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510(k) Data Aggregation

    Why did this record match?
    Product Code :

    CAW

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

    The Portable Oxygen Concentrator provides a high concentration of supplemental oxygen to adult patients requiring respiratory therapy on a prescriptive basis. It may be used at home, in institution, vehicle, train, airplane, boats and other transport modalities. This device is to be used as an oxygen supplement and is not intended to be life sustaining or life supporting.

    Users should follow their doctor's advice on setting the oxygen flow rate and should not adjust the flow rate without consulting a healthcare professional.

    Note: Patients should regularly consult with their physician to evaluate the need for adjustments in their oxygen therapy settings.

    Device Description

    The Portable Oxygen Concentrator is a Class II, low-risk medical device designed to provide a high-concentration oxygen supply (87%-95.5%) to adult patients requiring supplemental oxygen therapy as prescribed by a healthcare professional. It is intended for use at home, in institution, vehicle, train, airplane, boats and other transport modalities and complies with FAA regulations for in-flight use. The device is not intended for life-support or life-sustaining purposes.

    The Portable Oxygen Concentrator utilizes Pressure Swing Adsorption (PSA) technology, which extracts oxygen from ambient air by selectively adsorbing nitrogen through molecular sieve beds. Oxygen is delivered through a pulse dose mechanism, synchronizing oxygen release with the patient's inhalation cycle to optimize efficiency and minimize waste.

    The series consists of four models, each offering different pulse dose settings:

    • W-R1 (MAX): 1, 2, 3, 4, 5, 6, S
    • W-R1: 1, 2, 3, 4, 5, 6
    • W-R2: 1, 2, 3, 4, 5
    • W-R2 (Lite): 1, 2, 3, 4

    The device operates in pulse flow mode and supports multiple power sources, including 100–240V AC (50–60Hz) and a rechargeable lithium-ion battery (14.4V / 6500mAh). While the hardware supports 13.0–16.8V DC input, DC operation is not currently supported, as no DC accessories are provided or authorized. A single battery charge provides up to 4.5 hours of continuous use, ensuring flexibility across various environments.

    Designed for portability and efficiency, the W-R Series features a lightweight build (1.8 kg), low noise operation, and an intuitive LCD display. Its ergonomic and user-friendly design has been internationally recognized with six global design awards, including iF, Red Dot, and IDEA, for its usability, portability, and patient-centered innovation.

    The device is suitable for operation within a temperature range of -5°C to 40°C (23°F to 104°F), humidity levels of 5% to 90% (non-condensing), and atmospheric pressure from 54kPa to 106kPa. It can function at altitudes up to 5,000 meters (16,400 feet).

    The Portable Oxygen Concentrator consists of a casing, compressor, molecular sieve system, solenoid valve, battery, cooling fan, control board, and display screen.

    Note: The device does not include a nasal cannula; patients should purchase one separately. The oxygen outlet follows international standards, and recommended cannula specifications can be found in Section 2.12: Cannula Use of the user manual.

    AI/ML Overview

    The provided FDA 510(k) clearance letter is for a Portable Oxygen Concentrator. This device is not an AI/ML-enabled device. The information requested in the prompt (acceptance criteria, study details, sample size, ground truth, expert adjudication, MRMC studies, etc.) is typically associated with the rigorous evaluation of AI/ML software as a medical device (SaMD) or AI-enabled medical devices, especially those using diagnostic imaging.

    Medical devices like portable oxygen concentrators are evaluated primarily on their physical performance characteristics, safety standards, and conformity to established regulations for mechanical and electrical safety. The clearance letter outlines the non-clinical tests performed (safety and performance testing, biocompatibility testing, electrical safety and EMC testing, battery safety testing, and software verification/validation), but these are not the types of studies that involve expert readers, ground truth consensus, or MRMC comparative effectiveness specific to AI diagnostics.

    Therefore, I cannot extract the requested information (acceptance criteria in the context of an AI study, sample sizes for test/training sets, data provenance, expert adjudication, MRMC studies, standalone performance, or ground truth establishment relevant to AI/ML) directly from this document, as it pertains to a different type of medical device evaluation.

    To directly answer your request based on the provided document, which is for a Portable Oxygen Concentrator (not an AI/ML diagnostic device):

    The FDA 510(k) Clearance Letter for the Portable Oxygen Concentrator focuses on demonstrating substantial equivalence to a predicate device through:

    • Same Intended Use: Providing supplemental oxygen to adult patients on a prescriptive basis for respiratory therapy.
    • Similar Technological Characteristics: Utilizing breath detection, molecular sieve/pressure swing adsorption, and a pulse dose mechanism.
    • Performance Data: Presenting specifications like oxygen concentration, pulse volumes, sound levels, and mechanical/electrical safety.
    • Compliance with Recognized Standards: Adhering to various international IEC and ISO standards for medical electrical equipment, biocompatibility, and oxygen concentrators.

    The "acceptance criteria" for a device of this type are generally meeting the performance specifications and safety standards outlined in the non-clinical testing section, and demonstrating that any differences from the predicate device do not raise new questions of safety or effectiveness.

    Here's a breakdown of the closest equivalents to your requested categories, given the nature of the device and the document:


    1. A table of acceptance criteria and the reported device performance

    For a portable oxygen concentrator, acceptance criteria are generally related to its physical and performance specifications like oxygen purity, flow rates, noise levels, and battery life, rather than diagnostic accuracy metrics.

    FeatureAcceptance Criteria (Subject Device Specification)Reported Device Performance (from "Specifications" and "Performance" sections)
    Oxygen Concentration90% - 3% /+ 5.5% at all settings90% - 3% /+ 5.5% at all settings
    Inspiratory Trigger Sensitivity
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    K Number
    K251130
    Date Cleared
    2025-08-21

    (132 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CAW

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

    The Jumao JM-P50A Portable Oxygen Concentrator provides a high concentration of supplemental oxygen to adult patients (ages 22 and older) requiring respiratory therapy on a prescriptive basis. It may be used in the home or in professional healthcare facility.

    Device Description

    Portable Oxygen Concentrator, model: JM-P50A is a portable oxygen generator that is intended to release oxygen for respiratory therapy by physical means (a molecular sieve). It supplies a pulsed high concentration of oxygen and is used with a nasal cannula (supplied separately) to channel oxygen from the concentrator to the patient. The JM-P50A is small, portable and may be used in the home or in a professional healthcare facility.

    Portable Oxygen Concentrator, model: JM-P50A, uses molecular sieve/pressure swing adsorption technology. Ambient air is drawn through particle filters by a compressor and forced through molecular sieve beds, which adsorb nitrogen and allow oxygen to pass. The airflow is then changed, and nitrogen is desorbed from the molecular sieve, allowing it to adsorb again during the next cycle. Oxygen is collected in an air tank. Waste nitrogen is exhausted back into the room. A series of sieve beds, manifolds and precision valves, sensors and embedded software are used to control the cycle to make the system function.

