K Number
K230476
Device Name
Oran Park Mask
Date Cleared
2023-10-19

(239 days)

Product Code
Regulation Number
868.5905
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Oran Park mask is intended for use in the home or hospital/institutional environment on patients weighing more than 661b (30kg), who have been prescribed non-invasive CPAP or bi-level positive airway pressure (PAP) therapy. Only the Sleep Lab Mask (SLM) variant is intended and validated for multi-patient reuse and must be reprocessed if reused between patients.
Device Description
The Oran Park Mask is an accessory to deliver air flow and positive air pressure generated by positive airway pressure (PAP) devices such as CPAP or bi-level flow generator systems to the patient's airway, for the treatment of Obstructive Sleep Apnea (OSA) or ventilator support (non-life support). It delivers the treatment pressure from the source device to the patient's upper airway by providing an air seal between the PAP device and under the patient's nose and mouth. There are 2 variants to the Oran Park Mask: - . Oran Park Mask (Home Use) Intended for single patient re-use (SPMU) for home use. It is configured with a diffused venting port located on the elbow, known as the QuietAir elbow. - . Oran Park SLM (Sleep Lab Mask) Intended for multi-patient re-use (MPMU) and must be reprocessed if reused between patients. It is configured with a non-diffused venting port located on the elbow, known as the Multihole elbow. The Oran Park mask comprises of 4 sub-assemblies: headgear, frame, cushion and elbow. The venting ports and anti-asphyxia valve are incorporated into the elbow assembly. There are four magnets incorporated in the Oran Park mask – two magnets in the frame assembly and 2 magnets in the lower headgear clips – with a magnetic field strength up to 400 mT. The mask help facilitate attaching and detaching the headgear to the mask frame when regularly fitting the mask for use. The cushion and headgear are available in various sizes to fit a wide patient population. Soft wraps, which are attached to the Oran Park mask frame, are available as an optional accessory for patient's comfort. The Oran Park mask is a prescription device and is supplied non-sterile.
More Information

AirFit F20 (K153563)

Moore Park (K183512)

No
The device description and performance studies focus on the physical components and mechanical performance of a mask for PAP therapy, with no mention of AI or ML capabilities.

Yes

The device is intended to deliver air flow and positive air pressure generated by PAP devices for the treatment of Obstructive Sleep Apnea (OSA) or ventilator support. It directly treats a medical condition.

No

Explanation: The device is described as an accessory to deliver airflow and positive air pressure generated by PAP devices for treatment, not for diagnosis.

No

The device description clearly outlines physical components such as headgear, frame, cushion, elbow, venting ports, anti-asphyxia valve, and magnets. Performance studies also focus on physical characteristics and testing of these components.

Based on the provided information, the Oran Park mask is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states that the mask is for delivering air flow and positive air pressure for the treatment of Obstructive Sleep Apnea (OSA) or ventilator support. This is a therapeutic purpose, not a diagnostic one.
  • Device Description: The description details how the mask functions to create an air seal and deliver pressure to the patient's airway. It does not mention any interaction with biological samples (like blood, urine, or tissue) for the purpose of diagnosis.
  • Lack of Diagnostic Function: The device's function is to facilitate breathing therapy, not to provide information about a patient's health status through in vitro examination of specimens.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The Oran Park mask does not perform this function.

N/A

Intended Use / Indications for Use

The Oran Park mask is intended for use in the home or hospital/institutional environment on patients weighing more than 661b (30kg), who have been prescribed non-invasive CPAP or bi-level positive airway pressure (PAP) therapy.

Only the Sleep Lab Mask (SLM) variant is intended and validated for multi-patient reuse and must be reprocessed if reused between patients.

Product codes (comma separated list FDA assigned to the subject device)

BZD

Device Description

The Oran Park Mask is an accessory to deliver air flow and positive air pressure generated by positive airway pressure (PAP) devices such as CPAP or bi-level flow generator systems to the patient's airway, for the treatment of Obstructive Sleep Apnea (OSA) or ventilator support (non-life support). It delivers the treatment pressure from the source device to the patient's upper airway by providing an air seal between the PAP device and under the patient's nose and mouth.

