MODEL LTV 1100 VENTILATOR
Device Facts
| Record ID | K101643 |
|---|---|
| Device Name | MODEL LTV 1100 VENTILATOR |
| Applicant | Care Fusion |
| Product Code | CBK · Anesthesiology |
| Decision Date | Jan 26, 2011 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 868.5895 |
| Device Class | Class 2 |
| Attributes | Therapeutic, Pediatric |
Indications for Use
The LTV® 1100 ventilator is intended to provide continuous or intermittent ventilatory support for the care of the individuals who require mechanical ventilation. The ventilator is a medical device intended for use by qualified, trained personnel under the direction of a physician. Specifically, the ventilator is applicable for adult and pediatric patients weighing at least 5kg (11 lbs.), who require the following types of ventilatory support: Positive Pressure Ventilation, delivered invasively (via endotrach tube or trach tube) or non-invasively (via mask or nasal prongs). Assist/Control, SIMV, CPAP, and NPPV modes of ventilation. The ventilator is suitable for use in institutional, home, or transport settings.
Device Story
LTV 1100 is a portable, turbine-powered ventilator (10.5" x 13.5" x 3.25", 14.5 lbs) providing invasive and non-invasive positive pressure ventilation. It operates without external compressed gas. Features include CPAP, SIMV, Control, Assist/Control, Apnea Backup, and NPPV modes; volume control and pressure support; and spontaneous breathing trials. Input includes patient circuit pressure and flow (via optional flow sensor). The device processes these inputs to manage breath delivery, leak compensation, and alarm monitoring (e.g., high/low pressure, apnea). Operated by trained personnel in clinical, home, or transport environments. Output includes real-time pressure/flow data and alarm notifications on a front panel display. Healthcare providers use these outputs to adjust ventilation parameters, supporting patient weaning and respiratory stability.
Clinical Evidence
Bench testing only. Performance testing verified that the LTV 1100 ventilator meets its performance requirements and is substantially equivalent to legally marketed predicate devices.
Technological Characteristics
Turbine-based ventilation; no external compressed gas required. Dimensions: 10.5" x 13.5" x 3.25"; Weight: 14.5 lbs. Power: AC, internal battery, or external DC. Features: Flow sensor/no-flow sensor modes, leak compensation, lockable controls, real-time pressure display. Software-controlled ventilation modes (CPAP, SIMV, Control, Assist/Control, NPPV).
Indications for Use
Indicated for adult and pediatric patients weighing ≥5kg requiring continuous or intermittent mechanical ventilatory support (invasive or non-invasive). Suitable for institutional, home, or transport settings.
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
Submission Summary (Full Text)
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Image /page/0/Picture/0 description: The image shows the logo for CareFusion. The logo consists of a circular icon on the left and the word "CareFusion" on the right. The icon contains a stylized letter "C" inside of a circle. The text is in a bold, sans-serif font.
K101643
## 510 (K) Summary as required by 21 CFR 807.92
| 510 (K) Submitter: | CareFusion<br>Yorba Linda, CA 92887<br>(714) 283 – 2228<br>JAN 26 2011 |
|------------------------------------|-------------------------------------------------------------------------------|
| Contact Person: | Monther Abushaban<br>(714) 919 – 3660<br>Monther.Abushaban@CardinalHealth.com |
| Establishment Registration Number: | 2050001 |
| Date Prepared: | January 11,2011 |
| Name of the Device: | LTV 1100 Ventilator |
| Common/ usual name: | ventilator |
Classification:
The LTV 1100 ventilator is classified as a class fl device under the following classification code
| Product code | CFR Section | Panel |
|--------------|-----------------|----------------|
| 73 CBK | 21 CFR 868.5895 | Anesthesiology |
Predicate Device: LTV 1200 ventilator (K060647), Vela (K093094), LTV800 (K981371)
Device Description: The LTV® 1100 ventilator is designed to provide the functionality in a small package. The LTV® 1100 ventilator provides the following features:
- ventilator is (10.5" x 13.5" x 3.25", 14.5 lbs). A
- Turbine technology allows the ventilator to operate without an external compressed gas source. A
- CPAP2, SIMV3, Control, Assist/Control and Apnea Backup ventilation modes. A
- NPPV4 mode ventilation, providing an alarm package suitable for mask ventilation of patients A that do not require life support ventilation.
- Volume Control and Pressure Support ventilation. A
- Spontaneous Breathing Trial (SBT) to assist with weaning and discontinuation of ventilatory A support.
- Variable alarm settings including High Peak Pressure, Low Peak Pressure, Low Minute Volume, A Apnea, High Breath Rate, High PEEP and Low PEEP.
