K Number
K213169
Device Name
BPAP System
Date Cleared
2022-12-05

(433 days)

Product Code
Regulation Number
868.5895
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The BPAP System is a Bi-level PAP (Bi-level Positive Airway Pressure) device, which is intended to provide noninvasive ventilation for patients with Obstructive Sleep Apnea (OSA) or Respiratory Insufficiency. The integrated humidifier is indicated for the humidification and warming of air from the flow generator device. The device is intended for adult patients weighing more than 66lbs (30 kg) by prescription. The device is intended for single patient use in the home environment and multi-patient re-use in the hospital/institutional environment.

Device Description

The proposed device is a non-invasive, continuous positive airway pressure ventilator, incorporating a heated respiratory humidifier. The device is intended to treat obstructive sleep apnea or respiratory insufficiency by delivering a flow of positive airway pressure at a level prescribed by a physician to splint open the airway and prevent airway collapse.

The proposed device is available in different models designed with different therapy modes and pressure ranges. The therapy modes are available in six types, which are CPAP, Spontaneous (S), Spontaneous/Timed (S/T), Timed (T), Auto CPAP and Auto S. The pressure range for the proposed devices is available in two types, which are 4-25cm H2O and 4-30 cm H2O.

Alarm module is incorporated in the device. The device will generate audio and visual alarm for any abnormal conditions. The proposed device is provided non-sterile, and not to be sterilized by the user prior to use. The proposed device can be reused by single patient and multi-patients

AI/ML Overview

The provided text describes a 510(k) premarket notification for a BPAP System, stating that "No clinical study is included in this submission." Therefore, there is no information in the provided document about acceptance criteria, device performance, sample sizes for test and training sets, data provenance, expert ground truth establishment, adjudication methods, MRMC studies, or standalone performance. The document focuses on demonstrating substantial equivalence to predicate devices through non-clinical tests and feature comparison.

However, I can extract the non-clinical test conclusions and how they "prove the device meets acceptance criteria" in that context.

Here's a breakdown of what the document does provide:

Non-Clinical Test Data and Compliance

The document states that non-clinical tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated compliance with various international standards, which serve as the "acceptance criteria" for these non-clinical aspects.

1. A table of acceptance criteria (standards) and the reported device performance (compliance):

Acceptance Criteria (Standard)Reported Device Performance (Compliance)
AAMI/ANSI/ES60601-1: 2005/(R)2012 And A1: 2012 (Medical electrical equipment - General requirements for basic safety and essential performance)Complied
IEC 60601-1-8:2006+A1: 2012 (Alarm systems in medical electrical equipment)Complied
IEC 60601-1-11:2015 (Medical electrical equipment - Home healthcare environment)Complied
IEC 60601-1-2: 2014 (Electromagnetic disturbances - Requirements and tests)Complied
ISO 80601-2-70: 2015 (Sleep apnoea breathing therapy equipment)Complied
ISO 80601-2-74: 2017 (Respiratory humidifying equipment)Complied
ISO 80601-2-79: 2018 (Ventilatory support equipment for ventilatory impairment)Complied
ISO 10993-5 (Cytotoxicity)Complied
ISO 10993-10 (Skin Irritation, Sensitization)Complied
ISO 18562-2 (Particulate matter)Complied
ISO 18562-3 (Volatile organic compounds (VOCs))Complied
ISO 18562-4 (Leachables in condensate)Complied

Additionally, the device's specific technical performance attributes were compared to predicate devices, demonstrating substantial equivalence rather than meeting independent clinical acceptance criteria:

Acceptance Criteria (Attribute)Proposed Device Performance
Humidity Output≥ 15 mg/L, as required by ISO80601-2-74
Humidifier Setting1-5 (95 to 154.4°F/35 to 68°C)
Pressure regulation±0.5 cmH2O
Ramp (time)0-60 minutes
Expiratory Pressure ReliefReslex® function Level 1-3
Material Properties(All relevant biocompatibility tests per ISO 10993 standards and material emissions tests per ISO 18562 standards were complied with.) Cleaning and disinfection methods for multi-patient reuse were validated per FDA recognized standards and found acceptable.
Pressure RangeCPAP: 420cmH2O; Auto CPAP: 420cmH2O; S, T, S/T, Auto S: up to 30cmH2O (depending on model)

2. Sample size used for the test set and the data provenance:

No clinical study test set or data provenance is mentioned as "No clinical study is included in this submission." The "test set" in this context refers to the physical device prototypes undergoing non-clinical bench testing.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

Not applicable, as no clinical study or expert-driven ground truth establishment is described. The "ground truth" for non-clinical tests is based on engineering specifications and adherence to international standards.