There are 2 variants to the Oran Park Mask:

  • . Oran Park Mask (Home Use) Intended for single patient re-use (SPMU) for home use. It is configured with a diffused venting port located on the elbow, known as the QuietAir elbow.
  • . Oran Park SLM (Sleep Lab Mask)

Intended for multi-patient re-use (MPMU) and must be reprocessed if reused between patients. It is configured with a non-diffused venting port located on the elbow, known as the Multihole elbow.

The Oran Park mask comprises of 4 sub-assemblies: headgear, frame, cushion and elbow. The venting ports and anti-asphyxia valve are incorporated into the elbow assembly. There are four magnets incorporated in the Oran Park mask – two magnets in the frame assembly and 2 magnets in the lower headgear clips – with a magnetic field strength up to 400 mT. The mask help facilitate attaching and detaching the headgear to the mask frame when regularly fitting the mask for use. The cushion and headgear are available in various sizes to fit a wide patient population. Soft wraps, which are attached to the Oran Park mask frame, are available as an optional accessory for patient's comfort.

The Oran Park mask is a prescription device and is supplied non-sterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

patient's upper airway

Indicated Patient Age Range

patients weighing more than 66lb (30kg)

Intended User / Care Setting

home or hospital/institutional environment

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-clinical verification and validation testing completed for the new device demonstrated that the Oran Park Mask met all intended performance requirements. These included:

Applicable performance and safety tests in accordance with ISO 17510:2015 Medical devices – Sleep apnoea breathing therapy – Masks and application accessories:

  • CO2 rebreathing
  • Pressure-Flow characteristics
  • Resistance to flow
  • Anti-Asphyxia valve operating pressures
  • Breathing resistance (single fault)
  • Through impedance
  • . Inadvertent anti-asphyxia valve operation

Other Bench tests:

  • . Mechanical Integrity of the mask system before and after the following environmental tests:
    • Home cleaning .
    • Transportation and storage
    • Operation environment
    • l Free fall

Biocompatibility evaluation was conducted in accordance with ISO 10993-1, ISO 10993-10, ISO 10993-12, ISO 10993-17, ISO 10993-18 and ISO 18562 on components that had patient exposure classifications of permanent external communicating device (tissue) and /or permanent skin contact.

Validation of reprocessing claims included a combination of cleaning efficacy, disinfection efficacy, residual toxicity, and mechanical integrity testing.

Verification confirmed that the new device met the predetermined acceptance criteria, and the performance is substantially equivalent to the previously cleared predicate AirFit F20 (K153563).

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

AirFit F20 (K153563)

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Moore Park (K183512)

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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).

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Image /page/0/Picture/0 description: The image contains 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 consists of the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, with the word "ADMINISTRATION" underneath.

October 19, 2023

ResMed Pty Ltd (Registration Number: 3004604967) % Sheila Bruschi Senior Director, Regulatory Affairs ResMed Corp (Registration Number: 3007573469) 9001 Spectrum Center Boulevard San Diego, California 92123

Re: K230476

Trade/Device Name: Oran Park Mask Regulation Number: 21 CFR 868.5905 Regulation Name: Noncontinuous Ventilator (IPPB) Regulatory Class: Class II Product Code: BZD Dated: September 22, 2023 Received: September 22, 2023

Dear Sheila Bruschi:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device"

1

(https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.

Rachana Visaria -S

Rachana Visaria, Ph.D. Assistant Director DHT1C: Division of Sleep Disordered Breathing, Respiratory and Anesthesia Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices

2

Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

3

Indications for Use

510(k) Number (if known) K230476

Device Name Oran Park Mask

Indications for Use (Describe)

The Oran Park mask is intended for use in the home or hospital/institutional environment on patients weighing more than 661b (30kg), who have been prescribed non-invasive CPAP or bi-level positive airway pressure (PAP) therapy.

Only the Sleep Lab Mask (SLM) variant is intended and validated for multi-patient reuse and must be reprocessed if reused between patients.

