TRANSNEB COMPRESSOR W/NEBULIZER, MODEL 5000

K032170 · Medical Industries America, Inc. · CAF · May 28, 2004 · Anesthesiology

Device Facts

• Record ID: K032170
• Device Name: TRANSNEB COMPRESSOR W/NEBULIZER, MODEL 5000
• Applicant: Medical Industries America, Inc.
• Product Code: CAF · Anesthesiology
• Decision Date: May 28, 2004
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 868.5630
• Device Class: Class 2
• Attributes: Therapeutic, Pediatric, 3rd-Party Reviewed

Indications for Use

The TransNeb compressor with nebulizer is a DC-powered piston compressor intended to provide a source of compressed air for use with a small volume nebulizer to produce a fine aerosol mist. The device must be prescribed by a physician. It is not intended for life support or life sustaining applications.

Device Story

TransNeb system comprises DC-powered piston compressor and reusable venturi-style nebulizer; generates compressed air to convert liquid medication into aerosol mist for inhalation. Used in home care settings; operated by patients or caregivers. Compressor features motor-driven piston, switch, and circuit board (non-microprocessor) for power management; supports AC, 12V DC auto adapter, or rechargeable battery. Nebulizer connects to compressor via outlet barb or extension tube. Healthcare providers prescribe device for respiratory therapy; output allows patient self-administration of medication. Benefits include portable, lightweight design with reduced vibration and improved operational features compared to previous models. Device provides consistent flow for aerosolization; clinical decision-making relies on physician-prescribed medication delivered via the aerosol.

Clinical Evidence

Bench testing only. Device tested for compliance with electrical, mechanical, and environmental performance requirements per FDA Reviewer Guidance for Premarket Notification Submissions (Nov 1993) and Reviewer Guidance for Nebulizers, Metered Dose Inhalers, Spacers and Actuators (Oct 1993). Results confirmed device met all requirements and functioned as intended.

Technological Characteristics

Piston-type compressor; 12V DC power (AC/DC/battery options). ABS plastic case. Venturi-effect nebulizer (polypropylene Moplen HP500N). Flow: 5.2 LPM; Operating pressure: 10 PSI. Noise level: 52 dBA. Connectivity: None. Sterilization: Reusable (cleaning/disinfection required). Software: None (circuit board is non-microprocessor). Standards: IEC 601-1.

Indications for Use

Indicated for adult and pediatric patients requiring aerosolized medication delivery via a pneumatic nebulizer in a home healthcare setting. Contraindicated for life support or life-sustaining applications.

Regulatory Classification

Identification

A nebulizer is a device intended to spray liquids in aerosol form into gases that are delivered directly to the patient for breathing. Heated, ultrasonic, gas, venturi, and refillable nebulizers are included in this generic type of device.

Predicate Devices

• CompAir Elite (K914836)
• Pari LC Star (K963924)
• 56 Series Jet Nebulizer (K021443)

Submission Summary (Full Text)

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# MEDICAL INDUSTRIES AMERICA INC.

2636 289TH PLACE ADEL, IOWA U.S.A. 50003-8055

KO32170

TEL. [phone] FAX [phone]

# (2) TransNeb System 510(k) Summary

In accordance with 21CFR section 807.92, Medical Industries America Inc. is submitting the following summary.

June 26, 2003 Date

## Submitter Information

Medical Industries America Inc. 2636 289th Place Adel, IA 50003 [phone] Contact: Anne B. Carlson, Quality Systems Manager/Regulatory Affairs

### Name of Device

Proprietary Name: TransNeb Common Name: Nebulizer Compressor with Nebulizer Classification Name: Nebulizer (Direct Patient Interface)

#### Substantially Equivalent to

Compressor: Omron Healthcare Inc.'s CompAir Elite K914836 Nebulizer: Pari LC Star K963924 & 56 Series Jet Nebulizer K021443

## Device Description and Overview

The TransNeb system consists of a nebulizer and a DC powered piston-type compressor that generates compressed air. Small, lightweight and designed for convenience, the TransNeb device offers the user a choice of running off of AC power via a universal adapter or DC power via an option 12 volt auto adapter or an optional rechargeable battery pack. The device consists of a motor driven piston compressor, a printed circuit board and a switch. The circuit board does not incorporate a microprocessor but serves as a means to prevent double feed of power. The circuit board is not a part of the charging circuit for the battery pack.

