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510(k) Data Aggregation

    K Number
    K120566
    Date Cleared
    2012-07-24

    (148 days)

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

    The O2PAK™ Portable Oxygen Generator, Model P26029 is intended to provide oxygen for emergency use; the O2PAK™ is currently offered to be used under the Direction of trained medical military personnel in support for disaster relief, crisis response, wartime operations, deterrence and contingency operations, humanitarian relief situations or peacetime engagements.

    Device Description

    The O2PAK™ is designed to be compact, lightweight, portable, durable and easy to carry for emergency use. O2PAK™ Model P26029 is the only O2PAK™ model currently available. Its principle of operation is the same as standard chemical oxygen generators. Oxygen is administered to the patient through a nasal cannula or an equivalent device.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the O2PAK™ Portable Oxygen Generator, Model P26029, based on the provided document.

    Acceptance Criteria and Device Performance

    FeatureAcceptance Criteria (Predicate Device K052396)Reported Device Performance (O2PAK™ Model P26029)
    Intended usesEmergency oxygenEmergency oxygen under supervision of trained personnel. Fits in C-Toms Medical Ruck Sack, or equivalent
    Environments of useNot specifiedLocations where emergency oxygen may be needed.
    Patient populationsNot specifiedAdult individuals requiring oxygen in an emergency setting.
    Solid state chemical oxygen generationYesYes
    PortableYesYes
    Flow rateApproximately 6.5 liters per minute4 to 8 liters per minute
    Flow Delivery Accuracy6 liters per minute for 15 minutesMinimum 4 liters per minute for minimum of 22 minutes
    Total Oxygen CapacityApproximately 90 litersMinimum of 90 liters
    Medically pure [USP] oxygenUSP 99%USP 99% Oxygen
    Oxygen Outlet TemperatureUnknownMaximum 6°C above ambient (at patient)
    Oxygen Outlet PressureUnknown30 psig maximum during initial surge, 3 psig maximum during operation
    Single use, disposableNot specifiedYes
    Self-containedNot specifiedYes (Cannula NOT included)
    Generator storage lifeNot specified48 months
    WeightNot specified< 3 lbs.
    Physical dimensionsNot specifiedLength: 9.8 inches, Diameter: 4.0 inches
    StorageNot specifiedOptimal :+50°F to +95°F (+10°C to +35°C), Full: -40°F to 158°F (-40°C to +70°C)
    Operating temperature rangeNot specifiedOptimal: +35°F to +95°F (+2°C to 35°C), Full: -4°F to 155°F (-20°C to 68°C)
    HumidityNot specifiedUp to 95% Non-Condensing
    Surface temperature during operationNot specified< 86°C
    Relief DeviceNot specifiedYes ~ 30 psig activation
    Flow indicatorNot specifiedYes
    Expended generator indicatorNot specifiedNo
    Patient interfaceNot specifiedSalter Labs P/N 1600 Nasal Cannula or equivalent
    AccessoriesNot specifiedSalter Labs P/N 1600 Nasal Cannula or equivalent
    ContraindicationsNot specifiedNone
    Major componentsNot specifiedChemical oxygen generator with housing (generator bag)

    Study Information

    The document describes performance testing of the O2PAK™ Portable Oxygen Generator against various engineering and environmental standards. It does not describe a clinical study involving human patients or ground truth established by experts for diagnostic or treatment purposes.

    1. Sample size used for the test set and the data provenance:

      • Test Set Sample Size: For the Shock test (MIL-STD-810G METHOD 516.6), 2 test articles were used, each subjected to 13 drops (total 26 drops). For other tests (Vibration, O2 Outlet Temperature, O2 Purity, O2 Flow, Outlet Pressure, High Temperature, Low Temperature, Humidity), the document states "Test; measured on all test articles" or "Test," implying testing was conducted on an unspecified number of test articles, but it does not provide an exact sample count beyond the shock test.
      • Data Provenance: The document implies these were prospective engineering and environmental tests conducted by or for Pacific Precision Products. The country of origin of the data is not explicitly stated but is implicitly within the context of a US-based regulatory submission (510(k)).
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

      • Not Applicable. This device is an oxygen generator, and its performance is evaluated against engineering specifications and industry standards rather than a "ground truth" derived from expert clinical opinion, as would be the case for a diagnostic medical device. The "ground truth" here is the established pass/fail criteria of the specified standards (e.g., ASTM F1464-93, MIL-STD-810G, IEC 60068-2-6, RTCA / DO-160G).
    3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

      • None. Adjudication methods are typically used in studies where human readers interpret data (e.g., medical images) and their assessments need to be reconciled to establish a consensus ground truth. This is not relevant for the described engineering performance tests.
    4. 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. An MRMC comparative effectiveness study is not mentioned as this device is not an AI-powered diagnostic tool. The document focuses on the physical and functional performance of the oxygen generator itself.
    5. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:

      • Not Applicable. This device is a piece of medical equipment, not an algorithm. The testing described is for the physical device's performance.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

      • The "ground truth" for the performance tests described consists of the specified pass/fail criteria within the referenced industry standards (e.g., MIL-STD-810G, IEC 60068-2-6, ASTM F1464-93, RTCA / DO-160G). These standards define acceptable ranges for physical properties, temperature, flow rates, purity, etc.
    7. The sample size for the training set:

      • Not Applicable. There is no mention of a training set as this is not an AI/machine learning device.
    8. How the ground truth for the training set was established:

      • Not Applicable. No training set for ground truth was established for this type of device and testing.
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