic performance based on AI algorithms.

The questions regarding sample size, data provenance, expert ground truth, adjudication, MRMC studies, standalone performance, and training set details are not applicable to the information provided in this 510(k) summary for a powered breast pump.

To reiterate, the provided document does not contain the type of AI/ML-related study information needed to answer most of your detailed questions. The acceptance criteria listed are primarily for physical and electrical performance, and the "study" is a series of non-clinical engineering and safety tests rather than a clinical performance study involving AI analysis of medical images or data.

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image shows 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 square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

April 15, 2022

ARDO Medical AG % Kristin Zielinski Duggan Partner Hogan Lovells US LLP 555 Thirteenth Street NW Washington, DC 20004

Re: K212773

Trade/Device Name: Ardo Alyssa Regulation Number: 21 CFR& 884.5160 Regulation Name: Powered Breast Pump Regulatory Class: II Product Code: HGX Dated: March 14, 2022 Received: March 14, 2022

Dear Kristin Zielinski Duggan:

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.

U.S. Food & Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993 www.fda.gov

{1}------------------------------------------------

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 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-regulatoryinformation/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the quality systems (OS) 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,

For Monica D. Garcia, Ph.D. Assistant Director DHT3B: Division of Reproductive, Gynecologv and Urology Devices OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

{2}------------------------------------------------

Indications for Use

510(k) Number (if known) K212773

Device Name Ardo Alyssa

Indications for Use (Describe)

The Ardo Alyssa is a powered breast pump to be used by lactating women to express and collect milk from their breasts. The Ardo Alyssa is intended for a single user.

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

Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

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:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

{3}------------------------------------------------

510(k) Summary K212773

Submitter Information:

Sponsor:ARDO Medical AGGewerbestrasse 19CH-6314 UnterägeriSwitzerland
Contact:Dr. Thomas SchlieperPhone: +41 41 754 70 62Email: thomas.schlieper@ardo.ch
Submission Correspondent:Hogan Lovells US LLPKristin Zielinski DugganColumbia Square 555 Thirteenth Street, NWWashington, DC 20004-1109
Tel:+1 202 637 5600
Direct:+1 202 637 8894
Fax:+1 202 637 5910

Date 510(k) Summary Prepared: April 14, 2022

Device Information:

Name of Device:Ardo Alyssa
Common or Usual Name:Powered breast pump
Regulation Name:Powered breast pump
Regulation Number:21 CFR 884.5160
Regulatory Class:Class II
Product Code:HGX (Pump, Breast, Powered)
Review Panel:Obstetrics/Gynecology

Predicate Device:

510(k) Number:K191653
Manufacturer:Medela AG
Device Name:Freestyle Flex™

The predicate device has not been subject to a design-related recall.

Device Description:

The Ardo Alyssa is a powered breast pump that generates negative pressure to express millt from the breasts of lactating women. It is intended for a single user and can be used in professional healthcare and home environments. The pump can be used for single or double breast pumping. To operate as a single or double pumping system, the pump needs to be connected to a single or

{4}------------------------------------------------

double pump sets to be provided with the Ardo Alyssa are identical to those cleared in K141742 for the Ardo Calypso Powered Breast Pump.

The Ardo Alyssa has two operational modes (stimulation and expression), with eight vacuum levels in each mode. The device comprises an ON/OFF button and two +/- buttons for independently adjusting (increasing or decreasing) vacuum and cycle. The user also has an option to operate the device via the mobile app, MyArdoApp. A memory function enables storing and replaying a pump session, and a power pumping button enables execution of a predefined pump-pause program. The pump can be powered using the supplied power adapter or by an integrated rechargeable battery.

Indications for Use:

The Ardo Alyssa is a powered breast pump to be used by lactating women to express and collect milk from their breasts. The Ardo Alyssa is intended for a single user.

