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510(k) Data Aggregation

    K Number
    K211056
    Device Name
    Oxus Sieve Beds
    Manufacturer
    Date Cleared
    2023-05-31

    (782 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Oxus, Inc.

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

    Refurbished Replacement Column (Sieve Bed) are regular replacement parts for Inogen One G3 Oxygen Concentrator.

    The Inogen One Oxygen Concentrator is used on a prescriptive basis by patients requiring supplemental oxygen. It supplies a high concentration of oxygen and is used with a nasal cannula to channel oxygen from the concentrator to the patient. The Inogen One Oxygen Concentrator may be used in a home, institution, vehicles and various mobile environments.

    Device Description

    The subject device is a compatible replacement part of the Inogen One G3 portable oxygen concentrator. ("POC"). Standard portable oxygen concentrators generate oxygen from room air by use of a sieve bed that removes nitrogen, other gases and impurities from the room air and generates oxygen for patients requiring supplement oxygen.

    These sieve beds must be replaced on a schedule in order to maintain the POC's ability to deliver the require % oxygen. The subject device is refurbished with existing Inogen One G3 components with a new sieve bed. The final product is equivalent to the Inogen one G3 replacement sieve bed cartridge.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device: a Refurbished Replacement Column (Sieve Bed) for the Inogen One G3 Oxygen Concentrator. However, the document does not contain information related to an AI/ML-enabled device or a study involving human readers or expert consensus for ground truth establishment for such an AI/ML device.

    The document outlines acceptance criteria and performance testing for a refurbished physical component (sieve bed), not an AI model. Therefore, I cannot extract the information required for the questions regarding AI/ML device performance, ground truth, expert adjudication, or MRMC studies.

    Here's an attempt to answer the questions based only on the information present in the provided document, highlighting where the information is not applicable (N/A) because it pertains to an AI/ML study, not a physical device performance study.

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

    The document lists performance tests and acceptance criteria in a descriptive manner, not in a formal table with reported numeric results for each criterion. It generally states that the device "met its acceptance criteria" and provides some of the criteria.

    Acceptance Criteria (Bench Testing)Reported Device Performance (Summary)
    Fill VolumeMet acceptance criteria
    Oxygen Purity over time per applicable parts of ISO 80601-2-69:2020 clause 201.12.1.103 at intervals up to 8 hours (compared to predicate)Oxygen Purity >= 90% Purity at Setting 5 at various temperature, humidity, and altitude conditions. Performance compared to predicate. Met acceptance criteria.
    LeakageBed Leak Rate
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    K Number
    K162433
    Manufacturer
    Date Cleared
    2017-05-24

    (266 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    OXUS, INC

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

    The Portable Oxygen Concentrator is intended to provide supplemental oxygen in a home, institutional, or travel environment.

    Device Description

    The GCE Zen-O™ (Model RS-00500) POC is the latest design of POC from Oxus, Inc. The GCE Zen-O™ POC delivers 87% - 96% oxygen to a patient through a standard singlelumen nasal cannula. The GCE Zen-O™ POC detects a patient breath and operates by delivering a bolus of oxygen during the inhalation period (pulse mode) or can provide a continuous flow of oxygen (continuous mode). The device is portable, enabling patients who need an oxygen device to be treated at home according to a clinician's prescription or direction. The GCE Zen-O™ POC can be set to deliver flowrates between 1-6 LPM in pulse mode and 0.5-2 LPM in continuous mode; both with increments of 0.5 LPM to a patient. The device can be operated when powered by the 100-240VAC AC/DC power supply provided with the unit and designed to operate with a DC automotive adaptor. In addition, the device contains a rechargeable battery allowing it to be carried by a patient while traveling.

    AI/ML Overview

    The provided text is a 510(k) Summary for a GCE Zen-O™ Portable Oxygen Concentrator Model RS-00500 (K162433). This document primarily focuses on demonstrating substantial equivalence to a predicate device (Oxus, RS-00400 Portable Oxygen Concentrator, K073242), rather than detailing specific acceptance criteria and a comprehensive study for meeting them in the way one might expect for a novel or high-risk device.

    Therefore, the information requested in the prompt, especially regarding sample sizes, expert ground truth establishment, adjudication methods, MRMC studies, standalone performance, and training sets, is not explicitly available in this type of regulatory submission. The submission relies on comparative bench testing and compliance with recognized standards.

