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510(k) Data Aggregation

    K Number
    K121321
    Date Cleared
    2012-11-30

    (212 days)

    Product Code
    Regulation Number
    868.5905
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    HARD SHELL VENTED NASAL MASK

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

    The Hard Shell Vented Nasal Mask is intended to provide an interface for application of positive airway pressure therapy, such as CPAP or bi-level.

    The mask is intended for:

    • Single use, disposable .
    • . Single patient, multi-use in the home setting
    • . Multi-patient, multi- use in the hospital or institutional settings
    • Single patient, short-term use (up to 7 days) in the hospital or institutional settings ●

    The masks are to be used on adult patients (>66 lbs. />30 kg) for whom CPAP or bi-level therapy has been prescribed.

    Device Description

    The SleepNet Innova Nasal Vented Mask is similar to other CPAP mask. The Innova Nasal Vented mask is nearly identical to our iQ Nasal mask, K102317, except for the following changes:

    • Slightly different indications for use, but the predicate is Respironics ComfortGel Blue . Nasal mask, K092835.
    • . A range of durations of use for marketing purposes only
      • o single use, disposable
      • single patient, multi-use up to 7 days o
      • single patient, multi-use in home setting o
      • o multi-patent, multi-use in institutional settings
    • . material for shell, hard vs. soft
    • a new exhaust elbow design .
    AI/ML Overview

    Here's an analysis of the provided 510(k) summary for the SleepNet Innova Nasal Vented Mask, addressing your specific questions:

    Device Name: Innova Nasal Vented Mask (also referred to as Hard Shell Vented Nasal Mask)
    510(k) Number: K121321
    Predicate Device: Respironics ComfortGel Blue Nasal Mask (K092835)


    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria for the Innova Nasal Vented Mask are based on demonstrating equivalence or being "well within" the established limits of the predicate device (Respironics ComfortGel Blue Nasal Mask, K092835) or relevant ISO standards.

    Acceptance Criteria / Performance AspectAcceptance CriteriaReported Device Performance (Innova Nasal Vented Mask)Discussion/Conclusion
    CO2 WashoutPer ISO 17510-2: changes in CO2 at various pressures to be
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