- Low-Pressure Oxygen Bieed-in A
- Lockable front panel controls. A
- > Eookubio from panel Control Continute Ventilation (VE), PEEP, PIP and Tidal Volume (Vte).
- Real-time patient circuit pressure display with Peak Inspiratory Pressure indicator. A
- > Variable termination conditions for Pressure Support breaths, including maximum inspiratory time termination and percentage of peak flow.
- Leak Compensation to improve triggering when a circuit leak is present. a
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Image /page/1/Picture/0 description: The image contains the logo for CareFusion. The logo consists of a circular icon on the left and the word "CareFusion" on the right. The icon features a stylized letter "C" within a circle, and the text is in a bold, sans-serif font.
- A Single or dual tone output capabilities.
- A Operation from a variety of power sources including AC power, internal battery and external DC power sources.
ﺮ ﻧﺴﺒﺔ
・・・
- > Flow Sensor and No Flow Sensor configuration modes allow for a flow sensing patient circuit or a non-flow sensing patient circuit to be used.
Intended Use: The LTV® 1100 ventilator is intended to provide continuous or intermittent ventilatory support for the care of the individuals who require mechanical ventilation. The ventilator is a medical device intended for use by qualified, trained personnel under the direction of a physician. Specifically, the ventilator is applicable for adult and pediatric patients weighing at least 5kg (11 lbs.), who require the following types of ventilatory support:
- > Positive Pressure Ventilation, delivered invasively (via endotrach tube or trach tube) or non-invasively (via mask or nasal prongs).
- A Assist/Control, SIMV, CPAP, and NPPV modes of ventilation.
The ventilator is suitable for use in institutional, home, or transport settings.
- Substantial Equivalence: The LTV 1100 ventilator is the same device as the predicate device LTV 1200. LTV800 and Vela ventilator. Modifications to the software by adding more features did not affect the intended use. The modifications to the software associated with this submittal are as follows:
- > Translations for LEAK COMP On & OFF
- > Sigh
- > Patient Circuit Selection
In summary, the LTV 1100 ventilator described in this submission is, in our opinion substantially equivalent to the predicate device.
- Summary of Testing and Validation: Performance testing verified that the LTV 1100 ventilator meets it's performance requirements that this device is substantially equivalent to medical devices currently legally marketed in the United States.
- Reason for the submission: This Traditional 510 (k) Premarket Notification is a submission for minor software and hardware changes to a current device, LTV 1200 510(k) No. K060647. These changes are features that have been added such as Sigh Breaths, Patient Circuit Mode and Adjustable rate in NIV.
The modified device also includes minor changes of appearance, operator controls and displays. There are no changes to the fundamental technology as compared to the predicate device.
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## DEPARTMENT OF HEALTH & HUMAN SERVICES.
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
Mr. Monther Abushaban Regulatory Affairs Manager Carefusion 22745 Savi Ranch Parkway Yorba Linda, California 92887
JAN 2 6 250
Re: K101643
Trade/Device Name: Model LTV 1100 Ventilator Regulation Number: 21 CFR 868.5895 Regulation Name: Continuous Ventilator Regulatory Class: II Product Code: CBK Dated: November 9, 2010 Received: January 6, 2011
> : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : :
Dear Mr. Abushaban:
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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
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.
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Page 2- Mr. Abushaban
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 (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours.
h for
Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation
Center for Devices and
Radiological Health
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Image /page/4/Picture/0 description: The image shows the logo for CareFusion. The logo consists of a circular icon on the left and the word "CareFusion" on the right. The icon contains a stylized letter "C" inside a circle. The text "CareFusion" is in a bold, sans-serif font.
510 (K) Number (if Known): ___________________________________________________________________________________________________________________________________________________ Device Name: LTV 1100 Ventilator
## Indications for Use
Device Name: LTV 1100
Indications for Use:
The LTV® 1100 ventilator is intended to provide continuous or intermittent ventilatory support for the care of the individuals who require mechanical ventilator is a medical device intended for use by qualified, trained personnel under the direction of a physician. Specifically, the ventilator is applicable for adult and pediatric patients weighing at least 5kg (11 lbs.), who require the following types of ventilatory support:
졌 Positive Pressure Ventilation, delivered invasively (via endotrach tube or trach tube) or non-invasively (via mask or nasal prongs).
X Assist/Control, SIMV, CPAP, and NPPV modes of ventilation.
The ventilator is suitable for use in institutional, home, or transport settings.
Prescription Use X (Part 21CFR 801 subpart D) AND/ OR
Over the Counter Use: (Part 21CFR 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. Schult
(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices
510(k) Number: *k101643*
