K Number
K961126
Date Cleared
1996-10-21

(214 days)

Product Code
Regulation Number
868.5905
Panel
AN
Reference & Predicate Devices
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Not Found

Device Description

The Pulse Dose Series devices are fundamentally repackaged versions of the OMS 20 and 50, DeVilbiss' current Oxygen Management Systems. The devices provide a bolus of oxygen to a patient at the start of inhalation. The devices assist patients, who require prescribed doses of supplemental gases such as oxygen, to conserve gas from the various gaseous cylinders or liguid oxygen reservoirs. By allowing oxygen to flow only from the cylinder or liquid oxygen reservoirs during the inspiratory segment of a patient's breathing cycle, conservation occurs.

AI/ML Overview

The provided text describes a 510(k) summary for DeVilbiss Health Care's "Oxygen Management Systems" (Pulse Dose Series). This document focuses on demonstrating substantial equivalence to predicate devices (OMS 20 and 50) rather than presenting a study against specific acceptance criteria for a novel device. As such, the information needed to fill out all the requested sections for a study proving device meets acceptance criteria is largely absent.

Here's a breakdown of what can be inferred and what is missing:

1. Table of Acceptance Criteria and Reported Device Performance:

The document doesn't explicitly list "acceptance criteria" in the traditional sense for a new medical device study. Instead, it focuses on demonstrating that the performance of the Pulse Dose Series is identical to the predicate devices (OMS 20 and 50).

Acceptance Criteria (Implied)Reported Device Performance (Pulse Dose Series)
Gas dosage methodology is identical to predicate devicesDosage methodology is identical to OMS 20 and 50.
Oxygen delivery specifications are identical to predicate devicesOxygen delivery specifications are identical to OMS 20 and 50.
Overall performance is identical to predicate devicesPerformance of the devices in the Pulse Dose Series are identical to those of the OMS 20 and 50. Non-clinical testing reveals the same dosage delivery.
Energy source is the same type as predicate devicesUtilizes batteries as the energy source, same as OMS 20 and 50.
Materials are substantially the same as predicate devicesNo significant changes in materials compared to OMS 20 and 50.
No greater risk to the end user than predicate devicesTests and analysis indicate no greater risk to the end user than with the predicate devices.
Performance for the end user is not alteredPerformance for the end user is identical to OMS 20 and 50; performance is not altered despite improvements.

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

  • Sample Size: Not specified. The document refers to "various comparison matrices and testing reports" and "non-clinical testing" but does not provide details on the number of units tested or the duration/scope of these tests.
  • Data Provenance: Not specified. It's likely internal testing by DeVilbiss Health Care, Inc. The nature of a 510(k) submission generally involves in-house testing for substantial equivalence. It does not mention country of origin or whether it was retrospective or prospective.

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

This information is not provided. The assessment relies on engineering and technical comparisons to the predicate devices, not on expert clinical evaluation for establishing a "ground truth" in the clinical sense.

4. Adjudication method for the test set:

This information is not provided. As implied in point 3, there's no mention of expert consensus or adjudication. The determination of "identical" or "substantially equivalent" would be based on comparison of technical specifications and test results.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

This is not applicable. The device is an oxygen management system, not an AI-powered diagnostic tool requiring human reader interpretation. No MRMC study was conducted.

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

This is not applicable. This is a hardware medical device with some "technological improvements (microprocessor control)," but it's not an algorithm meant to operate independently in a diagnostic or interpretive capacity.

7. The type of ground truth used:

The "ground truth" in this context is the performance and specifications of the predicate devices (OMS 20 and 50). The Pulse Dose Series is being compared directly against these established devices to demonstrate equivalency. This is a technical comparison rather than a clinical ground truth like pathology or patient outcomes.

8. The sample size for the training set:

This is not applicable. This is not a machine learning or AI device that requires a "training set."

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

This is not applicable as there is no training set mentioned.

§ 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).