Type of Use (Select one or both, as applicable)
-------------------------------------------------
X Prescription Use (Part 21 CFR 801 Subpart D)
□ Over-The-Counter Use (21 CFR 801 Subpart C)

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Traditional 510(k)

510(k) Summary

[As required by 21 CFR 807.921(c)]

Date of Submission:22 February 2023
Company Name/Owner:ResMed Pty Ltd
1 Elizabeth Macarthur Drive
Bella Vista, NSW, 2153 Australia
Prepared and Submitted by:Ms Daniellia Chan
Regulatory Affairs Specialist
Tel: +65 65727166
daniellia.chan@resmed.com.sg
Official Contact:Ms Sheila Bruschi
Senior Director, Regulatory
Affairs ResMed Corp
9001 Spectrum Center Blvd
San Diego CA 92123 USA
Tel: +1 858 922 1803
sheila.bruschi@resmed.com
Device Trade Name:Oran Park Mask
Device Common Name:Vented Full Face Mask
Classification and
Classification Name:21 CFR 868.5905, 73 BZD (Class II)
Accessory to Noncontinuous Ventilator (IPPB)
Product Code:BZD
Legally Marketed Predicate
Device:AirFit F20 (K153563)
Reference Device:Moore Park (K183512)
Submission Reason:New Device

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Device Description

The Oran Park Mask is an accessory to deliver air flow and positive air pressure generated by positive airway pressure (PAP) devices such as CPAP or bi-level flow generator systems to the patient's airway, for the treatment of Obstructive Sleep Apnea (OSA) or ventilator support (non-life support). It delivers the treatment pressure from the source device to the patient's upper airway by providing an air seal between the PAP device and under the patient's nose and mouth.

There are 2 variants to the Oran Park Mask:

  • . Oran Park Mask (Home Use) Intended for single patient re-use (SPMU) for home use. It is configured with a diffused venting port located on the elbow, known as the QuietAir elbow.
  • . Oran Park SLM (Sleep Lab Mask)

Intended for multi-patient re-use (MPMU) and must be reprocessed if reused between patients. It is configured with a non-diffused venting port located on the elbow, known as the Multihole elbow.

The Oran Park mask comprises of 4 sub-assemblies: headgear, frame, cushion and elbow. The venting ports and anti-asphyxia valve are incorporated into the elbow assembly. There are four magnets incorporated in the Oran Park mask – two magnets in the frame assembly and 2 magnets in the lower headgear clips – with a magnetic field strength up to 400 mT. The mask help facilitate attaching and detaching the headgear to the mask frame when regularly fitting the mask for use. The cushion and headgear are available in various sizes to fit a wide patient population. Soft wraps, which are attached to the Oran Park mask frame, are available as an optional accessory for patient's comfort.

The Oran Park mask is a prescription device and is supplied non-sterile.

Indication For Use

The Oran Park full face mask is intended for use in the home or hospital/institutional environment on patients weighing more than 66lb (30kg), who have been prescribed non-invasive CPAP or bi-level positive airway pressure (PAP) therapy.

Only the Sleep Lab Mask (SLM) variant is intended and validated for multi-patient reuse and must be reprocessed if reused between patients.

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Traditional 510(k)

Comparison table

Design Parameter orPredicate Device AirFit F20Subject DeviceComments
featureK153563Oran Park Mask System
K230476
Indication for UseThe AirFit F20 is to be used by patients
weighing more than 66lb (30kg) for
whom positive airway pressure therapy
(non-invasive CPAP or bi-level positive
airway pressure (PAP) therapy) has
been prescribed.The Oran Park mask is intended for use in
the home or hospital/institutional
environment on patients weighing more
than 66lb (30kg), who have been prescribed
non-invasive CPAP or bi-level positive airway
pressure (PAP) therapy.Equivalent
It is intended for single-patient reuse in
the home environment and multi-
patient reuse in the
hospital/institutional environment.Only the Sleep Lab Mask (SLM) variant is
intended and validated for multi-patient
reuse and must be reprocessed if reused
between patients.
FDA Product CodeBZDBZDIdentical
ReprocessingSingle patient re-use or multi-patient
re-useSingle patient re-use (Oran Park Mask) or
multi-patient re-use (Oran Park SLM)Identical

