K Number
K961832
Device Name
BLUE RIDGE PRODUCTS LARYNGOSCOPE BLADE COVER
Date Cleared
1996-09-06

(116 days)

Product Code
Regulation Number
868.5540
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The intended use of this device is to cover the laryngoscope blade and the top of the handle during endotracheal intubation to possibly reduce the cleaning time of the laryngoscope blade.
Device Description
This device is a molded plastic cover for a larvngoscope blade. It is made in two models, for either the Miller #2 or the MacIntosh #3 laryngoscope blade. Also, a portion of the device covers the upper portion of the laryngoscope handle. The device functions to cover the laryngoscope blade prior to use in the mouth. The device is made of a linear low density polycthylene copolymer, approved by the FDA, 21 CFR 177,1520, and is 1 mm thick. The master file number is #11624. It is made to conform to the laryngoscope blade. The cover adheres to the laryngoscope blade by a plastic clip that is formed from the plastic matcrial that encircles the top of the laryngoscope handle. It is a single use device
More Information

K # 926158

None

No
The device description and performance studies focus on the physical properties and function of a plastic cover, with no mention of AI or ML technologies.

No
The device is described as a plastic cover for a laryngoscope blade aiming to reduce cleaning time, not to treat or diagnose a medical condition.

No

The device is a plastic cover for a laryngoscope blade, designed to reduce cleaning time. It does not perform any medical diagnosis.

No

The device description clearly states it is a molded plastic cover, which is a physical hardware component, not software.

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

Here's why:

  • Intended Use: The intended use is to cover a laryngoscope blade and handle during endotracheal intubation to potentially reduce cleaning time. This is a physical barrier device used during a medical procedure.
  • Device Description: The description details a molded plastic cover for a laryngoscope blade and handle. It functions as a physical cover.
  • Lack of IVD Characteristics: An IVD device is used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device does not interact with or analyze any biological specimens.

The device is a medical device, but its function is mechanical and procedural, not diagnostic based on in vitro analysis of biological samples.

N/A

Intended Use / Indications for Use

The intended use of this device is to cover the laryngoscope blade and the top of the handle during endotracheal intubation to possibly reduce the cleaning time of the laryngoscope blade.

Product codes

73CCW

Device Description

This device is a molded plastic cover for a larvngoscope blade. It is made in two models, for either the Miller #2 or the MacIntosh #3 laryngoscope blade. Also, a portion of the device covers the upper portion of the laryngoscope handle. The device functions to cover the laryngoscope blade prior to use in the mouth. The device is made of a linear low density polycthylene copolymer, approved by the FDA, 21 CFR 177,1520, and is 1 mm thick. The master file number is #11624. It is made to conform to the laryngoscope blade. The cover adheres to the laryngoscope blade by a plastic clip that is formed from the plastic matcrial that encircles the top of the laryngoscope handle. It is a single use device

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

Not Found

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

The non-clinical testing data comparing the Blue Ridge device and the Slater Sleeve are as follows:

The Blue Ridge DeviceThe Slate Sleeve Device
Tensile Strengthl 900 psi1500-3500 psi (direction dependent)
Light Absorption12 + 2%8 + 2%
Ultimate Elongation560%2000-4000% (direction dependent)

Key Metrics

Not Found

Predicate Device(s)

K # 926158

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5540 Rigid laryngoscope.

(a)
Identification. A rigid laryngoscope is a device used to examine and visualize a patient's upper airway and aid placement of a tracheal tube.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 868.9

0

K961832

SEP - 6 1995

510(K) SUMMARY

l) Submitter:

Blue Ridge Products, LP Box 8664 Gray, TN 37615 (423) 477-3318 fax (423) 477-3640 Contact Person: Mark J. Ricc General Manager Date of Summary Preparation: August 12, 1996


  1. Name of the Device:

Blue Ridge Products Laryngoscope Blade Cover Common Name: Blue Ridge Products Laryngoscope Blade Cover Classification Name: The product is an accessory to the Laryngoscope, Rigid. 73CCW

  1. Legally Marketed Equivalent Device (Predicate Device):

The predicate device is the Slater Sleeve, which is a substantially equivalent device with a cleared 510(k) (K # 926158). It is currently marketed by Tadco. Inc.

  1. A Description of the Device:

This device is a molded plastic cover for a larvngoscope blade. It is made in two models, for either the Miller #2 or the MacIntosh #3 laryngoscope blade. Also, a portion of the device covers the upper portion of the laryngoscope handle. The device functions to cover the laryngoscope blade prior to use in the mouth. The device is made of a linear low density polycthylene copolymer, approved by the FDA, 21 CFR 177,1520, and is 1 mm thick. The master file number is #11624. It is made to conform to the laryngoscope blade. The cover adheres to the laryngoscope blade by a plastic clip that is formed from the plastic matcrial that encircles the top of the laryngoscope handle. It is a single use device

5) Statement of Intended Use:

The intended use of this device is to cover the laryngoscope blade and the top of the handle during endotracheal intubation to possibly reduce the cleaning time of the laryngoscope blade.

1

This is the same intended use as the device identified as the predicate device above. The manufacturer's guidelines for cleaning the laryngoscope blade need to be followed.

  1. A Summary of the Technological Characteristics of the Device Compared to the Predicate Device:

The function of the Blue Ridge device compared to the predicate device is the same, namely, they both cover the laryngoscope blade and the top portion of the handle. The predicate device is a loose fitting, flexible plastic, whereas the Blue Ridge device is molded to the shape of the laryngoscope blade. The predicate device is held in place by a rubber band around the end of the handle, whereas the Blue Ridge device is attached to the laryngoscope blade by a plastic clip around the top of the laryngoscope handle.

The non-clinical testing data comparing the Blue Ridge device and the Slater Sleeve are as follows:

The Blue Ridge DeviceThe Slate Sleeve Device
Tensile Strengthl 900 psi1500-3500 psi (direction dependent)
Light Absorption12 + 2%8 + 2%
Ultimate Elongation560%2000-4000% (direction dependent)