4. Adjudication method for the test set:

Not applicable, as no clinical study is conducted.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done:

No. As explicitly stated: "No clinical study is included in this submission." Therefore, no MRMC study or effect size for human reader improvement with AI assistance was performed or reported here.

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

Not applicable. This is a physical medical device (BPAP system), not an AI algorithm. Its performance is inherent to the device itself, as demonstrated through non-clinical testing against standards.

7. The type of ground truth used:

For the non-clinical tests, the "ground truth" is defined by the requirements and specifications of the cited international standards (e.g., IEC 60601 series, ISO 80601 series, ISO 10993 series, ISO 18562 series) and the manufacturer's internal design specifications.

8. The sample size for the training set:

Not applicable, as "No clinical study is included in this submission." This is a hardware device cleared based on substantial equivalence, not a machine learning algorithm requiring a training set.

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

Not applicable for the same reason as above.

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

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 5, 2022

BMC Medical Co., Ltd. % Diana Hong General Manager Mid-Link Consulting Co., Ltd P.O. Box 120-119 Shanghai. 200120 China

Re: K213169

Trade/Device Name: BPAP System Regulation Number: 21 CFR 868.5895 Regulation Name: Continuous ventilator Regulatory Class: Class II Product Code: MNS Dated: December 5, 2022 Received: November 4, 2022

Dear Diana Hong:

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 mediation-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,

Ethan ㄴ. Nyberg -S

for James Lee, Ph.D. Division Director DHT1C: Division of Sleep Disordered Breathing, Respiratory and Anesthesia Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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

Indications for Use

510(k) Number (if known) K213169

Device Name BPAP System

Indications for Use (Describe)

The BPAP System is a Bi-level PAP (Bi-level Positive Airway Pressure) device, which is intended to provide noninvasive ventilation for patients with Obstructive Sleep Apnea (OSA) or Respiratory Insufficiency. The integrated humidifier is indicated for the humidification and warming of air from the flow generator device. The device is intended for adult patients weighing more than 66lbs (30 kg) by prescription. The device is intended for single patient use in the home environment and multi-patient re-use in the hospital/institutional environment.

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

Prescription Use (Part 21 CFR 801 Subpart D) 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."

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below.

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

510(k) Summary

This 510(k) Summary is being submitted in accordance with requirements of Title 21, CFR Section 807.92.

The assigned 510(k) Number: _K213169

    1. Date of Preparation: 12/05/2022
    1. Sponsor Identification

BMC Medical Co., Ltd.

Room 901, Building 1, No.28 Pingguoyuan Road, Shijingshan, Beijing 100041, CHINA

Establishment Registration Number: 3008566132

Contact Person: Fang Zheng Position: Director of Regulatory Affairs & Quality Assurance Tel: +86-10-5166 3880 Fax: +86-10-5166 3880-810 Email: zhengfang@bmc-medical.com

    1. Designated Submission Correspondent
      Ms. Diana Hong (Primary Contact Person) Ms. Ying Xu (Alternative Contact Person)

Mid-Link Consulting Co., Ltd

P.O. Box 120-119, Shanghai, 200120, China

Tel: +86-21-22815850 Fax: 360-925-3199 Email: info@mid-link.net

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

4. Identification of Proposed Device

Trade Name: BPAP System Common Name: Continuous ventilator

Regulatory Information Classification Name: Continuous Ventilator Classification: II Product Code: MNS Regulation Number: 21 CFR 868.5895 Review Panel: Anesthesiology

Indication for Use Statement:

The BPAP System is a Bi-level PAP (Bi-level Positive Airway Pressure) device, which is intended to provide non-invasive ventilation for patients with Obstructive Sleep Apnea (OSA) or Respiratory Insufficiency. The integrated humidifier is indicated for the humidification and warming of air from the flow generator device. The device is intended for adult patients weighing more than 66lbs (30 kg) by prescription. The device is intended for single patient use in the home environment and multi-patient re-use in the hospital/institutional environment.

Device Description

The proposed device is a non-invasive, continuous positive airway pressure ventilator, incorporating a heated respiratory humidifier. The device is intended to treat obstructive sleep apnea or respiratory insufficiency by delivering a flow of positive airway pressure at a level prescribed by a physician to splint open the airway and prevent airway collapse.

