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510(k) Data Aggregation

    K Number
    K250148
    Date Cleared
    2025-08-28

    (219 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CCK

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

    The Medical Gas Analyzer is intended to be connected to other medical devices for monitoring of the breathing gases CO2, N2O and the anesthetic agents Halothane, Enflurane, Isoflurance, Sevoflurance and Desflurane.

    It is intended to be connected to a patient breathing circuit for monitoring of inspired/expired gases during anesthesia, recovery and respiratory care. It may be used in the operating suite, intensive care unit and patient room for adult, pediatric and infant patients.The CO2 may also be used in the emergency medical services environment and road ambulances.

    Note: The Medical Gas Analyzer shall only be connected to medical devices approved by Prior-care.

    Device Description

    The Medical Gas Analyzer is a mainstream respiratory gas analyzer based on infrared gas spectrometry. It is intended to be connected to another medical host device for display of respiratory parameters. It is connected to the patient breathing circuit via the Airway Adapter. This premarket submission adds the C50 Multi-parameter Patient Monitor as a host backboard display to AG200. The C50 Multi-parameter Patient Monitor produced by Shenzhen Comen Medical Instruments Co., Ltd., which has obtained FDA's 510K clearance (K191106).

    The concentrations of CO2, N2O, Halothane, Enflurane, Isoflurane, Sevoflurane and Desflurane can be determined together with derived parameters such as waveform data and inspired / expired concentrations of all gases.

    The mainstream probe airway adapter is inserted between the endotracheal tube and the breathing circuit, and the gas measurements are obtained through the windows in the sides of the adapter. Running on a standard low voltage DC 5V, the mainstream probe is designed with portability in mind and has low power consumption.

    The mainstream gas analyzers are characterized by the following features:

    • Low system integration complexity
    • Low power consumption
    • Fast startup time
    • Low weight
    AI/ML Overview

    The provided document is a 510(k) clearance letter and summary for the Medical Gas Analyzer (AG200). It does not contain information about a study proving the device meets its acceptance criteria.
    The document states: "the subject device does not require clinical test data to support substantial equivalence." This means that the device was cleared based on its similarity to existing devices and bench testing, rather than a clinical study demonstrating its performance against specific acceptance criteria in a real-world setting.

    Therefore, I cannot provide the requested information about the study proving the device meets acceptance criteria, the sample sizes, data provenance, expert details, adjudication methods, MRMC study results, standalone performance, or training set details as they are not present in the provided text.

    However, I can extract the acceptance criteria as reported in the document through comparison with the predicate device, although these are not explicitly presented as "acceptance criteria" but rather as "device performance" parameters.

    1. Table of Acceptance Criteria and Reported Device Performance (as implied by comparison to predicate/reference devices):

    ParameterMedical Gas Analyzer (AG200) Reported PerformancePredicate Device (K123043)Acceptance Criteria (Implied by Substantial Equivalence)
    CO2 Accuracy (dry single gases at 22±5℃ and 1013±40hPa)0 to 15 vol%, ±(0.2 vol% + 2% of reading)0 to 15 vol%, ±(0.2 vol% + 2% of reading)Within ±(0.2 vol% + 2% of reading) for 0 to 15 vol%
    N2O Accuracy (dry single gases at 22±5℃ and 1013±40hPa)0 to 100 vol%, ±(2 vol% + 2% of reading)0 to 100 vol%, ±(2 vol% + 2% of reading)Within ±(2 vol% + 2% of reading) for 0 to 100 vol%
    Halothane, Enflurane, Isoflurane Accuracy (dry single gases at 22±5℃ and 1013±40hPa)0 to 8 vol%, ±(0.15 vol% + 5% of reading)0 to 8 vol%, ±(0.15 vol% + 5% of reading)Within ±(0.15 vol% + 5% of reading) for 0 to 8 vol%
    Sevoflurane Accuracy (dry single gases at 22±5℃ and 1013±40hPa)0 to 10 vol%, ±(0.15 vol% + 5% of reading)0 to 10 vol%, ±(0.15 vol% + 5% of reading)Within ±(0.15 vol% + 5% of reading) for 0 to 10 vol%
    Desflurane Accuracy (dry single gases at 22±5℃ and 1013±40hPa)0 to 22 vol%, ±(0.15 vol% + 5% of reading)0 to 22 vol%, ±(0.15 vol% + 5% of reading)Within ±(0.15 vol% + 5% of reading) for 0 to 22 vol%
    CO2 Accuracy (all conditions)±(0.3 vol% + 4% of reading)±(0.3 vol% + 4% of reading)Within ±(0.3 vol% + 4% of reading)
    N2O Accuracy (all conditions)±(2 vol% + 5% of reading)±(2 vol% + 5% of reading)Within ±(2 vol% + 5% of reading)
    Agents Accuracy (all conditions)±(0.2 vol% + 10% of reading)±(0.2 vol% + 10% of reading)Within ±(0.2 vol% + 10% of reading)
    Respiration Rate Range0 to 150 breaths/min2 to 150 breaths/min0 to 150 breaths/min (implied by compliance with ISO 80601-2-55 despite difference in predicate's lower limit)
    Respiration Rate Accuracy±1 breaths/min±1 breaths/minWithin ±1 breaths/min
    Anaesthetic Agents Threshold0.2 vol%0.15 vol% (with caveats)0.2 vol% deemed acceptable as verified by bench test and compliance with ISO 80601-2-55.
    Warm-up time10-180 seconds
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    K Number
    K243956
    Date Cleared
    2025-06-10

    (169 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CCK

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

    The Nihon Kohden TG-980P/TG-980P1 CO2 Sensor Kit is intended for medical purposes to measure the concentration of carbon dioxide in a gas mixture to aid in determining the patient's ventilatory status.

    Along with other methods indicated by the physician for medical diagnosis, this device is intended as an indicator of patient carbon dioxide concentration during expiration. The device is intended for use by qualified medical personnel within a hospital, ambulatory care, transport, or any other clinical environment.

    Device Description

    The TG-980P and TG-980P1, collectively referred to as TG-980P/TG-980P1, are CO2 Sensor Kits used to measure the concentration of carbon dioxide (CO2 or CO2) during patient expiration. The TG-980P/TG-980P1 is intended for use by qualified medical personnel as an aid for determining patient ventilatory status within a hospital, ambulatory care, transport, or any other clinical environment.

    The TG-980P/TG-980P1 CO2 Sensor Kit comprises three main components: a CO2 sensor, an interface connector, and a sensor cable. It utilizes the mainstream measurement method to sample gas directly from the patient's airway and non-dispersive infrared (NDIR) absorption technology to measure CO2 concentration during patient expiration. CO2 gas absorbs infrared light at specific wavelengths, and the amount absorbed is directly related to CO2 concentration. The CO2 sensor is equipped with a light source that generates infrared light. The light passes through an attached Nihon Kohden accessory (except the Thermal Airflow Sensor) through which the expired air flows and is converted by photodetectors to voltage, which is used to calculate CO2 concentration. The calculated digital data is then transmitted and displayed on a connected patient monitor or other device.

    The TG-980P/TG-980P1 CO2 Sensor Kit can be connected via the interface connector and used with Nihon Kohden devices for which the operator's manual specifies compatibility with the TG-980P/TG-980P1.

    AI/ML Overview

    This FDA 510(k) clearance letter pertains to a hardware device (CO2 Sensor Kit) and not an AI/ML software. Therefore, many of the requested criteria regarding AI-specific studies (e.g., sample size for training set, number of experts for ground truth, MRMC study) are not applicable.

    However, I can extract the relevant acceptance criteria and details of the non-clinical performance studies conducted for the device.


    Acceptance Criteria and Device Performance (Non-AI Device)

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

    The document provides the performance specifications for the CO2 Sensor Kit, rather than explicit "acceptance criteria" in the typical sense of a target for a specific study. The reported device performance is compared to the predicate device's performance.