    Here's a breakdown of the available information based on your request:

    1. Table of acceptance criteria and the reported device performance

    The document focuses on comparing attributes to a predicate device (Oxus, RS-00400, K073242) and meeting recognized standards, rather than setting explicit acceptance criteria with specific performance metrics for this particular device in a tabular format. The "performance" is largely demonstrated by meeting these standards and showing equivalence to the predicate.

    AttributePredicate Device (K073242 RS-00400) Reported Performance/SpecificationProposed Device (GCE Zen-O™ RS-00500) Reported Performance/SpecificationUnderlying "Acceptance Criteria" (Implied)
    Indications for UseProvides supplemental oxygen in home, institutional, or travel environment.Provides supplemental oxygen in home, institutional, or travel environment.Equivalent to predicate.
    Environments of UseTravel, Home or InstitutionTravel, Home or InstitutionEquivalent to predicate.
    PrescriptiveYesYesEquivalent to predicate.
    Patient PopulationAdultAdultEquivalent to predicate.
    Single Patient, multi-useYesYesEquivalent to predicate.
    Patient InterfaceCannula portCannula portEquivalent to predicate.
    TechnologyPressure Swing Adsorption with molecular sievePressure Swing Adsorption with molecular sieveEquivalent to predicate, "oxygen producing operations are similar".
    Dimensions4.6" H x 7.5" W x 11.6" L6.6" H x 8.3" W x 12.3" LWithin acceptable variations for a similar device.
    Weight10 lbs10.25 lbsWithin acceptable variations for a similar device.
    Oxygen Concentration87% - 96%87% - 96%87% - 96% oxygen concentration (matching predicate).
    Equivalent Flow Rates1-5 LPM, increments of 0.5 LPM1-6 LPM, increments of 0.5 LPM (pulse)
    0.5 - 2 LPM, increments of 0.5 L (continuous)Acceptable range and increments, including additional continuous mode.
    Dose at Specified Flow8.5 mL per setting11 mL per settingWithin acceptable physiological range for oxygen delivery.
    FiltersInput, Intermediate, Patient FilterInput, Patient FilterAppropriate filtration for oxygen delivery.
    User InterfaceButtons, LCD DisplayButtons, LCD DisplayEquivalent to predicate.
    Electrical100-240VAC, 50/60 Hz, 1.6A; 18VDC, 7A100-240VAC, 50/60 Hz, 2.5A; 24VDC, 6.25AMeets electrical safety standards (IEC 60601-1, etc.).
    SoftwareEmbeddedEmbeddedSoftware verification and validation conducted (moderate level of concern).
    Acoustic Noise42 dBA at 2 LPM42 dBA at 2 LPM42 dBA at 2 LPM (matching predicate).
    AlarmsVarious (Battery empty, Low Pressure, No pulse, High temp, etc.)Various (Battery empty, Low Pressure, Motor communication, No pulse, etc.)Comprehensive alarm system for safety and functionality.
    Status IndicatorsFlowrates, Battery Condition, Alarms, History Log, DiagnosticsFlowrates, Battery Condition, Alarms, History Log, DiagnosticsEquivalent to predicate for user information.
    Battery DurationApproximately 4 hours at 2LPM (pulse)Approximately 4 hours at 2LPM (pulse)Approximately 4 hours at 2LPM (pulse) (matching predicate).
    Operating Environment5 to 40° C; Altitude: 0-8000 ft; RH: 5 - 95 %5 to 40° C; Altitude: 0-9000 ft; RH: 5 - 93 %Within acceptable environmental operational conditions.
    Shipping / Storage ConditionsTemperature: -20 to 60°C; Humidity: 0 - 95 % RHTemperature: -20 to 60°C; Humidity: 0 - 93 % RHWithin acceptable environmental storage/shipping conditions.
    SafetyIEC 60601-1-2IEC 60601-1; IEC 60601-1-2Compliance with relevant IEC standards.
    Mechanical SafetyIEC 60601-1IEC 60601-1Compliance with IEC 60601-1.
    Chemical SafetyNot ApplicableNot ApplicableN/A.
    Thermal SafetyIEC 60601-1IEC 60601-1Compliance with IEC 60601-1.
    Biocompatibility4 VOC's less than ambient4 VOC's less than ambientPM2.5 less than EPA limit; Ozone
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