The nebulizer, which employs a venturi effect to convert the medication into a fine aerosol mist, is used cither snapped directly onto the compressor outlet barb or with an extension tube. Providing a connection between the compressor outlet barb and

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the nebulizer bottom, the extension tube allows the user to place the compressor on a sturdy surface and to simply hold onto the nebulizer. The nebulizer is designed for single patient and is reusable. The nebulizer with or without its tubing adapter is designed specifically for use only with the TransNeb compressor. Use of the nebulizer, tubing or compressor with other compressors, nebulizers or tubing may produce incorrect flow resulting in improper treatment.

Both the TransNeb compressor and nebulizer and the predicate device's compressor are designed and manufactured by Medel S.p.A., Italy (Registration No. 8043860). Medel also manufactures the 56 Series Jet Nebulizer. The Pari LC Star is designed and manufactured by Pari Holding Co., Richmond, VA.

The TransNeb device has been designed and built according to the applicable requirements of IEC601-1 and meets the requirements the Draft Reviewer Guidance for Premarket Notification Submission, November 1993.

# System Similarities and Differences to Currently Marketed Devices

#### Compressor

Both the TransNeb and the predicate device to which substantial equivalence is sought were designed to provide compressed air for the nebulizer to produce a fine aerosol mist. Both devices are primarily intended for the home care market.

Performance, as tested, is essentially equivalent to the predicate device and both products are the same basic size and weight. Other than basic form and dimensional differences hetween the TransNeb and the predicate device, there are virtually no major differences between the units in terms of function, performance or use.

Both devices are handheld and incorporate a reusable nebulizer. Both devices operate from 110-240V, 50-60Hz automatic switchable supply, offer optional car adapter and rechargeable battery, and come with a carrying case. Both devices offer a five year warranty on the compressor and six months on the battery. Improvements to the casc design will make it possible to focus on the following TransNeb features: Iess vibration, an improved switch, feet which will allow the unit to be operated on its side without 'walking' across the surface, a solid battery fit, an improved filter cap and a tubing holder. The TransNeb compressor and nebulizer will also come with a quick start instruction card. The CompAir Elite notes 'shortened treatment times' and 'delivery of a dense aerosol that is breath enhanced' as key features of this device.

#### Nebulizer

Unlike the TransNeb nebulizer which designed for use only with the TransNeb compressor, the Pari LC Star nebulizer may be utilized with a variety of piston driven compressors currently available on the market. The TransNeb Nebulizer and the Series 56 Jet Nebulizer are manufactured from identical materials and with the same production processes.

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#### Device

The TransNeb with nebulizer will be also be sold with the carrying bag, the AC adapter (power supply) with power cord, the tubing connector, five pack of filters, two mouthpieces, an extra nebulizer and the operator's manual with its quick start card. Optional accessories which will be offered this device are the DC cord with cigarette lighter adapter, and the battery.

The CompAir Elite is sold complete with the AC adapter (power supply) with power cord, nebulizer, mouthpiece, extra filters, carrying case, and instruction manual. Optional accessories for the CompAir Elite include the pediatric mask, the rechargeable battery pack, and car adapter.