The proposed device is available in different models designed with different therapy modes and pressure ranges. The therapy modes are available in six types, which are CPAP, Spontaneous (S), Spontaneous/Timed (S/T), Timed (T), Auto CPAP and Auto S. The pressure range for the proposed devices is available in two types, which are 4-25cm H2O and 4-30 cm H2O. The designated pressure range and therapy mode for each proposed model was provided in following table

ModelWork ModePressure Range
G3 B25VTCPAP, S, T, S/T4-25 cm H2O
G3 B30SVCPAP, S/T
G3 B30VTCPAP, S, T, S/T4-30 cm H2O
G3 LABCPAP, Auto CPAP, S,

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

Auto S, T, S/T
------------------

Alarm module is incorporated in the device. The device will generate audio and visual alarm for any abnormal conditions. The proposed device is provided non-sterile, and not to be sterilized by the user prior to use. The proposed device can be reused by single patient and multi-patients

  • ર. Identification of Predicate Device
    510(k) Number: K153061 Product Name: Juno VPAP ST-A

  • Identification of Secondary Predicate Device 6.
    510(k) Number: K201620 Product Name: Luna®G3 BPAP 25A

    1. Non-Clinical Test Conclusion
      Non clinical tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated that the proposed device complies with the following standards:
  • AAMI/ANSI/ES60601-1: 2005/(R)2012 And A1: 2012 Medical electrical equipment - Part 1: General requirements for basic safety and essential performance;

  • IEC 60601-1-8:2006+A1: 2012 Medical Electrical Equipment-Part 1-8: General requirements for basic safety and essential performance-Collateral standard: General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical systems

  • 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 disturbances -Requirements and tests

  • ISO 80601-2-70: 2015 Medical electrical equipment - Part 2-70: Particular reguirements for the basic safety and essential performance of sleep apnoea breathing therapy equipment

  • A ISO 80601-2-74: 2017 Medical electrical equipment - Part 2-74: Particular requirements for basic safety and essential performance of respiratory humidifying equipment

  • ISO 80601-2-79: 2018 Medical electrical equipment - Part 2-79: Particular requirements for basic safety and essential performance of ventilatory support equipment for ventilatory impairment

    1. Clinical Test Conclusion

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

No clinical study is included in this submission.

{7}------------------------------------------------

9. Substantially Equivalent (SE) Comparison

Table 1 General Comparison
ItemProposed DevicePredicate DeviceSecondary Predicate DeviceRemark
K153061K201620
Product CodeMNSMNSBZDSame
Regulation Number21 CFR 868.589521 CFR 868.589521 CFR 868.5905Same
Indication for UseThe BPAP System is a Bi-levelPAP (Bi-level Positive AirwayPressure) device, which is intendedto provide non-invasive ventilationfor patients with Obstructive SleepApnea (OSA) or RespiratoryInsufficiency. The integratedhumidifier is indicated for thehumidification and warming of airfrom the flow generator device.The device is intended for adultpatients weighing more than 66lbs(30 kg) by prescription. The deviceis intended for single patient use inthe home environment andmulti-patient re-use in thehospital/institutional environment.The Juno VPAP ST-A is indicated toprovide noninvasive ventilation forpatients weighing more than 30lbs (13kg) with respiratory insufficiency orobstructive sleep apnoea (OSA).The iVAPS mode is indicated forpatients weighing more than 66lbs (30kg). The Juno VPAP ST-A is intendedfor home and hospital use.The humidifier is intended for singlepatient use in the home environmentand re-use in a hospital/institutionalenvironment.The luna® G3 BPAP 25A is a Bi-levelPAP (Bi-level Positive Airway Pressure)device designed for the treatment ofadult obstructive Sleep Apnea (OSA).The integrated humidifier is indicatedfor the humidification and warming ofair from the flow generator device.These devices are intended forsingle-patient use by prescription in thehome or hospital/institutionalenvironment on adult patients. It is tobe used on patients >66lbs/30kg forwhom CPAP therapy has beenprescribed. The system can deliverbi-level therapy or auto bi-level therapy.Analysis 1
Environment of UseHospital/HomeHospital/HomeHospital/HomeSame
Supplemental oxygenYesYesYesSame
SterileNon-sterileNon-sterileNon-sterileSame
Single UseReuseReuseReuseSame
Prescription statusPrescriptionPrescriptionPrescriptionSame
AlarmYesYesNoSame
Humidifier
IntegratedYesYesYesSame
Humidity Output$\ge 15$ mg/L, as required by ISO80601-2-74$\ge 10$ mg/L$\ge 15$ mg/L, as required by ISO80601-2-74Analysis 2
Humidifier Setting1-5 (95 to 154.4°F/35 to 68°C)1-81-5 (95 to 154.4°F/35 to 68°C)Analysis 2
DelayYesYesYesSame
Physical specification
Dimensions265 x 145x114 mm (with integrated humidifier)153 mm x 172 mm x 86 mm265 x 145x114 mm (with integrated humidifier)Analysis 3
Weight1.7kg (with integrated humidifier)1.04kg1.7kg (with integrated humidifier)Analysis 3
AC Power100-240V, 50/60Hz,100-240V, 50-60Hz100-240V, 50/60HzSame
Accessory
Air filterYesYesYesSame
Non-heated tubingYesYesYesSame
Heated tubingYesYesYesSame