    Performance CharacteristicAcceptance/Predicate SpecificationSubject Device (TG-980P/TG-980P1) Reported Performance
    Trade/Device NameNihon Kohden TG-970P Series CO2 Sensor KitNihon Kohden TG-980P/TG-980P1 CO2 Sensor Kit
    Regulatory ClassClass IIClass II
    Product CodeCCK (868.1400)CCK (868.1400)
    Intended UseTo be used under the control of a healthcare professional to measure the concentration of carbon dioxide in a gas mixture to aid in determining the patient's ventilatory status; an indicator of patient carbon dioxide concentration during expiration.Equivalent, with slightly changed wording but same meaning.
    Indications for UseTo measure the concentration of carbon dioxide in a gas mixture to aid in determining the patient's ventilatory status; an indicator of patient carbon dioxide concentration during expiration. For use by qualified medical personnel within a hospital or clinical environment.Same as predicate, but with clarification of intended use environments to include "ambulatory care, transport, or any other clinical environment."
    Type of UsePrescription Device OnlyPrescription Device Only
    Intended PopulationAdult and children patients 7 kg or more (Predicate) / Adults, children, infants and neonates (Reference)Neonates to adults. All types of genders, races, and languages. (Same as Reference device's broader population)
    Patient ContactIntubated (Predicate) / Intubated/Non-intubated (Reference)Intubated/Non-intubated (Same as Reference device)
    ConfigurationCO2 sensor, Connector, Sensor cable, CO2 adapterCO2 sensor, Connector, Sensor Cable (CO2 adapter removed)
    Dimension (CO2 sensor)37 x 8.3 x 13.7 mm ±10%37 x 8.3 x 13.7 mm ±10%
    Weight (Sensor part)4 g ±1 g4 g ±2 g (Weight tolerance adjusted)
    Sampling methodMainstream infrared absorptionMainstream infrared absorption
    Measurement principleSingle-wave spectroscopic method (Non-dispersive infrared gas analyzing method (NDIR))Single-wave spectroscopic method (Non-dispersive infrared gas analyzing method (NDIR))
    CO2 measurement methodQuantitative methodQuantitative method
    CalibrationYESYES
    EtCO2 determinationYESYES
    No Breath detect limitCO2
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    K Number
    K251216
    Date Cleared
    2025-06-04

    (47 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CCK

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

    The CO2 Sampling lines are the single patient, disposable device intended for monitoring expired gases from the patient.
    Environment of use – hospital, sub-acute, and pre-hospital settings.
    Patient population – Patients requiring expired gas monitoring.

    Device Description

    Barbaras Development Inc. CO2 Sampling lines are the accessories in breathing system and intended for sampling of exhaled gases for monitoring, typically end-tidal CO2.

    The Barbaras Development Inc. CO2 sampling lines are used to connect between the patient's end of the breathing system and the distant analyzer, such as the capnograph monitor, along this tube, the patient's breath is continuously sampled. the gas sampling is exhaust only and there is no gas flow back to patient.

    The Barbaras Development Inc. CO2 Sampling Lines are a disposable, single patient use that allow to sample of patients exhaled gases. It consists of flexible extruded plastic tubes with and standard connectors on each end. We will present several different configurations like have the filter or without filter in the middle which have been tested and compared to predicates.

    The Barbaras Development Inc. CO2 Sampling Lines are offered in the following models: 0184 CO2 Sampling line, 0184T CO2 Sampling line, 0139 CO2 Sampling line, 0182 CO2 Sampling line.

    Gas sampling devices are not specific to a particular exhaled gas monitor. Almost all gas sampling line are connected to the monitor via a standard luer fitting, whether it is a female or male fitting.

    AI/ML Overview

    The provided FDA 510(k) clearance letter details the clearance of CO2 Sampling lines manufactured by Barbaras Development Inc. The clearance is based on substantial equivalence to a predicate device, Tylenol Medical Instruments Co., Ltd - K181981 - CO2 sampling line, and a reference device, ProMedic – Gas Sampling Lines – K023579.

