K Number
K964719
Device Name
HUDSON RCI LIFESAVER SINGLE PATIENT USE MANUAL RESUSCITATOR
Date Cleared
1997-02-21

(88 days)

Product Code
Regulation Number
868.5915
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Hudson RCI Lifesaver Single Patient Use Manual Resuscitator with pressure monitoring port is disposable medical device intended for use on patients requiring temporary augmentation of ventilation, with or without supplemental oxygen delivery, during episode of acute ventilatory failure or insufficiency, who, because of their weight or other factors, require monitoring of peak inspiratory pressure. The Hudson RCI Lifesaver Single Patient Use Manual Resuscitator provides a means of temporary ventilation until the patient either regains the ability to spontaneously ventilate, or until other life sustaining measures may be implemented. Resuscitators may also be used as a "back-up" ventilation system in the event of mechanical ventilator failure, or may be used to hyper oxygenate or hyperventilate a patient prior to endotracheal tube suctioning or endotracheal intubation. The pressure monitoring port component of the device permits the monitoring of peak inspiratory pressures in those patients where PIP is a concern.
Device Description
The Hudson RCI Lifesaver Single Patient Use Manual Resuscitator is a disposable, single patient use, medical device which temporarily augments ventilation in patients during ventilatory insufficiency or ventilatory failure. As is the case with the device in the original submission, this modified resuscitator may be used in the hospital, in physician office, outpatient care facilities, extended care facility, home, emergency medical services and patient transport. The only difference between the original device and this modified version is the presence of a pressure monitoring port located on the non-rebreathing valve component of the finished device assembly.
More Information

Not Found

No
The description details a manual resuscitator with a pressure monitoring port. There is no mention of any computational or algorithmic components that would suggest the use of AI or ML. The modifications and testing described are related to the physical function of the device and its ability to monitor pressure.

Yes
The device is described as a "Manual Resuscitator" intended for "temporary augmentation of ventilation" during "acute ventilatory failure or insufficiency," which directly addresses and treats a patient's medical condition.

No

The device is a manual resuscitator for temporary ventilation. While it has a pressure monitoring port to measure peak inspiratory pressure, this feature is for monitoring a physiological parameter during ventilation, not for diagnosing a disease or condition itself.

No

The device description clearly states it is a "disposable medical device" and describes physical components like a "pressure monitoring port" and "non-rebreathing valve component," indicating it is a hardware device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Hudson RCI Lifesaver Single Patient Use Manual Resuscitator is a device used to mechanically assist breathing by providing temporary ventilation. It directly interacts with the patient's respiratory system.
  • Intended Use: The intended use clearly states it's for "temporary augmentation of ventilation" and "monitoring of peak inspiratory pressure." These are physiological measurements and interventions, not laboratory tests on specimens.
  • Device Description: The description focuses on its function as a manual resuscitator and the addition of a pressure monitoring port. There is no mention of analyzing biological samples.

Therefore, the device falls under the category of a medical device used for direct patient care and physiological support, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Hudson RCI Lifesaver Single Patient Use Manual Resuscitator with pressure monitoring port is disposable medical device intended for use on patients requiring temporary augmentation of ventilation, with or without supplemental oxygen delivery, during episode of acute ventilatory failure or insufficiency, who, because of their weight or other factors, require monitoring of peak inspiratory pressure.

The Hudson RCI Lifesaver Single Patient Use Manual Resuscitator provides a means of temporary ventilation until the patient either regains the ability to spontaneously ventilate, or until other life sustaining measures may be implemented. Resuscitators may also be used as a "back-up" ventilation system in the event of mechanical ventilator failure, or may be used to hyper oxygenate or hyperventilate a patient prior to endotracheal tube suctioning or endotracheal intubation. The pressure monitoring port component of the device permits the monitoring of peak inspiratory pressures in those patients where PIP is a concern.

Product codes

Not Found

Device Description

The Hudson RCI Lifesaver Single Patient Use Manual Resuscitator is a disposable, single patient use, medical device which temporarily augments ventilation in patients during ventilatory insufficiency or ventilatory failure. As is the case with the device in the original submission, this modified resuscitator may be used in the hospital, in physician office, outpatient care facilities, extended care facility, home, emergency medical services and patient transport. The only difference between the original device and this modified version is the presence of a pressure monitoring port located on the non-rebreathing valve component of the finished device assembly.

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

The Hudson RCI Lifesaver Single Patient Use Manual Resuscitators may be used on a varying population from neonates to adults. The modified component with the pressure monitoring port will initially be offered on neonate and child versions of the product line. However, the pressure monitoring port may be offered as an option on adult models in the future.

