NEWPORT HT70 FAMILY OF VENTILATORS

K090888 · Newport Medical Instruments, Inc. · CBK · Nov 18, 2009 · Anesthesiology

Device Facts

• Record ID: K090888
• Device Name: NEWPORT HT70 FAMILY OF VENTILATORS
• Applicant: Newport Medical Instruments, Inc.
• Product Code: CBK · Anesthesiology
• Decision Date: Nov 18, 2009
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 868.5895
• Device Class: Class 2
• Attributes: Therapeutic, Pediatric

Intended Use

The Newport HT70 family of ventilators is intended to provide continuous or intermittent positive pressure mechanical ventilatory support for the care of individuals who require mechanical ventilation through invasive or non-invasive interfaces. Specifically, the Newport HT70 family of ventilators is applicable for infant, pediatric and adult patients greater than or equal to 5 kg (11 lbs). The Newport HT70 is a restricted medical device intended for use by qualified, trained personnel under the direction of a physician. The Newport HT70 is suitable for use in hospital, sub-acute, emergency room, and home care environments, as well as for transport and emergency response applications.

Device Story

Newport HT70 is a mobile, ruggedized mechanical ventilator for infant, pediatric, and adult patients (≥ 5 kg). Provides continuous or intermittent positive pressure ventilation via invasive or non-invasive interfaces. Operated by qualified personnel in hospitals, sub-acute settings, emergency rooms, home care, and transport/emergency response. Features touchscreen interface for control adjustments; powered by AC/DC or hot-swappable integrated battery system. Provides ventilatory support to critically ill patients or those requiring assistance during daily activities. Output allows clinicians to monitor and manage patient respiratory status; supports clinical decision-making by providing stable, reliable mechanical ventilation across diverse care environments.

Clinical Evidence

No clinical or animal data included. Bench testing only, including electromagnetic compatibility, electrical safety, and software/hardware verification and validation.

Technological Characteristics

Positive pressure mechanical ventilator; infant/pediatric/adult support (≥ 5 kg). Features touchscreen interface, integrated hot-swappable battery system, AC/DC power. Designed for mobility/rugged environments. Software-controlled ventilation modes.

Indications for Use

Indicated for infant, pediatric, and adult patients ≥ 5 kg (11 lbs) requiring continuous or intermittent positive pressure mechanical ventilation via invasive or non-invasive interfaces.

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

• NEWPORT HT50® Ventilator (K992133, K082724)
• Pulmonetic Systems LTV® 1000 (K981371, K984056, K002881, K010608, K032226, K040540, K051767)
• Pulmonetic Systems PALMTop PTV Models 8/10 (K070594)
• Versamed Medical Systems iVENT™ 201 (K981668, K011957, K021981, K042468, K053270, K053270, K061627, K073694)

Submission Summary (Full Text)

{0}------------------------------------------------

K090888

## 510(k) Summary

### Newport HT70™ Family of Ventilators

NOV 1 8 2009

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

The term "substantial equivalence" as used in this Premarket Notification is limited to the definition found in the Federal Food, Drug, and Cosmetic Act, 21 CFR 807, Subpart E, and relates only to whether the proposed device may be marketed without prior reclassification or clinical approval. This submission is therefore not related to the coverage of any patent and is not to be interpreted as admission or used as evidence in a patent infringement law suit or any other patent matters. [Reference Establishment Registration and Premarket -Notification Procedures, Final Regulation, Preamble, August 23, 1977, FR 42520 (Docket No. 76N-0355).]

| I. | Submitter Information: | Newport Medical Instruments, Inc.<br>1620 Sunflower Avenue<br>Costa Mesa, CA 92626 |
|-----|------------------------|------------------------------------------------------------------------------------|
| | Contact Person: | Dana Rodriguez<br>Vice President, RAQA |
| | Summary Date: | 27 March 2009 |
| II. | Device Name | |
| | Proprietary: | To be determined. |
| | Common: | Ventilator, Continuous, Facility Use;<br>Continuous, Ventilator, Home Use |
| | Classification: | II |
| | Product Code: | CBK: NOU |

868.5895

# Predicate Devices

CFR Section:

III.

