K Number
K980642
Device Name
EVITA 4 (8411900)
Manufacturer
Date Cleared
1998-09-04

(197 days)

Product Code
Regulation Number
868.5895
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Evita 4 is a time cycled, constant volume, long term, intensive care ventilator for adults and children with a body weight of at least 3 kg. Intended Environment for the device: - hospital use - inner clinical transport
Device Description
The Evita 4 with the Software version 3.0 is a time cycled, constant volume ventilator The Evita + with the Oct.ware is microprocessor controlled and provides the following ventilation modes: - CMV/assist - SIMV - MMV - SB - CPAP - ASB/PSV - PCV+ - APRV - Apnea Ventilation - ILV
More Information

Not Found

No
The document describes a standard microprocessor-controlled ventilator with various ventilation modes. There is no mention of AI, ML, or any related concepts in the intended use, device description, or other sections.

Yes
The device is a ventilator, which is used to provide respiratory support and treat patients, fitting the definition of a therapeutic device.

No
The device description indicates it is a ventilator, which is a therapeutic device, not a diagnostic one. Its function is to provide respiratory support, not to diagnose medical conditions.

No

The device description clearly states it is a ventilator, which is a hardware device controlled by software. The summary does not indicate the submission is for the software component alone.

Based on the provided information, the Evita 4 ventilator is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Evita 4 Function: The description clearly states that the Evita 4 is a ventilator. Its function is to assist or control breathing for patients. It does not perform any tests on bodily samples.
  • Intended Use: The intended use is for providing ventilation to patients, not for diagnostic testing.
  • Device Description: The description focuses on ventilation modes and control mechanisms, not on analytical or testing capabilities.

Therefore, the Evita 4 falls under the category of a life support or therapeutic device, not an IVD.

N/A

Intended Use / Indications for Use

Evita 4 is a time cycled, constant volume, long term, intensive care ventilator for adults and children with a body weight of at least 3 kg.
Intended Environment for the device:

  • hospital use
  • inner clinical transport

Product codes (comma separated list FDA assigned to the subject device)

73 CBK

Device Description

The Evita 4 with the Software version 3.0 is a time cycled, constant volume ventilator. The Evita 4 with the Software is microprocessor controlled and provides the following ventilation modes:

  • CMV/assist - Controlled Mandatory Ventilation Controlled and assisted volume contant ventilation with the options: - CPV Continuous Positive Pressure Ventilation - PLV Pressure Limited Ventilation - AutoFlow For automatic regulation of inspiratory flow - IRV Inversed Ratio Ventilation
  • SIMV - Synchronized Intermittent Mandatory Ventilation Procedure for weaning patients off the ventilator after they have started spontaneous breathing. With the options: - PLV - AutoFlow
  • MMV - Mandatory Minute Volume Ventilation Spontaneous breathing with automatic adjustment of mandatory ventilation to the patients minute volume requirement. With the options: - PLV - AutoFlow
  • SB - Spontaneous Breathing Spontaneous breathing at ambient pressure
  • CPAP - Continuous Positive Airway Pressure Spontaneous breathing with positive airway pressure
  • ASB/PSV - Assisted Spontaneous Breathing / Pressure Support Ventilation Pressure supported spontaneous breathing
  • PCV+ - Pressure Controlled Ventilation Pressure controlled ventilation combined with free spontaneous breathing during the complete breathing cycle, and adjustable pressure increase to CPAP level
  • APRV - Airway Pressure Release Ventilation Spontaneous breathing on two pressure levels with long time ranges - independently adjustable
  • Apnea Ventilation - For switching over automatically to volume controlled mandatory ventilation if breathing stops
  • ILV - Independent Lung Ventilation Separate, differentiated, synchronized ventilation with one Evita 4 for each lung

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

adults and children

Intended User / Care Setting

user facilities
hospital use
inner clinical 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)

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K961687, K970165, K902859

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 868.5895 Continuous ventilator.

