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510(k) Data Aggregation

    K Number
    K170037
    Date Cleared
    2017-08-11

    (219 days)

    Product Code
    Regulation Number
    868.5895
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Breathe Technologies

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

    The Breathe Technologies Life2000™ Ventilation System is intended to provide continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation.

    The Life2000 Ventilation System consists of the Life2000 Ventilator and the Life2000 Compressor.

    The System is intended for use by qualified, trained personnel under the direction of a physician. Specifically, the System is applicable for adult patients who require the following types of ventilatory support:

    • · Positive Pressure Ventilation, delivered invasively (via ET tube) or non-invasively (via mask).
    • · Assist/Control mode of ventilation.

    The System is suitable for use in home and institutional settings and is not intended for ambulance or air transportation.

    Device Description

    The Breathe Technologies Life2000 Ventilation System includes a portable, battery powered, continuous ventilator that was cleared in K141943 along with the Breathe Pillows Interface, Universal Connector and various other dedicated accessories.

    In this submission, the Life2000 Ventilation System is expanding with the inclusion of additional components, including the Life2000 Compressor, a portable air compressor. This Life2000 Compressor provides a primary source of compressed air for the Life2000 Ventilator, in addition to the previously cleared gas sources of facility in-wall compressed gas (air & oxygen) and tanks of compressed medical gas. The Life2000 Compressor provides a dedicated docking station for the Life2000 Ventilator.

    The Ventilator administers the physician-prescribed volume to the patient via the previously cleared Breathe Technologies Universal Connector which connects into the patient's tracheostomy tube, endotracheal tube, or any off the shelf non-invasive mask. It can also be used with the previously cleared Breathe Technologies Pillows Interface (K141943), a type of nasal mask.

    This submission includes new versions of the Pillows Interface, labeled as the Breathe Pillows Entrainment Interface, that have an inlet for supplemental oxygen. It also includes labeling for the use of third party supplemental Oxygen Adapters for use with the Universal Connector. These inlets or Adapters allow the physician to administer supplemental oxygen into the patient circuit or interface.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document describes a Breathe Technologies Life2000™ Ventilation System seeking 510(k) clearance, intending to demonstrate substantial equivalence to its predicate device (the previous version of the Life2000 Ventilation System, K141943) and a reference device (Siemens Compressor Mini, K023354). The acceptance criteria are largely implied by compliance with various medical device standards and through bench testing and human factors validation. The "device performance" is primarily assessed against the predicate and reference devices, demonstrating functional equivalence and safety.

    Since specific quantitative acceptance criteria with numerical targets and direct performance comparisons are not explicitly laid out in a table in the provided text, I will infer them from the comparisons made to the predicate and reference devices, and the standards listed.

    Inferred Acceptance Criteria and Reported Device Performance:

    Acceptance Criteria CategorySpecific Criteria (Inferred from Predicate/Standard)Reported Device Performance (Application Device)
    Intended UseProvide continuous or intermittent ventilatory support for adults requiring mechanical ventilation (invasive/non-invasive, Assist/Control mode) in home/institutional settings.Identical to predicate, with the addition of the Life2000 Compressor and modified Pillows Interface. The addition does not change the intended use of the Ventilator.
    TechnologySimilar fundamental technology as predicate (Vaporizer) and reference device (Compressor).Ventilator is fundamentally unchanged from predicate. Compressor technology (electrical powered air compressor, air inlet filter, compressor with motor (4 heads vs 2 heads in reference device), air dryer (membrane dryer vs cooling coil/thermoelectric cooler in reference), pressure regulation (motor speed vs regulator/tank in reference), room air inlet, compressed air outlet, drainage, dust filter, cooling fans, power inlet, ON/OFF switch, user interface, alarms (additional motor stall alarm), power supply (60 min battery option added to mains)). All differences are stated to not raise new questions of safety or efficacy.
    Performance (Ventilator)Volume Setting Range: 50 - 750 ml/breath
    Resultant Tidal Volume: 50 - up to 2000 ml/breath due to venturi effect
    PEEP Setting: 0 - 10 cmH2O
    PIP Alarms & Monitoring: Yes
    Adjustable Inspiration Time: 0.15 to 3 secondsIdentical to predicate Life2000 Ventilator for all these parameters.
    Performance (Compressor)Flow Output: Sufficient to support the specified ventilator (Reference device: 30 L/min)
    Pressure Output: ~50 psi (Reference device: 50 – 64 psi)Continuous Flow Output: 17 L/min; Peak Flow Output: ~40 L/min. Testing shows that the compressor can support the maximum volume output of the ventilator. The Life2000 Ventilator requires less flow from the Compressor to allow the same outputs because it entrains room air.
    Nominal Pressure Output: 50 psi (range 47-64 psi). Functionally identical.
    BiocompatibilityCompliance with ISO 10993-1.Materials identical to previously cleared systems. New particulate and volatile organic compound (VOC) testing conducted for the Life2000 Compressor.
    Electrical SafetyCompliance with AAMI/ANSI 60601-1, IEC 60601-1-2.Bench testing, along with electrical safety testing, along with EMC home level testing performed and found compliant.
    Mechanical SafetyCompliance with ASTM F1246-91, ISO 80601-2-12, ISO 80601-2-72.Bench testing demonstrated complaint with these standards.
    Human Factors/UsabilitySafe and effective use by intended user populations in intended use environments without use errors leading to negative clinical outcomes.A series of HFE/UE analyses, design refinement, and Human Factors Validation (HFV) tests were conducted. Results revealed representative participants were able to use the system without use errors that could result in negative clinical outcomes. Concluded to be as safe and effective as the predicate system. Clinicians and lay care-givers could properly operate the device after required training and IFU.
    Mask PerformanceProvides noninvasive interface, allows oxygen supplementation, functionally equivalent despite differences in facial interface (nasal vs. mouth & nose) and entrainment method.Breathe Pillows Entrainment Interface: Provides noninvasive interface, allows oxygen supplementation. Utilizes entrainment (similar to K141943) while predicate (K062019) does not. Facial interface is nose only (vs. mouth & nose). Offered in 4 sizes (S,M,L,XL vs S,M,L). Materials (Polycarbonate, Silicone) are the same. No headgear needed (vs. Nylon, Neoprene, Velcro). All differences concluded to not raise new questions of safety or efficacy; functionally equivalent output.

