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510(k) Data Aggregation

    K Number
    K102454
    Date Cleared
    2011-10-25

    (424 days)

    Product Code
    Regulation Number
    868.5630
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K062263, K870027, K072019

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

    The I-neb AAD system with TIM is a nebulizer system designed to aerosolize liquid medication for inhalation by the patient in the home care, nursing home, sub-acute institution, or hospital environment.

    The I-neb Insight AAD System is monitoring software that provides feedback to the patient recording treatment events, including treatment times and compliance data which is also available to the clinician. It is an accessory to an accessory for use with the I-neb AAD system.

    The I-neb AAD system with TIM is intended for patients 3 years and older who can coordinate breathing.

    Device Description

    The I-neb AAD System is an ultrasonic (vibrating mesh) nebulizer system designed to aerosolize liquid medication (except pentamidine) for inhalation by the patient in the home care, nursing home, sub-acute institution, or hospital environment.

    The I-neb Insight AAD System is an accessory for use with the I-neb AAD system and controls monitoring software that provides feedback to the patient recording treatment events, including treatment times and compliance data which is also available to the clinician.

    The I-neb AAD system with TIM incorporates a modification of the predicate I-neb AAD system with (tidal breathing mode (TBM)), K042991. While the I-neb Insight incorporates updated software to accommodate the added TIM feature, it is a modification of the predicate I-neb Insight AAD System, K052941.

    AI/ML Overview

    The provided text describes a 510(k) summary for the I-neb AAD Systems with TIM and I-neb Insight AAD System. The primary method for demonstrating substantial equivalence is through comparative bench testing against predicate devices. The document does not describe a study in the context of AI/ML device performance, as it is a medical device from 2011, long before the widespread use of AI in medical imaging. Therefore, many of the questions related to AI device performance are not applicable.

    Here's an analysis based on the provided text:

    Acceptance Criteria and Reported Device Performance

    The acceptance criteria for this device are implicitly tied to demonstrating substantial equivalence to existing predicate devices (K062263 – Omron U-22, K870027 - Salter 8900 nebulzier, K072019 - Activaero - AKITA2 APIXNEB, K042991 - I-neb AAD, K052491 - I-neb Insight). The "acceptance criteria" are not explicitly stated as numerical thresholds but rather as the proposed device exhibiting comparable performance characteristics to the predicates in specific areas.

    Acceptance Criteria (Implied by Substantial Equivalence)Reported Device Performance (I-neb AAD with TIM & I-neb Insight AAD)
    Particle Characterization (MMAD, GSD, Respirable Fraction %) comparable to predicates."Comparison of particle characterization testing included the evaluation of MMAD, GSD, Respirable Fraction (%) the predicates and the proposed device were found to be substantially equivalent."
    Comparative Dosing (gravimetric dose, Filter dose, Treatment time) equivalent to predicates."Comparative Dose for the I-neb AAD system in TBM vs. TIM mode and to the predicates Omron U22 (K062263) and Salter 8900 (K870027) was performed. Parameters measured and compared included gravimetric dose, Filter dose and Treatment time. Results the predicates and the proposed device were substantially equivalent."
    Indications for Use for general purpose nebulization (I-neb AAD with TIM) and monitoring accessory (I-neb Insight AAD).I-neb AAD with TIM: "General Purpose use." "a nebulizer system designed to aerosolize liquid medication for inhalation by the patient in the home care, nursing home, sub-acute institution, or hospital environment."
    I-neb Insight AAD: "monitoring software that provides feedback to the patient recording treatment events, including treatment times and compliance data which is also available to the clinician."
    Technology: Vibrating mesh nebulizer and breath-triggered nebulization."Identical vibrating mesh nebulizer technology to predicates." "Identical breath triggered nebulization technology to predicate."
    Materials: Gas and fluid pathway materials identical to predicate I-neb AAD."The materials in the gas and fluid pathway are identical to predicate device - K042991 -- I-neb AAD System."
    Environment of Use: Home care, nursing home, sub-acute institution, or hospital environment."Identical to predicate."
    Patient Population: 3 years and older who can coordinate breathing."Identical to predicates."
    I-neb Insight Technology/Indications: Monitoring software and feedback."Identical technology to predicate - K052491 - I-neb Insight AAD system." "The I-neb Insight is monitoring software that provides feedback to the patient recording treatment events, including treatment times and compliance data which is also available to the clinician."