    It's important to note that this document is a 510(k) summary for a medical device that is an accessory (CO2 sampling lines) and not an AI/ML powered diagnostic or prognostic tool. Therefore, many of the requested elements, such as MRMC studies, effect size of AI assistance, standalone algorithm performance, number of experts for ground truth, adjudication methods, and training set details, are not applicable to this type of device and are not present in the provided text. The evaluation focuses on physical characteristics, material compatibility, and basic performance parameters against established standards.

    Here's the breakdown of the available information based on your request:

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided document describes "Non-Clinical Testing Summary" and "Performance testing" categories, indicating that these were the acceptance criteria for the device. The reported performance is generally stated as "performed equivalent to the predicate" and "All testing demonstrated that the subject devices are substantially equivalent to the predicate." No specific numerical results are provided in this summary.

    Acceptance Criteria CategorySpecific Tests/CriteriaReported Device Performance
    Material/DesignBiocompatibility (Cytotoxicity, Sensitization, Irritation)Similar to predicate, met ISO 10993 testing requirements for skin contact (limited duration
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    K Number
    K240937
    Device Name
    AIM (N/A)
    Manufacturer
    Date Cleared
    2024-12-16

    (255 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CCK

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

    AIM is a bite block intended for use in patients 18 years and older who require supplemental oxygen and CO2 monitoring during procedures where the patient is expected to be minimally or moderately sedated. AIM is not indicated for use during procedures that are expected to require deep sedation.

    Device Description

    AIM is a single-use, non-sterile bite block with integrated oxygen (O2) delivery and expired gas sampling tubing for patients undergoing procedures where supplemental oxygen and expired gas sampling is required expired. When paired with an oxygen supply and a capnography monitor, AIM can be left in place after the procedure to deliver oxygen and monitor CO2 levels.

    AIM consists of a bite block, an attached oxygen delivery line and an attached CO2 sampling line. It delivers oxygen and samples exhaled CO2 in the oropharynx.

    AI/ML Overview

    The provided text describes a 510(k) summary for a medical device named AIM, which is a bite block with integrated oxygen delivery and expired gas sampling tubing. The summary compares AIM to a predicate device, DualGuard™ (K140473), to demonstrate substantial equivalence.

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

    Acceptance Criteria and Device Performance Study for AIM

    1. Table of Acceptance Criteria and the Reported Device Performance

    The document describes performance tests by comparing the AIM device to its predicate, DualGuard™. The acceptance criteria appear to be equivalent or better performance than the predicate device.

    Acceptance Criteria (Internal/Predetermined)Reported Device Performance
    Biocompatibility: Meet ISO 10993 standards (ISO 10993-5:2009, ISO 10993-23:2021, ISO 10993-10:2021, ISO 18562-2:2017, ISO 18562-3:2017) for surface contact, skin and mucosal, externally communicating tissue, limited use (
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    K Number
    K230915
    Date Cleared
    2024-11-12

    (592 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Product Code :

    CCK

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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    K Number
    K222511
    Device Name
    Oxy2Pro
    Manufacturer
    Date Cleared
    2023-11-21

    (459 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CCK

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

    The Oxy2Pro is a single patient, disposable procedural mask with access for the insertion of oral scopes, probes, delivery of supplemental oxygen and monitoring breathing by providing a means to sample exhaled CO2. It is for nonintubated, adult patients who are breathing spontaneously.

    Device Description

    The Southmedic Oxy2Pro is designed to have a flexible, thin membrane that is intended to be breached when requiring oral access for scope entry. This slitted membrane is intended to allow the mask to return to a closed- mask functionality after having been used with a scope. This device is to be used in conjunction with FDA cleared capnographs.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the Oxy2Pro device, based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document states that the acceptance criteria for the Oxy2Pro mask was that its performance for FiO2 (fraction of inspired oxygen) and EtCO2 (end-tidal carbon dioxide) should not be statistically significantly less than the predicate device (K172365) at the tested flow rates.