    2. Sample Sizes and Data Provenance

    • Test Set (Human Factors Validation - HFV): "over 100 participants"

      • Data Provenance: Not explicitly stated, but the context of an FDA submission for a US company (Breathe Technologies, Irvine, CA) suggests the data is likely from the USA and would be prospective as it involves active testing with participants for validation.
      • Test Set (Bench Testing): Not explicitly stated, but typically involves a number of units sufficient to demonstrate design validation and compliance with standards.
    • Training Set: Not mentioned in the provided text. The document describes a 510(k) submission, which primarily focuses on demonstrating substantial equivalence to a predicate device through testing and comparison, rather than developing a new algorithm/AI from a training set.

    3. Number of Experts and their Qualifications (for Ground Truth)

    • Human Factors Validation: No explicit mention of experts establishing a "ground truth" for the test set in the traditional sense (e.g., radiologists interpreting images). The HFV tests evaluated user performance against usability objectives (safe and effective use).
      • The study involved diverse user groups: Patients, Caregivers, Respiratory Therapists, and Physicians and Critical Care Nurses. Their performance in using the device constituted the primary evaluation in the HFV. Their "qualifications" are implied by their roles as end-users of the device.

    4. Adjudication Method (for Test Set)

    • The document does not describe an adjudication method in the context of expert consensus, as it is not an interpretative study. The Human Factors Validation (HFV) tests assessed user performance directly.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    • No, an MRMC comparative effectiveness study was not done. The document describes a substantial equivalence submission for a physical medical device (ventilator system), not an AI/software device requiring human reader interpretation or assistance. Therefore, there is no discussion of AI assistance or its effect size on human readers.

    6. Standalone Performance Study (Algorithm Only)

    • Not applicable. This is a hardware medical device (ventilator system and accessories), not an algorithm or AI. Standalone performance for this device would refer to its functional performance as a ventilator (volume, pressure, alarms, etc.), which was tested through bench testing and compliance with various standards, as listed. The "algorithm" in this context would be the device's control software, which is implicitly validated through the functional and performance testing.

    7. Type of Ground Truth Used

    • For Human Factors Validation: The ground truth was implicitly the observed safe and effective use of the device by representative users (patients, caregivers, respiratory therapists, physicians, and critical care nurses) in simulated environments, as evaluated against predefined usability goals and error detection.
    • For Bench Testing and Compliance: The ground truth was established by approved engineering specifications, international/national standards, and regulatory guidelines (e.g., ISO 10993-1, FDA Draft Reviewer Guide for Ventilators, ASTM F1246-91, AAMI/ANSI 60601-1, IEC 60601-1-2, ISO 80601-2-12, ISO 80601-2-72, IEC 62133, IEC 62366, FDA Guidance Documents). The device's performance was measured against these objective criteria.

    8. Sample Size for the Training Set

    • Not applicable / Not mentioned. The document does not describe a machine learning algorithm or AI component that would require a distinct training set. The submission focuses on validating hardware components and their integrated system.

