K Number
K212824
Device Name
Bluezone Model RX-450 Air Purifier
Date Cleared
2022-02-17

(167 days)

Product Code
Regulation Number
880.6500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Bluezone Model RX-450 Air Purifier is a free standing, air purifying device utilizing germicidal ultraviolet light (UV-C wavelengths near 254nm) intended for inactivation of indoor airborne aerosols including bacteria, mold, and virus in medical facilities and occupied spaces. The Bluezone Model Rx-450 Air Purifier has been demonstrated to entrain and destroy the following exposure/working conditions: | Test Item | Average Net Log Reduction/Time @ High Fan<br>Speed. Room Temperature Test | | |-----------|---------------------------------------------------------------------------|-------------------| | Bacteria | Bacillus atrophaeus | 4.95 / 60 minutes | | Bacteria | Bacillus atrophaeus | 4.00 / 48 minutes | | Mold | Penicillium rocqueforti | 4.40 / 60 minutes | | Mold | Penicillium rocqueforti | 4.00 / 52 minutes | | Virus | MS-2 bacteriophage | 5.32 / 60 minutes | | Virus | MS-2 bacteriophage | 4.00 / 40 minutes |
Device Description
The Bluezone Model RX-450 is an air purification device that uses germicidal UV bulbs to inactivate viral, bacterial or fungal aerosols. The operation of the device is as follows: ambient air containing microbial aerosols is drawn into the air purifier through a prefilter and two angled aluminum honeycomb light baffles. The infective aerosols in the air are then exposed to high intensity, germicidal, ultraviolet light where the contaminants receive a UV dose of at least 10 mW*second/cm². The bacterial, fungal and viral aerosols are inactivated through the breakdown of the microbial DNA or RNA. The cleaned air is exhausted back into the room from the Bluezone Model RX-450 through an axial fan.
More Information

Not Found

No
The device description and performance studies focus solely on the physical process of UV-C light inactivation of airborne pathogens. There is no mention of any computational analysis, learning, or adaptive behavior that would indicate the presence of AI or ML.

No
The device is described as an "air purifying device utilizing germicidal ultraviolet light" intended for "inactivation of indoor airborne aerosols including bacteria, mold, and virus." While it impacts biological agents, its primary function is air purification, not direct treatment or diagnosis of a condition in a living organism, which aligns more with a general purpose infectious agent inactivator rather than a therapeutic device.

No

The device is an air purifier that inactivates airborne aerosols using UV light. Its intended use is to clean the air, not to diagnose medical conditions or provide diagnostic information.

No

The device description clearly outlines a physical air purification device utilizing UV bulbs, fans, and filters, indicating it is a hardware-based medical device, not software-only.

Based on the provided information, the Bluezone Model RX-450 Air Purifier is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: An IVD device is a medical device used to perform tests on samples such as blood, urine, or tissue to detect diseases, conditions, or infections. These tests are performed outside of the body (in vitro).
  • Bluezone RX-450 Function: The Bluezone RX-450 is an air purification device. Its function is to inactivate airborne microorganisms within the air of a space, not to analyze biological samples from a patient.
  • Intended Use: The intended use clearly states it's for "inactivation of indoor airborne aerosols including bacteria, mold, and virus in medical facilities and occupied spaces." This describes an environmental control function, not a diagnostic test.
  • Device Description: The description details how the device draws in air and exposes it to UV light to inactivate microorganisms. This process does not involve analyzing biological samples.

Therefore, the Bluezone Model RX-450 Air Purifier falls under the category of an air purification device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Bluezone Model Rx-450 Air Purifying device utilizing device utilizing germicidal ultraviolet light (UV-C wavelengths near 254nm) intended for inactivation of indoor airborne aerosols including bacteria, mold, and virus in medical facilities and occupied spaces.

The Bluezone Model Rx-450 Air Purifier has been demonstrated to entrain and destroy the following exposure/working conditions:

Test ItemAverage Net Log Reduction/Time @ High Fan Speed. Room Temperature Test
Bacillus atrophaeus4.95 / 60 minutes
Bacillus atrophaeus4.00 / 48 minutes
Penicillium rocqueforti4.40 / 60 minutes
Penicillium rocqueforti4.00 / 52 minutes
MS-2 bacteriophage5.32 / 60 minutes
MS-2 bacteriophage4.00 / 40 minutes

Product codes

FRA

Device Description

The Bluezone Model RX-450 is an air purification device that uses germicidal UV bulbs to inactivate viral, bacterial or fungal aerosols. The operation of the device is as follows: ambient air containing microbial aerosols is drawn into the air purifier through a prefilter and two angled aluminum honeycomb light baffles. The infective aerosols in the air are then exposed to high intensity, germicidal, ultraviolet light where the contaminants receive a UV dose of at least 10 mW*second/cm². The bacterial, fungal and viral aerosols are inactivated through the breakdown of the microbial DNA or RNA. The cleaned air is exhausted back into the room from the Bluezone Model RX-450 through an axial fan.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

medical facilities and occupied spaces.

