K Number
K212824
Date Cleared
2022-02-17

(167 days)

Product Code
Regulation Number
880.6500
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
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 ItemAverage Net Log Reduction/Time @ High FanSpeed. Room Temperature Test
BacteriaBacillus atrophaeus4.95 / 60 minutes
BacteriaBacillus atrophaeus4.00 / 48 minutes
MoldPenicillium rocqueforti4.40 / 60 minutes
MoldPenicillium rocqueforti4.00 / 52 minutes
VirusMS-2 bacteriophage5.32 / 60 minutes
VirusMS-2 bacteriophage4.00 / 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.

AI/ML Overview

The provided text describes the regulatory filing for the "Bluezone Model RX-450 Air Purifier." This device is an air purifier that uses UV-C light to inactivate airborne bacteria, mold, and viruses. The document details the device's technical specifications, indications for use, and the non-clinical testing performed to establish its performance and safety.

Here's the breakdown of the acceptance criteria and the study proving the device meets them, based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

Test CompletedAcceptance CriteriaReported Device Performance
Electrical SafetyPer UL 507: 2017 Ed. 10+R: 06Nov2018 Fans and Ventilators; CSA C22.2#113:2018 Ed. 11Passed
Electromagnetic CompatibilityPer IEC 60601-1-2:2014 (4th Edition) General Requirements for Safety- Collateral Electromagnetic Compatibility Requirements and Tests Medical Electrical EquipmentPassed
Safety of air-cleaning appliancesPer IEC 60335-2-65 Safety of household and similar electrical appliances Part 2: Particular requirements for air-cleaning appliancesTest specifications were met
Ozone Emissions Testing of Household Electrostatic Air CleanersEmittance of ozone not exceeding a concentration of 0.050 ppm (UL 867 Section 40, Fifth Edition; CSA 22-2 No. 187-15, Section 7)Found in compliance with criteria
Zero Ozone EmissionOzone < 0.005 ppm (UL 2998 Section 6)Passed. Ozone < 0.001 ppm
UV Irradiance and Leakage in Occupied SpacesEffective irradiance < 0.1 uW/cm² (UL 507-2017: Heating and Cooling Equipment)Passed. Location 1 Effective irradiance 6.55E-02 uW/cm² and Location 2 3.13E-03 uW/cm²
Removal of Aerosolized MS2 Bacteriophage4.0 net LOG reductionProduced a rapid reduction in viable MS2 within the 60-minute test period. The Bluezone RX-450 is estimated to reach a 4.0 net LOG reduction of viable MS2 bioaerosol in a 16m³ chamber at 35 minutes.
Removal of Bacterial Spores (Bacillus atrophaeus)99.99% reduction in active aerosolized bacterial sporesAchieved 99.99% reduction in active aerosolized bacterial spores in less than 48 minutes in a 735 cubic foot test chamber.
Removal of Mold Spores (Penicillium rocqueforti)99.99% reduction in active aerosolized moldsAchieved 99.99% reduction in active aerosolized molds in less than 1 hour in a 735 cubic foot test chamber.

Additionally, the "Indications for Use" section (pages 2 and 4) provides specific performance targets for different microorganisms, which can also be considered acceptance criteria.

Test ItemAcceptance Criteria (Average Net Log Reduction/Time @ High Fan Speed. Room Temperature Test)Reported Device Performance
Bacteria (Bacillus atrophaeus)4.95 / 60 minutesAchieved 99.99% reduction (equivalent to ~4.0 log reduction) in less than 48 minutes.
Bacteria (Bacillus atrophaeus)4.00 / 48 minutesAchieved 99.99% reduction (equivalent to ~4.0 log reduction) in less than 48 minutes.
Mold (Penicillium rocqueforti)4.40 / 60 minutesAchieved 99.99% reduction (equivalent to ~4.0 log reduction) in less than 1 hour.
Mold (Penicillium rocqueforti)4.00 / 52 minutesAchieved 99.99% reduction (equivalent to ~4.0 log reduction) in less than 1 hour.
Virus (MS-2 bacteriophage)5.32 / 60 minutesReached a 4.0 net LOG reduction in 35 minutes (in 16m³ chamber).
Virus (MS-2 bacteriophage)4.00 / 40 minutesReached a 4.0 net LOG reduction in 35 minutes (in 16m³ chamber).