    9. How the Ground Truth for the Training Set Was Established

    • Not applicable. As no training set for an AI/algorithm is mentioned, the method for establishing its ground truth is not discussed.
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    K Number
    K141943
    Date Cleared
    2015-06-12

    (330 days)

    Product Code
    Regulation Number
    868.5895
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    BREATHE TECHNOLOGIES

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

    The Breathe Technologies Life2000 Ventilation System is intended to provide continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation. The ventilator is intended for use by qualified, trained personnel under the direction of a physician. Specifically, the ventilator is applicable for adult patients who require the following types of ventilatory support: - Positive Pressure Ventilation, delivered invasively (via ET tube) or non-invasively (via mask). - Assist/Control mode of ventilation. The ventilator is suitable for use in home and institutional settings.

    Device Description

    The Breathe Technologies Life2000 Ventilation System is a portable, battery powered, critical care ventilator. The Ventilator administers the physician-prescribed volume to the patient via the attached Breathe Technologies Patient Universal Connector which connects into the patient's tracheostomy tube, endotracheal tube, or any off the shelf non-invasive mask. It can also be used with the Breath Technologies NIOV Pillows Interface, a type of nasal mask. The ventilator is small and light enough to be worn on a patient's belt, or slung over their shoulder. It is connected to a separate, third party, gas supply. The Ventilator is intended for Institutional or Home Use. It is not intended for use during emergency/medical transportation.

    AI/ML Overview

    The Breathe Technologies Life2000 Ventilation System is a portable, battery-powered critical care ventilator for adult patients requiring continuous or intermittent ventilatory support.

    Here's an analysis of its acceptance criteria and supporting studies:

    1. Table of Acceptance Criteria and Reported Device Performance
    Feature/ParameterPredicate Device (LTV-1200, K060647) Acceptance CriteriaApplication Device (Life2000 Ventilation System) PerformanceEvaluation / Difference Status
    Indications for UseContinuous/intermittent ventilatory support, adult & pediatric (>5kg), invasive/non-invasive, A/C, SIMV, CPAP, NPPV modes, institutional, home & transport settingsContinuous/intermittent ventilatory support, adult patients only, invasive/non-invasive, Assist/Control mode, institutional & home settingsDifference: Application device's indications are a subset of the predicate (adults only, fewer modes, no transport). This is considered acceptable as it's a narrower use case.
    Product Classification CodeCBKCBKIdentical
    CFR Citation21 CFR 868.589521 CFR 868.5895Identical
    Principal OperatorTrained personnel under direction of a physicianTrained personnel under direction of a physicianIdentical
    Environment of UseInstitution, Home, and TransportInstitution & HomeDifference: Application device not validated for transport. This is an accepted difference as it narrows the intended use.
    Patient InterfaceInvasive (ET tube) or non-invasive (mask)Invasive (ET tube) or non-invasive (mask)Identical
    Power SourceBattery Powered, run while chargingBattery Powered, run while chargingIdentical
    Operational ModesVolume Control, Volume Assist/Control, Volume Assist, Pressure Control, Pressure Support, SIMV, CPAP, NPPVVolume Control, Volume Assist/Control, Volume AssistDifference: Application device modes are a subset of the predicate. This is an accepted difference as fewer documented modes are presented.
    Active Exhalation Valve?Yes, MechanicalYes, Mechanical/PneumaticClinically Equivalent
    Design DesignationPortable Critical CarePortable Critical CareIdentical
    Size WxLxH (in)3 x 10 x 123.2 x 7.7 x 1.0Difference: Application device is much smaller. Considered an improvement potentially making it easier for patients to handle, with no new safety/effectiveness issues raised.
    Weight13.4 lbs1.1 lbsDifference: Application device is much lighter. Considered an improvement potentially making it easier for patients to handle, with no new safety/effectiveness issues raised.
    Volume Setting Range50 - 2000 ml/breath50 - 750 ml/breathDifference: Application device range is a subset of the predicate. This is an accepted difference as it's a narrower range.
    Resultant Tidal Volume50 - 2000 ml/breath50 - Up to 2000 ml/breath due to venturi effectIdentical
    PEEP Setting0 – 20 cmH2O0 - 10 cmH2ODifference: Application device range is a subset of the predicate. This is an accepted difference as it's a narrower range.
    PIP Alarms & MonitoringYesYesIdentical
    Adjustable Inspiration Time0.3 - 9.9 seconds0.15 to 3 secondsDifference: I-time of application device is a subset of predicate. Only clinically relevant times are used. This is an accepted difference.
    Supply GasOxygen, AirOxygen, AirIdentical
    Method of supply gas pressurizationInternal turbine for Air, Compressed Source for O2Compressed source for Air, Compressed source for O2Clinically Equivalent
    Sterilized?Ventilator: No, Patient Circuit: NoVentilator: No, Patient Circuit: NoIdentical
    1. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