(a)
Identification. A continuous ventilator (respirator) is a device intended to mechanically control or assist patient breathing by delivering a predetermined percentage of oxygen in the breathing gas. Adult, pediatric, and neonatal ventilators are included in this generic type of device.(b)
Classification. Class II (performance standards).

0

Dräger

4 1888 SEP

file: 510kstate.RTF Date: June, 1998 Author: Frank Clanzett

510(k) SUMMARY Summary of Safety and Effectiveness

K980642

APPLICANTS NAME AND ADDRESS:

Drager Inc. Critical Care Systems 3136 Quarry Road Telford , PA 18969

APPLICANTS TELEPHONE NUMBER: (215)-721-6917

APPLICANTS FACSIMILE NUMBER: (215)-721-6915

APPLICANTS CONTACT PERSON:

Harald Kneuer Regulatory Affairs Manager

DATE THE SUMMARY WAS PREPARED: February, 1998

DEVICE NAME:

Trade Name: Common Name: Classification Name: Evita 4 Evita 4 Ventilator, Continuous (per 21 CFR 868.5895)

LEGALLY MARKETED DEVICE TO WHICH DRÄGER IS CLAIMING SUBSTANTIAL EQUIVALENCE:

Evita 4 - Manufactured by Dräger Medizintechnik GmbH, Lübeck, Germany and sold in the United States by Dräger, Inc.

Evita 2 dura- Manufactured by Dräger Medizintechnik GmbH, Lubeck, Germany and sold in the United States by Dräger, Inc.

Servo 300 - Sold in the United States by Siemens

1

DESCRIPTION OF THE DEVICE:

The Evita 4 with the Software version 3.0 is a time cycled, constant volume ventilator The Evita + with the Oct.ware is microprocessor controlled and provides the following ventilation modes:

| - CMV/assist | Controlled Mandatory Ventilation
Controlled and assisted volume contant ventilation with the options:

  • CPV Continuous Positive Pressure Ventilation
  • PLV Pressure Limited Ventilation
  • AutoFlow For automatic regulation of inspiratory flow
  • IRV Inversed Ratio Ventilation |
    |---------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
    | - SIMV | Synchronized Intermittent Mandatory Ventilation
    Procedure for weaning patients off the ventilator after they have started spontaneous breathing. With the options:
  • PLV
  • AutoFlow |
    | - MMV | Mandatory Minute Volume Ventilation
    Spontaneous breathing with automatic adjustment of mandatory ventilation to the patients minute volume requirement. With the options:
  • PLV
  • AutoFlow |
    | - SB | Spontaneous Breathing
    Spontaneous breathing at ambient pressure |
    | - CPAP | Continuous Positive Airway Pressure
    Spontaneous breathing with positive airway pressure |
    | - ASB/PSV | Assisted Spontaneous Breathing / Pressure Support Ventilation
    Pressure supported spontaneous breathing |
    | - PCV+ | Pressure Controlled Ventilation
    Pressure controlled ventilation combined with free spontaneous breathing during the complete breathing cycle, and adjustable pressure increase to CPAP level |
    | - APRV | Airway Pressure Release Ventilation
    Spontaneous breathing on two pressure levels with long time ranges - independently adjustable |
    | - Apnea Ventilation | For switching over automatically to volume controlled mandatory ventilation if breathing stops |
    | - ILV | Independent Lung Ventilation
    Separate, differentiated, synchronized ventilation with one Evita 4 for each lung |

