BREAS VIVO BILEVEL SYSTEM, MODEL VIVO 40

K071702 · Breas Medical AB · MNT · Feb 15, 2008 · Anesthesiology

Device Facts

Record IDK071702
Device NameBREAS VIVO BILEVEL SYSTEM, MODEL VIVO 40
ApplicantBreas Medical AB
Product CodeMNT · Anesthesiology
Decision DateFeb 15, 2008
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 868.5895
Device ClassClass 2
AttributesTherapeutic

Intended Use

The Breas Viyo 40 is designed for spontaneous breathing patients who require long-term support by mechanical ventilation during night and part of the day. The CPAP function is intended to deliver continuous positive airway pressure therapy for the treatment of obstructive sleep apnea. The Breas Vivo 40 shall only be used by patients with spontaneous breathing. The Breas Vivo 40 is not intended for life-sustaining applications or for transport of critical care patients. The Breas Vivo 40 is intended for non-invasive or invasive use with appropriate patients. The Breas Vivo 40 is intended for treatment of adult (who weigh more than 30 kg) patients. The Breas Vivo 40 is intended to be operated by qualified and trained personnel.

Device Story

Microprocessor-controlled ventilator; delivers pressure-controlled (PCV), pressure-supported (PSV), or CPAP therapy. Inputs: patient respiratory effort (spontaneous breathing). Operation: software-based pressure, flow, and time regulation via blower. Output: airflow delivered through single lumen tube to invasive/non-invasive interfaces (e.g., nasal masks). Used in hospitals, sleep labs, sub-acute care, and home environments. Operated by trained personnel; requires physician prescription. Provides gas exchange support; assists breathing; treats obstructive sleep apnea. Features include display indicators, audible alarms, and clinician-controlled lockout settings. Power: auto-switching AC (100-240 VAC) or external 12.5/24 VDC.

Clinical Evidence

Bench testing only. No clinical studies required. Testing included comparative performance against predicates (work of breathing, pressure dynamic regulation, waveform performance), electrical safety (IEC 601-1), essential performance (ISO 10651-6), and performance (ISO 17510-1). Device passed all functional, environmental, and electromagnetic compatibility tests.

Technological Characteristics

Microprocessor-controlled blower; software-based pressure, flow, and time regulation. Dimensions: 7.2 x 9.1 x 8.9 inches; weight: 8.9 lbs. Power: 100-240 VAC or 12.5/24 VDC. Connectivity: single lumen outlet tube. Standards: IEC 601-1, ISO 10651-6, ISO 17510-1.

Indications for Use

Indicated for spontaneously breathing adult patients (>30 kg) with respiratory failure, respiratory insufficiency, or obstructive sleep apnea. Intended for invasive or non-invasive use. Not for life support or critical care transport. Must be prescribed by a physician and operated by trained personnel.

