K Number
K983308
Device Name
RC CORNET, MODEL #44F50
Manufacturer
Date Cleared
1999-06-04

(256 days)

Product Code
Regulation Number
868.5690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PARI RC Cornet Mucus Clearing Device is a Positive Expiratory Pressure PEP Device and it was designed to exercise patient's lungs and to improve secretion clearance. The device was designed to work with PARI LC Nebulizers.
Device Description
The PARI RC Cornet Mucus Clearing Device is a Positive Expiratory Pressure PEP Device.
More Information

Not Found

Not Found

No
The summary describes a mechanical device for mucus clearance and does not mention any AI or ML components or functionalities.

Yes
The device is described as exercising the patient's lungs and improving secretion clearance, which are therapeutic actions.

No
The device is described as a 'Mucus Clearing Device' and its purpose is to 'exercise patient's lungs and to improve secretion clearance'. These functions are therapeutic, not diagnostic. There is no mention of the device being used to identify, measure, or analyze a condition or disease.

No

The device description explicitly states it is a "Positive Expiratory Pressure PEP Device" and is designed to "work with PARI LC Nebulizers," indicating it is a physical hardware device, not software only.

Based on the provided information, the PARI RC Cornet Mucus Clearing Device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "exercise patient's lungs and to improve secretion clearance." This is a therapeutic or physical therapy function, not a diagnostic one.
  • Device Description: It's described as a "Positive Expiratory Pressure PEP Device," which is a type of respiratory therapy device.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (like blood, urine, or tissue) or providing diagnostic information about a patient's condition.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. The PARI RC Cornet device does not fit this description.

N/A

Intended Use / Indications for Use

The PARI RC Cornet Mucus Clearing Device is a Positive Expiratory Pressure PEP Device and it was designed to exercise patient's lungs and to improve secretion clearance. The device was designed to work with PARI LC Nebulizers.

Product codes

73 BWF

Device Description

The PARI RC Cornet Mucus Clearing Device is a Positive Expiratory Pressure PEP Device and it was designed to exercise patient's lungs and to improve secretion clearance. The device was designed to work with PARI LC Nebulizers.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lungs

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)

Not Found

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5690 Incentive spirometer.

(a)
Identification. An incentive spirometer is a device that indicates a patient's breathing volume or flow and that provides an incentive to the patient to improve his or her ventilation.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three lines representing its body and wings. The eagle is facing right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 4 1999

Mr. Miquel A. Arrizon PARI Respiratory Equipment, Inc. 13800 Hull Street Road Midlothian, VA 23112

K983308 Re: RC Cornet, Model #44F50 Regulatory Class: II (two) Product Code: 73 BWF Dated: March 4, 1999 Received: March 8, 1999

Dear Mr. Arrizon:

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 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 Failure to comply with the GMP regulation may result in assumptions. 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.

1

Page 2 - Mr. Miquel A. Arrizon

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 requlation (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

2

May 28, 1999

Emil Wang FDA, CDRH Document Mail Center (HFZ-401) 9200 Corporate Boulevard Rockville, MD 20850 USA

RE: K983308, Revised Indications For Use Statement

Dear Mr. Wang,

Following is the Revised Indications For Use Statement.

The PARI RC Cornet Mucus Clearing Device is a Positive Expiratory Pressure PEP Device and it was designed to exercise patient's lungs and to improve secretion clearance. The device was designed to work with PARI LC Nebulizers.

If you have any questions please contact me at extension 237.

Best Regards,

Miguel A. Arrizon

Regulatory Affairs Manager

cu. Suzarl for AAC.

07/

(Division Sign-Off) Division of Cardiovascular, Respiratory, and Neurological Devices

510(k) Number $_$K983308

Prescriptions use

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IN USA 13800 Hull Street Road Midlothian, VA 23112 US/ 1.800 FAST NEB ( 127.863 标-| 804.639.7235 Fax 804 639 7242

IN (.anaDa 3120 Glen Frin Drive Unit 10 Mississauga, Onlario 151 1 1 800,825.1637 Tel 905.828.9114 ト.rx サン5 .828.34.36

Specialists in effective drug inholman

Sués infistes de I Inhalothérapic etticace

Fspecializador, en inhaloterapia eficaz

634 P01 MAY 28 '99 12:38