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| Physical Dead space (mL) | Small Cushion: 199mL
Medium Cushion:219mL
Large Cushion: 240mL | | Small Cushion: 101.1mL
Medium Cushion: 107.6mL
Large Cushion: 107.0mL | | This is a record-only parameter |
|-----------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------|-----------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------|---------------------------------|
| Leakage | Pressure (cmH2O) | Flow (L/min) | Flow (L/min) | | Equivalent |
| | 3 | 19 | N/A | | |
| | 4 | 22 | 20 | | |
| | 13 | 42 | 38 | | |
| | 22 | 57 | 51 | | |
| | 31 | 70 | 62 | | |
| | 40 | 82 | 72 | | |
| Use Life | AirFit F20 (single patient, multi-use):
Visual inspection per instructions for use
AirFit F20 (multi patient, multi-use): 30 validated reprocessing cycles | | | Oran Park mask: Visual inspection per instructions for use
Oran Park SLM: 30 validated reprocessing cycles | Identical |
| Operating and storage temperature | Operating temperature: 5°C to 40°C
Storage temperature: -20°C to +60°C | | | Operating temperature: 5 to 40 °C
Storage temperature: -20 to +60°C | Identical |

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| Sound power level and
sound pressure | Tested and declared in accordance with
ISO4871 and ISO3744 | Tested and declared in accordance with
ISO4871 and ISO3744 | Equivalent |
|-----------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Cushion assembly
design | Seals above the nose and around the
mouth | Seals under the nose and around the mouth | Equivalent |
| Elbow assembly
design | The body of the elbow includes a ball
joint allowing for flex under the load
from tube drag. The elbow can be
rotated 360 degrees around the frame
connection, it connects to a
conventional air delivery hose. | A Short tube and swivel cuff form part of
mask's elbow assembly, these features
allow for the mask to rotate and move
independently of the connected
conventional air delivery hose. | Both mask systems deliver
therapy by providing an air seal
at the nose and at the mouth.
The 'under the nose' cushion
design has been cleared
previously in reference device,
Moore Park mask (K183512).
Equivalent in terms of
decoupling and freedom of
movement. |
| Vent design | Multi-hole Vent array in elbow
assembly | Two design variants: | Equivalent |

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Design Parameter or featurePredicate DeviceSubject DeviceComments
AirFit F20
K153563Oran Park Mask System
Multi-hole Vent QuietAir VentBoth vent variants of the subject mask:
Serves to exhaust patient expired air into the atmosphere Have been verified to satisfy mask pressure flow and CO2 rebreathing performance requirement of ISO 17510:2015
AAV designTwo anti-asphyxia valves
(AAV)Single anti-asphyxia valve
(AAV)Equivalent
The function of the AAV is the same as the predicate device. Verification testing has been conducted which demonstrated that the AAV of both masks will activate in the event of a single fault condition at a pressure lower than the minimum rated mask pressure.
Patient connection portISO 5356-1 (22mm)ISO 5356-1 (22mm)Identical

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Design Parameter or featurePredicate DeviceSubject DeviceComments
AirFit F20
K153563Oran Park Mask System
Flow generator setting on
compatible ResMed flow
generatorsFull Face MaskPillowsThe ResMed flow generator settings used are
different between the subject and predicate
device. These are the ResMed flow generator
settings indicated when using the respective
mask. This sets the appropriate pressure
compensation aligned to the mask resistance
and exhaust characteristics within the
ResMed flow generator to achieve equivalent
therapy at the patient's airways.
Pressure Range3-40cmH2O4-40cmH2OPressure range claim is a subset of the
predicate device.
Mask exhaust
flow (Nominal)
ISO 17510:2015
Annex BPressure
(cmH2O)Flow
(L/min)Flow
(L/min)
319N/A
42220

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Design Parameter or featurePredicate DeviceSubject DeviceComments
AirFit F20
K153563Oran Park Mask System
134238
225751
317062
408272
Resistance to
flow (Pressure
drop across
mask) ISO
17510:2015
Annex CNom Flow
Rate
(L/min)Pressure (cmH2O)Pressure (cmH2O)The pressure drop values have been reported
in accordance with ISO17510:2015.
500.20.3
1000.91.6
CO2 re-breathing performance
(