      • The document does not specify sample sizes for specific performance tests (e.g., comparative waveform testing, human factors).
      • The document does not explicitly state the country of origin of the data or whether the studies were retrospective or prospective, beyond general statements of compliance with international and US standards.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

      • The document identifies general "qualified, trained personnel under the direction of a physician" as the intended operators for the device. However, it does not specify the number or qualifications of experts used to establish ground truth or conduct specific performance assessments for the testing mentioned (e.g., comparative waveform testing, human factors).
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set

      • The document does not specify any adjudication methods for the test sets.
    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

      • No MRMC comparative effectiveness study is mentioned, as this device is a mechanical ventilator, not an AI-assisted diagnostic tool. The "comparative effectiveness" studies mentioned are related to device performance compared to a predicate, not human reader performance.
    5. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

      • This is not applicable to a mechanical ventilator device. The device's performance is inherently standalone in its function, but its operation always involves a human user (qualified personnel under a physician's direction).
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

      • For the "Summary of Supporting Data," the ground truth for device performance is established through compliance with recognized standards such as ISO 10993-1, FDA Draft Reviewer Guide for Ventilators, ASTM F1246-91, IEC 60601-1, IEC 60601-1-2, and ISO 80601-2-12. This implies engineering and clinical performance metrics defined by these standards serve as the "ground truth" for the device's functional and safety capabilities.
      • Specific tests mentioned like "Ventilator Cleaning validation," "Risk characterization of VOC's," "Static Analysis Tool verification of software," "Comparative Waveform Testing," and "Human Factors and Usability Testing" would have their own defined ground truths based on established protocols for those types of evaluations (e.g., cleanliness standards, toxicology limits, software quality metrics, physiological waveform accuracy, human-computer interaction success rates).
    7. The sample size for the training set

      • This is not applicable for a mechanical ventilator. Training sets are typically associated with machine learning or AI models, which are not described as integral to this device's function.
    8. How the ground truth for the training set was established

      • This is not applicable for a mechanical ventilator.
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    K Number
    K131562
    Date Cleared
    2014-03-06

    (280 days)

    Product Code
    Regulation Number
    868.5895
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    BREATHE TECHNOLOGIES

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

    The NIOV Ventilator, with accessories; is a volume assist ventilator intended to aid adult patients with respiratory insufficiency. It is designed for patients that are capable of spontaneously breathing a minimum tidel volume of 3.5 ml/kg of predicted body weight. The device is designed for continuous applications such as patient ambulation, physical therapy, respiratory therapy, and other rehabilitation efforts in an institutional or home care environment. The device is intended for operation by trained personnel, patients or their caregivers under the direction of a physician.

    Device Description

    The Breathe Technologies NIOV Ventilator System is a battery powered, wearable, volume ventilator that augments the patient's spontaneous breathing. The NIOV Ventilator administers this physician-prescribed volume to the patient via the attached Breathe Technologies Patient Circuit (BT-PC) which inserts into the patient's tracheostomy tube, or via the Breath Technologies NIOV Pillows Interface, a type of nasal mask. The ventilator is small and light enough to be worn on a patient's belt, or slung over their shoulder. It is connected to a separate, third party, air or oxygen gas supply. The Ventilator is cleared for Institutional or Home Use.

    AI/ML Overview

    The provided text describes the Breathe Technologies NIOV Ventilation System and its substantial equivalence to a predicate device, but it does not contain the specific information required to answer all parts of your request regarding acceptance criteria and a study proving those criteria.

    Specifically, the text is a 510(k) summary, which focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than presenting detailed study results against specific, quantified acceptance criteria.

    However, I can extract what is available:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state acceptance criteria in a quantified, pass/fail manner. Instead, it refers to compliance with recognized standards and guidelines. The "reported device performance" is a general statement of compliance.

    Acceptance Criteria (Implied)Reported Device Performance
    Compliance with FDA Draft Reviewer Guide for Ventilators (July 1995)Demonstrated continued compliance
    Compliance with ASTM F1100-90 (1997)Demonstrated continued compliance
    Compliance with IEC 60601-1 (1988)Demonstrated continued compliance
    Compliance with IEC 60601-2-12 (2001-10)Demonstrated continued compliance
    Compliance with ASTM F1246-91 (1991, Reapproved 2005)Demonstrated continued compliance
    Operating as intendedDemonstrated by Software Design and Validation & bench testing

    The study that proves the device meets the (implied) acceptance criteria:

    The study referenced is "bench testing of the device" and "Software Design and Validation process."

    2. Sample size used for the test set and the data provenance

    The document does not specify a "test set" sample size in the context of clinical or performance data for the device itself. It mentions "bench testing," which implies laboratory-based tests on the device, but details on the number of units tested or specific scenarios are not provided. There is no mention of data provenance like country of origin or whether it was retrospective/prospective.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This information is not provided. The bench testing and software validation would likely rely on engineering and technical expertise to establish "ground truth" (i.e., correct device function or output), but no details on expert numbers or qualifications are given.

