K Number
K990678
Device Name
PNEUMATIC DEMAND OXYGEN CONSERVER (PDOC)
Manufacturer
Date Cleared
1999-05-07

(66 days)

Product Code
Regulation Number
868.5905
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Salter Labs Pneumatic Demand Oxygen Conserver (PDOC) is indicated for all respiratory or physiological problems where the requirement for supplemental oxygen therapy is indicated by a qualified physician or registered healthcare professional. The PDOC is indicated for use in both the hospital and home care environment where a demand oxygen delivery system is indicated. The PDOC allows for the effective administration of high pressure medical grade or concentrated oxygen upon demand to a patient who has been diagnosed as requiring and which has been prescribed oxygen administration by a physician. Oxygen is administered only during the inhalation cycle, conserving oxygen during the exhalation cycle.
Device Description
The Salter Labs Pneumatic Demand Oxygen Conserver (PDOC) allows for the effective administration of high pressure medical grade or concentrated oxygen upon demand to a patient who has been diagnosed as requiring and which has been prescribed oxygen administration by a physician. Oxygen is administered only during the inhalation cycle, conserving oxygen during the exhalation cycle.
More Information

Not Found

Not Found

No
The description focuses on a pneumatic system that delivers oxygen based on the patient's inhalation cycle, which is a mechanical or pressure-based mechanism, not AI/ML. There are no mentions of AI, ML, data processing, or learning algorithms.

Yes
The device is used to administer oxygen to patients with respiratory problems, which classifies it as a therapeutic device.

No
The device is described as an oxygen conserver for administration of oxygen, not for diagnosing medical conditions. It takes oxygen upon demand and delivers it to the patient.

No

The device description explicitly states it is a "Pneumatic Demand Oxygen Conserver," which is a hardware device that administers oxygen. The summary does not mention any software component as the primary or sole function.

Based on the provided information, the Salter Labs Pneumatic Demand Oxygen Conserver (PDOC) is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • The PDOC is a device that delivers oxygen directly to a patient's respiratory system. It is used for therapeutic purposes (administering oxygen) based on a physician's diagnosis, not for analyzing biological samples to make a diagnosis.

The description clearly states its function is to administer oxygen to a patient during inhalation, which is a direct patient treatment, not an in vitro test.

N/A

Intended Use / Indications for Use

The Salter Labs Pneumatic Demand Oxygen Conserver (PDOC) is indicated for all respirations The Satter Labs Fileumatic Demark Oxyger Consor of Concernal Oxygen therapy is indicated of puysionelia prodetils where the required to required in The PDOC is indicated for use in by a qualified physicial of registered noment where a demand oxygen delivery system is indicated.

The PDOC allows for the effective administration of high pressure medical grade or The FDOC anows for the circulty a patient who has been diagnosed as requiring and which concentrated oxygen administration by a parent the sician. Oxygen is administered only during the inhalation cycle, conserving oxygen during the exhalation cycle.

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

NFB

Device Description

Not Found

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

Not Found

Intended User / Care Setting

The PDOC is indicated for use in both the hospital and home care environment where a demand oxygen delivery system is indicated.

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.

Not Found

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

§ 868.5905 Noncontinuous ventilator (IPPB).

(a)
Identification. A noncontinuous ventilator (intermittent positive pressure breathing-IPPB) is a device intended to deliver intermittently an aerosol to a patient's lungs or to assist a patient's breathing.(b)
Classification. Class II (performance standards).

0

DEPARTMENT OF HEALTH & HUMAN SERVICES

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 circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with a wave-like design connecting them.

ood and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 2 6 2002

Mr. Duane Kazal Salter Labs 100 W. Sycamore Road Arvin, CA 93203-2300

Re: K990678

Pneumatic Demand Oxygen Conserver Regulation Number: 868.5905 Regulation Name: Noncontinuous Ventilator Regulatory Class: II (two) Product Code: 73 NFB

Dear Mr. Kazal:

This letter corrects our substantially equivalent letter of May 7, 1999, regarding the Pneumatic Demand Oxygen Conserver. Our letter identified the product code as 73 BZD. This is in error, the correct product code is 73 NFB as indicated above.

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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) that do not require approval of a premarket approval application (PMA). 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

1

Page 2 - Mr. Duane Kazal

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device 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 21 CFR Part 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" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer 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,

Dork Tella

Bram D. Zuckerman, M.D. Acting Director Division of Cardiovascular and Respiratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

SALTER LABS

2.5 Indications For Use: Salter Labs Pneumatic Demand Oxygen Conserver

The Salter Labs Pneumatic Demand Oxygen Conserver (PDOC) is indicated for all respirations The Satter Labs Fileumatic Demark Oxyger Consor of Concernal Oxygen therapy is indicated of puysionelia prodetils where the required to required in The PDOC is indicated for use in by a qualified physicial of registered noment where a demand oxygen delivery system is indicated.

The PDOC allows for the effective administration of high pressure medical grade or The FDOC anows for the circulty a patient who has been diagnosed as requiring and which concentrated oxygen administration by a parent the sician. Oxygen is administered only during the inhalation cycle, conserving oxygen during the exhalation cycle.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)
Charlie Cho for AAC (Division Sign-Off) Division of Cardiovascular, Respiratory, and Neurological Devices 510(k) Number K990678
Prescription UseOROver-The-Counter Use
(Per 21 CFR 801.109) ✓(Optional Format 1-2-96)

3

G SALTER LABS

2.5 Indications For Use: Salter Labs Pneumatic Demand Oxygen Conserver

The Salter Labs Pneumatic Demand Oxygen Conserver (PDOC) is indicated for all respiratory or physiological problems where the requirement for supplemental oxygen therapy is indicated by a qualified physician or registered healthcare professional. The PDOC is indicated for use in both the hospital and home care environment where a demand oxygen delivery system is indicated.

The PDOC allows for the effective administration of high pressure medical grade or concentrated oxygen upon demand to a patient who has been diagnosed as requiring and which has been prescribed oxygen administration by a physician. Oxygen is administered only during the inhalation cycle, conserving oxygen during the exhalation cycle.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Charlie Cho for AAC (Division Sign-Off) Division of Cardiovascular, Respiratory, and Neurological Devices
510(k) NumberK990678
Prescription Use (Per 21 CFR 801.109) ✓OROver-The-Counter Use ______ (Optional Format 1-2-96)
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