The HT70 is substantially equivalent to the following legally marketed predicate devices:

- NEWPORT HT50® Ventilator cleared under K992133 and K082724; .
- . Pulmonetic Systems LTV® 1000 cleared under K981371, K984056, K002881, K010608, K032226, K040540, and K051767;
- Pulmonetic Systems PALMTop PTV Models 8/10 cleared under K070594; I and
- Versamed Medical Systems iVENT™ 201 cleared under K981668, K011957, # K021981, K042468, K052554, K053270, K061627, and K073694.

{1}------------------------------------------------

#### IV. Device Description

The Newport HT70 is a state of the art ventilator that combines ruggedness, exceptional mobility, and ease of use with clinical proficiency to provide ventilatory support for infant, pediatric and adult patients. It has a durable exterior and robust overall design that stands up to the harsh environments found in emergency response, transport and homecare environments. The HT70's unique design provides maximum mobility and safety for short or long distance transport of critically ill patients and also for patients who are going about their normal activities of daily life.

The HT70 is user friendly with all controls easily found on the front touchscreen and panel; there are no complicated menus or difficult sequences to follow in order to make necessary adjustments for common operations. It may be operated from AC or DC external power sources or from the "hot-swappable" Integrated Battery System. Any time the ventilator is connected to external power, the Integrated Battery System is charged, including while the ventilator is in use.

#### V. Intended Use

The Newport HT70 family of ventilators is intended to provide continuous or intermittent positive pressure mechanical ventilatory support for the care of individuals who require mechanical ventilation through invasive or non-invasive interfaces. Specifically, the Newport HT70 family of ventilators is applicable for infant, pediatric and adult patients greater than or equal to 5 kg (11 Ibs).

The Newport HT70 is a restricted medical device intended for use by qualified, trained personnel under the direction of a physician.

The Newport HT70 is suitable for use in hospital, sub-acute, emergency room, and home care environments, as well as for transport and emergency response applications.

#### VII. Nonclinical Data

The Newport HT70 ventilator was subjected to a series of tests which address the following items:

- Electromagnetic Compatibility .
- . Electrical Safety
- Software and Hardware Verification and Validation. .

All test results confirm the device to meet its design, performance, and safety specifications.

#### VIII. Clinical Data

No clinical or animal data were included in this submission.

#### IX. Conclusions

All testing demonstrates that the Newport HT70 performs as intended and has acceptable mechanical properties when used in accordance with its labeling; the device is therefore suitable for its intended use. As the device's intended use is

{2}------------------------------------------------

comparable to the referenced predicate devices, and its operating principles, ventilation modes and performance parameters are comparable to the predicate devices, the HT70 is substantially equivalent to the predicate devices.

......

.

:

{3}------------------------------------------------

Image /page/3/Picture/11 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized image of an eagle or bird in flight, with its wings spread and feathers suggested by curved lines. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the bird, indicating the organization's name and country.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-066-0609 Silver Spring, MD 20993-0002

Ms. Dana Rodriguez Vice President of Regulatory Affairs and Quality Assurance Newport Medical Instruments, Incorporated 1620 Sunflower Avenue Costa Mesa, California 92626

NOV 1 8 2009

Re: K090888

Trade/Device Name: Newport HT70TM Family of Ventilators Regulation Number: 21 CFR 868.5895 Regulation Name: Continuous Ventilator Regulatory Class: II Product Code: CBK, NOU Dated: October 29, 2009 Received: November 18, 2009

Dear Ms. Rodriguez:

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 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,

{4}------------------------------------------------

Page 2- Ms. Rodriguez

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), . please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

for

Susan Runner, D.D.S., M.A. Acting Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{5}------------------------------------------------

## Indications for Use

## 510(k) Number (if known):

Device Name: Newport HT70™ family of ventilators

### Indications for Use:

The Newport HT70 family of ventilators is intended to provide continuous or intermittent positive pressure mechanical ventilatory support for the care of individuals who require mechanical ventilation through invasive or non-invasive interfaces. Specifically, the Newport HT70 family of ventilators is applicable for infant, pediatric and adult patients greater than or equal to 5 kg (11 lbs). ·

The Newport HT70 is suitable for use in hospital, sub-acute, emergency room, and home care environments, as well as for transport and emergency response applications.

Prescription Use X (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 IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

L. Schulthum

(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

409888 510(k) Number: