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510(k) Data Aggregation

    K Number
    K143148
    Manufacturer
    Date Cleared
    2015-08-11

    (281 days)

    Product Code
    Regulation Number
    868.2600
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Disposable Pressure Manometer (DPM)

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

    To provide visual indication of a patient's airway pressure during ventilation. It may be attached to the manometer port or proximal port on ventilation devices such as resuscitation bags, hyperinflation bags, CPAP mask, or CPAP circuits.

    For patients that the clinician desires to monitor or measure airway or circuit pressure.

    Home, Physician office, Hospital, Sub-acute Institutions, Emergency services or anywhere measurement of airway pressure is desired.

    Device Description

    The Westmed disposable pressure manometer is a means of providing visual indication of patient airway pressure during ventilation.

    The device consists of:

      1. Clear housing with a printed pressure scale
      1. A float with indicator and
      1. Spring

    It functions by reacting to the positive present in the ventilation device. When pressure is in the device the float moves up or down to indicate the pressure of the system. This manometer displays the pressure in the "circuit". The proposed design incorporates a calibrated spring, which has demonstrated reasonable accuracy over the expected clinical pressure range -0-60 cm H2O. The performance characteristics are that the measured pressures are accurate to:

      • 3 cm H2O up to 60 cm H2O
        It is a single patient, disposable, packaged non-sterile device.
    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the Disposable Pressure Manometer, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Set by Westmed, Inc. for this device)Reported Device Performance (Westmed DPM)
    Accuracy: ± 3 cm H₂O up to 60 cm H₂O± 3 cm H₂O up to 60 cm H₂O
    Repeatability: (Implicitly met by accuracy testing)Confirmed through testing
    Age Testing: Passed after real-time and simulated 1-yearPassed after real-time and simulated 1-year
    Mechanical Testing: Survived Drop testPassed Drop test
    Environmental Testing: (No specific criteria given)Passed Environmental testing
    Positional Testing: (No specific criteria given)Passed Positional testing

    Note: The predicate device K003497 had different accuracy criteria:

    • ± 1 cm H₂O from 0-10 cm H₂O
    • ± 2 cm H₂O from 10-40 cm H₂O
    • ± 3 cm H₂O above 40 cm H₂O
      The proposed device set its own accuracy criteria, consistent with reference devices (K040991 Ambu, K954486 Mercury Medical) for a wider pressure range.

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

    • Sample Size for Test Set: The document states that "All samples met the pass/fail criteria" for Accuracy and Repeatability, Aging, Mechanical, Environmental, and Positional Orientation tests. It also mentions "Samples were dropped," "Samples which had real-time aging and samples in accelerated aging were pressurized," and "Each sample was tested multiple times." However, the exact number of samples (N) used for the test set is not explicitly stated in the provided text.
    • Data Provenance: Not specified, but likely from in-house testing by Westmed, Inc. No mention of geographical origin or whether it's retrospective or prospective is made.

    3. Number of Experts Used to Establish Ground Truth and Qualifications

    • Number of Experts: Not applicable. This device is a measurement tool (manometer), and ground truth for its performance is established by comparison to a calibrated standard (digital manometer), not expert interpretation.
    • Qualifications of Experts: Not applicable.

    4. Adjudication Method for the Test Set

    • Adjudication Method: Not applicable. Ground truth for a physical measurement device's accuracy and performance is typically determined against established calibration standards and engineering specifications, not human adjudication.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    • MRMC Study Done: No. This is a physical medical device (disposable pressure manometer) used for objective measurement, not an AI or diagnostic imaging device that requires human interpretation. Therefore, an MRMC comparative effectiveness study is not relevant.
    • Effect Size of Human Readers with/without AI: Not applicable.

    6. Standalone (Algorithm Only) Performance Study

    • Standalone Study Done: Yes, in essence. The documented "Non-Clinical Testing Summary" details the performance of the Westmed DPM device itself, including its accuracy, repeatability, and resilience to aging, mechanical stress, environmental conditions, and positional changes. This testing is performed on the device without a human in the loop, directly measuring its output against a digital manometer.

    7. Type of Ground Truth Used

    • Type of Ground Truth: The ground truth for the device's accuracy and repeatability was established by comparison with a digital manometer (implicitly, a calibrated standard). The "Summary: Accuracy and Repeatability" section states: "Samples were pressurized across the range and confirmed with the digital manometer."

    8. Sample Size for the Training Set

    • Sample Size for Training Set: Not applicable. This is not a machine learning or AI device that requires a training set. Its functionality is based on mechanical principles (spring and float), not learned patterns.

    9. How Ground Truth for the Training Set Was Established

    • How Ground Truth for Training Set Was Established: Not applicable, as there is no training set for this type of device.
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    K Number
    K140370
    Date Cleared
    2014-06-19

    (125 days)

    Product Code
    Regulation Number
    868.2600
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    DISPOSABLE PRESSURE MANOMETER

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

    To provide visual indication of a patient's airway pressure during ventilation. It may be attached to the manometer port or proximal port on ventilation devices such as resuscitation bags, hyperinflation bags, CPAP mask, or CPAP circuits, For patients that the clinician desires to monitor or measure airway or circuit pressure, including neonates to adults. Home. Physician office, Hospital, Sub-acute Institutions, Emergency services or anywhere measurement of airway pressure is desired.

    Device Description

    The Besmed disposable pressure manometer is a means of providing visual indication of patient airway pressure during ventilation. The device consists of: 1. A flexible nipple for attachment to a sampling / pressure port. 2. Clear housing with a printed pressure scale 3. A float with indicator 4. Spring. When positive pressure is present in the ventilation device, the manometer displays the pressure in the "circuit". The proposed design incorporates a calibrated spring, which has demonstrated reasonable accuracy over the expected clinical pressure range - 0-60 cm H2O. Besmed intends offer three (3) models / styles of their disposable pressure manometer. They are identical in design, function and materials. The differences are: Pressure range. 0 0 60 cm H2O 0 40 cm H2O · Rationale some devices which may use a pressure manometer do not produce as high a pressure and the user often would like a lower limit pressure design Note the accuracy and performances are identical . Indicator strip . O All models have the pressure range embossed on the housing o A color strip / indicator may also be included to indicate the pressure. It is a single patient, disposable, packaged non-sterile device.

    AI/ML Overview

    Here's an analysis of the acceptance criteria and the study proving the device meets them, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (from predicate)Reported Device Performance (Besmed Disposable Pressure Manometer)
    Accuracy:Accuracy:
    • ± 1 cm H₂O from 0-10 cm H₂O• ± 1 cm H₂O from 0-10 cm H₂O
    • ± 2 cm H₂O from 10-40 cm H₂O• ± 2 cm H₂O from 10-40 cm H₂O
    • ± 3 cm H₂O above 40 cm H₂O• ± 3 cm H₂O above 40 cm H₂O
    (Implied) Durability/Longevity (no specific criteria stated)Age Testing – 5 years (simulated) (met)
    (Implied) Environmental Stability (no specific criteria stated)Environmental Testing - High / Low and Humidity conditions (MIL-STD-810E) (met)
    (Implied) Mechanical Robustness (no specific criteria stated)Drop test (met)
    (Implied) Biocompatibility (no specific criteria stated)• External Communication (Indirect contact) for all materials not in direct contact • Tissue communicating • Limited duration (
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    K Number
    K050309
    Manufacturer
    Date Cleared
    2005-03-25

    (45 days)

    Product Code
    Regulation Number
    868.2600
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    PULMANEX DISPOSABLE PRESSURE MANOMETER, MODEL 50-5000

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

    The PULMANEX® Disposable Manometer is designed to provide visual indication of a pediatric/infant/neonate's airway pressure during ventilation. It may be attached to the manometer port on manual ventilation devices such as resuscitation bags or hyperinflation bags.

    Device Description

    Not Found

    AI/ML Overview

    The provided text is a 510(k) clearance letter for the PULMANEX® Disposable Pressure Manometer. It does not contain information about acceptance criteria, device performance, study designs, sample sizes, expert ground truth establishment, or AI-related details. The letter confirms substantial equivalence to a predicate device but does not detail the testing or validation studies performed.

    Therefore, I cannot provide the requested information based on the input text.

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    K Number
    K040991
    Manufacturer
    Date Cleared
    2004-07-22

    (97 days)

    Product Code
    Regulation Number
    868.2600
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    AMBU DISPOSABLE PRESSURE MANOMETER

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

    Ambu Disposable Pressure Manometer will be used to provide visual indication of the patient's airway pressure and may be attached to the manometer port on venting bags, hyperinflation bags, CPAP Mask or CPAP Circuits.

    Device Description

    Not Found

    AI/ML Overview

    The provided document is a 510(k) premarket notification letter from the FDA to Ambu, Incorporated, for their "Ambu Disposable Pressure Manometer". This document does not contain the information requested regarding acceptance criteria and a study proving the device meets those criteria.

    The 510(k) letter confirms that the FDA has reviewed the submission and determined the device is substantially equivalent to legally marketed predicate devices. It discusses regulatory classifications, general controls, and other administrative aspects, but it does not detail:

    • Acceptance criteria for device performance.
    • Results of a study proving the device meets acceptance criteria.
    • Sample sizes, data provenance, expert numbers/qualifications, or adjudication methods for test sets.
    • Information on MRMC studies, standalone algorithm performance, or ground truth types.
    • Training set details or ground truth establishment for a training set.