Note: 99.99% reduction is equivalent to a 4.0 log reduction.

2. Sample Size Used for the Test Set and Data Provenance

The document describes non-clinical laboratory testing rather than human subject or image-based studies. Therefore, typical "sample sizes" for test sets in the context of AI/machine learning or human reader studies are not applicable directly.

  • Sample Size: The data for the efficacy tests (microorganism removal) are based on controlled laboratory experiments using specific volumes (e.g., 16m³ chamber for MS2, 735 cubic foot chamber for bacterial/mold spores). The precise number of replicate tests or experimental runs is not specified in this summary document.
  • Data Provenance: The tests are described as non-clinical testing, implying lab-based experiments. No information is provided regarding the country of origin of the data collectors/labs, nor is it specified if the data is retrospective or prospective, as these terms typically apply to clinical studies. Given it's a device efficacy test, it would inherently be prospective.

3. Number of Experts Used to Establish Ground Truth and Qualifications

  • Not Applicable: This filing describes physical device performance testing (e.g., electrical safety, UV irradiance, germicidal efficacy against lab-cultured microorganisms), not AI/machine learning performance requiring human expert ground truth labeling. Therefore, there is no mention of experts establishing ground truth in this context.

4. Adjudication Method for the Test Set

  • Not Applicable: As this is non-clinical device performance testing, adjudication methods typically used for human expert review in diagnostic studies are not relevant. The results are obtained from direct measurements and observations in a laboratory setting.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

  • Not Applicable: The document explicitly states "Summary of Clinical Testing: Not applicable." This is a premarket notification (510(k)) for an air purification device, and its safety and efficacy were demonstrated through non-clinical laboratory tests, not comparative human clinical trials or diagnostic performance studies involving human readers.

6. Standalone (Algorithm Only Without Human-in-the-Loop Performance)

  • Not Applicable: This is a physical device (air purifier), not a software algorithm or AI. Its performance is inherent to its design and function.

7. Type of Ground Truth Used

The ground truth for this device's performance is established through laboratory measurements and direct observation of microbial inactivation.

  • Microorganism Inactivation: The ground truth for efficacy (e.g., log reduction of bacteria, mold, virus) is determined by standard microbiological testing methods, likely involving quantifying viable microorganisms before and after exposure to the device in a controlled chamber. This is analogous to outcomes data in a very specific, controlled laboratory environment.
  • Safety Parameters: Ground truth for electrical safety, ozone emission, and UV leakage are based on adherence to recognized safety standards (e.g., UL, IEC) through direct measurement by specialized equipment.

8. Sample Size for the Training Set

  • Not Applicable: This is a physical device, and the concept of a "training set" (used for machine learning models) does not apply here. The device's design and operating parameters are not "trained" on data in the same way an algorithm would be. Its performance is a result of its engineering.

9. How the Ground Truth for the Training Set Was Established

  • Not Applicable: As there is no "training set" for a physical device, the method of establishing ground truth for it is not relevant. The device is built based on established principles of UV-C germicidal action, and its performance is
    verified through empirical testing as detailed above.

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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

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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

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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 ItemAverage Net Log Reduction/Time @ High FanSpeed. Room Temperature Test
BacteriaBacillus atrophaeus4.95 / 60 minutes
BacteriaBacillus atrophaeus4.00 / 48 minutes
MoldPenicillium rocqueforti4.40 / 60 minutes
MoldPenicillium rocqueforti4.00 / 52 minutes
VirusMS-2 bacteriophage5.32 / 60 minutes
VirusMS-2 bacteriophage4.00 / 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.

