K Number
K992786
Device Name
PURE WATER, INC.'S WATER PURIFICATION SYSTEMS
Manufacturer
Date Cleared
2000-01-24

(158 days)

Product Code
Regulation Number
876.5665
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Pure Water, Inc. Water Purification System is intended to be used in the purification of water to be used to dilute dialysate concentrate and in the reprocessing of dialyzers for reuse.
Device Description
The Pure Water, Inc. Water Purification System uses Reverse Osmosis technology to produce pure water. Reverse Osmosis utilizes a semi-permeable membrane and high hydrostatic pressure. Pretreatment is used for the purpose of removing elements present in the source water that can damage the RO membranes. The storage and distribution components of the system serves to deliver pure water produced by the RO to the point of use. The Pure Water, Inc. Water Purification System can be customized to best meet the water needs of the user.
More Information

Not Found

No
The summary describes a water purification system using standard Reverse Osmosis technology and does not mention any AI or ML components.

No.
The device is a water purification system intended for diluting dialysate concentrate and reprocessing dialyzers, not for directly treating a medical condition in a patient.

No

The device is a water purification system and focuses on the physical process of purifying water, not on diagnosing medical conditions or diseases.

No

The device description clearly outlines a physical system utilizing Reverse Osmosis technology, membranes, and storage/distribution components, indicating it is a hardware-based medical device.

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

Here's why:

  • Intended Use: The intended use is for purifying water used in diluting dialysate concentrate and reprocessing dialyzers. This is a process that supports a medical procedure (dialysis), but it is not a test performed in vitro (outside the body) on a biological specimen to diagnose, monitor, or screen for a disease or condition.
  • Device Description: The description focuses on the physical process of water purification using Reverse Osmosis. It does not describe any components or functions related to analyzing biological samples.
  • Lack of IVD Indicators: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring specific analytes
    • Providing diagnostic information

The device is a water purification system used in a clinical setting, but its function is to prepare a necessary component (pure water) for a medical procedure, not to perform a diagnostic test.

N/A

Intended Use / Indications for Use

The Pure Water, Inc. Water Purification System is intended to be used in the purification of water to be used to dilute dialysate concentrate and in the reprocessing of dialyzers for reuse.

Product codes

78 FIP

Device Description

  • The Pure Water, Inc. Water Purification System uses Reverse Osmosis technology to produce pure water. Reverse Osmosis utilizes a semi-permeable membrane and high hydrostatic pressure.
    Pretreatment is used for the purpose of removing elements present in the source water that can damage the RO membranes.
    The storage and distribution components of the system serves to deliver pure water produced by the RO to the point of use.
    The Pure Water, Inc. Water Purification System can be customized to best meet the water needs of the user.
    The Pure Water, Inc. Water Purification System meets or exceeds all Association for the Advancement of Medical Instrumentation (AAMI) National Standards for Hemodialysis.

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

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

K920186, K964539

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 876.5665 Water purification system for hemodialysis.

(a)
Identification. A water purification system for hemodialysis is a device that is intended for use with a hemodialysis system and that is intended to remove organic and inorganic substances and microbial contaminants from water used to dilute dialysate concentrate to form dialysate. This generic type of device may include a water softener, sediment filter, carbon filter, and water distillation system.(b)
Classification. Class II (special controls). The device, when it is a water purification subsystem disinfectant, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

0

JAN 2 4 200

Image /page/0/Picture/1 description: The image shows a logo for "Pure Water 2000". The logo is circular and contains an image of ocean waves. The text "Pure Water" is written in a semi-circle above the waves, and the number "2000" is written on the left side of the logo.

305 W. Market Street Anderson, SC 29624 Phone: (864) 375-0105 Fax: (864) 226-1384

K992786 p.1/1

510(k) Summary

Submitter Information:

Company Name:Pure Water, Inc.
Company Address:305 West Market Street
Anderson, South Carolina
Company Phone:(864) 375-0105
Company Fax:(864) 226-1384
Contact Person:Rhonda S. McCoy
Prepared:August 17, 1999

Pure Water, Inc. Water Purification System Trade Name:

Classification Name:Water Purification System for Hemodialysis

  • The Pure Water, Inc. Water Purification System is substantially Equivalency: equivalent to Better Water's Water Purification System for Hemodialysis (510(k) #: K920186) and ZyzaTech Water System, Inc.'s Water Purification Systems and Components and Portable Reverse Osmosis Systems (510(k) #: K964539), which are currently in commercial distribution.
  • The Pure Water, Inc. Water Purification System uses Reverse Device Description: Osmosis technology to produce pure water. Reverse Osmosis utilizes a semi-permeable membrane and high hydrostatic pressure.

Pretreatment is used for the purpose of removing elements present in the source water that can damage the RO membranes.

The storage and distribution components of the system serves to deliver pure water produced by the RO to the point of use.

The Pure Water, Inc. Water Purification System can be customized to best meet the water needs of the user.

The Pure Water, Inc. Water Purification System meets or exceeds all Association for the Advancement of Medical Instrumentation (AAMI) National Standards for Hemodialysis.

1

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 2 4 2000

Ms. Rhonda S. McCoy Office Manager Pure Water, Inc. 305 West Market Street Anderson, South Carolina 29624 Re: K992786

Pure Water, Inc. Water Purification System Dated: November 23, 1999 Received: November 26, 1999 Regulatory Class: Il 21 CFR §876.5665/Procode: 78 FIP

Dear Ms. McCov:

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 requiation (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 regult 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.

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) 594-4613. 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,

CAPT Daniel G. Schultz, M.D. Acting Director, Division of Reproductive, Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Page 1 of 1

510(k) Number (if known):_K992786

Device Name: Pure Water, Inc. Water Purification System for Hemodialysis

Indications For Use:

The Pure Water, Inc. Water Purification System is intended to be used in the The Puter Water Tunneation of water to be used to dilute dialysate concentrate and in the reprocessing of dialyzers for reuse.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Donald A. D'Amato

of Reproductive, Abdominal, ENT, and Radiological Dev 510(k) Number

Prescription Use
(Per 21 CFR 801.109) √

OR

Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-96)