Comparison of Intended Use and Technological Characteristics:

The following table compares the subject device to the predicate device with respect to the indications for use and technological characteristics:

Device & PredicateDevice:Subject DeviceArdo AlyssaK212773Predicate DeviceFreestyle Flex™K191653
Indications for UseThe Ardo Alyssa is a powered breastpump to be used by lactating womento express and collect milk from theirbreasts. The Ardo Alyssa is intendedfor a single user.The Freestyle Flex™ breast pumpis a powered breast pump to beused by lactating women toexpress and collect milkfrom their breasts.The Freestyle Flex™ breast pumpis intended for a single user.The breast pump is intended to beused in a home environment.
Intended UseSingle-userSingle-user
Modes of operationStimulation mode, Expression modeStimulation mode, Expressionmode
Pumping optionsSingle and doubleSingle and double
Vacuum strength andlevelsStimulation mode: 23 – 113 mmHg, 8levelsExpression mode: 23 - 248 mmHg, 8levelsStimulation mode: 45 - 140mmHg, 9 levelsExpression mode: 45 - 245mmHg, 9 levels
Cycle speedStimulation mode: 72 - 120cycles/minExpression mode: 20 – 50 cycles/minStimulation mode: 111 cycles/minExpression mode: 45 - 75cycles/min
Power sourceAC adaptor: 100 – 240 V, 50/60 Hz,400 mA (Output: 5VDC, 2A)Li-ion battery (3.7 V, 2600mAh)AC adaptor: 100 – 240 V, 50/60Hz, 400 mA (Output: 5VDC, 2A)Li-ion battery (3.7 V, 2750mAh)
Backflow protectionDiaphragmDiaphragm
Device controlthrough an appYesYes

{5}------------------------------------------------

The subject and predicate device do not have identical indications for use statements but do have the same intended use – to express and collect milk from the breasts of lactating women. The subject and predicate device have different technological characteristics, including vacuum pressures, cycle speeds, and battery specifications. These differences do not raise different questions of safety or effectiveness.

Performance Testing:

Non-clinical tests were conducted to verify that the Ardo Alyssa met all design specifications and that it is substantially equivalent to the predicate device. The testing performed is summarized below:

  • a. Biocompatibility testing on the patient-contacting materials of the device was not provided in this submission, as all of the patient-contacting materials are identical to those cleared in K141742 for the Ardo Calypso Powered Breast Pump. Therefore, this submission relied on the biocompatibility information from the Ardo Calypso Powered Breast Pump to support the patient-contacting materials of the subject device.
  • b. Electrical Safety, Electromagnetic Compatibility, and Wireless Technology
    • IEC 60601-1:2005+CORR.1:2006+CORR.2:2007+A1:2012. Medical electrical ● equipment - Part 1: General requirements for basic safety, and essential performance with US deviations per AAMI/ANSI ES 60601-1:2005/(R)2012 and A1:2012.
    • . IEC 60601-1-11:2015. Medical electrical equipment – Part 1-11: General requirements for basic safety, and essential performance - Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment.
    • . IEC 60601-1-2:2014, Medical electrical equipment – Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic Compatibility
    • IEC 62133-2:2017 Secondary cells and batteries containing alkaline or other non-acid . electrolytes - Safety requirements for portable sealed secondary cells, and for batteries made from them, for use in portable applications
    • UL 1642 Standard for Safety: Lithium batteries ●
    • . Documentation provided in accordance with the FDA guidance document, "Radio Frequency Wireless Technology in Medical Devices" dated August 14, 2013.
  • Software verification and validation in accordance with the FDA quidance document. C. "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices" dated May 11, 2005.
  • d. Cybersecurity information was provided in accordance with the FDA quidance document, "Content of Premarket Submissions for Management of Cybersecurity in Medical Devices" dated October 2, 2014.
  • e. Performance testing was conducted to confirm that the subject device meets all performance specifications and operates as intended. The following were evaluated with passing results:
    • . Vacuum pressure and cycle rate testing was conducted at all settings and demonstrated that the device met its specifications.
    • . Backflow testing was conducted to demonstrate that liquid does not backflow into the tubing/pump.
    • . Use-life testing was conducted to demonstrate that the device maintains its

{6}------------------------------------------------

K212773 Page 4 of 4

specifications throughout its proposed use-life.

  • Battery performance testing was conducted to demonstrate that the battery remains . functional during its stated battery use-life.
  • . Battery status indicator testing was conducted to demonstrate that the battery status indicator displays the correct remaining battery operation time.

Conclusion:

The subject and predicate device have the same intended use and the technological differences do not raise different questions of safety or effectiveness. The performance data demonstrate that the Ardo Alyssa is as safe and effective as the Medela Freestyle Flex™ and supports a determination of substantial equivalence.

§ 884.5160 Powered breast pump.

(a)
Identification. A powered breast pump in an electrically powered suction device used to express milk from the breast.(b)
Classification. Class II (performance standards).