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

Non-Clinical Testing:

  • Electrical Safety: UL 507: 2017 Ed. 10+R: 06Nov2018 Fans and Ventilators, CSA C22.2#113:2018 Ed. 11. Result: Passed.
  • Electromagnetic Compatibility: IEC 60601-1-2:2014 (4th Edition) General Requirements for Safety- Collateral Electromagnetic Compatibility Requirements and Tests Medical Electrical Equipment. Result: Passed.
  • Safety of air-cleaning appliances: IEC 60335-2-65 Safety of household and similar electrical appliances Part 2: Particular requirements for air-cleaning appliances. Result: Test specifications were met.
  • Ozone Emissions Testing of Household Electrostatic Air Cleaners: Electrostatic Air Cleaners, UL 867 Section 40, Fifth Edition, CSA 22-2 No. 187-15, Section 7. Acceptance criteria: Emittance of ozone not exceeding a concentration of 0.050 ppm. Result: Found in compliance with criteria.
  • Zero Ozone Emission: UL 2998 Section 6. Acceptance criteria: Ozone

§ 880.6500 Medical ultraviolet air purifier.

(a)
Identification. A medical ultraviolet air purifier is a device intended for medical purposes that is used to destroy bacteria in the air by exposure to ultraviolet radiation.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image contains two logos. On the left is the Department of Health & Human Services logo. On the right is the FDA logo, which includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

February 17, 2022

Bluezone Products, Inc. % Maureen O'connell President O'Connell Regulatory Consultant, Inc. 44 Oak Street Stoneham, Massachusetts 02180

Re: K212824

Trade/Device Name: Bluezone Model RX-450 Air Purifier Regulation Number: 21 CFR 880.6500 Regulation Name: Medical Ultraviolet Air Purifier Regulatory Class: Class II Product Code: FRA Dated: January 7, 2022 Received: January 10, 2022

Dear Maureen O'connell:

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

1

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 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,

Clarence W. Murray, III, Ph.D. 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

2

Indications for Use

510(k) Number (if known) K212824

Device Name Bluezone Model Rx-450 Air Purifier

Indications for Use (Describe)

The Bluezone Model Rx-450 Air Purifying device utilizing device utilizing germicidal ultraviolet light (UV-C wavelengths near 254nm) intended for inactivation of indoor airborne aerosols including bacteria, mold, and virus in medical facilities and occupied spaces.

The Bluezone Model Rx-450 Air Purifier has been demonstrated to entrain and destroy the following exposure/working conditions:

| Test Item | Average Net Log Reduction/Time @ High Fan
Speed. Room Temperature Test | |
|-----------|---------------------------------------------------------------------------|-------------------|
| Bacteria | Bacillus atrophaeus | 4.95 / 60 minutes |
| Bacteria | Bacillus atrophaeus | 4.00 / 48 minutes |
| Mold | Penicillium rocqueforti | 4.40 / 60 minutes |
| Mold | Penicillium rocqueforti | 4.00 / 52 minutes |
| Virus | MS-2 bacteriophage | 5.32 / 60 minutes |
| Virus | MS-2 bacteriophage | 4.00 / 40 minutes |

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)

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K212824 510(k) SUMMARY

Bluezone Products, Inc. Bluezone Model RX-450 Air Purifier

510(k) Owner

Bluezone Products, Inc. 225 Wildwood Avenue Woburn. MA 01801

Submission Correspondent

Maureen O'Connell O'Connell Regulatory Consultants, Inc. 44 Oak Street Stoneham. MA 02180 Phone: 978-207-1245

Date Prepared: February 15, 2022

Trade Name of Device

Bluezone Model RX-450 Air Purifier

Common or Usual Name Air Purifier

Classification Name

Medical UV Air Purifier, 21 C.F.R. §880.6500 Class II Product Code: FRA

Review Panel General Hospital

Predicate Device ECO-Rx Air Purifier with UV Light Model Rx-400 cleared in K062716

Device Description

The Bluezone Model RX-450 is an air purification device that uses germicidal UV bulbs to inactivate viral, bacterial or fungal aerosols. The operation of the device is as follows: ambient air containing microbial aerosols is drawn into the air purifier through a prefilter and two angled aluminum honeycomb light baffles. The infective aerosols in the air are then exposed to high intensity, germicidal, ultraviolet light where the contaminants receive a UV dose of at least 10 mW*second/cm². The bacterial, fungal and viral aerosols are inactivated through the breakdown of the microbial DNA or RNA. The cleaned air is exhausted back into the room from the Bluezone Model RX-450 through an axial fan.

