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510(k) Data Aggregation

    K Number
    K230702
    Date Cleared
    2023-10-18

    (218 days)

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

    The Portable Oxygen Concentrator (Model: P2-K4.P2-S4. P2-S3) is intended to provide supplemental oxygen in a home, institutional, or travel environment. It supplies a high concentration of oxygen and is used with a nasal cannula to channel oxygen from the concentrator to the patient. The Portable Oxygen Concentrator(Model:P2-K4,P2-K3,P2-S4,P2-S3) is small, portable and may be used in home, institution and various mobile environments. However, there is not any type of humidifier that is suitable for use with this device because of its pulse dose delivery mode.

    Device Description

    Portable Oxygen Concentrator (Model:P2-K4,P2-K3,P2-S4,P2-S3) is a portable oxygen generator that is intended to release oxygen for respiratory therapy by means of physical means (a molecular sieve). It supplies a pulsed high concentration of oxygen and is used with a nasal cannula to channel oxygen from the concentrator to the patient. The Portable Oxygen Concentrator is small, portable and may be used in home, institutional, or travel environment. The portable oxygen concentrator consists of two parts: an oxygen concentrator and accessories. The oxygen concentrator is composed of compressor, battery, solenoid valve, molecular sieve, circuit control system, heat dissipation system, and a flow control device. Accessories include power adapters.

    AI/ML Overview

    This document describes acceptance criteria and testing for a Portable Oxygen Concentrator (Models: P2-K4, P2-K3, P2-S4, P2-S3).

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally established by compliance with various international and national standards for medical electrical equipment, biocompatibility, and specific oxygen concentrator requirements. The reported device performance is demonstrated by the successful completion of tests against these standards.

    Acceptance Criteria (Standard Compliance)Reported Device Performance (Compliance Status)
    Electrical Safety (AAMI ANSI ES 60601-1, IEC 60601-1, IEC 60601-1-8, IEC 60601-1-6, IEC 60601-1-11)Complies
    Electromagnetic Compatibility (IEC 60601-1-2)Complies
    Oxygen Concentrator Specific Safety & Performance (ISO 80601-2-69)Complies
    Oxygen-Conserving Equipment Specific Safety & Performance (ISO 80601-2-67)Complies
    Biocompatibility - Cytotoxicity (ISO 10993-5)Complies
    Biocompatibility - Skin Sensitization (ISO 10993-10)Complies
    Biocompatibility - Irritation (ISO 10993-23)Complies
    Biocompatibility - Particulate matter (ISO 18562-2)Complies
    Biocompatibility - Volatile organic Compounds (ISO 18562-3)Complies (VOC's less than ambient)
    Battery Safety (IEC 62133)Complies
    Software Verification and Validation (FDA Guidance for Software in Medical Devices)Ensures compliance to recognized consensus standards

    Differences Noted in Comparison to Predicate Device and their Mitigation:

    Difference IDDescription of DifferenceMitigation (Tests Performed)
    ID_22 & ID_23Smaller number of gear settings and smaller pulse mode bolus size compared to predicate.Verified by tests according to ISO 80601-2-69: 2020, ISO 80601-2-67: 2020, ISO 18562-2: 2017, ISO 18562-3: 2017, ISO 10993-5:2009, ISO10993-10:2021, and ISO10993-23:2021.
    ID_29Different maximum oxygen discharge pressure.Verified by tests against ISO 80601-2-69: 2020 with positive result.
    ID_32Slightly lower acoustic noise.Verified by tests against ISO 80601-2-69: 2020 and ANSI AAMI ES 60601-1: 2005 /A1:2012 and A2:2020 with positive result.
    ID_46Different battery durations and multiple battery types.Verified by tests according to IEC 62133: 2017.

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

    The document does not specify a "test set" in the context of clinical trials or AI model validation with a specific number of cases. Instead, it refers to conformity testing against established standards. For such conformity testing, the "sample size" typically refers to the number of devices or components tested to ensure consistent performance across the production. This information (specific number of devices tested for each standard) is not provided in this summary.

    Data provenance: The testing appears to be primarily non-clinical bench testing and verification, likely conducted at the manufacturer's facility or by a certified testing laboratory. There is no mention of country of origin of data for a "test set" as understood in a clinical study.

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

    Not applicable. This is not an AI/ML-driven diagnostic device that requires expert-established ground truth on a test set of medical images or patient data. The device's performance is validated against engineering and medical device standards.

    4. Adjudication Method for the Test Set

    Not applicable. As noted above, this is not a diagnostic device requiring adjudication of expert interpretations for ground truth.

    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. This is a medical device for oxygen delivery, not a diagnostic AI system, therefore, an MRMC comparative effectiveness study is not relevant or mentioned.

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

    Not applicable. This device is a hardware-based oxygen concentrator with embedded software; it is not a standalone AI algorithm.

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

    The "ground truth" for this device's performance is defined by compliance with a comprehensive set of international and national standards for medical devices, electrical safety, EMC, biocompatibility, and specific oxygen concentrator requirements (e.g., ISO 80601-2-69, ISO 80601-2-67). This is a technical and performance-based "ground truth" rather than clinical diagnostic ground truth.

    8. The Sample Size for the Training Set

    Not applicable. As this is not an AI/ML device trained on data, there is no "training set."

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

    Not applicable. There is no "training set" or associated ground truth for this device.

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    K Number
    K223379
    Date Cleared
    2023-06-22

    (227 days)

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

    The Portable Oxygen Concentrator (Model: P2-E7, P2-E) is intended to provide supplemental oxygen in a home, institutional, or travel environment.

    Device Description

    Portable Oxygen Concentrator (Model: P2-E7, P2-E) is a portable oxygen generator that is intended to release oxygen for respiratory by means of physical means (a molecular sieve). It supplies a pulsed high concentration of oxygen and is used with a nasal cannula to channel oxygen from the concentrator to the patient. The Portable Oxygen Concentrator is small, portable and may be used in home, institutional, or travel environment.

    The portable oxygen concentrator consists of two parts: an oxygen concentrator and accessories. The oxygen concentrator is composed of compressor, battery, solenoid valve, molecular sieve, circuit control system, heat dissipation system, and a flow control device. Accessories include power adapters.

    Model difference: The only different between model P2-E7 and P2-E is that P2-E7 has biggest output oxygen flow of 1.4L/min (at 7 gears) and P2-E has biggest output oxygen flow of 1.0L/min (at 5 gears).

    AI/ML Overview

    The provided document is a 510(k) Summary for a Portable Oxygen Concentrator. It describes the device, its intended use, and a comparison to a predicate device to establish substantial equivalence for regulatory clearance. It does not present information about a study that assesses the device's performance against clinical acceptance criteria using human subjects or an AI algorithm.

    Therefore, I cannot provide the requested information regarding:

    • A table of acceptance criteria and reported device performance (in a clinical context).
    • Sample size used for a test set or data provenance related to clinical performance.
    • Number of experts or their qualifications for establishing ground truth for a clinical test set.
    • Adjudication method for a clinical test set.
    • MRMC comparative effectiveness study or related effect sizes.
    • Standalone (algorithm only) performance.
    • Type of ground truth used (expert consensus, pathology, outcomes data, etc.) for clinical evaluation.
    • Sample size for a training set (as no AI algorithm requiring a training set is discussed).
    • How ground truth for a training set was established.

    The document focuses on non-clinical testing and engineering standards to demonstrate safety and effectiveness, and substantial equivalence to a predicate device, not clinical performance against acceptance criteria in a human study, nor does it involve an AI component.

    The relevant information from the document related to testing and "acceptance" is as follows:

    Acceptance Criteria (Implied by Standards and Comparison to Predicate):

    While not explicitly stated as "acceptance criteria" in a clinical performance sense, the document demonstrates the device meets various safety, performance, and compatibility standards. The "reported device performance" in this context refers to the device's adherence to these standards and its characteristics in comparison to the predicate.

    Acceptance Criteria (Standard/Characteristic)Reported Device Performance (Adherence/Values)
    Safety Standards Adherence:
    ANSI AAMI ES60601-1:2005/(R)2012 and A1:2012 (Medical Electrical Equipment - General Requirements For Basic Safety And Essential Performance)Complies with the standard.
    IEC 60601-1-2: 2014 (EMC)Complies with the standard.
    IEC 60601-1-11: 2015 (Requirements for Medical Electrical Equipment and Medical Electrical Systems used in the home healthcare environment)Complies with the standard.
    IEC 60601-1-8: 2006+A1:2012 (Alarm Systems)Complies with the standard.
    ISO 80601-2-69: 2014 (Particular requirements for the basic safety and essential performance of oxygen concentrator equipment)Complies with the standard. Specifically, risks from increased output flow (P2-E7) were mitigated by tests according to this standard. Maximum oxygen discharge pressure differences (ID_29) were also validated against this standard. Acoustic Noise differences (ID_32) also validated against this standard.
    ISO 80601-2-67: 2014 (Particular requirements for basic safety and essential performance of oxygen-conserving equipment)Complies with the standard.
    IEC 62133: 2012 (Secondary cells and batteries, Safety requirements)Complies with the standard.
    Biocompatibility Standards Adherence:
    ISO 10993-5:2009 (Tests for in vitro cytotoxicity)Tested for Cytotoxicity; Complies with the standard.
    ISO 10993-10:2010 (Tests for irritation and skin sensitization)Tested for Sensitization and Irritation; Complies with the standard.
    ISO 18562-2: 2017 (Biocompatibility evaluation of breathing gas pathways - Particulate matter)Tested for Particulate matter; Complies with the standard. Specifically, risks from increased particulate matter (P2-E7) were mitigated by tests according to this standard.
    ISO 18562-3: 2017 (Biocompatibility evaluation of breathing gas pathways - Emissions of volatile organic compounds (VOCs))Tested for Volatile Organic Compounds; Complies with the standard (4 VOC's less than ambient).
    Software Standards Adherence:
    IEC 62304:2006+A1:2015 (Medical device software - Software life cycle processes)Complies with the standard. Software verification and validation performed in accordance with FDA guidance for "moderate" level of concern. No failures or latent flaws expected to result in minor injury.
    Functional Performance (compared to predicate, within acceptable differences):
    Oxygen Concentration90%-3%/+6% at all settings (Same as predicate)
    Pulse mode bolus sizeP2-E7: 50mL per breath at setting 5 with 20BPM; P2-E: 50mL per breath at setting 5 with 20BPM (Same as predicate)
    Breath rate10 - 40 Breath per minute (Same as predicate)
    Battery DurationP2-E7: Up to 4.5 hours at 0.21 LPM; P2-E: Up to 4.5 hours at 0.21 LPM (Same as predicate)
    Operating Environment (Temperature, Humidity, Altitude) and Shipping/Storage Environment (Temperature, Humidity)Same as predicate; device performs as intended in these conditions. Examples: Operating Temperature: 41 to 104°F (5 to 40°C), Humidity: 10% to 90%, non-condensing, Altitude: 0 to 10,000 ft. (0 to 3048 meters).
    Maximum oxygen discharge pressure (P2-E7, P2-E vs. P2-E6 predicate: 18.3 PSI (126KPa))P2-E7: 20.6 PSI (142KPa); P2-E: 20.9 PSI (144KPa). Differences reviewed and do not raise new questions of safety and effectiveness as validated by ISO 80601-2-69: 2014 tests.
    Acoustic Noise (P2-E7, P2-E vs. P2-E6 predicate: 58.2 dBA at 1.2 LPM)P2-E7: 58.8 dBA at 1.4 LPM; P2-E: 52.0 dBA at 1.0 LPM. Differences reviewed and do not raise new questions of safety and effectiveness as validated by ISO 80601-2-69: 2014 and ANSI AAMI ES60601-1 tests.
    Settings (P2-E7: 1 to 7; P2-E: 1 to 5 vs. P2-E6 predicate: 1 to 6)P2-E7 has an extra setting (7). The risks associated with this (increased output flow, increased emission of particulate matter) were mitigated by tests according to ISO 80601-2-69: 2014, ISO 80601-2-67: 2014 and ISO 18562-2: 2017. Therefore, the difference does not raise new questions of safety and effectiveness.

    Study Proving Device Meets Criteria:

    The "study" in this context refers to the non-clinical testing and validation performed to demonstrate substantial equivalence and adherence to recognized standards.

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

    2. Sample sized used for the test set and the data provenance: Not applicable in the context of human clinical data for this submission. The "test sets" refer to the specific units of the device models (P2-E7, P2-E) subjected to various engineering and functional tests. The data provenance is from Qingdao Kingon Medical Science and Technology Co., Ltd. (China) through bench testing. The document refers to "non-clinical tests performed." The testing is retrospective in the sense that the results were submitted for regulatory review after completion.

    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, is established by adherence to internationally recognized engineering and medical device standards (e.g., ISO, IEC, AAMI ANSI) and direct measurement of device characteristics. The expertise would lie in the engineers and testing personnel who conducted these standard tests.

    4. Adjudication method: Not applicable. Standard technical testing and comparison against predicate.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done: No. This type of study is for evaluating human performance, often with or without AI assistance, in diagnostic tasks. This device is a portable oxygen concentrator, not an imaging or diagnostic AI device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. The "software" in this device controls hardware functions (e.g., alarms, breath detection, display) and is deeply embedded, not a standalone AI algorithm for interpretation or diagnosis.

    7. The type of ground truth used: For hardware performance, the ground truth is defined by the specifications in the relevant industry standards (e.g., oxygen concentration, pressure, noise levels) and the functional requirements of the device. For software, the "ground truth" is adherence to software development life cycle processes (IEC 62304) and correct execution of defined functions without critical errors.

    8. The sample size for the training set: Not applicable. This device does not use an AI algorithm that requires a training set in the typical machine learning sense. The software is embedded control software.

    9. How the ground truth for the training set was established: Not applicable. See point 8.

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    K Number
    K210371
    Date Cleared
    2022-06-03

    (480 days)

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

    The Portable Oxygen Concentrator, model: P2-E6 is intended to provide supplemental oxygen in a home, institutional, or travel environment.

    Device Description

    Portable Oxygen Concentrator, model: P2-E6 is a portable oxygen generator that is intended to release oxygen for respiratory therapy by means of physical means (a molecular sieve). It supplies a pulsed high concentration of oxygen and is used with a nasal cannula to channel oxygen from the concentrator to the patient. The P2-E6 is small, portable and may be used in home, institutional, or travel environment.

    The portable oxygen concentrator consists of two parts: an oxygen concentrator and accessories. The oxygen concentrator is composed of compressor, battery, solenoid valve, molecular sieve, circuit control system, heat dissipation system, and a flow control device. Accessories include power adapters.

    AI/ML Overview

    This document is a 510(k) Summary for a Portable Oxygen Concentrator, model: P2-E6. It seeks to demonstrate substantial equivalence to a predicate device (GCE Zen-O™ Portable Oxygen Concentrator, Model: RS-00500, K162433).

    The information provided does not describe an AI medical device or a study involving human readers and AI assistance. Instead, it focuses on the engineering and performance characteristics of a physical medical device (an oxygen concentrator) and its compliance with various medical device standards. There is no mention of an algorithm or AI in the context of diagnostic or interpretive tasks for which acceptance criteria typically involve clinical performance metrics like sensitivity, specificity, or AUC based on expert reads.

    Therefore, I cannot fulfill the request to discuss the acceptance criteria and study proving a device meets acceptance criteria in the context of AI assistance or diagnostic performance, as the provided text pertains to a different type of medical device clearance.

    The 510(k) summary focuses on demonstrating that the new oxygen concentrator is substantially equivalent to a previously cleared predicate device by comparing:

    • Intended Use and Indications for Use: Stating they are the same (supplemental oxygen in home, institutional, or travel environment).
    • Technological Characteristics: Comparing design, principle of operation, oxygen concentration, settings, alerts, etc.
    • Performance Testing: Referring to compliance with established consensus standards (e.g., ISO, IEC) for electrical safety, electromagnetic compatibility, biocompatibility, and specific oxygen concentrator performance (e.g., oxygen concentration, discharge pressure, breath rate, bolus size).
    • Software Verification and Validation: Describing the software's level of concern, programming language, hardware platform, and testing to ensure it performs as intended.

    Key takeaway from the document: The manufacturer is demonstrating the safety and effectiveness of their new oxygen concentrator by showing it meets recognized engineering and performance standards, and that any differences from the predicate device do not raise new questions of safety or effectiveness. There is no AI component or clinical reader study described.

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