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510(k) Data Aggregation

    K Number
    K093913
    Date Cleared
    2010-04-06

    (105 days)

    Product Code
    Regulation Number
    868.5925
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    MERCURY MEDICAL, INC.

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

    The Neo-Tee™ T-Piece Resuscitator is a gas powered emergency resuscitator intended to provide emergency respiratory support by means of a face mask or a tube inserted into a patient's airway. It is intended for use with neonates and infants weighing less than 10kg (22 lb).

    Device Description

    The Mercury Medical T-Piece Resuscitator (Neo-Tee™) is a gas power resuscitator for use with neonates / infants

    AI/ML Overview

    The Mercury Medical T-Piece Resuscitator (Neo-Tee™) underwent performance testing to demonstrate its substantial equivalence to predicate devices and adherence to industry standards, specifically ISO 10651:2006.

    1. Table of Acceptance Criteria and Reported Device Performance:

    TestAcceptance Criteria (Test requirements)Reported Device Performance
    Vomitus ResistanceMust subsequently pass Oxygen Concentration, Inspiratory Resistance, Expiratory Resistance, PEEP, Delivered Volume and Pressure Limitation testsMet the requirements
    Water ImmersionResuscitator must continue to function within the tolerances for normal useContinued to function within normal use tolerances
    Oxygen ConcentrationVolumetric concentration of oxygen must be > 85%Met the requirements (> 85% oxygen concentration)
    Inspiratory ResistancePressure at patient connection port must be > -6 cm H2O with inspiratory airflow of 6 L/minMet the requirements (> -6 cm H2O)
    Expiratory ResistancePressure at patient connection port must be 3.75 mL @ C10, R20Met the requirements ( 3.75 mL)
    Pressure LimitationPressure must not exceed 60 cm H2O @ 60 L/minMet the requirements (not exceeding 60 cm H2O)
    Storage/Operating ConditionsMust subsequently pass Delivered Volume and Pressure Limitation testsSubsequently passed Delivered Volume and Pressure Limitation tests
    DropResuscitator must continue to function within the tolerances for normal useContinued to function within normal use tolerances

    2. Sample size used for the test set and the data provenance:
    The summary does not specify a distinct "test set" in the context of clinical data or patient samples. The performance testing described refers to bench tests performed on the device itself. Therefore, information regarding sample size and data provenance (e.g., country of origin, retrospective/prospective) for a clinical test set is not applicable or provided in this 510(k) summary.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
    Not applicable. The ground truth for these performance tests is defined by the technical specifications outlined in the industry standard ISO 10651:2006 and the pre-established performance characteristics of the predicate devices. Expert clinical consensus or data annotation by medical professionals is not part of this type of engineering performance testing.

    4. Adjudication method for the test set:
    Not applicable, as this was a series of bench tests against defined engineering standards and predicate device performance, not a study requiring adjudication of expert opinions.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done:
    No, an MRMC comparative effectiveness study was not done. The submission focuses on device performance against engineering standards and comparison to predicate device specifications.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:
    Not applicable. The Mercury Medical T-Piece Resuscitator is a mechanical gas-powered device, not an algorithm or AI system. Its performance evaluation is inherently "standalone" in the sense that it refers to the device's physical and functional capabilities, not an algorithm's output.

    7. The type of ground truth used:
    The ground truth for this device's performance evaluation is based on:

    • Industry Standard: ISO 10651:2006 (for "Manually operated resuscitators").
    • Predicate Device Specifications: The performance characteristics of the GE Giraffe and Panda (K070210) and Fisher & Paykel NeoPuff (K892885) devices served as benchmarks for substantial equivalence.

    8. The sample size for the training set:
    Not applicable. This device is not an AI or machine learning model 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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