    4. Adjudication method for the test set

    This information is not provided.

    5. 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

    No such study is mentioned. The device is a ventilator, not an AI-powered diagnostic imaging tool that would typically involve human readers.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done

    This concept is not relevant to a mechanical ventilator like the Breathe Technologies NIOV. The device itself operates "standalone" in the sense that it performs its function (ventilation) without direct human intervention in each breath cycle, but it is operated by trained personnel, patients, or caregivers. The document indicates that "bench testing of the device" demonstrated its operation.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    For the bench testing and software validation, the ground truth would likely be based on:

    • Engineering specifications and design requirements.
    • Measurements against calibrated standards for parameters like volume, pressure, flow, and timing.
    • Expected behavior defined by the referenced industry standards (e.g., ASTM, IEC).

    8. The sample size for the training set

    This information is not provided. The device relies on embedded software and control algorithms, but the document does not discuss machine learning or "training sets" in the context of AI.

    9. How the ground truth for the training set was established

    Not applicable, as no training set for AI is mentioned.

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    K Number
    K130037
    Date Cleared
    2013-05-17

    (130 days)

    Product Code
    Regulation Number
    868.5905
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    BREATHE TECHNOLOGIES, INC.

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

    The continuous positive airway pressure (CPAP) System is indicated for the treatment of obstructive sleep apnea (OSA) in patients > 661b (30 kg). The Breathe CPAP System is intended for single-patient re-use in the home environment.

    Device Description

    The Breathe Technologies™ CPAP system is an AC powered Continuous Positive Airway Pressure (CPAP) device that delivers a physician prescribed pressure during the inspiratory phase and expiratory phases to help maintain airway patency during sleep for patients with obstructive sleep apnea (OSA). The Breathe CPAP System consists of a programmable, microprocessor controlled, flow generator (i.e., blower) and a Nasal Pillows Mask. The flow generator generates CPAP from room air to the patient and transmits it via the attached Nasal Pillows Mask. The end of the patient circuit is a nasal pillows interface which is worn on the nose. The nasal interface is held in place with standard headgear.

    AI/ML Overview

    The provided text is a 510(k) summary for a CPAP system and does not contain information about acceptance criteria or a study proving the device meets acceptance criteria.

    The document states that the device is "substantially equivalent" to a predicate device based on its intended use, indications for use, technology, design, materials, physician or patient use, and energy source. It also mentions that "the testing described below demonstrates that the differences in the devices do not raise any unresolved issues of safety or efficacy." However, the actual testing details, acceptance criteria, and specific performance results are not provided in the extracted text.

    Therefore, I cannot fulfill your request to describe the acceptance criteria and the study that proves the device meets them, nor can I provide the requested information about sample sizes, ground truth establishment, or comparative effectiveness studies. The primary focus of this document is establishing substantial equivalence to a predicate device and adherence to general medical device standards.

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    K Number
    K103345
    Date Cleared
    2011-02-11

    (88 days)

    Product Code
    Regulation Number
    868.5895
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    BREATHE TECHNOLOGIES, INC.

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

    The Breathe Technologies™ Ventilator, with accessories, is a volume assist ventilator intended to aid adult patients with respiratory insufficiency. It is designed for patients who are capable of spontaneously breathing a minimum tidal volume of 3.5cc/kg of predicted body weight. The device is designed for continuous applications such as patient ambulation, physical therapy, occupational therapy, respiratory therapy, and other rehabilitation efforts in an institutional or home care environment. The device is intended for operation by trained personnel, patients, or caregivers under the direction of a physician.

    Device Description

    The Breathe Technologies Ventilator with Accessories (BT-V2S) is a small, wearable, ventilator that interfaces with proprietary nasal and tracheostomy breathing circuits.

    AI/ML Overview

    The provided text describes the Breathe Technologies Ventilator (BT-V2S) and its accessories, and a 510(k) submission for expanded indication to include use in the Home Care Environment. The information focuses on demonstrating substantial equivalence to a predicate device and does not contain detailed acceptance criteria or a study design in the way you've outlined for a typical AI/software device.

    Specifically, the document discusses general standards and guidelines the device complies with, and "Human Factors Studies" to demonstrate proper operation by intended users. It does not provide quantitative performance metrics, sample sizes, ground truth establishment, or expert-based evaluations in the context of an AI/algorithm-driven device.

    Therefore, many of the requested fields cannot be directly extracted from the provided text. I will fill in the available information and indicate where data is not present.

    1. A table of acceptance criteria and the reported device performance

    The document does not specify quantitative acceptance criteria or performance metrics directly from a study in the format typically seen for AI/diagnostic devices. Instead, it states that the device is compliant with various industry standards and guidelines, and that "Human Factors Studies" demonstrated proper operation.

    Acceptance Criteria (Implied from compliance/study goals)Reported Device Performance (Summary from text)
    Compliance with FDA Draft Reviewer Guide for Ventilators (July 1995)Demonstrated compliance
    Compliance with ASTM F1100-90 (1997)Demonstrated compliance
    Compliance with IEC 60601-1 (1988), Amd 1 (1991-11), Amd 2 (1995)Demonstrated compliance
    Compliance with IEC 60601-2-12 (2001-10)Demonstrated compliance
    Compliance with ASTM F1246-91 (1991, Reapproved 2005)Demonstrated compliance
    Proper operation by intended users (Human Factors) for Home Use"Demonstrated that the intended users... can properly operate the device."
    Conformance with FDA Guideline: Medical Device Use-Safety: Incorporating Human Factors Engineering into Risk Management. July 18, 2000Documented conformance
    Conformance with IEC 62366: 2007Documented conformance
    Conformance with ANSI/AMEE HE75:2009Documented conformance

    2. Sample size used for the test set and the data provenance

    The document mentions "three Human Factors Studies" but does not provide sample sizes for these studies or their data provenance (e.g., country of origin, retrospective/prospective nature), beyond stating "The first study was with clinicians, and the second was with respiratory therapy patients."

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. This device is a mechanical ventilator, and the studies mentioned are Human Factors studies focused on usability and proper operation, not diagnostic accuracy requiring expert ground truth in the traditional sense of medical image analysis. The "experts" would likely be the clinicians and patients participating in the Human Factors studies.

    4. Adjudication method for the test set

    Not applicable. Adjudication methods are typically relevant for establishing ground truth in diagnostic studies, which is not the type of study described here.

    5. 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 applicable. This is not an AI-driven device, and no MRMC study is mentioned.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. This is not an AI-driven device.

    7. The type of ground truth used

    For the Human Factors studies, the "ground truth" was likely defined by observational data and user feedback demonstrating the ability of users (clinicians, patients, caregivers) to safely and effectively operate the device according to its instructions and design, and to identify and address any usability issues. This is not a pathology or outcomes data ground truth in the diagnostic sense.

    8. The sample size for the training set

    Not applicable. There is no mention of a "training set" as this is not an AI/machine learning device. The "training" here refers to the actual training of users on how to operate the device.

    9. How the ground truth for the training set was established

    Not applicable. See point 8.

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    K Number
    K102525
    Date Cleared
    2010-12-02

    (91 days)

    Product Code
    Regulation Number
    868.5895
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    BREATHE TECHNOLOGIES, INC.

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

    The Breathe Technologies Ventilator (BT-V2S), with Accessories, is a volume assist ventilator intended to aid adult patients with respiratory insufficiency. It is designed for patients, with or without a tracheostomy, that are capable of spontaneously breathing a minimum tidal volume of 3.5cc/kg of predicted body weight. The device is designed for continuous applications such as patient ambulation, physical therapy, occupational therapy, respiratory therapy, and other rehabilitation efforts in an institutional environment. The device is intended for operation by trained personnel under the direction of a physician.

    Device Description

    This application is being filed to allow a new breathing circuit for the Breathe Technologies Ventilator (BT-V2). The Ventilator is fundamentally unchanged. The only difference between the predicate and application submissions is that the application requests clearance to market the BT-NT nasal interface with the BT-V2S ventilator.

    The BT-NT is a nasal mask style patient circuit which attaches to the patients nose. It connects to the BT-V2S ventilator.

    The BT-NT is approximately 12cm wide and 2cm thick at its thickest point under the patient's nose. These dimensions do not include the 231 cm dual tubing that connects to the Ventilator. It is composed of various plastics.

    AI/ML Overview

    The provided document is a 510(k) Summary for a medical device modification (BT-V2S Ventilator and accessories). It states that the device is substantially equivalent to a predicate device, meaning it does not claim to offer superior performance or new functionalities that require extensive studies to prove acceptance criteria. Instead, the focus is on demonstrating that the modification (a new nasal interface breathing circuit, BT-NT) does not introduce new safety or efficacy concerns and that the device remains compliant with existing standards.

    Therefore, the document does not contain the information requested in points 1-9 regarding the acceptance criteria, sample sizes, ground truth establishment, or expert involvement for a study proving device performance against specific acceptance criteria in the way one would expect for a novel AI/Diagnostic device.

    Here's a breakdown of what is available and why most of the requested information is absent:

    Explanation of Missing Information:

    This document describes a "Special 510(k): Device Modification" for a ventilator. The core claim is "substantial equivalence" to a predicate device (BT-V2). This means the manufacturer is asserting that the modified device is as safe and effective as the previously cleared device, not that it is a new device with novel performance claims requiring rigorous clinical trials or AI performance evaluations. The modification here is specifically a "new breathing circuit for the Breathe Technologies Ventilator (BT-V2S)."

    Therefore, the study performed is primarily bench testing and biocompatibility to prove that the modification does not negatively impact the existing performance and safety of the ventilator. This is fundamentally different from a study to establish novel performance metrics for AI or diagnostic accuracy where many of your questions would be highly relevant.

    Information from the Document (and limitations):

    1. Table of acceptance criteria and the reported device performance:

      • Acceptance Criteria (Implied): Compliance with
        • ISO 10993 (Biocompatibility)
        • FDA Draft Reviewer Guide for Ventilators (July 1995)
        • ASTM F1100 90 (1997), Standard Specification for Ventilators Intended for Use in Critical Care
        • IEC 60601 1 (1988), Amendment 1 (1991-11), Amendment 2 (1995): Medical electrical equipment - General Requirements for Safety
        • IEC 60601 2- 12 (2001-10): Medical electrical equipment - Particular requirements for the safety of lung ventilators - Critical care ventilators.
      • Reported Device Performance:
        • Biocompatibility data demonstrates that the device is in compliance with ISO 10993.
        • Bench testing, including a lung model, has demonstrated that the BT-V2S remains in compliance with the expectations of the medical community, the product labeling, and the listed Standards and Guidances.
        • The document states: "The testing described below demonstrates that the differences in the devices do not raise any unresolved issues of safety or efficacy."
    2. Sample size used for the test set and the data provenance: Not applicable. The "study" was bench testing (likely involving physical units of the ventilator and the new breathing circuit). There is no "test set" in the context of patient data, nor is there data provenance (e.g., country of origin, retrospective/prospective) for a bench test.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth, in this context, refers to the compliance with established engineering and medical device standards, which are evaluated by accredited labs and engineers, not typically by clinical experts establishing diagnostic "ground truth."

    4. Adjudication method for the test set: Not applicable. There is no "adjudication" in the sense of resolving disagreements among experts on a test set. Compliance is determined by objective measurements against specified standard thresholds.

    5. 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 applicable. This device is a ventilator, not an AI-powered diagnostic tool, and no MRMC study was performed or needed for this type of modification.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an algorithm-only device.

    7. The type of ground truth used: "Ground truth" was compliance with established engineering and medical device standards (ISO, ASTM, IEC) and the "expectations of the medical community" for ventilator performance, as verified through bench testing.

    8. The sample size for the training set: Not applicable. This is not an AI/machine learning device that requires a training set.

    9. How the ground truth for the training set was established: Not applicable, as there is no training set for this type of device.

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    K Number
    K100528
    Date Cleared
    2010-04-23

    (58 days)

    Product Code
    Regulation Number
    868.5895
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    BREATHE TECHNOLOGIES, INC.

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

    The Breathe Technologies™ Ventilator BT-V2S, with accessories, is a volume assist ventilator intended to aid adult patients with respiratory in u vouln'is assist patients with a tracheostomy that are capable of spontaneously breathing a minimum tidal volume of 3.5cc/kg of predicted body weight. The device is designed for continuous applications such as patient ambulation, physical therapy, occurational therapy, respiratory therapy, and other rehabilitation efforts in an institutional environment. The device is intended for operation by trained personnel under the direction of a plysician

    Device Description

    The Breathe Technologies™ Ventilator (BT-V2S) is a battery powered (which may be charged during use) wearable, volume ventilator that augments the patient's spontaneous breathing. The BT-V2S administers this physician-prescribed volume to the patient via the attached Breathe Technologies Patient Circuit (BT-PC). The end of the BT-PC is inserted into the patient's tracheostomy tube. The ventilator is small and light enough to be worn on a patient's belt, or slung over their shoulder.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the Breathe Technologies BT-V2S Ventilator. This submission focuses on demonstrating substantial equivalence to a predicate device (BT-VS) rather than presenting a de novo study with acceptance criteria and performance metrics for a new, unclassified device.

    Therefore, the input document does not contain the acceptance criteria and study data typically associated with proving a device meets specific performance criteria through a clinical or rigorous standalone study. It primarily states that "Bench testing has demonstrated that the device is in compliance with the medical community's expectations, the product labeling and pertinent sections of the guidance's and standards."

    Without a separate study report or detailed performance data, it's not possible to populate the requested table or answer most of the questions.

    However, I can extract the information provided:

    1. A table of acceptance criteria and the reported device performance:

    The document explicitly states: "Bench testing has demonstrated that the device is in compliance with the medical community's expectations, the product labeling and pertinent sections of the guidance's and standards." This implies that the 'acceptance criteria' were likely defined by those standards and expectations, and the 'reported device performance' was that it met them. However, the specific quantitative criteria and results are not provided in this document.

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):

    Not applicable. The document refers to "bench testing," not a test set with patient data or a clinical study.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):

    Not applicable. No test set with ground truth established by experts is mentioned. The "medical community's expectations" are a general reference, not a specific expert panel.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

    Not applicable. No test set with adjudication is mentioned.

    5. 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 applicable. This is not an AI-assisted device, and no MRMC study is mentioned.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

    Not applicable. This is not an algorithm-only device. The ventilatory function is directly interacting with the patient. The statement "Bench testing has demonstrated that the device is in compliance..." refers to the device's physical and functional performance, which is inherently "standalone" in the sense that it's the device's performance being assessed against engineering and medical standards.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):

    For the bench testing, the "ground truth" would be the engineering specifications, relevant industry standards (e.g., ISO 10993 for biocompatibility), and "medical community's expectations" related to ventilator performance. The document doesn't provide specifics on how these were quantified for each test.

    8. The sample size for the training set:

    Not applicable. This is a ventilator device, not a machine learning algorithm requiring a training set.

    9. How the ground truth for the training set was established:

    Not applicable, for the same reason as point 8.

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    K Number
    K082982
    Date Cleared
    2009-07-20

    (287 days)

    Product Code
    Regulation Number
    868.5895
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    BREATHE TECHNOLOGIES, INC.

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

    The Breathe Technologies™ Ventilator, with accessories, is a volume assist ventilator intended to aid adult patients with respiratory insufficiency. It is designed for patients with a tracheostomy that are capable of spontaneously breathing a minimum tidal volume of 3.5cc/kg of predicted body weight. The device is designed for continuous applications such as patient ambulation, physical therapy, occupational therapy, respiratory therapy, and other rehabilitation efforts in an institutional environment. The device is intended for operation by trained personnel under the direction of a physician.

    Device Description

    The Breathe Technologies™ Ventilator (BT-V) is a battery powered, wearable, volume ventilator that augments the patient's spontaneous breathing. The BT-V administers this physician-prescribed volume to the patient via the attached Breathe Technologies Transtracheal Tube (BT-TT). The end of the BT-TT is inserted into the patient's tracheostomy tube. The ventilator is small and light enough to be worn on a patient's belt, or slung over their shoulder, because it has only a subset of the features of a full-featured ventilator.

    AI/ML Overview

    The document provided is a 510(k) summary for the Breathe Technologies Ventilator & Accessories, indicating FDA clearance, but it does not contain detailed information about specific acceptance criteria, device performance metrics, or the study that proves the device meets those criteria in the format requested.

    The document primarily focuses on:

    • Device Description and Intended Use: Explaining what the device is, who it's for, and how it's used.
    • Comparison to Predicate Devices: Asserting substantial equivalence to existing ventilators.
    • Summary of Supporting Data (High-Level): Mentioning biocompatibility and bench testing compliance with "medical community's expectations," "product labeling," and "pertinent sections of the guidance's and standards."

    Therefore, I cannot populate the requested table or provide detailed answers to most of the study-related questions based on the provided text.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Specific performance metrics (e.g., flow rate accuracy, pressure accuracy, battery life, alarm thresholds)NOT SPECIFIED IN DOCUMENT. The document only states: "Bench testing has demonstrated that the device is in compliance with the medical community's expectations, the product labeling and the pertinent sections of the guidance's and standards." No quantifiable performance metrics or criteria are provided.
    Biocompatibility in compliance with ISO 10993Device is in compliance with ISO 10993.

    2. Sample size used for the test set and the data provenance

    • Sample size for the test set: Not specified in the provided document. The document mentions "bench testing" but does not give details about the size or nature of any test set used in a clinical or performance study.
    • Data Provenance (e.g., country of origin of the data, retrospective or prospective): Not specified.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    • This information is not available in the provided document. The document refers to "bench testing" and compliance with "medical community's expectations," but no details on expert involvement for ground truth establishment are given.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    • Not specified.

    5. 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 applicable/Not mentioned. This device is a ventilator, not an imaging or diagnostic device typically evaluated with MRMC studies or AI assistance in the context of "human readers."

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    • Not applicable/Not mentioned. This is a physical medical device (ventilator), not an algorithm or AI system. Its performance would be evaluated as a standalone device, as hinted by "bench testing."

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    • Not explicitly defined. For a ventilator, ground truth would typically relate to meeting physiological performance parameters, safety standards, and functional specifications. The document only references "compliance with the medical community's expectations, the product labeling and the pertinent sections of the guidance's and standards" and "bench testing."

    8. The sample size for the training set

    • Not applicable/Not mentioned. This device is not described as involving machine learning or AI models with training sets.

    9. How the ground truth for the training set was established

    • Not applicable/Not mentioned. (See point 8)
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