    The study results demonstrate the following:

    Oxygen Flow RateOxy2Pro FiO2Oxy2Pro EtCO2Predicate (K172365) FiO2Predicate (K172365) EtCO2
    5 l/min53.3%6.13%N/AN/A
    8 l/min64.0%4.87%52.3%4.03%
    10 l/min64.7%4.70%48.3%4.17%
    12 l/min67.3%3.77%54.7%3.30%
    15 l/min72.3%3.70%52.0%3.53%

    The document concludes that the "Oxy2Pro mask was not statistically significantly less than the predicate for FiO2 or EtCO2 at the tested flow rates, meeting the acceptance criteria."

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

    • Sample Size for Test Set: Not explicitly stated in terms of a number of masks or subjects. The document mentions "testing was completed under simulated conditions at various flow rates." This implies a series of measurements were taken at different flow rates, but the number of devices tested or repetitions of each test is not specified.
    • Data Provenance: The testing was "completed to evaluate the ability to deliver FiO2 and sample EtCO2 relative to the predicate device." It was performed by an "Accredited third-party testing" organization. The location of this organization and whether the data is retrospective or prospective is not specified. Given the context of a 510(k) submission, it is likely prospective testing specifically conducted for this submission.

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

    N/A. This information is not relevant or applicable to the type of performance testing described. The "ground truth" (or reference standard) in this context is the measured FiO2 and EtCO2 values under controlled simulated conditions, using calibrated equipment. It does not involve expert interpretation or consensus.

    4. Adjudication Method for the Test Set

    N/A. As the testing involved objective measurements under simulated conditions, there was no need for an adjudication method by experts.

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

    N/A. This type of study is typically performed for AI/image analysis devices where human readers provide interpretations. The Oxy2Pro is a medical device for oxygen delivery and CO2 sampling, and its performance is evaluated objectively through physical measurements, not human interpretation.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    N/A. This concept is for software algorithms. The Oxy2Pro is a physical device; its performance is standalone in the sense that it functions physically to deliver oxygen and sample gas.

    7. Type of Ground Truth Used

    The ground truth used was simulated conditions with true baseline EtCO2 at 5%. This implies a controlled environment where the actual concentration of inspired oxygen and exhaled CO2 was known and measured with high precision using reference instruments.

    8. Sample Size for the Training Set

    N/A. The Oxy2Pro is a physical medical device, not an AI or machine learning algorithm, so there is no training set in this context.

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

    N/A. As there is no training set, this question is not applicable.

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    K Number
    K213767
    Date Cleared
    2023-09-12

    (650 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CCK

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

    Endure ETCO2/O2 Nasal Cannula has two functions

      1. It is intended to deliver supplemental Oxygen to patients and
    1. to obtain CO2 sampling of exhaled air

    Environment of use: The device is intended to be used in hospitals, surgery centers and other acute care centers.

    Patient population: Patients requiring supplemental Oxygen and/or requiring CO2 monitoring. Intended for patients above 12 years of age.

    Device Description

    Endure Industries has designed an ETCO2/O2 nasal cannula and an exhaled gas sampling device. The features include sampling of CO2 from exhaled air to a capnograph. It can provide supplemental O2 and sample exhaled air at the same time. The device is configured in such a way that it has a nasal cannula with a division to deliver oxygen through one nares and sample exhaled gases through the other.

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for the Endure ETCO2/O2 Nasal Cannula (K213767). It indicates that the device is substantially equivalent to a legally marketed predicate device (K010024 Oridion Nasal CO2/O2 Cannula). The document focuses on demonstrating this equivalence, rather than setting and proving acceptance criteria in the traditional sense of a clinical trial for a new therapeutic or diagnostic device.

    However, based on the information provided, we can infer the "acceptance criteria" through the comparative performance testing and the "study" that proves the device meets (or is equivalent to) those criteria.

    Here's the breakdown of the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance

    Since this is a substantial equivalence submission, the "acceptance criteria" are implicitly that the Endure ETCO2/O2 Nasal Cannula performs similarly or identically to the predicate device (Oridion K010024) in key functional areas.

    Feature/TestAcceptance Criteria (Implied: Similar/Identical to Predicate K010024)Reported Device Performance (Endure ETCO2/O2 Nasal Cannula K213767)
    Indication for UseTo sample exhaled gas via nasal cannula and simultaneously provide supplemental Oxygen near the nose and mouth for inhalation1) To deliver supplemental Oxygen to patients and 2) to obtain CO2 sampling of exhaled air
    Environment of UseHospitals, sub-acute, pre-hospital settingsHospitals, sub-acute, pre-hospital settings
    Intended PopulationAdults and Pediatrics - Patient requiring supplemental oxygen and/or sampling of expired gasesAdults and Pediatrics - Patient requiring supplemental oxygen and/or sampling of expired gases
    Duration of UseSingle patient use - Disposable, Less than 24 hoursSingle patient use - Disposable, Less than 24 hours
    Single Patient UseYesYes
    DispensingOnly on prescription or as ordered by a medical provider.Only as per the order of a physician or medical provider.
    Basic ComponentsNasal cannula, Oxygen tubing, Gas sampling lineNasal Cannula, Oxygen tubing, Gas sampling line
    Patient InterfaceNasal cannulaNasal Cannula
    DesignSplit / channeled nasal cannula, sampling in one and Oxygen delivery in the otherSplit / channeled nasal cannula with sampling in one and Oxygen delivery in the other
    MaterialFlexible PVCFlexible PVC
    Sampling Tube SpecificationsID-0.06" / OD-0.1" / Length -2" (for predicate)ID-0.08" / OD-0.1" / Length -2"
    BiocompatibilityISO 10993-1 compliant (Cytotoxicity, Sensitization, Intracutaneous Irritation)ISO 10993-1 compliant (Cytotoxicity, Sensitization, Intracutaneous Irritation)
    Gas Pathway TestCompliance with ISO 18562Compliance with ISO 18562
    CO2 Sampling/ETCO2 levelsSimilar performance to predicate deviceFound to be similar between the predicate device and the proposed device.
    O2 Flow RatesSimilar performance to predicate device (at 2, 4, and 6 LPM)Found to be similar between the predicate device and the proposed device.
    Physical MeasurementsSimilar to predicate deviceFound to be similar between the predicate device and the proposed one.
    Luer FittingSimilar and leak-free to predicate deviceFound to be similar and leak-free.
    Shelf Life5 years3 years (with supporting aging studies)

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

    The document does not specify a distinct "test set" in terms of patient data or a specific number of devices. The performance testing appears to be primarily laboratory-based comparisons between the proposed device and the predicate.

    • Test Set Sample Size: Not explicitly stated for performance tests. The comparison of physical measurements, CO2 sampling, and O2 flow rates implies a limited number of devices were tested against each other.
    • Data Provenance: Not applicable in the context of patient data for the performance comparison. The tests were likely conducted in a controlled lab environment. The document states "Age testing done with cannulas manufactured in 2019" which suggests a retrospective analysis of previously manufactured devices for aging studies.

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

    Not applicable. This is not a study requiring expert clinical assessment for ground truth. The performance testing involves objective measurements (e.g., CO2 levels, O2 flow, physical dimensions) and adherence to standards (e.g., ISO 10993, ISO 18562).

    4. Adjudication Method for the Test Set

    Not applicable. There is no clinical imaging or diagnostic interpretation involved that would require an adjudication method like 2+1 or 3+1.

    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 device is a medical accessory for delivering oxygen and sampling CO2, not an AI-powered diagnostic tool.

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

    Not applicable. This is a hardware device, not an algorithm.

    7. The Type of Ground Truth Used

    • For Biocompatibility: Compliance with international standard ISO 10993-1 and ISO 18562. This represents established biological safety standards.
    • For Performance Testing (CO2, O2, Physical): Comparison against the performance of the legally marketed predicate device (K010024 Oridion Nasal CO2/O2 Cannula). The predicate device's performance established the "ground truth" or benchmark for equivalence.
    • For Age Testing/Shelf Life: Laboratory-based aging studies where the performance of aged devices is compared to new devices (and found equivalent to "cannulas manufactured in 2022").

    8. The Sample Size for the Training Set

    Not applicable. This is a hardware device, not a machine learning algorithm that requires a training set.

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

    Not applicable.

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    K Number
    K221118
    Date Cleared
    2023-04-05

    (352 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CCK

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

    Intended use The Dräger CO2 Mainstream Sensor for measuring the CO2 concentration in breathing gas (CO2 mainstream sensor).

    Indications The CO2 mainstream sensor enables the diagnosis and monitoring of patients by measuring CO2. The use of the medical device is limited to one patient at a time.

    Device Description

    The CO2 Mainstream Sensor is designed for continuous, non-invasive mainstream measurement of Carbon Dioxide. The sensor is able to monitor CO2 using an infrared absorption technique and measures end tidal CO2 and inspired CO2 and calculates the respiratory rate. The data are processed by a microcontroller and provided to the parent device via a serial interface.

    The sensor is adapted to the breathing system by airway adapters (CO2 measuring cuvettes).

    AI/ML Overview

    Here's a summary of the acceptance criteria and study information for the CO2 Mainstream Sensor, based on the provided FDA 510(k) premarket notification:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly present a table of acceptance criteria for specific performance metrics of the CO2 Mainstream Sensor with corresponding reported values in a consolidated format. However, it mentions extensive testing against various standards, which imply certain performance criteria. The key performance-related mention is the "Measuring range," which has been slightly extended compared to the predicate device.

    Performance MetricAcceptance Criteria (Implied by Predicate/Standards)Reported Device Performance
    Measuring range0 to 13.2 Vol.%, 0 to 13.3 kPa, 0 to 100 mmHg0 to 15.8 Vol% (at 1013 hPa), 0 to 16.0 kPa, 0 to 120 mmHg
    Respiratory Rate Range0 to 150 /min0 to 150 /min
    Operating Temperature-20 to +50 °C (-4 to 122 °F)-20 to +50 °C (-4 to 122 °F)
    Operating Humidity5 to 95 %, non-condensing5 to 95 %, non-condensing
    Operating Ambient Air Pressure57 - 110 kPa (K100941) / 570 to 1100 hPa (428 to 825 mmHg)570 to 1100 hPa (428 to 825 mmHg)
    Protection against penetrating liquidsIP64IP64
    Electrical SafetyConformance to IEC 60601-1-6, IEC 60601-1-12Tested and Conforms
    EMCConformance to IEC 60601-1-2, IEC/TR 60601-4-2Tested and Conforms
    BiocompatibilityConformance to ANSI AAMI ISO 10993-1Tested and Conforms
    SoftwareConformance to ANSI AAMI IEC 62304Tested and Conforms
    UsabilityConformance to IEC 60601-1-6, AAMI / ANSI / IEC 62366-1Tested and Conforms
    Risk ManagementConformance to ANSI AAMI ISO 14971Tested and Conforms

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

    The document does not explicitly state the sample size for specific performance tests or studies like clinical trials in terms of the number of patients or specific data points. The testing mentioned is primarily bench testing and in vitro evaluations against technical standards and requirements.

    The data provenance is not specified beyond indicating "extensive testing" and "well-established methods." It's reasonable to infer these tests were conducted by the manufacturer (Drägerwerk AG & Co. KGaA) in Germany, given the submitter's location. The studies appear to be retrospective in nature, drawing from the predicate device's established performance and applying new testing to demonstrate equivalence or improvement.

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

    The document does not mention the use of experts to establish ground truth for testing in the context you describe (e.g., radiologists for image interpretation). The testing conducted is primarily objective, technical verification and validation against pre-defined standards and specifications for a CO2 sensor. Therefore, the "ground truth" for the test set would be derived from:

    • Reference gases with known concentrations for CO2 measurements.
    • Calibrated instruments for temperature, humidity, pressure, and electrical measurements.
    • Standardized test procedures and benchmarks for software, EMC, and safety.

    4. Adjudication Method for the Test Set

    No adjudication method (e.g., 2+1, 3+1) is mentioned, as this type of human expert consensus is not typically applicable to the kind of technical and bench testing described for this device. Test results would be compared directly to the specified standards and requirements.

