NEOPOP INFANT RESUSCITATOR WITH FLOW METER
Device Facts
| Record ID | K102649 |
|---|---|
| Device Name | NEOPOP INFANT RESUSCITATOR WITH FLOW METER |
| Applicant | Neoforce Group, Inc. |
| Product Code | BTM · Anesthesiology |
| Decision Date | Jan 6, 2011 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 868.5915 |
| Device Class | Class 2 |
| Attributes | Therapeutic, Pediatric |
Intended Use
The NeoPIP Infant Resuscitator with Flow Meter is a manually operated, gas powered device with integrated flow meter intended for controlled and accurate resuscitation of neonates and infants in the clinical environment. This is a prescription device.
Device Story
NeoPIP Infant Resuscitator with Flow Meter is a manually operated, gas-powered device used in clinical settings for neonatal and infant resuscitation. Device delivers oxygen or blended gas to patient; allows clinician to control peak inspiratory pressure (PIP) and positive end-expiratory pressure (PEEP) at patient end of breathing circuit. Includes adjustable maximum pressure relief capability. Integrated flow meter assists in gas delivery monitoring. Operated by clinicians to provide controlled ventilation; helps ensure accurate pressure delivery during emergency resuscitation, potentially improving patient outcomes by preventing barotrauma associated with manual bag-mask ventilation.
Clinical Evidence
No clinical data provided. Substantial equivalence based on technological characteristics and intended use compared to legally marketed predicate devices.
Technological Characteristics
Manually operated, gas-powered resuscitation device. Features integrated flow meter, adjustable peak inspiratory pressure (PIP) control, PEEP control at patient circuit, and adjustable maximum pressure relief valve. Standalone device; no software or electronic components.
Indications for Use
Indicated for controlled and accurate resuscitation of neonates and infants in clinical environments. Prescription use only.
Regulatory Classification
Identification
A manual emergency ventilator is a device, usually incorporating a bag and valve, intended to provide emergency respiratory support by means of a face mask or a tube inserted into a patient's airway.
Predicate Devices
- Fisher & Paykel, Neopuff Infant Resuscitator (K892885)
- NeoPIP Infant Resuscitation Unit (K072021)
- Ispira Resusciation System (K092085)
Related Devices
- K093913 — MERCURY MEDICAL T-PIECE RESUSCITATOR · Mercury Medical, Inc. · Apr 6, 2010
- K072021 — NEOPIP INFANT RESUSCITATOR · Neoforce Group, Inc. · Sep 12, 2007
- K173373 — SafeT T-Piece Resuscitator · Ventlab, LLC · Nov 16, 2018
- K102542 — RESUSCI FLOW; RESUSCI FLOW 104 · Atom Medical Corporation · Apr 6, 2011
- K103833 — NEOPIP PATIENT CIRCUIT WITH PEEP · Neoforce Group, Inc. · Apr 20, 2011
Submission Summary (Full Text)
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K102649
JAN 6 2011
#### 510(k) Summary of Safety and Effectiveness Section I
Applicant:
NeoForce Group Inc 35 Commerce Drive lvyland, Pa 18974 Registration Number: 3005599562
Contact Person:
Monica Ferrante VP Regulatory Ph 215-672-6800 x203 Fax 215-672-1123
Device trade/proprietary name:
NeoPIP Infant Resuscitator with Flow Meter
Device common/usual/classification name:
Emergency Resuscitation Device
Classification:
Anesthesiology 21 CFR 868.5915 Manual Emergency Ventilator, BTM, Class II
Performance Standards:
None applicable
Predicate Device:
K892885 Fisher & Paykel, Neopuff Infant Resuscitator K072021 NeoPIP Infant Resuscitation Unit K092085 Ispira Resusciation System
Device Description
The NeoPIP Infant Resuscitator with Flow Meter is intended to deliver oxygen or blended gas to a neonate while controlling peak inspiratory pressure. Positive end expiratory pressure is controlled at the patient end of the breathing circuit. The device also provides a maximum pressure relief capability which is
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adjustable. The device is intended for emergency resuscitation and is manually operated.
# Intended Use
The NeoPIP Infant Resuscitator with Flow Meter is a manually operated, gas powered device intended for controlled and accurate resuscitation of neonates and infants in the clinical environment.
# Substantial Equivalence
The NeoPIP is believed to be substantially equivalent to currently marketed manual emergency resuscitation devices with regards to intended use, safety and effectiveness.
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Image /page/2/Picture/0 description: The image shows a logo for the Department of Health & Human Services USA. The logo features the department's seal, which includes an abstract symbol resembling three overlapping waves or lines. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the seal.
# DEPARTMENT OF HEALTH & HUMAN SERVICES
6 Air
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
Ms. Monica Ferrante Vice President of Regulatory Affairs NeoForce Group Incorporated 35 Commerce Drive lvyland, Pennsylvania 18974
Re: K102649
Trade/Device Name: NeoPIP Infant Resuscitator with Flow Meter Regulation Number: 21 CFR 868.5915 Regulation Name: Manual Emergency Ventilator Regulatory Class: II Product Code: BTM Dated: December 21, 2010 Received: December 22, 2010
Dear Ms. Ferrante:
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- Ms. Ferrante ·
Enclosure
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/Industrv/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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### Section A SMDA Requirements
### A.1 Indication for Use Statement
510(k) Number:
Device Name: NeoPIP Infant Resuscitator with Flow Meter
Indications for Use:
The NeoPIP Infant Resuscitator with Flow Meter is a manually operated, gas powered device with integrated flow meter intended for controlled and accurate resuscitation of neonates and infants in the clinical environment.
This is a prescription device.
# (Please do not write below this line continue on another page if needed) Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use × (Per 21 CFR 801.109)
OR Over-the-Counter Use
(Optional Format 1/2/96)
(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices
510(k) Number:
