K Number
K982304
Device Name
DEVILBISS SUCTION UNIT
Date Cleared
1998-09-25

(86 days)

Product Code
Regulation Number
878.4780
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The DeVilbiss Suction Unit is used to remove fluids from the airway or respiratory support system and infectious materials from wounds. Configurations of the device will be intended for the home, institutional, and field/transport environments. The device is for use only on the order of a physcian or other lincensed practitioner (e.g. EMT-field use).
Device Description
The DeVilbiss Suction Unit is a portable AC/DC powered suction pump. It consists of (depending on configuration) a pump unit, collection bottle, relief valve, vacuum gage, bacteria filter, suction tubing, internal battery, and an AC to DC adapter. The device is designed and manufactured to comply with UL 2601-1 and/or CAN/CSA-C22.2 No. 601.1 M90 safety standards.
More Information

K8720094, K935218

Not Found

No
The description focuses on the mechanical components and performance standards of a suction pump, with no mention of AI or ML.

Yes
The device is used to remove fluids and infectious materials from the body, indicating it is used for medical treatment or prevention, which aligns with the definition of a therapeutic device.

No

Explanation: The "Intended Use / Indications for Use" section states the device is used to "remove fluids... and infectious materials...", which describes a treatment or management function, not a diagnostic one.

No

The device description explicitly lists multiple hardware components (pump unit, collection bottle, relief valve, vacuum gage, bacteria filter, suction tubing, internal battery, AC to DC adapter) and references hardware safety and performance standards (UL 2601-1, CAN/CSA-C22.2 No. 601.1 M90, ISO 10079-1:1991).

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to detect diseases, conditions, or infections. These tests are performed outside the body (in vitro).
  • DeVilbiss Suction Unit Function: The DeVilbiss Suction Unit is used to physically remove fluids and materials from the body (airway, respiratory system, wounds). It's a therapeutic device used for direct patient care, not for analyzing samples.

The description clearly states its purpose is to remove fluids and materials, which is a physical intervention, not a diagnostic test performed on a sample.

N/A

Intended Use / Indications for Use

The device is to be used to remove fluids from the airway or respiratory support system and infectious materials from wounds. The device creates a negative pressure (vacuum) that draws fluids through disposable tubing that is connected to a collection bottle. The fluids are trapped in the collection bottle for proper disposal. It is for use on the order of a physician only.

Product codes

JCX

Device Description

The DeVilbiss Suction Unit is a portable AC/DC powered suction pump. It consists of (depending on configuration) a pump unit, collection bottle, relief valve, vacuum gage, bacteria filter, suction tubing, internal battery, and an AC to DC adapter. The device is designed and manufactured to comply with UL 2601-1 and/or CAN/CSA-C22.2 No. 601.1 M90 safety standards.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

airway or respiratory support system and infectious materials from wounds

Indicated Patient Age Range

Not Found

Intended User / Care Setting

physician or other licensed practitioner (e.g. EMT-field use) / home, institutional, and field/transport environments

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)

The DeVilbiss Suction Unit (depending on configuration) will meet performance standards per ISO 10079-1:1991, Medical Suction Equipment, including vacuum level, flow, construction, life test, and sound level.

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

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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.

K8720094, K935218

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

§ 878.4780 Powered suction pump.

(a)
Identification. A powered suction pump is a portable, AC-powered or compressed air-powered device intended to be used to remove infectious materials from wounds or fluids from a patient's airway or respiratory support system. The device may be used during surgery in the operating room or at the patient's bedside. The device may include a microbial filter.(b)
Classification. Class II.

0

510(k) SUMMARY STATEMENT
Submitter:Sunrise Medical HHG Inc.
Respiratory Products Division
100 DeVilbiss Drive
P.O. Box 635
Somerset, Pa. 15501-0635
Matt Smith
814-443-7531
814-443-7571 Fax
Date of 510(k) Submittal:June 12, 1998
Classification Name:Apparatus, Suction, Ward Use, Portable, AC-Powered
Product Code:JCX
FDA Regulation:878.4780
FDA Classification:Class II
Common Name:Suction Pump/Aspirator
Proprietary Model #/Name:DeVilbiss Suction Unit
Equivalent to Device(s):DeVilbiss 7304 FDA 510(k)#K8720094
Schuco-Vac FDA 510(k)#K935218

Description of Device:

The DeVilbiss Suction Unit is a portable AC/DC powered suction pump. It consists of (depending on configuration) a pump unit, collection bottle, relief valve, vacuum gage, bacteria filter, suction tubing, internal battery, and an AC to DC adapter. The device is designed and manufactured to comply with UL 2601-1 and/or CAN/CSA-C22.2 No. 601.1 M90 safety standards.

Intended Use of Device:

The device is to be used to remove fluids from the airway or respiratory support system and infectious materials from wounds. The device creates a negative pressure (vacuum) that draws fluids through disposable tubing that is connected to a collection bottle. The fluids are trapped in the collection bottle for proper disposal. It is for use on the order of a physician only.

Performance Testing:

The DeVilbiss Suction Unit (depending on configuration) will meet performance standards per ISO 10079-1:1991, Medical Suction Equipment, including vacuum level, flow, construction, life test, and sound level.

Conclusion:

In terms of construction, function, safety, and effectiveness this device is substantially equivalent to other legally marketed suction pumps used for this application.

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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 2 5 1998

Mr. Matt Smith Senior Project Engineer Sunrise Medical HHG, Inc. 100 Devilbiss Dr. Somerset, Pennsylvania 15501

K982304 Re: Trade Name: DeVilbiss Suction Unit Requlatory Class: II Product Code: JCX Dated: June 16, 1998 Received: July 01, 1998

Dear Mr. Smith:

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 aqainst 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. ਸ substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, 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 regulatory In addition, FDA may publish further announcements 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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Page 2 - Mr. Matt Smith

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) 594-4595. 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.qov/cdrh/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D.

Ph.D., M.D. M. Witten, Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Page 1 of 1

510(k) Number: (if known) Not yet assigned

982304

Device Name: DeVilbiss Suction Unit

Indications for Use:

The DeVilbiss Suction Unit is used to remove fluids from the airway or respiratory support system and infectious materials from wounds. Configurations of the device will be intended for the home, institutional, and field/transport environments. The device is for use only on the order of a physcian or other lincensed practitioner (e.g. EMT-field use).

Prescription Use
(Per 21 CFR 801.109)

(Division Sign-Off)
Division of General Restorative Devices
510(k) Number K982304