    Portable Oxygen Concentrator, model: JM-P50A, can be used in the home or in a professional healthcare facility. Power options include 100 – 240 V (50- 60Hz) AC power supply, rechargeable battery packs.

    Oxygen is delivered to the patient on a pulse dose basis in precise amounts during the inhalation part of the breathing cycle. This conserver technology eliminates waste of unused oxygen at other times in the breathing cycle when it is not needed. Portable Oxygen Concentrator, model: JM-P50A, senses the beginning of the inhalation cycle and releases a specified dose of oxygen enriched gas from the accumulator reservoir, through a final filter, into the connected nasal cannula and on to the patient.

    The portable oxygen concentrator consists of main unit, battery, power adapter and carry case. The main gas pathway of oxygen concentrator is composed of particle filter, particle filters, air compressor, molecular sieve beds, manifold valve, sensors, air tank.

    AI/ML Overview

    This is a 510(k) clearance letter for a Portable Oxygen Concentrator (JM-P50A). The document primarily focuses on demonstrating substantial equivalence to a predicate device (Inogen Rove 6 Portable Oxygen Concentrator) through bench testing and compliance with recognized consensus standards. It explicitly states that "There was no clinical testing performed."

    Therefore, the provided document does not contain information about acceptance criteria and a study proving the device meets those criteria in the context of clinical performance or human-in-the-loop assessment. The information you're asking for, particularly points 1-7 from your prompt, typically applies to studies proving clinical effectiveness or diagnostic accuracy of AI/software as a medical device (SaMD), which is not the case here.

    However, I can extract information related to the device's technical specifications and how its performance was evaluated against standards, which serve as a form of acceptance criteria for this type of device.

    Here's an interpretation based on the provided document, addressing what can be extracted and noting what cannot be:


    Acceptance Criteria and Device Performance for Portable Oxygen Concentrator (JM-P50A)

    Based on the provided 510(k) clearance letter, the acceptance criteria and the "study" (bench testing and standards compliance) focus on demonstrating substantial equivalence to a predicate device and adherence to recognized performance and safety standards. There was no clinical testing performed for this device.

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are primarily derived from the performance specifications of the predicate device and the requirements of various international standards. The "reported device performance" refers to the JM-P50A's demonstrated capability to meet these criteria through bench testing.

    Acceptance Criterion (Based on Predicate Device & Standards)Reported JM-P50A Device PerformanceDiscussion of Meeting Criteria
    Oxygen Delivery Mode: Pulse DosePulse DoseMeets criterion
    Flow Control Settings: 1,2,3,4,5,6 (Pulse Dose)Pulse dose setting 1,2,3,4,5,6Meets criterion
    Output Flow (Total volume Per minute, ml/min) per ISO 80601-2-67 +/- 15%:
    - Setting 1: 210 ml/min210 ml/minMeets criterion (within limits)
    - Setting 2: 420 ml/min420 ml/minMeets criterion (within limits)
    - Setting 3: 630 ml/min630 ml/minMeets criterion (within limits)
    - Setting 4: 840 ml/min (Table typo: listed as 84)840 ml/minMeets criterion (within limits)
    - Setting 5: 1050 ml/min1050 ml/minMeets criterion (within limits)
    - Setting 6: 1260 ml/min1260 ml/minMeets criterion (within limits)
    Oxygen Purity: 90% - 3%/+6% at all settings90% - 3%/+6% at all settingsMeets criterion
    Maximum Outlet Pressure:
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    K Number
    K250671
    Manufacturer
    Date Cleared
    2025-07-11

    (128 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
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    Product Code :

    CAW

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

    The FreeStyle Comfort Oxygen Concentrator can deliver concentrated oxygen with either a fixed-minute pulse delivery or can be set to operate using autoSAT pulse delivery. The FreeStyle Comfort is used on a prescriptive basis by patients requiring supplemental oxygen to increase blood oxygen saturation. FreeStyle Comfort may be used in the home, institution, and transport modes.

    Device Description

    The FreeStyle® Comfort® is a reusable, lightweight portable oxygen concentrator weighing 5 lbs. (2.3 kg) with the lithium-ion single battery pack, and 6 lbs. (2.7 kg) with the optional lithium-ion double battery pack. The FreeStyle Comfort's light weight and portability allow the user to receive supplemental oxygen while traveling, shopping or while at home. The FreeStyle® Comfort® complies with FAA guidelines for use onboard commercial aircraft.

    The FreeStyle® Comfort® oxygen concentrator has 5 flow settings delivering up to 1050 mL of concentrated oxygen per minute. The subject device has two delivery options, autoSAT® Pulse or Fixed Minute Pulse, providing 90% (+5.5% / -3%) of concentrated oxygen. Like the predicate device, the FreeStyle® Comfort® releases a pulse of oxygen (bolus) at the beginning of inhalation by using oxygen conserving technologies. The oxygen conserving technology detects inhalation and quickly delivers a pulse of oxygen to the user. This method of oxygen delivery increases device portability, ambulation, and battery life for extended use away from the home, as compared with continuous O2 flow oxygen concentrators.

    The outer enclosure of the FreeStyle® Comfort® is made of UL/CSA-approved PC/ABS plastic. The innerworkings include two alloy cylinders, each filled with molecular sieve (referred to as sieve beds), an internal piston air compressor, valves, tubing assembly, electrical wiring harness, filters, and control board.

    FreeStyle® Comfort® does not require sterilization and is not a single use device.

    Operating Principles
    The control board uses software to operate the unit. The device operating principle is a process known as Pressure Swing Adsorption, or PSA. Air is drawn into the device through the air intakes to the air compressor. Pressurized air flows from the air compressor to each of the (molecular) sieve beds in cycles. As one sieve bed is filled with pressurized air, the oxygen passes through the sieve bed. As the oxygen travels through the sieve bed, the nitrogen molecules collect on the molecular sieve. At the end of the cycle, the nitrogen is purged using enriched oxygen, then the process begins again with the alternate sieve bed (one sieve bed depressurizes while the other sieve bed is pressurized). This process continuously repeats from one sieve bed to the other, producing highly concentrated oxygen. Concentrated oxygen flows from the sieve beds to the product tank, then through sensors that measures both oxygen concentration and flow, then delivered to the patient.