    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 more common for diagnostic imaging devices where human interpretation plays a significant role. The CO2 Mainstream Sensor is a measurement device where its output is directly read rather than interpreted by multiple human readers in a comparative setting.

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

    Yes, the testing described appears to be primarily standalone performance testing, focusing on the algorithm (implicitly, the sensor's measurement principle and data processing) and hardware of the device itself. The "Discussion of Non-clinical Testing" section lists various technical evaluations, including software, electrical safety, EMC, and specific performance requirements from ISO 80601-2-55 for respiratory gas monitors. These are conducted on the device's inherent capabilities without human intervention for interpretation as part of the performance evaluation.

    7. The Type of Ground Truth Used

    The ground truth used for the technical testing would be:

    • Reference Standards: Such as known concentrations of CO2 for accuracy testing, established environmental conditions (temperature, humidity, pressure), and defined electrical safety limits.
    • Calibration Standards: High-precision instruments used to calibrate and verify the accuracy of the sensor's measurements.
    • Compliance to Standards: The device's performance is measured against predefined thresholds and specifications outlined in the various IEC and ISO standards listed (e.g., ISO 80601-2-55 specific requirements for respiratory gas monitors).

    8. The Sample Size for the Training Set

    This device appears to be based on an established measurement principle (infrared absorption), and the submission focuses on demonstrating substantial equivalence through non-clinical testing rather than development of a novel algorithm that would require a "training set" in the machine learning sense. Therefore, there is no mention of a training set sample size as it's not applicable to the development verification of this type of device.

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

    As there is no "training set" mentioned in the context of machine learning, this question is not applicable to the information provided. The principles the device operates on are well-understood physics, and the validation relies on meeting established technical specifications and standards rather than learning from a dataset.

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    K Number
    K210112
    Date Cleared
    2023-01-30

    (741 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Product Code :

    CCK

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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    K Number
    K220533
    Date Cleared
    2022-11-16

    (265 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    CCK

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

    The Endoscopy Oxygen Mask is a single patient, disposable device intended for delivering supplemental oxygen and monitoring expired gases from the patient, with ports to allow the clinician to insert scopes, probes, or tubes. It is for non-intubated, spontaneously breathing patients greater than 30 kg.

    Device Description

    The Endoscopy Oxygen Mask is a multi-port mask that serves several functions: A standard oxygen mask for when a patient requires supplemental oxygen; Sampling of exhaled gases for monitoring, typically end-tidal CO2; Additional ports (membranes) to allow for most types of scopes, probes, and tubes to be inserted while still delivering supplemental O2 and sampling exhaled gases.

    AI/ML Overview

    The provided document describes the Endoscopy Oxygen Mask (K220533) and its substantial equivalence to a predicate device, the Panoramic Oxygen Mask (POM) (K172365). The acceptance criteria for the new device are primarily demonstrated through comparative non-clinical testing against the predicate device, showing similar performance in key aspects.

    Here's a breakdown of the requested information:

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

    The document doesn't explicitly state "acceptance criteria" in a numerical or pass/fail format for each performance metric. Instead, it relies on demonstrating similarity or equivalence to the legally marketed predicate device (K172365) through non-clinical comparative testing. The performance is reported in terms of this similarity.

    Acceptance Criteria (Inferred from Comparison to Predicate)Reported Device Performance (Endoscopy Oxygen Mask)
    Indications for Use: Single patient, disposable device intended for delivering supplemental oxygen and monitoring expired gases from the patient, with ports to allow the clinician to insert scopes, probes, or tubes for non-intubated, spontaneously breathing patients > 30 kg.Similar to predicate.
    Patient Population: Non-intubated spontaneously breathing patients (Adults to Children).Similar to predicate. (Note: Subject device tested for Adults, whereas predicate was for Adults to Children).
    Environment of Use: Locations where procedures are performed where the patient requires supplemental oxygen, monitoring exhaled gases, and scope access (Hospital, sub-acute, clinic, physician offices, pre-hospital).Similar to predicate.
    Duration of Use: Single patient, disposable,
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