2

Dräger

tensive Care Ventilator Data Comparison Sheet

SpecificationEvita 4 (K 961687)Evita 2 dura (K 970165)Servo 300 (K902859)Evita 4 SW 3.0
ManufacturerDrägerDrägerSiemensDräger
Classification: Intensive Care
VentilatorYesYesYesYes
Operating Principle: Time
cycled, volume constant,
pressure controlledYesYesYesYes
Software controlledYesYesYesYes
Contoll Software: Version 3.0No (1.0)YesN.A.Yes
Gas delivery system: Fast
"High Pressure Servo Valve",
microprocessor controlledYesYesYesYes
Intended UseEvita 4 is a time cycled, constant volume, long
term, intensive care
ventilator for adults and
children with a body
weight of at least 3 kg.like Evita 4 (K 961687)N.A.Evita 4 is a time cycled,
constant volume, long
term, intensive care
ventilator for adults and
children with a body
weight of at least 3 kg
SpecificationEvita 4 (K 961687)Evita 2 dura (K 970165)Servo 300 (K902859)Evita 4 SW 3.0
Modes of Ventilation:---identical with Evita 4
510(k) no: K 961687
Ventilator Settings---identical with Evita 4
510(k) no: K 961687
Flow Trigger Sensivity---identical with Evita 4
510(k) no: K 961687
Parameter setting---identical with Evita 4
510(k) no: K 961687
Monitors/Indicators---identical with Evita 4
510(k) no: K 961687
Pressure Limitation---identical with Evita 4
510(k) no: K 961687
Alarm Functions---identical with Evita 4
510(k) no: K 961687
Displayed Values---identical with Evita 4
510(k) no: K 961687
Displayed Curves---identical with Evita 4
510(k) no: K 961687
SpecificationEvita 4 (K 961687)Evita 2 dura (K 970165)Servo 300 (K902859)Dräger
Evita 4 SW 3.0
Special Functions
Intermittend PEEPYesYes-identical with Evita 2dura
Inspiration HoldNoYes-identical with Evita 2dura
Apnea VentilationYesYes-identical with Evita 2dura
NebulizationYesYes-identical with Evita 2dura
Nebulization in pediatric modeNoYes-identical with Evita 2dura
Suction Help ModeYesYes-identical with Evita 2dura
Switch over functionYesYes-identical with Evita 2dura
Leak-CompensationNoYes-identical with Evita 2dura
Minute Volume-LeakNoYes-identical with Evita 4
510(k) no. K 961687
Physical Caracteristics

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5

INTENDED USE OF THE DEVICE

Evita 4 (SW 3.0) is a time cycled, constant volume, long term, intensive care ventilator for adults and children with a body weight of at least 3kg.

Intended Environment for the device:

  • user facilities …
  • inner clinical transport -

SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICES:

The ventilator functions of the Evita 4 with the enhanced software version are substantially equivalent to the Evita 2 dura, the Evita 4 with the former software and the Servo 300 ventilators.

The Evita 4 with enhanced software integrates the same optional functions that are presently performed by the Evita 4 with the former software.

The device fulfils at least the same standards as the Evita 2 dura.

Therefore the device under review is substantial equivalent to the predicate devices concerning safety, efficiency and the intended use.

Flium

Frank Clanzett Regulatory Affairs Dräger Medizintechnik

6

Image /page/6/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle or bird with three curved lines representing its wings or feathers. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular fashion around the bird symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

4 1998 SEb

Mr. Harald Kneuer Drager Inc. Critical Care Systems 3136 Quarry Road Telford, PA 18969

K980642 Re : Evita 4 Requlatory Class: II (two) Product Code: 73 CBK Dated: June 12, 1998 Received: June 15, 1998

Dear Mr. Kneuer:

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 legally marketed predicate 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 Requlations, 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 Requlation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Druq Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory 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.

7

Page 2 - Mr. Harald Kneuer

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/dsma/dsmamain.html".

Sincerely yours,
Thomas J. Callehan

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

Enclosure

8

INTENDED USE STATEMENT OF THE EVITA 4, SW 3.0

Fivita 4 is a time cycled, constant volume, long term, intensive care ventilator for adults and children with a body weight of at least 3 kg.

Intended Environment for the device:

  • hospital use
  • inner clinical transport

Signature

Frank Clanzep (Regulatory Affairs)

  1. September 1998

Mark Kramis

: Division Sign-Off) Division of Cardiovascular, Respiratory, and Neurological Devices 510(k) Number_K980(e4Z

/ Prescription Use