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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 ItemAverage Net Log Reduction/Time @ High FanSpeed. Room Temperature Test
BacteriaBacillus atrophaeus4.95 / 60 minutes
BacteriaBacillus atrophaeus4.00 / 48 minutes
MoldPenicillium rocqueforti4.40 / 60 minutes
MoldPenicillium rocqueforti4.00 / 52 minutes
VirusMS-2 bacteriophage5.32 / 60 minutes
VirusMS-2 bacteriophage4.00 / 40 minutes

Technological Characteristics Comparison

Bluezone Model RX-450 Air Purifier Technological Characteristics Comparison
CharacteristicBluezone Model RX-450 Air PurifierECO-Rx Air Purifierwith UV Light ModelRx-400Comparison
510(k) Number-K062716-
Device TypeMedical Ultraviolet AirPurifierMedical Ultraviolet AirPurifierSame
Product CodeFRAFRASame
ClassIIIISame
Use TypeOTCOTCSame
Intended UseKill bacteria and virus inthe airKill bacteria and virus inthe airSame
Indications forUseThe Bluezone ModelRX-450 Air Purifier is afree standing, airpurifying deviceutilizing germicidalultraviolet light (UV-Cwavelengths near254nm) intended forinactivation of indoorairborne aerosolsincluding bacteria,mold, and virus inThe ECO-Rx Air Purifierwith UV Light, ModelRx-400 is a flow-throughindoor air-purificationsystem for the inactivationof indoor airbornebacteria.Minor differencesin wording ofindications for usestatement do notimpact the intendeduse

Table 1

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medical facilities andoccupied spaces.The Bluezone ModelRx-450 Air Purifier hasbeen demonstrated toentrain and destroy thefollowing bioaerosolsunder the followingexposure/workingconditions: (seeindications for use)
Mechanism ofActionUV-C inactivation ofmicroorganismsUV-C inactivation ofmicroorganismsSame
InstallationFree standingFree standingSame
Elements ofDesignFan circulates airthrough a shieldedchamber where UVlight irradiatesmicrobial aerosolsFan circulates air througha shielded chamber whereUV light irradiatesmicrobial aerosolsSame
FilterYesYesSame
Internal FanYesYesSame
Germicidal UVYesYesSame
UV Optic TypeQuartz tube with lowpressure mercury vaporQuartz tube with lowpressure mercury vaporSame
UV Wavelength254 nm254 nmSame
OzoneEmissionNoNoSame
ChemicalAdditivesNoNoSame
StandardsCompliance
ElectricalSafetyPer UL 507Per UL 507Same
EMCPer IEC 60601-1-2Per IEC 60601-1-2Same

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
ElectromagneticCompatibilityIEC 60601-1-2:2014 (4th Edition)General Requirements for Safety-Collateral ElectromagneticCompatibility Requirements andTests Medical Electrical EquipmentPer StandardPassed
Safety of air-cleaningappliancesIEC 60335-2-65 Safety ofhousehold and similar electricalappliances Part 2: Particularrequirements for air-cleaningappliancesPer StandardTest specificationswere met
Ozone EmissionsTesting of HouseholdElectrostatic AirCleanersElectrostatic Air Cleaners, UL 867Section 40, Fifth EditionCSA 22-2 No. 187-15, Section 7Emittance ofozone notexceeding aconcentration of0.050 ppmFound in compliancewith criteria
Zero Ozone EmissionUL 2998 Section 6Ozone <0.005ppmPassed. Ozone<0.001 ppm
UV Irradiance andLeakage in OccupiedSpacesUL 507-2017: Heating and CoolingEquipmentEffectiveirradiance <0.1$uW/cm^2$Passed. Location 1Effective irradiance6.55E-02 $uW/cm^2$and Location 23.13E-03 $uW/cm^2$
Removal ofAerosolized MS2BacteriophageNot applicable4.0 netLOG reductionProduced a rapidreductionin viable MS2 withinthe 60-minute testperiod. The BluezoneRX-450 is estimated toreach a 4.0 netLOG reduction ofviable MS2 bioaerosolin a 16m3 chamber at35 minutes.
Removal of BacterialSporesNot applicable99.99%reduction inactiveaerosolizedbacterial sporesAchieved 99.99%reduction in activeaerosolized bacterialspores in less than 48minutes in a 735cubic foot testchamber
Removal of MoldSporesNot applicable99.99%reduction inactiveaerosolizedmoldsAchieved 99.99%reduction in activeaerosolized molds inless then 1 hour in a
735 cubic foot testchamber

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Summary of Clinical Testing

Not applicable

Conclusion

The conclusions drawn from the nonclinical tests demonstrate that the device is as safe, as effective, and performs as well as or better than the legally marketed predicate device.

§ 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).