Table 1 General Comparison

{8}------------------------------------------------

Analysis 1-Indication for Use

The indication for use for the proposed device is not exactly same as the predicate device. Firstly, the intent weight for the proposed device does not include the population whose weight larger than 301bs. The adult patiended for the adult patients whose weight is larger than 66ths and this population was also covered by predicate device, it can be concluded that the intended population can be covered in the population range of predicate device. In addition, the intended for single patient and multi-patients re-use, while the predicate device is intended for single patient re-use. However, whent reuse or multi-patient reuse, the device shall be cleaned and disinfected prior to subsequent use, and the cleaning and disinfection method for the been validated per FDA recognized standard, the test result is

{9}------------------------------------------------

acceptable.

Analysis 2- Humidity Output and humidifier setting

The humidity output and humidifier setting for the proposed device, however, it is same as the secondary predicate device.

Analysis 3-Dimension and Weight

The dimension and weight for the proposed device. The difference in weight and dimension will not affect the intended use and this difference will not raise any safety and in addition to the predicate device, a secondary predicate device was cited, it can be noted that the weight and dimension for the proposed device is same as the secondary predicate device.

ItemProposed DevicePredicate DeviceK153061Secondary Predicate DeviceK201620Remark
Modes AvailableCPAP;S;TS/T;Auto CPAPAuto SCPAPSTS/TPACiVAPSAuto CPAPAuto SSCPAPAnalysis 4
Pressure RangeCPAP: 420cmH2OAuto CPAP: 420cmH2OS: 425cmH2O for G3B25VT,430cmH2O for G3 B30SV, G3 B30VT, G3 LAB;T: 4~25cmH2O for G3B25VT,CPAP: 4-20cmH2OS, S/T, T: 3-30cmH2OFor CPAP and Auto CPAP mode:4.020.0 cmH2OFor Auto S and S mode: 4.025.0cmH2OAnalysis 5
Table 2 Performance and Safety Comparison
-----------------------------------------------------

{10}------------------------------------------------

430cmH2O for G3 B30SV, G3B30VT,G3 LAB;S/T:425cmH2O for G3B25VT,430cmH2O for G3 B30SV, G3B30VT, G3 LAB;Auto S: 430cmH2O
Pressure regulation±0.5 cmH2O±0.5 cmH2O±0.5 cmH2OSame
Automatic adjustingCPAP algorithmYesNoYesAnalysis 6
Ramp0-60User selected as “off” to 45minutes in5 minutes incrementsMax ramp time set at clinician’sdriscretion0-60Analysis 7
Expiratory PressureReliefReslex® function Level 1-3YesReslex® function Level 1-3Analysis 8
Cellular moduleYesNoYesAnalysis 9
iCode®iCode,iCode QR,iCode QR +A feature that is intended to giveaccess to compliance and therapymanagement information. TheiCode consists of six separatecodes displayed in the PatientMenu, each code is a sequence ofnumbers. The “iCode QR” and“iCode QR+” displayNoiCode,iCode QR,iCode QR +A feature that is intended to giveaccess to compliance and therapymanagement information. The iCodeconsists of six separate codesdisplayed in the Patient Menu, eachcode is a sequence of numbers. The“iCode QR” and “iCode QR+”display two-dimensional codesAnalysis 10
two-dimensional codes.
iCodeConnect®SoftwareYesNoYesAnalysis 11
Transmit datatherapy data, therapy settings, upgrade device softwaretherapy data, therapy settings, upgrade device softwaretherapy data, therapy settings, upgrade device softwareSame
Data transfer mediumSD card, Cellular moduleSD card, WirelessSD card, Cellular moduleAnalysis 12
Smart AYesNoYesSame
Smart BYesNoYesSame
Smart CYesNoYesSame
Respiratoryeventdetection functionYesYesYesSame
Biocompatibility
CytotoxicityComply with ISO 10993-5Comply with ISO 10993-1, ISO10993-5, ISO 10993-10 and ISO10993-12 standardsComply with ISO 10993-5Same
Skin IrritationComply with ISO 10993-10Comply with ISO 10993-10
SensitizationComply with ISO 10993-10Comply with ISO 10993-10
Particulate matterComply with ISO 18562-2Comply with ISO 18562-2
Volatileorganiccompounds (VOCs)Comply with ISO 18562-3Comply with ISO 18562-3
LeachablesincondensateComply with ISO 18562-4Comply with ISO 18562-4
Electrical SafetyComply withIEC 60601-1-8: 2012;AAMI/ANSI ES60601-1:2005/(R)2012 And A1:2012, C1:2009/(R)2012 And A2:2010/(R) 2012;IEC 60601-1-11: 2011Comply withIEC 60601-1:2005+AMD1: 2012IEC 60601-1-8: 2006IEC 60601-1-11:2010Comply withIEC 60601-1-8: 2012;AAMI/ANSI ES60601-1:2005/(R)2012 And A1:2012, C1:2009/(R)2012 And A2:2010/(R) 2012;IEC 60601-1-11: 2011Same
ISO 80601-2-74ISO 80601-2-74
EMCIEC 60601-1-2: 2014IEC 60601-1-2:2014IEC 60601-1-2:2014Same

