K Number
K970756
Device Name
MERCURY MEDICAL REUSABLE CPR BAG
Manufacturer
Date Cleared
1997-10-31

(242 days)

Product Code
Regulation Number
868.5915
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The intended use of this device is to provide manual, bag mask/tube pulmonary resuscitation.
Device Description
The Mercury Medical Reusable CPR Bag uses the same technology as the Mercury CPR, Puntan Bennett PMR and most other manual resuscitators in the market. The bag is compressed by hand to move air into the patient. When released the bag re-expands with air flowing through the intake valve. Supplemental oxygen tubing may be connected to an oxygen source to allow intake of oxygen enriched air.
More Information

Not Found

No
The description focuses on manual operation and standard mechanical principles, with no mention of AI/ML terms or functionalities.

Yes
The device is described as providing "pulmonary resuscitation," which is a therapeutic intervention.

No
Explanation: The device is a manual resuscitator used to move air into a patient's lungs, which is a therapeutic rather than diagnostic function.

No

The device description explicitly states it is a "Reusable CPR Bag" which is a physical, hardware device. It describes the mechanical action of compressing and re-expanding the bag to move air.

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

Here's why:

  • Intended Use: The intended use is "to provide manual, bag mask/tube pulmonary resuscitation." This describes a device used on a patient to support breathing, not a device used to test samples from a patient (which is the definition of an IVD).
  • Device Description: The description details a mechanical device for moving air into the lungs, not a device for analyzing biological samples.
  • Lack of IVD Indicators: There is no mention of analyzing blood, urine, tissue, or any other biological sample. There is no mention of diagnostic testing or providing information about a patient's health status based on sample analysis.

Therefore, this device falls under the category of a medical device used for patient support, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The intended use of this device is to provide manual, bag mask/tube pulmonary resuscitation.

Product codes

73 BTM

Device Description

The Mercury Medical Reusable CPR Bag uses the same technology as the Mercury CPR, Puntan Bennett PMR and most other manual resuscitators in the market. The bag is compressed by hand to move air into the patient. When released the bag re-expands with air flowing through the intake valve. Supplemental oxygen tubing may be connected to an oxygen source to allow intake of oxygen enriched air.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Pulmonary

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

Performance Comparison: The Table of Performance Comparison in Section 5 also demonstrates that this and the predicate devices all have similar performance characteristics exceeding the ASTM standards.

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

Not Found

Predicate Device(s)

K911622

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

K970756

OCT 31 1997

SECTION 10 510(k) SUMMARY

Prepared: February 21, 1997

  • Submitter: Mercury Medical 11300 49th St. No. Clearwater, Florida 34622-4800 Phone: (813) 573-0088 Fax: (813) 573-6040 Contact: Arthur J. Ward 1024404 (Registration Number)
    roprietary Name: Mercury Medical Reusable CPR Bag

Common Name: Manual Resuscitator

Classification Name: Ventilator, Emergency Manual (Resuscitator)

Substantial Equivalence: This device is similar in design to the Mercury Medical single patient use CPR Bag (K911622) except manufactured with reusable materials similar to the Puntan Bennett PMR and Laerdal Bag Mask Resuscitator both of which are pre-amendment devices.

Description: The Mercury Medical Reusable CPR Bag uses the same technology as the Mercury CPR, Puntan Bennett PMR and most other manual resuscitators in the market. The bag is compressed by hand to move air into the patient. When released the bag re-expands with air flowing through the intake valve. Supplemental oxygen tubing may be connected to an oxygen source to allow intake of oxygen enriched air.

Intended Use: The intended use of this device is to provide manual, bag mask/tube pulmonary resuscitation.

Technology Comparison: The Table of Technological Comparison in Section 5 indicates that this device and predicate device are similarly designed with identical materials.

Performance Comparison: The Table of Performance Comparison in Section 5 also demonstrates that this and the predicate devices all have similar performance characteristics exceeding the ASTM standards.

Summary Conclusion: Based upon the review of this information we have submitted this 510(k) request as the information indicates these devices are substantially equivalent.

1

Image /page/1/Picture/2 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of an eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle. The eagle is composed of three curved lines that form the shape of the bird's head, body, and wings. The logo is simple and elegant, and it effectively communicates the department's mission of protecting the health of all Americans.

OCT 31 1997

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

.

Mr. Arthur J. Ward Mercury Medical 11300-49th Street North Clearwater, Florida 34622-4800

Re: K970756 Mercury Medical Reusable CPR Bag Regulatory Class: II (two) Product Code: 73 BTM August 18, 1997 Dated: August 19, 1997 Received:

. Dear Mr. Ward:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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 (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in requlatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations. .

2

Page 2 - Mr. Arthur J. Ward

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4648. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Thomas J. Callahan

Thomas J. Čallahan, Ph.D. Director Division of Cardiovascular, Respiratory, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

SECTION 2 INTENDED USE

The intended use of this device is to provide manual, bag masklube pulmonary resuscitation. This bag is
similar in design and function to the Massury ODB Reased Bell RMB BMD similar in design and function to the Mercury CPR Bag and Punitan Bennett PMR.

Chant. C. M. L. M. C.

(Division Sign-Off) Division of Cardiovascula Re and Neurological Device 510(k) Number

OTC.

prescriptions use