AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

To provide CPAP to spontaneously breathing patients in the hospital and pre-hospital (EMS) environment.

Device Description

The Whisperflow Oxygen Flow Generator is a venturi type oxygen / air mixture delivery device which provides CPAP pressure at high flows to a spontaneously breathing patient. It can deliver up to 140 Lpm flow at a FiO2 between 28- 100%. It utilizes standard in-line PEEP valves to set the prescribed pressure and interfaces with the patient via a face mask or ET tube.

AI/ML Overview

The provided text describes a medical device, the Whisperflow Oxygen Flow Generator, and its comparison to predicate devices for FDA 510(k) clearance. However, it does NOT contain information about specific acceptance criteria, a study proving the device meets those criteria, or details regarding performance metrics typically associated with such studies (like statistical results, sample sizes for test/training sets, expert qualifications, or ground truth establishment).

The document is a "Non-Confidential Summary of Safety and Effectiveness" which focuses on establishing substantial equivalence to previously marketed devices. It primarily details:

  • Device Description
  • Intended Use
  • Comparison of attributes with predicate devices (Vital Signs - Downs Flow Generators - K811393, K83150 and Vital Signs CPAP mask - K801883, EMS Mask - K871851). This comparison involves a qualitative check (Yes/No) for various design and performance attributes.
  • Differences between the Whisperflow generators and predicate devices (ribbed cushion vs. air cushion mask design, wider FiO2 range)

Therefore, based solely on the provided text, I cannot complete the requested table and answer many of the questions.

Here's what can be extracted and what is missing:


Acceptance Criteria and Device Performance (Based only on the provided comparison tables, which serve as an implicit set of functional/performance criteria for substantial equivalence)

Given that this is a 510(k) submission focused on substantial equivalence, the "acceptance criteria" are implicitly met if the device performs comparably to the predicate devices across the listed attributes.

Acceptance Criteria (Attribute from Predicate)Reported Device Performance (Whisperflow WF 8500 / WF 8530)
Intended for delivering CPAPYes
Used with PEEP valves, CPAP mask, and circuit tubingYes
Environment: Hospital / pre-hospital (EMS)Yes
Works by a venturi method to create a vacuum to provide high flowsYes
Has oxygen inlet fitting (standard CGA or DISS)Yes
Has an On / Off valve (WF 8500 only comparison)Yes
Can adjust oxygen flow (WF 8500 only comparison)Yes
Has an air entrainment port with 22 mm ID inletYes
Air entrainment port can have a standard particulate / bacterial filter attachedYes
Has a valve which adjusts the flow to the venturi nozzle (WF 8500 only comparison)Yes (for WF 8500); No (for Vital Signs Model 9250); WF 8530 comparison table details this as "Fixed Flow"
Outlet port (22 mm)Yes
Recommend an in-line oxygen analyzerYes
Recommend an in-line safety valve PEEP valveYes
Circuit is standard 22 mm tubingYes
Can have a humidifier placed in-lineYes
Connects to patient interface - mask or ET tubeYes
Utilizes a standard PEEP valve to establish the circuit pressureYes
Patient can entrain room air should oxygen flow failYes
Mask has a one-way valve to prevent rebreathing if no oxygen flowYes
Flow generator can be EO gas sterilizedYes
Accessories required (CPAP mask, filter, tubing, head strap, connectors, PEEP valves)Yes (for all listed accessories)
Oxygen input pressure 60 psiYes
Output flow range up to 140 LpmYes (WF 8500); Yes, dependent on PEEP pressure (WF 8530)
Fittings 22 mmYes
Range of Oxygen (FiO2)28-100% (Whisperflow WF 8500); 28% (Whisperflow WF 8530) (Note: Predicates listed as 33-100% or 33%)
Materials (Generator: Stainless steel, PVC; Mask: PVC and silicone)Yes (for both generator and mask materials)

Missing Information:

  1. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective): Not mentioned. The document describes a comparison of attributes, not a clinical study with a test set.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not mentioned. No "test set" in the context of expert review is described.
  3. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not mentioned.
  4. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not relevant. This is not an AI/imaging device.
  5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not relevant. This is not an AI/imaging device.
  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not applicable in the context of this 510(k) submission. "Ground truth" here is effectively the specifications and functional performance of the predicate devices.
  7. The sample size for the training set: Not relevant. This is not an AI device.
  8. How the ground truth for the training set was established: Not relevant. This is not an AI device.

Summary of the Study/Comparison:

The document presents a comparison of the Whisperflow Oxygen Flow Generators (WF 8500 and WF 8530 models) to multiple predicate devices (Vital Signs - Downs Flow Generators K811393, K83150 and Vital Signs CPAP mask K801883, EMS Mask K871851). This comparison is qualitative, checking for the presence or absence of various design, functional, and performance attributes. The FDA's letter (K982283) indicates that based on this comparison, the device was found substantially equivalent to legally marketed predicate devices. The study is effectively a desk-based comparison of specifications and intended use rather than a clinical trial or performance test with a specifically defined "acceptance criteria" and "test set" in the manner common for AI-driven diagnostic devices.

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3/9/99

Image /page/0/Picture/1 description: The image shows the number "K 982283" on the left side. To the right of the number is a logo of three interlocking circles. Next to the logo is the word "caradyne" in bold, black letters.

Caradyne Limited Parkmore Business Centre Parkmore West Galway, Ireland.

Non-Confidential Summary of Safety and Effectiveness

page 1 of 5 June 25, 1998 Tel: +353 (0)91 709010 Fax: +353 (0)91 758929 Email: info@caradyne.com Internet: www.caradyne.com

Caradyne, Ltd.
Parkmore Business Park
Parkmore West
Galway, Ireland
Tel - 011-353-91-709010
Fax - 011-353-91-758929
Official Contact:John O'Dea, Ph.D., General Manager
Proprietary or Trade Name:Whisperflow Oxygen Flow Generators and accessories
Common/Usual Name:CPAP generator
Classification Name:Breathing Attachment, Positive End Expiratory Pressure
Device:Whisperflow Oxygen Flow Generators and accessories
Predicate Devices:Vital Signs - Downs Flow Generators - K811393, K83150
Vital Signs CPAP mask - K801883
EMS Mask - K871851

Device Description: 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 -

The Whisperflow Oxygen Flow Generator is a venturi type oxygen / air mixture delivery device which provides CPAP pressure at high flows to a spontaneously breathing patient. It can deliver up to 140 Lpm flow at a FiO2 between 28- 100%. It utilizes standard in-line PEEP valves to set the prescribed pressure and interfaces with the patient via a face mask or ET tube.

Indicated Use --To provide CPAP to a spontaneously breathing adult patient.
Environment of Use --Hospital and pre-hospital.
Patient population --Spontaneously breathing adult patients.

Comparison to Predicate Devices:

AttributeVariable / AdjustableVital Signs
WhisperflowWF 8500Model 9250K821503Vital Flow100
Use
Intended for delivering of CPAPYesYes
AttributeVariable / Adjustable
WhisperflowWF 8500Model 9250K821503Vital SignsVital Flow100
Used with PEEP valves, CPAP maskand circuit tubingYesYesYes
Environment Hospital /pre-hospital (EMS)YesYesYes
Design
Works by a venturi method to create avacuum to provide high flowsYesYesYes
Has oxygen inlet fitting which attachedto wall oxygen source standard CGA orDISS fittingYesYesYes
Has an On / Off valveYesYesYes
Can adjust oxygen flowYesYesYes
Has an air entrainment port with 22 mm ID inletYesYesYes
Air entrainment port can have a standardparticulate / bacterial filter attachedYesYesYes
Has a valve which adjusts the flow tothe venturi nozzleYesNoYes
Outlet port (22 mm)YesYesYes
Recommend an in-line oxygen analyzerYesYesYes
Recommend an in-line safety valve PEEP valveYesYesYes
Circuit is standard 22 mm tubingYesYesYes
Can have a humidifier placed in-lineYesYesYes
Connects to patient interface - mask or ET tubeYesYesYes
Utilizes a standard PEEP valve toestablish the circuit pressureYesYesYes
Patient can entrain room air shouldoxygen flow failYesYesYes
AttributeVariable / AdjustableVital Signs
WhisperflowWF 8500Model 9250K821503Vital Flow100
Mask has a one-way valve to preventrebreathing, if no oxygen flowYesYesYes
Flow generator can be EO gas sterilizedYesYesYes
Accessories required -
CPAP maskYesYesYes
Particulate filter at air entrainment portYesYesYes
22 mm tubingYesYesYes
Head strap for maskYesYesYes
Various connectorsYesYesYes
PEEP valvesYesYesYes
Performance Standards / Specifications
Oxygen input pressure 60 psiYesYesYes
Output flow range up to 140 LpmYesYesYes
Fittings 22 mmYesYesYes
Range of Oxygen (FiO2)28-100%33-100%33-100%