Regulatory Classification

Identification

A continuous ventilator (respirator) is a device intended to mechanically control or assist patient breathing by delivering a predetermined percentage of oxygen in the breathing gas. Adult, pediatric, and neonatal ventilators are included in this generic type of device.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Breas Medical AB # 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS | Submitter | Breas Medical AB | FEB 15 | |---------------------|--------------------------------------------------|--------| | | Företagsvagen 1 | | | | SE 435 33 Molnlycke | | | | Sweden | | | Contact Person | Ibb Jessen | | | | Quality Assurance and Regulatory Affairs Manager | | | | Phone: +46 31 868848 | | | | Fax: +46 31 868810 | | | Summary Date | June 14:th, 2007 | | | Name of Device | Breas Vivo 40 System | | | Common Name | Bilevel system | | | Classification Name | Non- continuous ventilator (21 CFR 868.5895) | | | Product Code | MNT | | | Predicate Device | Respironics Vision (K982545) | | | | Breas Vivo 40 (current device (K053607)) | | {1}------------------------------------------------ #### Device Description: The Vivo 40 is a pressure-supported and pressure-controlled ventilator with a CPAP function intended for spontaneous breathing patients who require long-term support by mechanical ventilation during night and part of the day. In the treatment of chronic respiratory failure, positive airway pressure ventilation is well established and common practice as a mean to assure sufficient gas exchange. There are a number of devices legally marketed in the United States for this application. The Vivo 40 can be used in clinical settings (e.g., hospitals, sleep laboratories, sub-acute care institutions) and home environments. It must always be prescribed by a licensed physician. It is not intended for life support applications or for transport of critical care patients. The therapy delivered by the Breas Vivo 40 System can be either: - 1) Pressure Controlled Ventilation (PCV) or - 2) Pressure Support Ventilation (PSV) or - 3) Constant Positive Airway Pressure (CPAP) The Vivo 40 airflow is delivered via a single lumen outlet tube that may be connected to various invasive and non-invasive patient interfaces, such as nasal masks. To minimize CO2 rebreathing, masks or other interfaces permitting a leak flow of at least 12 liters/minute at the output pressure setting of 4 cmH20 are recommended. The Vivo 40 has an auto-switching power supply that facilitates use in conjunction with international travel (100 - 240 VAC). It can also be used with an external 12.5/ 24 VDC power source when AC mains line voltage is not available. The outer dimensions of the Vivo 40 housing are 7.2 × 9.1 × 8.9 inches, and the device weighs 8.9 pounds. #### Intended Use: The Breas Viyo 40 is designed for spontaneous breathing patients who require long-term support by mechanical ventilation during night and part of the day. The CPAP function is intended to deliver continuous positive airway pressure therapy for the treatment of obstructive sleep apnea. The Breas Vivo 40 shall only be used by patients with spontaneous breathing. {2}------------------------------------------------ Breas Medical AB The Breas Vivo 40 is not intended for life-sustaining applications or for transport of critical care patients. The Breas Vivo 40 is intended for non-invasive or invasive use with appropriate patients. The Breas Vivo 40 is intended for treatment of adult (who weigh more than 30 kg) patients. The Breas Vivo 40 is intended to be operated by qualified and trained personnel. ### Comparison of Use and Technological Characteristics: The Vivo 40 can be used in clinical settings (e.g., hospitals, sleep laboratories, sub-acute care institutions) and home environments. It must always be prescribed by a licensed physician. It is not intended for life support applications or for transport of critical care patients. As compared with the cited predicate device, the Breas Vivo 40 System has: Same intended use (Respironic Vision) Same environments of use Similar design (microprocessor-controlled blower as air source) Same technology (software based pressure-, flow- and time- regulation) The differences that do exist are minimal and involve primarily user preference features. The Breas Vivo 40 System has additional display indicator and audible alarm features as well as lockout features (to provide clinicians with optional means to control the ability of patients to change pressure settings). These features are described in labeling for the device that includes an Operator Manual. #### Summary of Performance Testing: - 1. Non-clinical testing was conducted to verify that the Breas Vivo 40 System is capable of meeting its stated performance specifications and that all Risk Analysis issues have been appropriately addressed. The device passed all tests. - 2. Comparative testing, including testing of work of breathing for invasive use, to predicate devices was performed. This bench- testing confirmed that the Breas Vivo 40 System is substantial equivalent with regards to Wave-form performance as well as Work of Breathing and Pressure Dynamic regulation. {3}------------------------------------------------ - 3. Testing was in the original application conducted to demonstrate compliance with applicable requirements in the November 1993 draft "Reviewer Guidance for Premarket Notification Submissions" published by the FDA's Division of Cardiovascular, Respiratory, and Neurological Devices and the July 1995 "Draft Reviewer Guidance for Ventilators". The testing included but was not limited to: - Electrical Safety testing per IEC 601-1 . - Safety and Essential Performance testing per ISO 10651-6 . - Safety and Performance testing per ISO 17510-1 . - Electromagnetic Compatibility testing (EMC testing) . - . Mechanical Safety testing - . Environmental testing - Functional testing . - Particle matter testing . The device passed all tests. - 4. All device software was documented and tested in accordance with the FDA's May 11, 2005 "Guidance for the content of Premarket Submissions for Software Contained in Medical Devices". The device passed all tests. - 5. Clinical studies were not required to support a substantial equivalence determination. #### Conclusions: The Breas Vivo 40 System meets its stated performance specifications and criteria outlined in the Reviewer Guidance publications referenced above. We conclude that the device is capable of operating safely in its intended environments and will be effective in fulfilling its intended use. {4}------------------------------------------------ Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular fashion around the eagle. The eagle is depicted in black, and the text is also in black. Public Health Service FEB 15 2000 Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 Mr. Ibb Jessen Quality Assurance & Regulatory Affairs Manager Breas Medical AB Företagsvagen 1 435 33 Molnlycke SWEDEN Re: K071702 Trade/Device Name: Breas Vivo 40 Invasive Regulation Number: 868.5895 Regulation Name: Continuous Ventilator Regulatory Class: II Product Code: MNT Dated: January 31, 2008 Received: February 4, 2008 Dear Mr. Jessen: We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing 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 may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register. {5}------------------------------------------------ Page 2 - Mr. Jessen Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 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 (240) 276-0115. 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 (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html. Sincerely yours. Sadote Y. Michioms. 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 {6}------------------------------------------------ # Indications for Use 510(k) Number (if known): K071702 Device Name: Breas Vivo 40 Invasive ### Indications for Use: The Breas Vivo 40 is an assist ventilator intended to augment the breathing of spontaneously breathing adult patients (>30 kgs) suffering from respiratory failure, respiratory insufficiency, or obstructive sleep apnea. It is not intended to provide the total ventilatory requirements of the patient. It is intended to be used for both invasive and non- invasive applications. The Breas Vivo 40 is intended to be operated by qualified and trained personnel. The Breas Vivo 40 is intended for use in clinical settings (e.g., hospitals, sleep laboratories, sub-acute care institutions) and home environments. The Breas Vivo 40 must always be prescribed by a licensed physician. Prescription Use > (Part 21 CFR 801 Subpart D) AND/OR Over-The-Counter Use (21 CFR 801 Subpart C) ## (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) Ming Thinh (Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices K071702 510(k) Number: _______________________________________________________________________________________________________________________________________________________________ Page 1 of 1
Innolitics
510(k) Summary
Decision Summary
Classification Order
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