{11}------------------------------------------------

{12}------------------------------------------------

Analysis 4-Working Mode

The working mode for the proposed device is not same as the predicate device. The CPAP, S. T and ST mode can be covered by the predicate device. The working mode Auto CPAP and Auto S were not covered by the predicate device. These modes were assessed against the secondary predicate device.

Analysis 5-Pressure Range

The pressure range for the proposed CPAP, S, T, ST mode can be covered by the predicate device. The working mode Auto S were not covered by the predicate device. Based on the discussion in analysis 4, these two additional working modes were compared to the secondary predicate device. The presure range for proposed Auto S is larger than the secondary predicate device, this difference was caused by the proposed device was available in a series model and the largest pressure range of secondary predicate device. Although the largest pressure range for Auto CPAP and Auto S exceed the predicate device, but it does not exceed the pressure range of predicate device.

Analysis 6-Automatic Adjusting CPAP Algorithm

The automatic adjusting CPAP algorithm is not contained by the predicate device. This difference was caused by the working mode, since the predicate device does not have the Auto working mode. Therefore, the predicate device does not have automatic adjusting function. However, in addition to the predicate device, a secondary predicate device was ctechnology characteristics which were not covered by the predicate device, it can be noted that this function can be covered by the secondary predicate device.

Analysis 7-Ramp

The ramp function for proposed device is not exactly same as the predicate device. In addition to the predicate device, a secondary predicate device was cited to compare some technology characteristics which were not covered by the predicate device, it can be noted that this function is same as

{13}------------------------------------------------

the secondary predicate device.

Analysis 8-Expiratory Pressure Relief

The relef function for proposed device is not exactly same as the predicate device. in addition to the predicate device, a secondary predicate device was cited to compare some technology characteristics which were not covered by the predicate device, it can be noted that this function is same as the secondary predicate device.

Analysis 9-Celluar Module

The cellular module is not contained by the predicate device. This module is used for the data transfer. In addition to the predicate device, a secondary predicate device was cited to compare some technology characteristics which were not covered that the cellular module is same as the secondary predicate device.

Analysis 10-iCode

The iCode function is not contained by the predicate device, in addition to the predicate device, a secondary predicate device was cited to compare some technology characteristics which were not covered by the predicate that this finction is same as the secondary predicate device.

Analysis 11-iCodeConnection Software

The iCode connection software is not contained by the predicate device, in addition to the predicate device, a secondary predicate device was cited to compare some technology characteristics which were not covered by the predicate this connection software is same as the secondary predicate device.

Analysis 12-Data Transfer Medium

{14}------------------------------------------------

The data transfer medium for the proposed device is not exactly same as predium can be covered by the predicate device. Cellular module is not included by the predicate device, in addition to the predicate device, a secondary predicate device was cited to compare some technology characteristics which were not covered by the predicate device, it can be noted that cellular module is covered by the secondary predicate device. In addition, the electrical safety and EMC test has been conducted on the cellular module can work normally in interference environment.

    1. Substantially Equivalent (SE) Conclusion
      Based on the comparison and analysis above, the proposed devices are determined to be Substantially Equivalent (SE) to the predicate devices.

§ 868.5895 Continuous ventilator.

(a)
Identification. A continuous ventilator (respirator) is a device intended to mechanically control or assist patient breathing by delivering a predetermined percentage of oxygen in the breathing gas. Adult, pediatric, and neonatal ventilators are included in this generic type of device.(b)
Classification. Class II (performance standards).