Registered in Ireland: 270891 Registered Office 2 Harbourmaster Place Custom House Dock Dublin 1

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(continued)

page 2 of 5

June 25, 1998

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page 3 of 5

June 25, 1998

Materials and the comments of the comments of the comments ofand the contraction of the comments of the country of the count
Whisperflow generator - Stainless steel, PVCYesYesYes
CPAP mask - PVC and siliconeYesYesYes

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page 4 of 5

June 25, 1998

AttributeWhisperflowWF 8530Vital SignsModel 9200K811393
Use
Intended for delivering of CPAPYesYes
Used with PEEP valves, CPAP maskand circuit tubingYesYes
Environment Hospital /pre-hospital (EMS)YesYes
Design
Works by a venturi method to create avacuum to provide high flowsYesYes
Has oxygen inlet fitting which attachedto wall oxygen source standard CGA orDISS fittingYesYes
Has an air entrainment port with 22 mm ID inletYesYes
Air entrainment port can have a standardparticulate / bacterial filter attachedYesYes
Outlet port which is 22 mmYesYes
Recommend an in-line oxygen analyzerYesYes
Recommend an in-line safety valve PEEP valveYesYes
Circuit is standard 22 mm tubingYesYes
Can have a humidifier placed in-lineYesYes
Connects to patient interface - mask or ET tubeYesYes
Utilizes a standard PEEP valve toestablish the circuit pressureYesYes
Patient can entrain room air shouldoxygen flow failYesYes
Mask has a one-way valve to preventrebreathing if no oxygen flowYesYes
AttributeFixed FlowWhisperflowWF 8530Vital SignsModel 9200K811393
Flow generator can be EO gas sterilizedYesYes
Accessories required -
CPAP maskYesYes
Particulate filter for air entrainment portYesYes
22 mm tubingYesYes
Head strap for maskYesYes
Various connectorsYesYes
PEEP valvesYesYes
Performance Standards / Specifications
Oxygen input pressure 60 psiYesYes
Output flow range up to 140 Lpm dependent
of PEEP pressureYesYes
Fittings 22 mmYesYes
Oxygen (FiO2) %28%33%
Materials
Whisperflow generator - Stainless steel, PVCYesYes
CPAP mask - PVC and siliconeYesYes

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page 5 of 5

June 25, 1998

Differences between Other Legally Marketed Predicate Devices =================================================================================================================

The differences between the Whisperflow generators and CPAP mask and the predicates are:

    1. CPAP mask is a ribbed cushion design versus an air cushion design.
    1. The Whisperflow generators have a wider range of FiO2 which may help in weaning patients from the ventilator.

There are no other significant differences between the intended device and the predicate devices.

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Image /page/5/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized human figure with three faces in profile, connected by flowing lines. The figure is positioned to the right of a circular border containing the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" in a sans-serif font.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR - 9 1999

Mr. Paul E. Dryden Caradyne, Ltd. c/o Promedic, Inc. 6329 W. Waterview Court McCordsville, IN 46055

K982283 Re: Whisperflow Oxygen Flow Generator - Adjustable Model WF 85 Regulatory Class: II (two) Product Code: 73 BYE January 26, 1999 Dated: January 27, 1999 Received:

Dear Mr. Dryden:

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 requlations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 A substantially equivalent determination assumes compliance to 895. 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 Failure to comply with the GMP requlation may result in assumptions. In addition, FDA may publish further announcements regulatory action. 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.

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Paqe 2 - Mr. Paul E. Dryden

This letter will allow you to beqin 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. Callahan

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

Enclosure

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TONSFORTIST

Page 1 of 1

Pursuant to the Notice of February 6, 1996 regarding listing of Indications for Use on a separate sheet, the following is per that request.

K982283_______________________________________________________________________________________________________________________________________________________________________ (To be assigned) 510(k) Number:

Device Name:

Whisperflow Oxygen Flow Generator system

Intended Use :

To provide CPAP to spontaneously breathing patients in the hospital and pre-hospital (EMS) environment.

Concurrence of CDRH, Office of Device Evaluation (ODE)

Lurk Modoo

Lath Modon 9-2

9-21- 78

Prescription Use
(Per CFR 801.109)

or

Over-the-counter use

§ 868.5965 Positive end expiratory pressure breathing attachment.

(a)
Identification. A positive end expiratory pressure (PEEP) breathing attachment is a device attached to a ventilator that is used to elevate pressure in a patient's lungs above atmospheric pressure at the end of exhalation.(b)
Classification. Class II (performance standards).