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510(k) Data Aggregation

    K Number
    K042601
    Device Name
    CAPNOSTAT 5
    Date Cleared
    2004-11-19

    (56 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The intended use of the Capnostat 5 CO2 sensor is to provide carbon dioxide monitoring to a host monitoring system during anesthesia / recovery, in the intensive care unit (ICU), and in Emergency Medicine/Transport or Respiratory care.

    Device Description

    The Capnostat 5 CO2 sensor is designed for continuous, non-invasive monitoring of carbon dioxide .. Carbon dioxide is measured on-airway using an infrared absorption (IR) technique. The airway adapters are already legally marketed as accessories to the predicate device. The Capnostat 5 CO2 sensor is an integrated microprocessor based data acquisition system consisting of CO2 measurement, control circuitry and a high speed serial interface. The Capnostat 5 CO2 sensor uses SRAM for data storage and an EEPROM to store system parameters. The firmware resides in a PROM. The operations performed by the Capnostat 5 CO2 sensor include data acquisition, parameter calculation, zeroing, heater control and corrections to the CO2 signal for NoO. O2 and barometric pressure.

    AI/ML Overview

    This 510(k) submission describes a device modification to an existing CO2 sensor, the Capnostat 5 CO2 sensor. The core of the submission is about demonstrating that the modified device is substantially equivalent to its predicate device (Capnostat III sensor in Tidal Wave Sp. Model 710/715 [510(k) K032971]). For devices like this, the "acceptance criteria" are typically related to performance specifications that show the device functions as intended and is safe and effective, similar to the predicate. The study would then demonstrate that these specifications are met.

    However, the provided text does not contain a detailed study section with explicit acceptance criteria, results, and specific study parameters like sample sizes, expert qualifications, or ground truth methods. The document is primarily a 510(k) summary, which focuses on describing the device, its intended use, and its technological characteristics in comparison to a predicate device. It confirms substantial equivalence based on these characteristics and mentions that the device is a modification.

    Therefore, many of the requested fields cannot be filled directly from the provided text. I will explain why each field cannot be filled, or what can be inferred if any information is available.


    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Not provided in the document.Not provided in the document.
    (Typically, this would include accuracy, precision, response time, stability, etc. for CO2 measurement in various clinical scenarios, often compared to a gold standard or the predicate device's performance.)(The document states the device measures CO2 using IR absorption and calibrates to accurately reflect CO2 concentration, but gives no specific performance numbers.)

    Explanation: The document describes the technical function of the CO2 sensor (infrared absorption, beam splitter, pulsed IR source, calibration to a known CO2 concentration) but does not provide specific numerical acceptance criteria or performance results from any studies. For a device modification of this nature, performance data (e.g., accuracy against a known gas mixture, stability over time, performance in different temperature/humidity conditions) would typically be part of the supporting documentation but is not included in this 510(k) summary.

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

    • Sample Size: Not provided.
    • Data Provenance: Not provided.

    Explanation: No specific performance study data, including sample sizes or data provenance (e.g., whether a clinical study was performed, and if so, where and when), is mentioned in this summary.

    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)

    • Number of Experts: Not applicable/Not provided.
    • Qualifications of Experts: Not applicable/Not provided.

    Explanation: This type of device (CO2 sensor) typically doesn't use human expert ground truth in the way an imaging AI algorithm would. Its ground truth would be established by reference gas mixtures or another highly accurate, independently verified CO2 measurement device. No details on such a "ground truth" establishment are provided, nor are human experts relevant for this specific device.

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

    • Adjudication Method: Not applicable/Not provided.

    Explanation: As explained above, human expert adjudication methods are not typically used for establishing ground truth for a CO2 sensor's performance.

    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

    • MRMC Study: No.

    Explanation: This is a hardware CO2 sensor, not an AI diagnostic tool that assists human readers with interpretation. Therefore, a MRMC study is not applicable.

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

    • Standalone Performance: Partially yes, but specific study details are not provided.

    Explanation: The device itself is designed for standalone measurement of CO2. The description focuses on its technical mechanism (IR absorption, calibration) which implies standalone performance is its primary function. However, no specific "standalone study" with quantifiable results is documented in this summary. The device's performance is inherently "standalone" in how it acquires and processes CO2 data.

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

    • Type of Ground Truth: Not explicitly stated, but for this type of device, it would typically be a reference gas analyzer or known, certified CO2 gas mixtures.

    Explanation: The text mentions "To calibrate, the photodetector's response to a known concentration of CO2 is stored in the monitor at the factory." This implies that the ground truth for calibration (and by extension, for evaluating accuracy) comes from controlled, known CO2 concentrations.

    8. The sample size for the training set

    • Sample Size: Not applicable/Not provided.

    Explanation: This device is a hardware sensor with embedded firmware, not a machine learning model that undergoes a "training set" in the conventional AI sense. Its calibration is done at the factory with known CO2 concentrations, but this is a calibration process, not a machine learning training process.

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

    • Ground Truth Establishment: Not applicable/Not provided in terms of a "training set" for AI.

    Explanation: As mentioned above, the concept of a "training set" and associated ground truth establishment for AI models does not directly apply to this device. Its accuracy is established through calibration against known CO2 concentrations, which serves a similar function to ground truth validation in a traditional engineering context.

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