    This type of information would typically be found in the 510(k) submission itself (which is not provided), or in a separate study report or technical documentation that supports the submission. The letter only serves as an approval of the device's substantial equivalence.

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    K Number
    K022402
    Manufacturer
    Date Cleared
    2002-08-22

    (30 days)

    Product Code
    Regulation Number
    868.2600
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    DISPOSABLE PRESSURE MANOMETER

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

    The Disposable Pressure Manometer will be used to provide visual indication of a patient's airway pressure during ventilation. It may be attached to the manometer port or proximal port on ventilation devices such as resuscitation bags, hyperinflation bags, CPAP Mask or CPAP Circuits.

    Device Description

    The VSI disposable pressure manometer is a means of providing visual indication of patient airway pressure during ventilation. The device consists of: A flexible nipple for attachment to a sampling/pressure port, Clear polycarbonate (PC) housing with a printed pressure scale, PC float with indication and a double ended stainless steel spring.

    AI/ML Overview

    The K022402 submission is for a Disposable Manometer, not an AI/ML device, so many of the requested categories (e.g., training set, number of experts, MRMC study) are not applicable. I will provide the information that is relevant to this traditional medical device submission.

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Predicate Device K003497)Reported Device Performance (VSI Disposable Manometer)
    +/- 1 cm H2O / 0-10 cm H2O+/- 1 cm H2O / 0-10 cm H2O
    +/- 2 cm H2O / 10-40 cm H2O+/- 2 cm H2O / 10-40 cm H2O
    +/- 3 cm H2O / > 40 cm H2O+/- 3 cm H2O / > 40 cm H2O
    Range of Pressures Measured: 0-60 cm H2ORange of Pressures Measured: 0-60 cm H2O
    Intended Use: To provide visual indication of a patient's airway pressure during ventilation. It may be attached to the manometer port or proximal port on ventilation devices such as resuscitation bags, hyperinflation bags, CPAP Mask, or CPAP Circuits.Intended Use: To provide visual indication of a patient's airway pressure during ventilation. It may be attached to the manometer port or proximal port on ventilation devices such as resuscitation bags, hyperinflation bags, CPAP Mask, or CPAP Circuits.
    Intended for Single Patient, Multi-Use: YesIntended for Single Patient, Multi-Use: Yes
    Prescription: YesPrescription: Yes
    Intended Population: Any patient requiring airway pressure measurement.Intended Population: Any patient requiring airway pressure measurement.
    Intended Environment of Use: Home, Hospital, Physician Office, Sub-Acute Institutions, Emergency Services, anywhere airway pressure is measured.Intended Environment of Use: Home, Hospital, Physician Office, Sub-Acute Institutions, Emergency Services, anywhere airway pressure is measured.
    Materials (Polycarbonate, PC): Polycarbonate for manometer body and float.Materials (Polycarbonate, PC): Polycarbonate to be used for manometer body and float.
    Contains Latex: NoContains Latex: No

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

    The document does not explicitly state the sample size used for performance testing or the exact data provenance (e.g., country of origin, retrospective/prospective). Instead, the submission relies on direct comparison of the proposed device's specifications and performance to a legally marketed predicate device (Engineered Medical System, Inc. - Pressure Manometer - K003497). The "Performance Accuracy" values listed in the table are the specified performance of the device, implying that testing was conducted to demonstrate conformance to these specifications to establish substantial equivalence.

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

    Not applicable. This is a hardware medical device; its performance is based on physical accuracy measurements rather than expert-established ground truth in the context of diagnostic interpretation.

    4. Adjudication Method for the Test Set

    Not applicable. This is a hardware medical device where performance is measured objectively.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    No, an MRMC comparative effectiveness study was not done. This type of study is relevant for diagnostic imaging or AI devices where human reader performance is being evaluated, often with and without AI assistance. This device is a measurement tool.

    6. If a Standalone Study Was Done

    Yes, implicitly a "standalone" performance evaluation was done in the sense that the VSI Disposable Manometer was tested to confirm it met the specified accuracy criteria. The submission states the device's performance accuracy:

    • +/- 1 cm H2O / 0-10 cm H2O
    • +/- 2 cm H2O / 10-40 cm H2O
    • +/- 3 cm H2O / > 40 cm H2O

    These values are identical to the predicate device, indicating that the device's performance was measured and found to meet these specifications.

    7. The Type of Ground Truth Used

    The "ground truth" for this device's performance is objective physical measurement of pressure accuracy against a calibrated standard.

    8. The Sample Size for the Training Set

    Not applicable. This is not an AI/ML device and does not have a "training set."

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

    Not applicable. This is not an AI/ML device and does not have a "training set."

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