    AutoSAT Feature
    Traditional pulse dosing supplies the same amount of oxygen delivered to the patient per minute regardless of the number of breaths taken. If the patient inhales more often, such as during physical activity like walking, the amount of oxygen delivered decreases per breath to maintain the same volume of oxygen per minute. The autoSAT (automatic titration to patient's respiratory rate) function delivers a consistent pulse dose (bolus) volume of oxygen (up to 40 breaths per minute). As breath rate increases during physical activity, the amount of oxygen delivered will stay the same per breath, which increases the volume of oxygen delivered per minute.

    The autoSAT function is a default setting in the FreeStyle Comfort. The user can change the setting to traditional dosing by using the membrane touchpad to switch off the autoSAT function. During normal operation, if after more than 15 seconds the device does not detect breath inhalation, the device will automatically begin dosing @ 20 breaths per minute until breath inhalation is detected. Upon detection, the device will resume normal operation in autoSAT mode.

    Inhalation Sensitivity
    The FreeStyle® Comfort® offers an inhalation sensitivity mode. The user can adjust the sensitivity settings values from 1-5, where 1 is the least sensitive, 5 is the most sensitive. The sensitivity function has a default setting of >-0.1 cm H2O and a maximum adjustable range of -0.3 to -0.40 cm H2O, negative pressure (inhalation) to trigger the flow (bolus) of O2 to the user. In cases where shallow breathing cannot be detected at the device (default) sensitivity setting, the user can adjust the setting with the membrane keypad to increase inhalation sensitivity to trigger oxygen delivery at the desired flow setting.

    Power Options
    FreeStyle Comfort is powered with either a single or double lithium-Ion battery pack or with an external AC/DC power source (A/C wall outlet or DC vehicle). FreeStyle® Comfort® includes a built-in battery charger that will automatically recharge the battery pack when the unit is plugged into an external power source, except during use on a commercial aircraft. When an AC/DC power source is not readily available for battery recharge, the battery pack can easily be removed for quick replacement by pressing the battery release button and sliding the battery pack out from the device.

    Device battery is capable of up to 8 hours of operation using the 8-cell battery, and 16 hours with the 16-cell battery, depending on the selected flow setting and user's breathing rate. The battery charge status is displayed on the keypad LCD during normal operation.

    User Interface
    The touch membrane keypad display allows the user to operate the device. The user can select the desired pulse dose volume and view the operating status. Once the user completes the selection process, the display screen will enter "standby" mode and then dims after 20 seconds. Pressing any button on the keypad will wake the display screen from standby mode. Oxygen delivery from the device to the user is channelled via a nasal cannula/tubing assembly, manufacturer Salter Labs (SunMed, LLC.), P/N 1600 (K911740). The end user is required to follow the cannula manufacturer's instructions for length of use, maintenance, and replacement requirements.

    Keypad/Alarms
    Operating information, battery, and operating status is displayed on the keypad LCD window. The subject device comes equipped with both visual and audible alarms.

    The FreeStyle Comfort features the following visual and audio safety alarms:

    • Low oxygen concentration
    • System malfunction due to high temperature, high system pressure or compressor fault
    • System malfunction due to low temperature, low pressure or fan failure
    • Flow Rate failure due to obstruction of gas pathway (cannula blockage)
    • Low battery (activates at 20% battery power and intensifies alarm at 5% battery power)
    • Auto-dosing until warm up is complete and breath detection is activated
    • After 15 seconds of no breath detected the unit shifts from autoSAT to auto-dose.

    Wireless Connectivity
    The FreeStyle Oxygen Concentrator utilizes Bluetooth technology that pairs the portable oxygen concentrator to a mobile device or tablet using the myCAIRE App.

    The myCAIRE™ app connects patients with home care providers (DME), allowing DMEs to view usage hours and flow settings of a connected CAIRE oxygen concentrator. The system uses wireless technology (BLE) to transmit information from the concentrator to a smart device, which then sends it to the home care provider. Home care providers can assist patients by addressing device notifications and supplying recommendations for troubleshooting remotely.

    myCAIRE™ shares data from CAIRE oxygen concentrators without altering settings, performance, or therapy. It is not intended for monitoring, diagnosis, or treatment. The connection only sends data to the app in raw format, decodable solely by Caire, with no Protected Health Information or Personally Identifiable Information transmitted.

    Associated Accessories
    The device comes equipped with a rechargeable 8-cell lithium-Ion battery pack, A/C power supply/cord, DC power supply. Optional equipment consists of a 16-cell lithium-Ion battery pack for extended use and the desktop battery charger.

    The following components are included with this FreeStyle® Comfort® 510(k) submission:

    • 8-cell Battery Pack, lithium-Ion
    • A/C power supply/power cord and plug
    • Carrying case/shoulder strap
    • DC Power Supply
    • User manual
    • 16-cell Battery Pack, lithium-Ion
    • Carry All Accessory Bag (stores the device and accessories)
    • Desktop Battery Charger
    • Backpack
    • Spare Replacement Filters
    AI/ML Overview

    The provided FDA 510(k) clearance letter and summary for the FreeStyle Comfort Oxygen Concentrator do not contain information about studies involving acceptance criteria related to a device's performance with human readers or AI assistance.

    This document focuses on establishing substantial equivalence for a medical device (an oxygen concentrator) based on its technological characteristics, intended use, and adherence to performance standards, rather than evaluating an AI algorithm's diagnostic performance in a clinical setting. Therefore, the requested information categories are not applicable to the provided text.

    Specifically, the document does not mention:

    • A table of acceptance criteria and reported device performance in relation to AI performance or human reader analysis. It provides specifications for the oxygen concentrator itself, such as oxygen concentration, flow settings, and physical dimensions.
    • Sample size, data provenance, number of experts, qualifications of experts, or adjudication methods for a test set to establish ground truth for an AI system.
    • Multi-Reader Multi-Case (MRMC) comparative effectiveness study or effect size of human readers with/without AI assistance.
    • Standalone (algorithm only) performance.
    • Training set sample size or ground truth establishment for a training set. The training set concept is relevant to AI/machine learning models, which are not described in this submission.

    The "studies" mentioned in the document are primarily non-clinical engineering and safety tests to ensure the device meets recognized international standards for medical electrical equipment and oxygen concentrators. These include:

    • Non-clinical Testing:
      • ISO 80601-2-69 (Particular Requirements for Basic Safety and Essential Performance of Oxygen Concentrator Equipment)
      • ISO 80601-2-67 (Particular Requirements for Basic Safety and Essential Performance of Oxygen-Conserving Equipment)
      • Tests for Pulse, volume; Pulse Time; Trigger Sensitivity; Oxygen Concentration Performance; Oxygen Sensor Accuracy; Visible/Audible Alarms
      • Software verification and validation
      • Electrical Safety / Electro-Magnetic Compatibility (EMC) / RFID
      • Biocompatibility (ISO 18562-2:2017 - Particulate matter, ISO 18562-3:2017 - Volatile organic compounds)
      • Sound testing.

