K Number
K962223
Date Cleared
1997-01-14

(218 days)

Product Code
Regulation Number
868.5450
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The humidifier chambers for the SCT 3000 are indicated for use with the SCT 3000 unit and to hold water required to humidify the air being delivered to patients.

Device Description

The humidifier chambers offered for use with the SCT 3000.

    • Adult low flow humidifier chamber
    • Adult extended run humidifier chamber
    • Pediatric low compressible volume humidifier chamber
    • Adult hi flow humidifier chamber
AI/ML Overview

This looks like a 510K submission for humidifier chambers, not an AI/ML medical device. As such, the requested information about acceptance criteria, clinical study designs, ground truth establishment, and AI performance metrics is not applicable to this document.

The document states:

  • "Performance Testing: None applicable" - This explicitly indicates no specific performance tests were deemed necessary beyond comparison to predicate devices, which implies no formal clinical studies or detailed performance metrics were conducted or required.
  • The entire submission focuses on demonstrating substantial equivalence to predicate devices based on design, materials, and intended use, rather than novel performance claims.

Therefore, I cannot extract the requested information from this document.

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Image /page/0/Picture/0 description: The image shows a logo with the text "The New Marq of Excellence" underneath it. The logo is a stylized letter "Q" made up of three parallel lines. The text is in a serif font and is underlined. The image is in black and white.

K96225

Non-Confidential Summary of Safety and Effectiveness June 3, 1996

JAN 1 4 1997

page 1 of 3

Marquest Medical Products, Inc.11039 East Lansing CircleEnglewood, CO 80112Tel - (303) 790-4835Fax - (303) 799-0210
Official contact:Tom Dielmann, Director, Regulatory Affairs / Quality Assurance
Proprietary or Trade Name:Accessories for Marquest SCT 3000 Heated HumidificationSystem
Common/Usual Name:Accessories for heated humidifiers
Classification Name:73 BTT - Respiratory Gas Humidifier (direct patient interface)Subsection 868.5450
Intended device:Humidifier chambers for use with SCT 3000 Heated Humidifier
Predicate devices:Marquest SCT 3000 - K903138HPD Medical - K864173Fisher & Paykel - K850647, K862923, K934140
Device description:The humidifier chambers offered for use with the SCT 3000.
    • Adult low flow humidifier chamber
    • Adult extended run humidifier chamber
    • Pediatric low compressible volume humidifier chamber
    • Adult hi flow humidifier chamber

Indicated use:

The humidifier chambers for the SCT 3000 are indicated for use with the SCT 3000 unit and to hold water required to humidify the air being delivered to patients.

Targeted population:

Any patient utilizing the SCT 3000 heated humidifier. Adult and pediatric.

page 3 of 51

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Non-Confidential Summary of Safety and Effectiveness

June 3, 1996

page 2 of 3

Environment of use:

(

1

Hospital, anesthesia, ICU, respiratory therapy

Comparison to predicate devices:

AttributeMarquesthumidifier chambersHPD Medical / Fisher & Paykelhumidifier chambers
UseIntended for use inanesthesiaYesYes
Intended for use inrespiratory therapyYesYes
Indicated for use withheated humidifiersYesYes
Indicated for use with onlyspecific manufacturers heatedhumidifierYesYes
Indicated for single useYesYes
Indicated for use withadult and pediatric casesYesYes
DesignClear housingYesYes
15 /22 mm fittings forconnection to circuitYesYes
Different sizesYesYes
Water inlet portsYesYes
Labeling delineating waterlevels on chamberYesYes
MaterialsPolystyrene /polycarbonate housingYesYes

page 4 of 51

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Non-Confidential Summary of Safety and Effectiveness (continued) June 3, 1996

page 3 of 3

Comparison to predicate devices: (continued)

AttributeMarquesthumidifier chambersHPD Medical / Fisher & Paykelhumidifier chambers
Materials (continued)
Aluminum base / heating plateYesYes
Performance Testing
None applicableYesYes

B. Differences

Any differences that do exist would not have a significant effect on the safety or effectiveness of the device.

§ 868.5450 Respiratory gas humidifier.

(a)
Identification. A respiratory gas humidifier is a device that is intended to add moisture to, and sometimes to warm, the breathing gases for administration to a patient. Cascade, gas, heated, and prefilled humidifiers are included in this generic type of device.(b)
Classification. Class II (performance standards).