4

Indications for Use

The Bluezone Model RX-450 Air Purifier is a free standing, air purifying device utilizing germicidal ultraviolet light (UV-C wavelengths near 254nm) intended for inactivation of indoor airborne aerosols including bacteria, mold, and virus in medical facilities and occupied spaces.

The Bluezone Model Rx-450 Air Purifier has been demonstrated to entrain and destroy the following exposure/working conditions:

| Test Item | Average Net Log Reduction/Time @ High Fan
Speed. Room Temperature Test | |
|-----------|---------------------------------------------------------------------------|-------------------|
| Bacteria | Bacillus atrophaeus | 4.95 / 60 minutes |
| Bacteria | Bacillus atrophaeus | 4.00 / 48 minutes |
| Mold | Penicillium rocqueforti | 4.40 / 60 minutes |
| Mold | Penicillium rocqueforti | 4.00 / 52 minutes |
| Virus | MS-2 bacteriophage | 5.32 / 60 minutes |
| Virus | MS-2 bacteriophage | 4.00 / 40 minutes |

Technological Characteristics Comparison

Bluezone Model RX-450 Air Purifier Technological Characteristics Comparison
CharacteristicBluezone Model RX-450 Air PurifierECO-Rx Air Purifier
with UV Light Model
Rx-400Comparison
510(k) Number-K062716-
Device TypeMedical Ultraviolet Air
PurifierMedical Ultraviolet Air
PurifierSame
Product CodeFRAFRASame
ClassIIIISame
Use TypeOTCOTCSame
Intended UseKill bacteria and virus in
the airKill bacteria and virus in
the airSame
Indications for
UseThe Bluezone Model
RX-450 Air Purifier is a
free standing, air
purifying device
utilizing germicidal
ultraviolet light (UV-C
wavelengths near
254nm) intended for
inactivation of indoor
airborne aerosols
including bacteria,
mold, and virus inThe ECO-Rx Air Purifier
with UV Light, Model
Rx-400 is a flow-through
indoor air-purification
system for the inactivation
of indoor airborne
bacteria.Minor differences
in wording of
indications for use
statement do not
impact the intended
use

Table 1

5

| | medical facilities and
occupied spaces.
The Bluezone Model
Rx-450 Air Purifier has
been demonstrated to
entrain and destroy the
following bioaerosols
under the following
exposure/working
conditions: (see
indications for use) | | |
|-------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|------|
| Mechanism of
Action | UV-C inactivation of
microorganisms | UV-C inactivation of
microorganisms | Same |
| Installation | Free standing | Free standing | Same |
| Elements of
Design | Fan circulates air
through a shielded
chamber where UV
light irradiates
microbial aerosols | Fan circulates air through
a shielded chamber where
UV light irradiates
microbial aerosols | Same |
| Filter | Yes | Yes | Same |
| Internal Fan | Yes | Yes | Same |
| Germicidal UV | Yes | Yes | Same |
| UV Optic Type | Quartz tube with low
pressure mercury vapor | Quartz tube with low
pressure mercury vapor | Same |
| UV Wavelength | 254 nm | 254 nm | Same |
| Ozone
Emission | No | No | Same |
| Chemical
Additives | No | No | Same |
| Standards
Compliance | | | |
| Electrical
Safety | Per UL 507 | Per UL 507 | Same |
| EMC | Per IEC 60601-1-2 | Per IEC 60601-1-2 | Same |

Summary of Non-Clinical Testing
Table 2 shows the non-clinical testing that was performed.

Test CompletedStandard FollowedAcceptance CriteriaResult
Electrical SafetyUL 507: 2017 Ed. 10+R:
06Nov2018 Fans and VentilatorsPer StandardPassed
CSA C22.2#113:2018 Ed. 11
Electromagnetic
CompatibilityIEC 60601-1-2:2014 (4th Edition)
General Requirements for Safety-
Collateral Electromagnetic
Compatibility Requirements and
Tests Medical Electrical EquipmentPer StandardPassed
Safety of air-cleaning
appliancesIEC 60335-2-65 Safety of
household and similar electrical
appliances Part 2: Particular
requirements for air-cleaning
appliancesPer StandardTest specifications
were met
Ozone Emissions
Testing of Household
Electrostatic Air
CleanersElectrostatic Air Cleaners, UL 867
Section 40, Fifth Edition
CSA 22-2 No. 187-15, Section 7Emittance of
ozone not
exceeding a
concentration of
0.050 ppmFound in compliance
with criteria
Zero Ozone EmissionUL 2998 Section 6Ozone