    The acceptance criteria for the FreeStyle Comfort Oxygen Concentrator are implicit in its performance specifications (e.g., Oxygen Concentration of 90% +5.5% / -3%) and its successful demonstration of compliance with the listed ISO/IEC standards. The "study" proving it meets these criteria is the suite of non-clinical tests described.

    In summary, the provided text describes a medical device (oxygen concentrator) and its regulatory clearance process, which differs significantly from the evaluation pathway for AI-powered diagnostic devices. Therefore, the questions related to AI algorithm performance are not answerable from this document.

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    K Number
    K242736
    Date Cleared
    2025-06-05

    (267 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CAW

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

    The Portable Oxygen Concentrator, model: Spirit-3, is intended to provide supplemental oxygen in a home, institutional, or travel environment. And the device is used with adult only, not used with pediatrics, infant, or neonate patients, etc.

    Device Description

    Portable Oxygen Concentrator, model: Spirit-3, is a portable oxygen generator that is intended to release oxygen for respiratory therapy by means of physical means (a molecular sieve). It supplies a pulsed high concentration of oxygen and is used with a nasal cannula to deliver oxygen from the concentrator to the patient. The Portable Oxygen Concentrator is small, portable and may be used in home, institutional, or travel environment. Portable Oxygen Concentrator, model: Spirit-3, is capable of continuous use in a home, institutional, or travel environment. Power options include 100 – 240 V (50/ 60Hz) AC power supply, DC power supply and rechargeable lithium-ion battery. The portable oxygen concentrator consists of two parts: an oxygen concentrator and accessories.

    AI/ML Overview

    The FDA 510(k) clearance letter and supporting documentation for the Portable Oxygen Concentrator (Spirit-3) do not describe a study involving an AI/ML component or human readers. Therefore, there is no information available regarding acceptance criteria related to AI/ML performance, sample sizes for test or training sets, expert qualifications, adjudication methods, multi-reader multi-case studies, or standalone algorithm performance.

    The provided document focuses on demonstrating the substantial equivalence of the Spirit-3 Portable Oxygen Concentrator to predicate devices through technical specifications, non-clinical performance testing (bench testing), and compliance with various international standards. The "performance" being discussed in the document refers to the physical and functional performance of the oxygen concentrator itself (e.g., oxygen concentration, flow control, electrical safety, biocompatibility), not the performance of an AI/ML algorithm in an image or data interpretation task.

    Therefore, many of the requested categories are "Not Applicable" (N/A) in the context of this specific regulatory submission.

    However, I can extract the acceptance criteria and reported device performance for the Spirit-3 Portable Oxygen Concentrator based on the non-clinical tests described.

    Here's the information derived from the provided text, adapted to the requested format where applicable:

    1. Table of Acceptance Criteria and Reported Device Performance

    Feature / TestAcceptance Criteria (from Standards/Predicate Device Comparison)Reported Device Performance (Spirit-3)
    Oxygen Concentration90%-3%/+6% at all settings (Same as predicate)90%-3%/+6% at all settings
    Startup time2 minutes (Same as predicate)2 minutes
    Acoustic NoiseSimilar to 55.3 dBA at 0.84 LPM (predicate)55 dBA at 0.75 LPM (Similar)
    Electrical SafetyCompliance with IEC 60601-1Complied with ANSI AAMI ES60601-1, IEC 60601-1-11, IEC 60601-1-8, ISO 80601-2-69, ISO 80601-2-67, IEC TS 60601-4-2:2024, CISPR 25: 2021
    Electromagnetic CompatibilityCompliance with IEC 60601-1-2Complied with IEC 60601-1-2
    Biocompatibility - CytotoxicityCompliance with ISO 10993-5:2009Tested and complied (explicitly stated in "Discussion of difference" for patient contact materials)
    Biocompatibility - SensitizationCompliance with ISO 10993-10:2021Tested and complied (explicitly stated in "Discussion of difference" for patient contact materials)
    Biocompatibility - IrritationCompliance with ISO 10993-23:2021Tested and complied (explicitly stated in "Discussion of difference" for patient contact materials)
    Biocompatibility - Particulate Matter (Breathing Gas Pathway)Compliance with ISO 18562-2:2017Tested and complied
    Biocompatibility - Volatile Organic Compounds (Breathing Gas Pathway)Compliance with ISO 18562-3:2017Tested and complied
    Software Verification & ValidationPerforms as intended according to FDA GuidancePerformed and demonstrated as intended
    Battery SafetyCompliance with IEC 62133-2Tested and verified via IEC 62133-2
    Operating Condition (Temperature)Within acceptable range (Predicate: 5 to 40˚C)10˚C to 35˚C (Narrower, but compliant with ISO 80601-2-69)
    Operating Condition (Humidity)Within acceptable range (Predicate: 10% to 90%)15% to 75%, noncondensing (Narrower, but compliant with ISO 80601-2-69)
    Operating Condition (Altitude)Within acceptable range (Predicate: 0 to 3048 meters)0 to 3000 meters (Narrower, but compliant with ISO 80601-2-69)
    Pulse mode bolus sizeSimilar to 42 mL per breath at setting 4 with 20 BPM (predicate)37.5mL per breath at setting 4 with 20BPM (Smaller, but covered by subject device and does not raise new questions of safety and effectiveness)
    Rated breath rateSimilar to 10 - 40 Breath per minute (predicate)15 - 40 Breath per minute (Narrower, but meets ISO 80601-2-67:2020 requirement for disclosure and covered by predicate range)
    Maximum oxygen discharge pressureClose to 151.68kPa (22psi) (reference device)150kPa (21.8psi) (Higher than predicate, close to reference device, no new questions of safety/effectiveness)

    Study Proving Device Meets Acceptance Criteria

    The study conducted to prove the Spirit-3 Portable Oxygen Concentrator meets its acceptance criteria was a series of non-clinical bench tests and evaluations demonstrating compliance with recognized consensus standards and comparison to a legally marketed predicate device.

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

    • Sample Size for Test Set: Not applicable in the context of an AI/ML algorithm being evaluated. For the performance testing of the physical device, it implicitly refers to the specific unit(s) of the Spirit-3 device undergoing testing. The document does not specify the number of devices tested but implies standard product testing.
    • Data Provenance: The tests were conducted internally or by accredited labs as part of the manufacturing and submission process for Jiangsu Yuyue Medical Equipment & Supply Co., LTD. (China). This is prospective testing of the manufactured device.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • Not Applicable. This device is a physical oxygen concentrator, not an AI/ML diagnostic or interpretative device that requires expert ground truth for output validation.

    4. Adjudication method for the test set:

    • Not Applicable. As no expert interpretation was required. Device performance was objectively measured against predefined standard requirements.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done:

    • No. This type of study is relevant for AI/ML systems that assist human readers in tasks like image interpretation. The Spirit-3 is a portable oxygen concentrator and does not involve human reading or AI assistance in that capacity.

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

    • Not Applicable. The device does not involve a standalone algorithm for diagnostic or interpretative purposes. "Standalone" performance in this context refers to the device's inherent mechanical, electrical, and oxygen delivery performance.

    7. The type of ground truth used:

    • The "ground truth" for the performance of the portable oxygen concentrator is defined by the international consensus standards mentioned (e.g., ISO 80601-2-69, ISO 80601-2-67, IEC 60601-1, ISO 10993 series) and the specifications of the predicate devices. These standards provide benchmarks and methodologies for evaluating physical and electrical safety, essential performance, and biocompatibility.

    8. The sample size for the training set:

    • Not Applicable. This device does not use an AI/ML training set.

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

    • Not Applicable. No AI/ML training set was employed for this device.
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    K Number
    K242718
    Date Cleared
    2025-02-28

    (171 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CAW

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

    The Portable Oxygen Concentrator P2-TOC is intended to provide supplemental low flow oxygen.

    The device is not intended for life support, nor does it provide any patient monitoring capabilities. This device is for adults only.

    Device Description

    The Portable Oxygen Concentrator P2-TOC is a device that uses the principle of molecular sieve pressure swing adsorption to increase oxygen concentration by adsorption of nitrogen and other gas components. The device needs to be used with a nasal oxygen cannula, which can provide oxygen supplementation to the user.

    The Portable Oxygen Concentrator P2-TOC has two oxygen supply modes, namely continuous oxygen supply mode and pulse oxygen supply mode. Hereinafter referred to as "continuous mode" and "pulse mode" .

    In the continuous mode, the Portable Oxygen Concentrator P2-TOC can continuously deliver oxygen at a fixed flow rate. In the pulse mode, the Portable Oxygen Concentrator P2-TOC is able to deliver oxygen only when the user inhales by detecting the human respiratory rate.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a Portable Oxygen Concentrator (P2-TOC). It details the device's characteristics and compares it to predicate devices to demonstrate substantial equivalence. However, the document does not contain information related to an AI/ML-enabled device or a study involving human experts, ground truth establishment, or comparative effectiveness with AI assistance.

    Therefore, I cannot fulfill most of the requested points as the provided document is for a physical medical device (portable oxygen concentrator) and not an AI/ML diagnostic or therapeutic device.

    The document primarily focuses on:

    • Device Description and Indications for Use: What the portable oxygen concentrator does.
    • Principle of Operation: How it separates oxygen from air.
    • Comparison with Predicate Devices: Demonstrating similarity in function and safety to already-marketed oxygen concentrators.
    • Non-Clinical Tests Performed: This section lists various engineering and safety standards (electrical safety, EMC, software verification, biocompatibility) that the device complies with. These are standard tests for medical devices to ensure quality and safety, not AI model performance.
    • Absence of Clinical Accuracy Testing: Explicitly states "There was no clinical testing performed." This is common for 510(k) submissions where substantial equivalence can be demonstrated through non-clinical means.

    Here's what I can extract from the provided text regarding acceptance criteria and performance, focusing on what is relevant for a physical medical device:

    The "acceptance criteria" for a physical device like a Portable Oxygen Concentrator are typically defined by compliance with recognized consensus standards and performance specifications. The "study that proves the device meets the acceptance criteria" refers to the non-clinical testing performed to show compliance with these standards and performance specifications.

    1. Table of Acceptance Criteria and Reported Device Performance (Based on "Comparison with predicate device" and "Non-Clinical Tests Performed"):

    Acceptance Criteria CategorySpecific Acceptance Standard/Criterion (Implied or Explicit)Reported Device Performance / Compliance
    Safety & ElectricalANSI AAMI ES 60601-1 (General Safety)Complies with AAMI ANSI ES60601-1
    IEC 60601-1-11 (Home Healthcare)Complies with IEC 60601-1-11
    Electromagnetic Comp.IEC 60601-1-2 (EMC)Complies with IEC 60601-1-2
    Performance (Oxygen Conc.)ISO 80601-2-69 (Oxygen Concentrator Equ.)Complies with ISO 80601-2-69
    ISO 80601-2-67 (Oxygen-conserving Equ.)Complies with ISO 80601-2-67
    SoftwareIEC 62304 (Software Verification)Complies; Software V&V performed per FDA Guidance
    UsabilityIEC 60601-1-6 (Usability)Complies with IEC 60601-1-6
    AlarmsIEC 60601-1-8 (Alarm Systems)Complies with IEC 60601-1-8
    BiocompatibilityISO 18562-1, -2, -3 (Breathing Gas Pathways)Complies with ISO 18562-1, -2, -3
    ISO 10993-1, -5, -10, -23 (Biological Evaluation - Patient Contact)Complies with ISO 10993-1, -5, -10, -23
    Battery SafetyIEC 62133-2 (Lithium Batteries)Complies with IEC 62133-2
    Oxygen Concentration90%-3%/+6% at all settings (P2-TOC)"90%-3%/+6% at all settings" (vs. Predicates 90% +/- 3%) - Risk mitigated by ISO 80601-2-67: 2020 testing.
    Acoustic Noise≤ 60dB (A) (Gear 10 of pulse mode/ Gear 5 of continuous mode)"litter bigger than predicate device Model 1000" but "standard requirements have been met" (ISO 80601-2-69, IEC 60601-1)
    Physical Dimensions/Weight(Not a specific standard, but compared to predicates)Different from predicates but risks mitigated by ISO 80601-2-69, EC60601-1, ISO 80601-2-67 testing.
    Flow Rates(Not a specific standard, but compared to predicates)Continuous: 1.0-3.0 LPM (Same as predicates). Pulse: 5-200 ml Pulse Volumes (differs from predicates, max flow rate is smaller) - risks mitigated by various ISO/IEC testing.

    Regarding the points specific to AI/ML devices, I must state that the document does not provide the requested information for the following reasons:

    2. Sample size used for the test set and the data provenance: Not applicable. This document describes testing for a physical device's compliance with engineering standards, not an AI model trained on data. There is no concept of a "test set" from a data perspective. The "testing" refers to bench testing of the physical hardware and embedded software. Data provenance would not be a relevant concept as it pertains to clinical data for AI model training/testing.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. No clinical test set or ground truth established by experts is mentioned. The ground truth for device performance is based on physical measurements against established engineering and medical device standards.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable. No clinical test set requiring expert adjudication.

    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: Not applicable. This is a physical oxygen concentrator, not an AI-assisted diagnostic or therapeutic device that would involve human readers.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done: Not applicable. This refers to a physical device, not a standalone AI algorithm. While it has embedded software, its "performance" is measured by its physical output (oxygen concentration, flow rate) and adherence to safety standards, not by an algorithm's classification or detection accuracy.

    7. The type of ground truth used (expert concensus, pathology, outcomes data, etc): Not applicable. The "ground truth" for this device's performance is determined by direct measurement of physical parameters (e.g., oxygen purity, flow volume, noise levels) and compliance with specified engineering and safety standards, as detailed in the "Non-Clinical Tests Performed" section.

    8. The sample size for the training set: Not applicable. This is for an AI/ML model, not a physical medical device. The device itself is manufactured; it doesn't "learn" from a training set in the AI sense.

    9. How the ground truth for the training set was established: Not applicable. See point 8.

    In summary, the provided document is a regulatory submission for a physical Portable Oxygen Concentrator, and therefore, the information requested, which pertains to AI/ML device performance and validation studies, is not present. The "acceptance criteria" and "study that proves the device meets the acceptance criteria" for this device are based on demonstrating compliance with a comprehensive set of recognized consensus engineering and safety standards through non-clinical bench testing.

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    K Number
    K240561
    Date Cleared
    2024-12-06

    (281 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CAW

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

    Intended to produce oxygen for emergency use at 6 LPM flow rate for at least 15 minutes (90 liters) for individuals 17 years and older requiring emergency or supplemental oxygen.

    Device Description

    The Rugged Oxygen Generator (ROG) is intended for environment such as emergency use, home use, and commercial use and is OTC. The ROG is designed to provide supplemental oxygen and is a single use product. The ROG is a chemical oxygen generator that produces a minimum of 90 liters of oxygen at ≥96% purity for minimum of 15 minutes with an average flow rate of 6 liters per minute or greater. There is a need for oxygen in a variety of applications/locations where compressed oxygen cylinders are not suitable.

    Principle of Operation: The subject device is initiated though a friction interaction between an integrated phosphorous match and the candle block. To initiate, open the lid and turn the dial clockwise 2-3 times. The turning of the dial will rotate the match and screw the match down into the candle block. This will start the chemical reaction, which will produce oxygen. Once oxygen is flowing, close the lid and place the face mask onto patient.

    AI/ML Overview

    Here's a summary of the acceptance criteria and study information for the Rugged Oxygen Generator (ROG) based on the provided document:

    Acceptance Criteria and Device Performance

    Acceptance CriteriaReported Device Performance
    % Oxygen96% (Predicate: 99%. Note: USP defines medical oxygen purity as > 93%)
    Flow rate minimum6 LPM
    DurationAt least 15 minutes
    Initiation of oxygen flow5 seconds
    Housing temperature
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    K Number
    K240840
    Date Cleared
    2024-12-06

    (254 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CAW

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

    The Oxygen Concentrator provide supplemental oxygen to patients who require supplemental O2, by separating nitrogen from room air, by way of a molecular sieve, it can be used in the home or health care facility. It is not intended to sustain or support life.

    Device Description

    The Oxygen Concentrator is a portable concentrator which could utilize a molecular sieve and pressure swing adsorption to produce the oxygen. The device could separate nitrogen by absorbing through the molecular sieve when the room air enters the device, and allows the enriched oxygen to be collected. The device could provide approximately 90~96% of oxygen to patients on a continuous flow basis at a rate of 1L/min to 10L/min. The nasal cannula are not sold with the device, users need to purchase the accessories by themselves that are legally marketed. The products have not undergone biocompatibility assessment of condensate precipitates according to ISO18562-4, and it is not recommended to use humidification bottles. The maximum altitude the subject device can operate without degradation of concentration is 2000m.

    AI/ML Overview

    I am sorry, but based on the provided text, I cannot extract the specific acceptance criteria and study details as requested. The document is a 510(k) summary for an Oxygen Concentrator, which primarily compares the subject device to a predicate device and outlines non-clinical tests performed. It does not contain sections detailing acceptance criteria for specific performance metrics with reported results, sample sizes for test sets, expert qualifications for ground truth establishment, adjudication methods, MRMC studies, standalone performance studies, types of ground truth used, or details about the training set.

    The document states:

    • "Clinical testing was not needed for this 510(k). The non-clinical performance testing described above is sufficient to support that the device can be used safely and effectively."

    Therefore, there is no information about a study that would include elements like test set sample sizes, ground truth establishment, expert adjudication, or MRMC studies for this oxygen concentrator.

    The "Performance Comparison" table in the document provides technical specifications and comparisons to the predicate device, but these are not presented as "acceptance criteria" with "reported device performance" in the format typically used for studies validating diagnostic or AI-based devices. The reported values are descriptive technical specifications rather than outcomes from a performance study against predefined acceptance criteria.

    Therefore, I cannot provide the requested table and details because the provided text does not contain a study demonstrating device performance against explicitly defined acceptance criteria in the manner you described.

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    K Number
    K230969
    Date Cleared
    2023-11-09

    (218 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CAW

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

    The JUMAO Oxygen Concentrator is intended to provide supplemental oxygen to patients with respiratory disorders, by separating nitrogen from room air, by way of a molecular sieve. It is not intended to sustain or support life.

    Device Description

    JMC5A Ni oxygen concentrator is made up of mainframe and flowmeter. It is an electronically operated device that separates oxygen from ambient air. It provides high concentration of oxygen directly to patient/user through a nasal cannula or other methods.

    The Jumao Oxygen Concentrator is a Pressure Swing Adsorption (PSA) type oxygen concentrator which takes 120V ~ power source as power source. The output of oxygen is 0.5 to 5 liter per minute. Room air enters the piston type compressor via a series of filters for removing dust particles. The output compressed air is directed by a pneumatic valve into one of the two sieve beds which is full of adsorption material - molecular sieve. Nitrogen is adsorbed by the molecular sieve as the pressure increases; oxygen flows through the molecular sieve and concentrates at the sieve bed bottom. The enriched oxygen is divided into two streams; one stream enters a storage tank. The pressurized oxygen is regulated down to the suitable pressure, an adjustable flow meter and out to the patient. At the same time the second bed is in exhausted status, the molecular sieve desorbs nitrogen as the pressure decreases; another oxygen stream from first bed enters the bottom of the second bed, promotes purging the nitrogen and is exhausted into the atmosphere. Two sieve beds exchange the role of oxygen concentration and continue to produce 93% oxygen to the patient.

