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510(k) Data Aggregation

    K Number
    K172234
    Date Cleared
    2018-06-01

    (311 days)

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

    K150930

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

    The Oxygen Concentrator is intended for the administration of supplemental oxygen. This device is not intended for life supporting nor does it provide any patient monitoring capabilities. The system will be operated by trained personnel, at home, in community health care and medical institutions.

    Device Description

    The Oxygen Concentrator adopts the principle of pressure swing adsorption technology. At normal temperature, the device can continuously supply a high concentration of supplemental oxygen (93%±3%). The main function of the proposed device includes supplying supplemental oxygen. The device also includes alarms for high temperature, low oxygen output, and interruption of power. The proposed device includes three models, which are M50, M40 and M30. The only difference of the three models is flow rate.

    AI/ML Overview

    The provided document pertains to a 510(k) premarket notification for an Oxygen Concentrator. As such, it describes a medical device, not an AI/ML algorithm. Therefore, many of the requested details regarding acceptance criteria, study design for AI performance, expert adjudication, and ground truth establishment are not applicable to this document.

    The document focuses on demonstrating substantial equivalence to a predicate device through non-clinical testing and comparison of technical characteristics.

    Here's a breakdown of the relevant information from the document, addressing the applicable parts of your request:

    1. Table of acceptance criteria and the reported device performance

    The document does not present "acceptance criteria" in the typical sense of a target performance metric for an AI algorithm. Instead, it describes compliance with established medical device standards and comparison to a predicate device. The "performance" is demonstrated by meeting these standards and showing similar technical characteristics to the predicate.

    Below is a table summarizing the technical characteristics of the proposed device and how they compare to the predicate, which serves as the basis for the substantial equivalence determination. The "acceptance criteria" here are implied by the predicate device's characteristics and relevant standards.

    ItemAcceptance Criteria (Implied by Predicate/Standards)Reported Device Performance (Proposed Device)
    ClassificationClass 22
    Product CodeCAWCAW
    Regulation Number21 CFR 868.544021 CFR 868.5440
    Intended UseAdministration of supplemental oxygen; not life-supporting; no patient monitoring; operated by trained personnel.Administration of supplemental oxygen; not life-supporting; no patient monitoring; operated by trained personnel, at home, in community health care and medical institutions.
    Use EnvironmentHome, hospital, and medical facilityHome, community health care, and medical institutions
    Operation PrinciplePressure Swing Adsorption (PSA) technologyPressure Swing Adsorption (PSA) technology
    Oxygen Purity93% +/- 3%93% +/- 3%
    Flow TypeContinuous flowContinuous flow
    Flow Rate0.5 - 15 L/minM30: 0-3 L/min, M40: 0-4 L/min, M50: 0-5 L/min
    Sound Level
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