    Study Details:

    1. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

      • The document mentions "3 drugs" were used for particle characterization.
      • The testing was "performed at flow rates of 15 lpm and 30 lpm."
      • The sample sizes for "comparative dosing" are not explicitly stated, but it was done between the I-neb AAD system in TBM vs. TIM mode and compared to Omron U22 and Salter 8900.
      • This was bench testing, not human clinical data. Therefore, the concept of "country of origin for data" or "retrospective/prospective" human data does not apply here.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

      • Not applicable. This submission relies on bench testing, not expert-adjudicated ground truth from human data for AI/ML performance.
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set

      • Not applicable. This was bench testing, not a human consensus or adjudication study.
    4. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

      • No. This is a 2011 submission for a nebulizer, not an AI/ML diagnostic tool. An MRMC study was not conducted, nor would it be relevant for this device.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

      • Not applicable. This device is a nebulizer system, not an AI algorithm.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

      • The "ground truth" for this submission are the performance specifications and characteristics of the predicate devices, against which the proposed device's bench test results (e.g., MMAD, GSD, gravimetric dose) were compared to demonstrate substantial equivalence.
    7. The sample size for the training set

      • Not applicable. This device does not involve an AI/ML algorithm requiring a training set.
    8. How the ground truth for the training set was established

      • Not applicable. This device does not involve an AI/ML algorithm.
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    K Number
    K090730
    Device Name
    AKITA JET
    Date Cleared
    2009-11-13

    (239 days)

    Product Code
    Regulation Number
    868.5630
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K060399, K072019, K935693

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

    The AKITA JET is a nebulizer system that will be used with patients for whom doctors have prescribed medication (except pentamidine) for nebulization in the home care, nursing home, subacute institution, or hospital environment.

    Device Description

    The AKITA JET nebulizer and the AKITA JET nebulizer handset together constitute a multi-use, electronic nebulizer system designed to aerosolize liquid medications. The system includes and features:

    • An electrically powered compressor which provides an air flow to the AKITA JET ● nebulizer handset.
    • . A nebulizer handset based upon the PARI LC Sprint, K060399
    • Single patient, multi-use in the home setting .
    • . Multiple patient, multi-use in the hospital and clinical settings
    • .
    • . Nebulization only during inhalation phase
    • Smart Card series for defined patient breathing patterns .
    AI/ML Overview

    The provided document is a 510(k) summary for the AKITA JET nebulizer system, demonstrating substantial equivalence to predicate devices. It outlines the device description, indications for use, and a high-level overview of performance tests conducted. However, it does not contain detailed information about specific acceptance criteria or the study data that would allow for a comprehensive answer to your request regarding detailed performance metrics, sample sizes, ground truth establishment, or multi-reader studies.

    The document focuses on comparing the AKITA JET to predicate devices across several categories to prove substantial equivalence rather than presenting a de novo performance study against pre-defined acceptance criteria.

    Therefore, I cannot provide a table of acceptance criteria and reported device performance, nor details on sample sizes for test/training sets, expert qualifications, adjudication methods, MRMC studies, or standalone performance, based solely on the information given in the provided text.

    Here's what can be extracted and what is missing:


    Acceptance Criteria and Study Information for AKITA JET Nebulizer System

    The provided 510(k) summary focuses on demonstrating "substantial equivalence" to predicate devices, rather than establishing de novo acceptance criteria with specific quantitative thresholds that are then met by a new study. The performance tests mentioned are generally for comparison with existing similar devices or to ensure basic safety and effectiveness.

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria Category (Implied by comparison to predicates)Reported Device Performance (Implied from comparison)
    General Attributes
    - Indications for Use (Similar to predicates)Meets (Substantially equivalent)
    - Patient Population (Similar to predicates)Meets (Substantially equivalent)
    - Environments of Use (Similar to predicates)Meets (Substantially equivalent)
    Nebulizer Performance
    - Particle Characterization (Compared to PARI LC Sprint K060399)"performance tests were done" (Implied: comparable)
    - Delivery during inhalation (Compared to AKITA2 K072019, AutoNeb K935693)"performance tests were done" (Implied: comparable)
    - Delivery based on breathing patterns (Compared to AKITA2 K072019)"performance tests were done" (Implied: comparable)
    - Algorithm to program breathing patterns (Compared to AKITA2 K072019)"performance tests were done" (Implied: comparable)
    - Controlled inhalation flow (Compared to AKITA2 K072019)"performance tests were done" (Implied: comparable)
    - Use of programmable Smart Cards (Compared to AKITA2 K072019)"performance tests were done" (Implied: comparable)
    Safety and Effectiveness Testing
    - Cascade Impactor testing"Included" (Implied: Met safety/effectiveness benchmarks)
    - VOC, PM2
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