    AI/ML Overview

    This document is a 510(k) premarket notification for an Oxygen Concentrator (Model: JMC5A Ni) and primarily focuses on demonstrating substantial equivalence to a predicate device. It is not a study report designed to prove a device meets specific acceptance criteria through clinical or large-scale non-clinical performance studies with detailed statistical analysis.

    Therefore, many of the requested details about acceptance criteria, study methodologies, sample sizes for test/training sets, expert involvement, and ground truth establishment are not present in this regulatory submission document as they would be in a dedicated performance study report.

    The document states, "No clinical testing has been performed." and primarily relies on non-clinical (bench) testing and a usability study to support substantial equivalence. The "acceptance criteria" discussed are more akin to meeting specific established standards and performance specifications for an oxygen concentrator rather than criteria for an AI/algorithm-driven device's performance metrics (like sensitivity, specificity).

    Below, I will extract the available information, noting where the requested details are not provided due to the nature of the document.


    Device Under Review: JUMAO Oxygen Concentrator (Model: JMC5A Ni)
    Device Classification: Class II, Product Code CAW (Portable Oxygen Generator)
    Indication for Use: "The JUMAO Oxygen Concentrator is intended to provide supplemental oxygen to patients with respiratory disorders, by separating nitrogen from room air, by way of a molecular sieve. It is not intended to sustain or support life."


    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are not explicitly listed in a "table" format with reported performance against them as one might find for an AI algorithm's metrics (e.g., sensitivity, specificity). Instead, the document discusses compliance with recognized standards and certain performance specifications.

    Parameter/CharacteristicAcceptance Criteria (from predicate/standards)Reported Device Performance (JMC5A Ni)Notes/Comparison to Predicate
    Oxygen Concentration95.6% to 87% at all flow rates (Predicate)$93% \pm 3%$ at 0.5 to 5L/min (after turning on 5 minutes)Similar/Superior: Proposed device has a narrower and higher specified range, suggesting superior performance in this aspect ("superior to the predicate device"). Compliant with ISO80601-2-69.
    Oxygen Flow0.5 – 5 LPM (Predicate)0.5~5L/minSame
    Outlet Pressure38kPa±5kPa (Predicate)38kPa±5kPaSame
    Noise52 dB(A) (Predicate)Sound level: ≤ 50.5dB(A); Acoustic power level: 58.5dB (A)Different/Improved: Proposed device has a lower sound level. Compliant with ANSI AAMI ES60601-1.
    Electr. ClassificationClass II, Type B (Predicate)Class II, Type BFSimilar: Both Class II. Type BF is different from Type B, but proposed device compliant with ANSI AAMI ES60601-1. This difference does not affect safety/effectiveness.
    AlarmsOxygen low-flow monitor, Low oxygen purity, Power failure, Compressor 40 psi pressure relief valve, Thermal protection on compressor (Predicate)Start-up fail alarm, Low oxygen concentration alarm, Power supply failure alarm, Pressure failure alarm (Outlet block, oxygen flowrate below 0.6 Lpm; Compressor stop)Similar/Same Principle: Different expressions but similar underlying principles. Proposed device's pressure alarm takes into account more specific scenarios and is compliant with IEC 60601-1-8.
    Normal Operating AmbientTemp: 10°C - 35°C; RH: 30-75%; Alt: Up to 7,500 feet (Predicate)Temp: 5°C ~ 40°C; RH: ≤80%; Pressure: 86kPa ~ 106kPa; Alt: 1828 meter (5997 feet)Different: Wider temperature and humidity range; lower maximum altitude.
    BiocompatibilityNot explicitly detailed for predicateEvaluated per ISO 10993-1, ISO 18562-1, ISO 18562-2, ISO 18562-3, ISO 10993-5, ISO 10993-10, ISO 10993-23.Compliance with these standards is the acceptance criterion.
    Electrical Safety & EMCIEC 60601-1:2005, IEC 60601-1-2:2007 (Predicate)ANSI AAMI ES60601-1, IEC 60601-1-2, IEC TR 60601-4-2, AIM Standard 7351731, IEC 60601-1-11, IEC 60601-1-8, ISO 80601-2-69Similar/Updated Standards: Compliance with newer/updated versions of standards and additional relevant standards (e.g., for home use, alarms). This demonstrates meeting current safety requirements.
    Software Verification & ValidationNot explicitly detailed for predicatePerformed as intended per FDA Guidance for Premarket Submissions for Software Contained in Medical Devices.Compliance with FDA V&V guidance is the acceptance criterion.
    Performance Testing (Bench)General functional and safety requirements for oxygen concentratorsAppearance, Gas tightness, Sound pressure level, Operation, Accuracy of continuous flowrate, Oxygen yield and oxygen concentration, Oxygen output pressure, Alarm, Error of flowmeter, Leakage current, Dielectric strength.All bench test results provided in a Performance Test Report (not enclosed). This implies meeting the functional specifications for each.
    Use Life TestNot explicitly detailed for predicateAccelerated life test and performance test after accelerated life test.Pass/fail implicit in conclusion of substantial equivalence.
    Cleaning & Disinfection VerificationNot explicitly detailed for predicateSimulated cleaning and disinfection test and performance test after simulated cleaning and disinfection test.Pass/fail implicit in conclusion of substantial equivalence.
    Usability StudyNot explicitly detailed for predicate15 participants able to understand user manual/labeling and safely/effectively use device.Demonstrated successful use by an adequate number of participants.

    2. Sample size used for the test set and the data provenance

    • Test Set (for performance/engineering tests): The document doesn't specify a "sample size" in terms of number of devices for specific performance tests (e.g., number of concentrators tested for oxygen concentration). It states "All the bench test results are provided in Performance Test Report," implying that the necessary testing in accordance with the standards was performed on a representative sample of devices.
    • Data Provenance: Not explicitly stated, but given the manufacturer is based in China, it's highly probable the non-clinical testing was conducted in China or by labs retained by the manufacturer. It's retrospective in the sense that the tests were completed before the 510(k) submission.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    • This is not applicable as there is no "ground truth" to be established by experts in the context of human-read images or data for an AI/algorithm. The device is an oxygen concentrator, and its performance is measured against engineering specifications and industry standards.

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

    • Not applicable for the type of device and testing performed. This typically applies to human reader studies or image interpretation.

    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

    • Not applicable. This is not an AI/algorithm-assisted diagnostic device. No clinical studies were performed.

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

    • Not applicable. This is not an AI/algorithm device.

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

    • The "ground truth" for this device's performance is defined by the technical specifications and requirements outlined in recognized national and international standards for oxygen concentrators (e.g., ISO 80601-2-69, various IEC and ISO biocompatibility and electrical safety standards). Performance data (e.g., oxygen concentration, flow rate, noise level) is measured directly from the device against these established benchmarks.