Intended User / Care Setting

Used in the hospital, in physician office, outpatient care facilities, extended care facility, home, emergency medical services and patient transport.

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)

Testing of the modified non-rebreathing valve component against the predicate devices similar component to determine the capability of the pressure monitoring port to provide access for measuring peak inspiratory pressures at various settings for ventilatory rates, tidal volumes, compliance and resistance, demonstrated only a slight discrepancy between the two devices. The Hudson RCI pressure monitoring port provided pressure differentials between readings taken at the valve versus readings taken proximal to the patient ranging from 0-3 cm HzO, while the predicate device provided pressure differential readings of 0-5 cm H2O. This difference is not considered to be clinically significant.

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

Not Found

Predicate Device(s)

K911465

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5915 Manual emergency ventilator.

(a)
Identification. A manual emergency ventilator is a device, usually incorporating a bag and valve, intended to provide emergency respiratory support by means of a face mask or a tube inserted into a patient's airway.(b)
Classification. Class II (performance standards).

0

SMDA

510(k) Summary

1.0 Date

November 21, 1996

FEB 2 1 1997

1964719

2.0 Submitter

Hudson Respiratory Care, Inc. 27711 Diaz Road Temecula, California 92590

3.0 Contact Person

Arden P. Morley Director, Regulatory Affairs and Product Evaluation

4.0 Telephone

(909) 676-5611, ext. 1247

5.0 Proprietary Device Name

Lifesaver Single Patient Use Manual Resuscitator

6.0 Classification Name

Ventilator, emergency, manual (resuscitator)

7.0 Common Name

Resuscitation Bag or Resuscitator

8.0 Predicate Device

Infant/Pediatric Resuscitation Circuit Vital Signs, Inc. K911465

9.0 Device Description

The Hudson RCI Lifesaver Single Patient Use Manual Resuscitator is a disposable, single patient use, medical device which temporarily augments ventilation in patients during ventilatory insufficiency or ventilatory failure. As is the case with the device in the original submission, this modified resuscitator may be used in the hospital, in physician office, outpatient care facilities, extended care facility, home, emergency medical services and patient transport. The only difference between the original device and this modified version is the presence of a pressure monitoring port located on the non-rebreathing valve component of the finished device assembly.

1

10.0 Intended Use

The Hudson RCI Lifesaver Single Patient Use Manual Resuscitator with pressure monitoring port is disposable medical device intended for use on patients requiring temporary augmentation of ventilation, with or without supplemental oxygen delivery, during episode of acute ventilatory failure or insufficiency, who, because of their weight or other factors, require monitoring of peak inspiratory pressure.

The Hudson RCI Lifesaver Single Patient Use Manual Resuscitator provides a means of temporary ventilation until the patient either regains the ability to spontaneously ventilate, or until other life sustaining measures may be implemented. Resuscitators may also be used as a "back-up" ventilation system in the event of mechanical ventilator failure, or may be used to hyper oxygenate or hyperventilate a patient prior to endotracheal tube suctioning or endotracheal intubation. The pressure monitoring port component of the device permits the monitoring of peak inspiratory pressures in those patients where PIP is a concern.

11.0 Patient Population

The Hudson RCI Lifesaver Single Patient Use Manual Resuscitators may be used on a varying population from neonates to adults. The modified component with the pressure monitoring port will initially be offered on neonate and child versions of the product line. However, the pressure monitoring port may be offered as an option on adult models in the future.

12.0 Comparison of Technological Characteristics

Hudson RCI Lifesaver Single Patient Use Manual Resuscitators with pressure monitoring port are substantially equivalent to the predicate device in design and function.

Both products use a duck-bill valve in their non-rebreathing valve assemblies, and both devices have a pressure monitoring port located prior to the duck-bill valve. Both devices attach the non-rebreathing valve directly onto the ventilation bag, offer three different size resuscitators, and provide oxygen reservoir systems.

Testing of the modified non-rebreathing valve component against the predicate devices similar component to determine the capability of the pressure monitoring port to provide access for measuring peak inspiratory pressures at various settings for ventilatory rates, tidal volumes, compliance and resistance, demonstrated only a slight discrepancy between the two devices. The Hudson RCI pressure monitoring port provided pressure differentials between readings taken at the valve versus readings taken proximal to the patient ranging from 0-3 cm HzO, while the predicate device provided pressure differential readings of 0-5 cm H2O. This difference is not considered to be clinically significant.

13.0 Conclusion

Both the Hudson RCI pressure monitoring port and the predicate device pressure monitoring port are able to provide peak inspiratory pressure measurements. Test results have demonstrated that the Hudson RCI modified component is substantially equivalent in safety and effectiveness to the legally marketed predicate device with respect to its intended use.