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The Respironics Trilogy 200 system provides continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation. Trilogy200 is intended for pediatric through adult patients weighing at least 5 kg (11 lbs.).

The device is intended to be used in home, institution/hospital, and portable applications such as wheelchairs and gurneys, and may be used for both invasive and non-invasive ventilation.

The Respironics Trilogy 200 Ventilatory Support System is a microprocessor controlled blower based pressure support, pressure control or volume controlled ventilator intended for the care of individuals who require mechanical ventilation. The ventilator is suitable for use in the institutional/hospital, home and transport settings and is applicable for adults and pediatric patients weighing at least 5 kg (11 lbs) who require the following types of ventilatory support.

• CPAP Continuous Positive Airway Pressure
• S Spontaneous Ventilation
• S/T Spontaneous and Timed Ventilation
• T Timed Ventilation
• PC Pressure Control Ventilation
• PC-SIMV Pressure Controlled Synchronized Intermittent Mandatory Ventilation
  AC – Assist Control Ventilation
  CV - Control Ventilation
  SIMV - Synchronized Intermittent Mandatory Ventilation

A user interface displays clinical data and enables the operator to set and adjust certain clinical parameters.

The Trilogy 200 Ventilator is fitted with alarms to alert the user to changes that will affect the treatment. Some of the alarms are pre-set (fixed), others are user adjustable.

The Trilogy 200 Ventilator can deliver therapy to patients > 5kg (11 Ibs), invasively (via ET tube) or noninvasively (via masks that are cleared for use with this patient population including small child, pediatric and adult sizes).

Here's a breakdown of the acceptance criteria and study information for the Respironics Trilogy 200, based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

The provided text does not contain a specific table of acceptance criteria with corresponding performance metrics. However, it states:

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 or the data provenance. It generally refers to "extensive waveform performance, triggering and alarm functionality testing."

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

The document does not mention the use of experts to establish ground truth for a test set. This appears to be a technical and functional performance verification, rather than a clinical study requiring expert interpretation.

4. Adjudication Method for the Test Set

The document does not describe any adjudication method. Given it's a technical performance verification, this would likely not be applicable in the same way it would be for a clinical trial.

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

No, an MRMC comparative effectiveness study was not done. The submission is for a modified device (Trilogy 200) demonstrating substantial equivalence to a predicate device (Trilogy 100) through performance and functionality testing, not a clinical trial evaluating human reader performance.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

This question is not directly applicable to the device described. The Trilogy 200 is a ventilator, a mechanical device providing ventilatory support. It doesn't rely on an "algorithm only" or AI in the sense of image analysis or diagnostic support. The "testing" referred to is about the ventilator's mechanical and electronic performance.

7. The Type of Ground Truth Used

The ground truth for this device's performance verification would be defined by the pre-established engineering and performance specifications for a ventilator. For example, specific waveform characteristics, triggering thresholds, and alarm activation points would be the "ground truth" against which the device's performance was measured. It's not clinical "ground truth" in the sense of pathology or outcomes data.

8. The Sample Size for the Training Set

The concept of a "training set" is not applicable here. This is a medical device (ventilator) undergoing performance verification, not an AI or machine learning model that requires a training set.

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

As above, the concept of a "training set" and establishing ground truth for it is not applicable to this type of device submission.

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