# Statement of Intended Use

The TransNeb compressor with nebulizer is a DC-powered piston compressor intended to provide a source of compressed air for use with a small volume nebulizer to produce a fine aerosol mist. The device must be prescribed by a physician. It is not intended for life support or life sustaining applications.

| | Medical Industries America<br>TransNeb | Omron Healthcare Inc.<br>CompAir Elite |
|----------------------------------|---------------------------------------------------------------------------------------------------|-----------------------------------------------------|
| Compressor | | |
| Pressure | 36 PSI | 36 PSI |
| Flow | 5.2 LPM | 4.5 LPM |
| Operating Pressure | 10 PSI | 10 PSI |
| Operating Flow | 2.5 lpm | 2 lpm |
| Noise Level | 52 dBA | 53 dBA |
| Type of Compressor | Piston | Piston |
| Input Power (power supply) | 1.2A, 100-240VAC, 50-60Hz<br>switching power supply | 1.2A, 100-240VAC, 50-60Hz<br>switching power supply |
| Supply Voltage | 12V | 12V |
| Case | ABS | ABS |
| Intake Filter | Yes - identical material<br>different shape | Yes |
| Warranty | 5 years - device; 6 months -<br>battery | 5 years - device; 6 months -<br>battery |
| Electromagnetic<br>Compatibility | Conforms to IEC 601-1 and<br>FDA's Reviewer Guidance for<br>Premarket Notification<br>Submissions | Conforms to IEC 601-1 |

#### Comparative data

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|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
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| Nebulizer | TransNeb | 56 Series Jet Nebulizer |
|-------------------|-------------------------------------|-------------------------------------|
| Molded Components | Polypropylene type Moplen<br>HP500N | Polypropylene type Moplen<br>HP500N |

#### Conclusion

The TransNeb compressor with nebulizer, Model 5000, was tested for compliance with electrical, mechanical and environmental performance requirements for home use respiratory devices as found in Reviewer Guidance for Premarket Notification Submissions November 1993 and with Reviewer Guidance for Nebulizers, Metered Dose Inhalers, Spacers and Actuators, October 1993. In all instances the TransNeb compressor with nebulizer met the requirements and functioned as intended.

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Image /page/4/Picture/12 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird-like figure with three stylized lines representing its wings or feathers.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 2 8 2004

Medical Industries America, Incorporates c/o Mr. Ned E. Devine Entela, Incorporated 3033 Madison Avenue, SE Grand Rapids, MI 49548

Re: K032170

Ros2170
Trade Name TransNeb Compressor with Nebulizer, Model 5000 Regulation Number: 21 CFR 868.5630 Regulation Name: Nebulizer (Direct Patient Interface) Regulatory Class: II Product Code: CAF Dated: May 25, 2004 Reccived: May 27, 2004

Dear Mr. Devine:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your bection 3 10(c) for device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encreativent of the enactment date of the Medical Device Amendments, or to conniered pror to May 20, 1978, are example with the provisions of the Federal Food, Drug, devices that have been require approval of a premarket approval application (PMA). and Costicule rice (11ct) that to nevice, subject to the general controls provisions of the Act. The r ou may, dicrerere, mains of the Act include requirements for annual registration, listing of general controls provisions practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it ir your device is elassinod (too as controls. Existing major regulations affecting your device can may be subject to such address, legulations, Title 21, Parts 800 to 898. In addition, FDA may be found in the coursements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean I Teast be advised that I Drissan that your device complies with other requirements of the Act that I DA has made a acternmalations administered by other Federal agencies. You must of any I caeral statutes and registements, including, but not limited to: registration and listing (21

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Page 2 - Mr. Ned E. Devine

CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Susan Runnr

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Medical Industries America Inc

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510(k) Number (if known):

# Device Name: TransNeb

Indications for Use:

The TransNeb compressor/nebulizer includes a DC powered air compressor that provides a source of compressed air for home health care use. The compressor is used with a venturi (pneumatic nebulizer) to convert certain inhaled drugs into an acrosol form for inhalation by a patient. The device can be used with adult or pediatric patients.

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# Concurrence of CDRH, Office of Device Evaluation (ODE)

Aun Salum

(Division Sign-Off) Division of Cardiovascular, Respiratory, and Neurological Devices

510(k) Number K032170