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510(k) Data Aggregation

    K Number
    K040738
    Date Cleared
    2004-04-30

    (39 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Mobile Oxygen Storage Tank (MOST) is intended to provide 93% oxygen at 50 psig nominal pressure for supplemental oxygen use only. The MOST is intended to be filled from the Expeditionary Deployable Oxygen Concentration System (E-DOCS) only. The MOST is intended for military use only.

    Device Description

    The Mobile Oxygen Storage Tank (MOST) is an oxygen storage and distribution system consisting of lightweight, high strength, high-pressure composite wound brass lined cvlinders and a distribution manifold secured within a rugged waterproof case. The MOST contains 10,000 liters of oxygen when filled to 2,250 psig. The MOST has a maximum flow capability of 225 LPM, which is equivalent to 75 LPM per Oxygen Output fitting (3 fittings per MOST).

    AI/ML Overview

    Acceptance Criteria and Device Performance Study for Mobile Oxygen Storage Tank (MOST)

    The Mobile Oxygen Storage Tank (MOST) is an oxygen storage and distribution system consisting of lightweight, high-strength composite wound brass-lined cylinders and a distribution manifold secured within a rugged waterproof case. It is intended to provide 93% oxygen at 50 psig nominal pressure for supplemental oxygen use and is designed to be filled exclusively from the Expeditionary Deployable Oxygen Concentration System (E-DOCS) for military use only.

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategoryAcceptance Criteria (Based on)Reported Device Performance
    PurityUSAF specifications (AFMESA)Met all required criteria
    Flow RateUSAF specifications (AFMESA)Met all required criteria
    MechanicalUSAF specifications (AFMESA), DOT-CFFC, NASA, MIL-STD-810FMet all required criteria
    ControlsUSAF specifications (AFMESA)Met all required criteria
    Device PerformanceUSAF specifications (AFMESA)Met all required criteria
    SafetyUSAF specifications (AFMESA), DOT-CFFC, NASA, MIL-STD-810FMet all required criteria

    Overall Conclusion: In all instances, the device met all required performance criteria and functioned as intended, meeting the acceptance criteria.

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not explicitly state the sample size used for the test set. However, it indicates that "Verification and validation testing activities were conducted to establish the performance, reliability and safety characteristics of the MOST, to demonstrate performance as intended."

    The data provenance is not explicitly stated as "retrospective" or "prospective" but implies prospective testing done for regulatory submission (510(k)). The acceptance criteria are based on USAF specifications (AFMESA), DOT-CFFC, NASA, and MIL-STD-810F, which are established standards and likely originate from the United States.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications

    The document does not specify the number of experts used or their qualifications for establishing ground truth. The acceptance criteria are derived from established military and governmental specifications (USAF, DOT-CFFC, NASA, MIL-STD-810F), implying that these standards themselves constitute the "ground truth" to which the device's performance was compared.

    4. Adjudication Method for the Test Set

    The document does not mention an adjudication method for the test set. Given that the testing involved comparing device performance against predefined technical specifications from recognized bodies (USAF, DOT-CFFC, NASA, MIL-STD-810F), the assessment would likely be an objective measurement against these standards rather than a subjective adjudication process involving multiple human experts.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, and its effect size

    No multi-reader multi-case (MRMC) comparative effectiveness study was done or mentioned. This type of study is typically for diagnostic imaging devices where human interpretation is a key component, which is not the case for an oxygen storage and distribution system like the MOST.

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

    The MOST is a physical device, not an algorithm. Therefore, the concept of "standalone performance" in the context of an algorithm does not apply. The testing conducted was focused on the physical performance and safety characteristics of the device itself.

    7. The Type of Ground Truth Used

    The ground truth used for the testing was based on established technical specifications and standards from various organizations including:

    • USAF specifications (AFMESA)
    • DOT-CFFC
    • NASA
    • MIL-STD-810F

    These specifications define the required purity, flow rate, mechanical integrity, controls, overall device performance, and safety parameters for such equipment.

    8. The Sample Size for the Training Set

    The concept of a "training set" is not applicable to this device. The MOST is a physical medical device, not a machine learning model that requires a training set.

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

    As explained in point 8, a training set is not applicable to this device. Therefore, no ground truth was established for a training set.

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    K Number
    K020330
    Date Cleared
    2002-04-12

    (71 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Deployable Oxygen Concentration System (DOCS) is designed to reliably and continuously provide supplemental oxygen to patients who may have difficulty extracting oxygen from the air that they breathe. It is intended for supplemental use in Department of Defense medical facilities or institutions, in nursing locations, health care facilities, in sub-acute care, and/or in acute care environments, whether in peacetime conditions or in deployed military scenarios.

    DOCS has the capability to supply pressurized oxygen to fill gas cylinders that can be transported to remote locations away from the DOCS system or to fill cylinders for a patient's ambulatory use.

    The device has no contraindications.

    DOCS is intended to provide supplementary oxygen. The device is to be used by trained medical personnel for military use only.

    Device Description

    The Deployable Oxygen Concentration System (DOCS) draws in normal air and produces concentrated oxygen. Air in nature is a mixture of roughly 78% nitrogen, 21% oxygen, and 1% other trace gasses. The DOCS separates the nitrogen from the air, producing an output of concentration oxygen at 93 percent, by volume, of O2, the remainder consisting mostly of argon and nitrogen.

    DOCS employs an integral oxygen analyzer to provide control of oxygen purity.

    The DOCS device is an electromechanical device consisting primarily of an oxygen concentrator module, and one or more oxygen collection cylinders. The oxygen concentrator operates on the principle of using a pressure differential to strip oxygen and nitrogen from filtered air. The resulting oxygen output is 240 liters per minute at pressure of 100 psi nominal and high pressure cylinder filling capability.

    AI/ML Overview

    The provided document is a 510(k) summary for a medical device called the Deployable Oxygen Concentration System (DOCS). This document outlines the device's technical specifications, intended use, and its equivalence to predicate devices, but it does not contain the detailed information necessary to answer all parts of your request which are typically found in clinical studies for AI/ML-based devices.

    The DOCS is an oxygen concentrator, a conventional medical device, not an AI/ML-based device. Therefore, many of your questions, such as "Sample sized used for the test set and the data provenance," "Number of experts used to establish the ground truth," "Adjudication method," "MRMC comparative effectiveness study," "standalone performance," "training set size," and "ground truth for the training set" are not applicable to the information provided.

    However, I can extract the acceptance criteria and the summary of performance testing that proves the device meets those criteria.


    Acceptance Criteria and Device Performance for Deployable Oxygen Concentration System (DOCS)

    The Deployable Oxygen Concentration System (DOCS) is a conventional oxygen concentrator and not an AI/ML-based device. Therefore, the detailed information requested regarding sample sizes for test/training sets, data provenance, expert ground truth, adjudication methods, and MRMC studies are not applicable and not present in this 510(k) summary.

    1. Table of Acceptance Criteria and Reported Device Performance:

    Acceptance Criteria CategorySpecific Acceptance Criteria (Basis)Reported Device Performance
    Oxygen PurityMeets requirements of USP 24-NF 19 Oxygen 93% standard; Integral oxygen analyzer for purity control. (Voluntary standards and US Army specifications)"concentrated oxygen at 93 percent from air... output of concentration oxygen at 95 percent, by volume, of O2" (Implies meeting at least 93%, with a reported performance of 95%)
    Flow RateEstablished in voluntary standards and US Army specifications."concentrator operates at assess of actives per minute at pressure of 100 psi nominal and high pressure cylinder filling capability."
    Electrical SafetyEstablished in voluntary standards and US Army specifications."device met all required performance criteria and functioned as intended"
    MechanicalEstablished in voluntary standards and US Army specifications."device met all required performance criteria and functioned as intended"
    ControlsEstablished in voluntary standards and US Army specifications."device met all required performance criteria and functioned as intended"
    Device PerformanceEstablished in voluntary standards and US Army specifications."device met all required performance criteria and functioned as intended"

    Study Proving Device Meets Acceptance Criteria:

    A "Verification and validation testing activities" study was conducted.

    Summary of the Study:

    • Study Description: Verification and validation testing activities were conducted to establish the performance and reliability characteristics of the DOCS.
    • Proof of Meeting Criteria: "In all instances the device met all required performance criteria and functioned as intended, meeting the acceptance criteria."
    • Conclusion: "The combined testing and analysis of results conclude that the device meets its specifications, is safe and effective for its intended use, and is substantially equivalent to the currently marketed devices."

    Parts of your request that are NOT APPLICABLE or NOT AVAILABLE in this document (as it concerns a conventional, not AI/ML, device):

    1. Sample size used for the test set and the data provenance: Not applicable/provided. This is a conventional medical device, not an AI/ML system requiring a defined test set for algorithmic evaluation. Performance testing would typically involve a small number of units tested under various conditions to verify engineering specifications.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth from experts is not relevant for verifying the performance of an oxygen concentrator.
    3. Adjudication method for the test set: Not applicable.
    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: Not applicable. This is not an AI-assisted diagnostic device.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an algorithm.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc): The "ground truth" here is based on physicochemical measurements and engineering specifications, primarily the concentration of oxygen produced, flow rate, and adherence to electrical/mechanical safety standards.
    7. The sample size for the training set: Not applicable. This is not an AI/ML device that requires a training set.
    8. How the ground truth for the training set was established: Not applicable.
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