    8. The sample size for the training set

    • Not applicable. This is not an AI/machine learning device.

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

    • Not applicable. This is not an AI/machine learning device.
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    K Number
    K230702
    Date Cleared
    2023-10-18

    (218 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CAW

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

    The Portable Oxygen Concentrator (Model: P2-K4.P2-S4. P2-S3) is intended to provide supplemental oxygen in a home, institutional, or travel environment. It supplies a high concentration of oxygen and is used with a nasal cannula to channel oxygen from the concentrator to the patient. The Portable Oxygen Concentrator(Model:P2-K4,P2-K3,P2-S4,P2-S3) is small, portable and may be used in home, institution and various mobile environments. However, there is not any type of humidifier that is suitable for use with this device because of its pulse dose delivery mode.

    Device Description

    Portable Oxygen Concentrator (Model:P2-K4,P2-K3,P2-S4,P2-S3) is a portable oxygen generator that is intended to release oxygen for respiratory therapy by means of physical means (a molecular sieve). It supplies a pulsed high concentration of oxygen and is used with a nasal cannula to channel oxygen from the concentrator to the patient. The Portable Oxygen Concentrator is small, portable and may be used in home, institutional, or travel environment. The portable oxygen concentrator consists of two parts: an oxygen concentrator and accessories. The oxygen concentrator is composed of compressor, battery, solenoid valve, molecular sieve, circuit control system, heat dissipation system, and a flow control device. Accessories include power adapters.

    AI/ML Overview

    This document describes acceptance criteria and testing for a Portable Oxygen Concentrator (Models: P2-K4, P2-K3, P2-S4, P2-S3).

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally established by compliance with various international and national standards for medical electrical equipment, biocompatibility, and specific oxygen concentrator requirements. The reported device performance is demonstrated by the successful completion of tests against these standards.

    Acceptance Criteria (Standard Compliance)Reported Device Performance (Compliance Status)
    Electrical Safety (AAMI ANSI ES 60601-1, IEC 60601-1, IEC 60601-1-8, IEC 60601-1-6, IEC 60601-1-11)Complies
    Electromagnetic Compatibility (IEC 60601-1-2)Complies
    Oxygen Concentrator Specific Safety & Performance (ISO 80601-2-69)Complies
    Oxygen-Conserving Equipment Specific Safety & Performance (ISO 80601-2-67)Complies
    Biocompatibility - Cytotoxicity (ISO 10993-5)Complies
    Biocompatibility - Skin Sensitization (ISO 10993-10)Complies
    Biocompatibility - Irritation (ISO 10993-23)Complies
    Biocompatibility - Particulate matter (ISO 18562-2)Complies
    Biocompatibility - Volatile organic Compounds (ISO 18562-3)Complies (VOC's less than ambient)
    Battery Safety (IEC 62133)Complies
    Software Verification and Validation (FDA Guidance for Software in Medical Devices)Ensures compliance to recognized consensus standards

    Differences Noted in Comparison to Predicate Device and their Mitigation:

    Difference IDDescription of DifferenceMitigation (Tests Performed)
    ID_22 & ID_23Smaller number of gear settings and smaller pulse mode bolus size compared to predicate.Verified by tests according to ISO 80601-2-69: 2020, ISO 80601-2-67: 2020, ISO 18562-2: 2017, ISO 18562-3: 2017, ISO 10993-5:2009, ISO10993-10:2021, and ISO10993-23:2021.
    ID_29Different maximum oxygen discharge pressure.Verified by tests against ISO 80601-2-69: 2020 with positive result.
    ID_32Slightly lower acoustic noise.Verified by tests against ISO 80601-2-69: 2020 and ANSI AAMI ES 60601-1: 2005 /A1:2012 and A2:2020 with positive result.
    ID_46Different battery durations and multiple battery types.Verified by tests according to IEC 62133: 2017.

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

    The document does not specify a "test set" in the context of clinical trials or AI model validation with a specific number of cases. Instead, it refers to conformity testing against established standards. For such conformity testing, the "sample size" typically refers to the number of devices or components tested to ensure consistent performance across the production. This information (specific number of devices tested for each standard) is not provided in this summary.

    Data provenance: The testing appears to be primarily non-clinical bench testing and verification, likely conducted at the manufacturer's facility or by a certified testing laboratory. There is no mention of country of origin of data for a "test set" as understood in a clinical study.

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

    Not applicable. This is not an AI/ML-driven diagnostic device that requires expert-established ground truth on a test set of medical images or patient data. The device's performance is validated against engineering and medical device standards.

    4. Adjudication Method for the Test Set

    Not applicable. As noted above, this is not a diagnostic device requiring adjudication of expert interpretations for ground truth.

    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

    No. This is a medical device for oxygen delivery, not a diagnostic AI system, therefore, an MRMC comparative effectiveness study is not relevant or mentioned.

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

    Not applicable. This device is a hardware-based oxygen concentrator with embedded software; it is not a standalone AI algorithm.

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

    The "ground truth" for this device's performance is defined by compliance with a comprehensive set of international and national standards for medical devices, electrical safety, EMC, biocompatibility, and specific oxygen concentrator requirements (e.g., ISO 80601-2-69, ISO 80601-2-67). This is a technical and performance-based "ground truth" rather than clinical diagnostic ground truth.

    8. The Sample Size for the Training Set

    Not applicable. As this is not an AI/ML device trained on data, there is no "training set."

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

    Not applicable. There is no "training set" or associated ground truth for this device.

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    K Number
    K223740
    Date Cleared
    2023-10-05

    (295 days)

    Product Code
    Regulation Number
    868.5440
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Product Code :

    CAW

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

    The Oxygen Concentrator is intended to be used by patients with require supplemental oxygen. The device can be used in home, institution environments. The device is not intended to sustain or support life. The device is intended for use in adults.

    Device Description

    Not Found

    AI/ML Overview

    The provided document is a 510(k) clearance letter from the FDA for an Oxygen Concentrator. It describes the device, its intended use, and confirms its substantial equivalence to a predicate device. However, this document does not contain any information regarding acceptance criteria or a study proving the device meets acceptance criteria.

    Therefore, I cannot provide the requested information, including:

    1. A table of acceptance criteria and the reported device performance
    2. Sample size used for the test set and data provenance
    3. Number of experts used to establish ground truth and their qualifications
    4. Adjudication method for the test set
    5. MRMC comparative effectiveness study results
    6. Standalone performance information
    7. Type of ground truth used
    8. Sample size for the training set
    9. How ground truth for the training set was established

    This type of information is typically found in the 510(k) summary or the full 510(k) submission, which is not included in the provided text. The letter only refers to the submission and states that the device has been found substantially equivalent.

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