MOVES SLC
Device Facts
| Record ID | K161420 |
|---|---|
| Device Name | MOVES SLC |
| Applicant | Thornhill Research, Inc. |
| Product Code | BTL · Anesthesiology |
| Decision Date | Jun 6, 2017 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 868.5925 |
| Device Class | Class 2 |
| Attributes | Therapeutic, Pediatric |
Indications for Use
The MOVES® SLC™ is a portable computer controlled, electrically powered emergency ventilator intended to provide continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation. a. Suction The MOVES® SLC™ suction pump is intended for aspiration and removal of fluids, tissue (including bone), gases, bodily fluids or infectious materials from wounds or from a patient's airway or respiratory support system. b. Supplementary Oxygen The MOVES® SLC™ is intended to provide supplemental oxygen enriched air to patients that require supplemental oxygen. c. Patient Monitoring The MOVES® SLC™ is intended to monitor physiological parameters of patients and provide these parameters to a health care provider for interpretation in the form of physiological data and system alarms. Physiological data and system alarms will be available to the care provider from the monitor.
Device Story
Portable, computer-controlled, electrically powered emergency ventilator; provides mechanical ventilation, suction, supplemental oxygen, and multi-parameter patient monitoring. Inputs include physiological signals (Pulse Rate, NIBP, IBP, SPO2, Temperature, Respiration Rate, CO2, O2) and user settings via rotary knob, tablet, or buttons. System includes on-board oxygen concentrator and CO2 absorber. Operates on battery or AC power; mountable to stretchers. Used in transport/emergency settings by healthcare providers. Output includes ventilatory support, suction, and real-time physiological data/alarms on a color screen or external tablet. Enables clinical decision-making through continuous monitoring and respiratory support; benefits patients by providing integrated life support and monitoring during transport.
Clinical Evidence
Bench testing only. Performance verification testing conducted to validate system requirements against recognized consensus standards (IEC 60601 series, ISO 80601 series, EN 794-3, ISO 8359, ASTM E1112-00, IEC 62133). Testing confirmed equivalence in ventilator characteristics, patient monitoring, oxygen delivery, and suction capabilities.
Technological Characteristics
Portable system; Lithium Polymer batteries; internal oxygen concentrator; CO2 absorber (Calcium/Potassium/Sodium Hydroxide). Interfaces: Isolated RS232, external Windows-based tablet. Ventilator: 6-40 BPM, 50-750 ml tidal volume, 0-20 cm H2O PEEP. Monitoring: SPO2, NIBP, IBP, CO2, Temp, Respiration. Standards: IEC 60601-1, IEC 60601-1-2, IEC 60601-2-27/34/49, ISO 80601-2-30/55/61, EN 794-3, ISO 8359, ASTM E1112-00, IEC 62133.
Indications for Use
Indicated for adult and pediatric patients (infant, child, adolescent) weighing 10kg to 120kg requiring mechanical ventilation, suction, supplemental oxygen, or physiological monitoring in transport and emergency settings.
Regulatory Classification
Identification
A powered emergency ventilator is a demand valve or inhalator intended to provide emergency respiratory support by means of a face mask or a tube inserted into a patient's airway.
Predicate Devices
- MOVES® SLC™ (K140049)
- Univent 754 (K931473)
- The Medela® Vario 18 (K061205)
- SeQual Eclipse® 2 (K013931)
- Criticare 8100 (K012059)
Reference Devices
Submission Summary (Full Text)
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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
June 6, 2017
Thornhill Research Inc. Kipton Lade CEO 210 Dundas Street West, Suite 200 Toronto, M5G 2E8 CANADA
Re: K161420
Trade/Device Name: MOVES® SLC™ Regulation Number: 21 CFR 868.5925 Regulation Name: Powered Emergency Ventilator Regulatory Class: Class II Product Code: BTL, CAW, MWI, BTA Dated: May 5. 2017 Received: May 8, 2017
Dear Kipton Lade:
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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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 devicerelated 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 contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours,
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Tina Kiang, Ph.D. Acting Director Division of Anesthesiology. General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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### Indications for Use
510(k) Number (if known) K161420
Device Name MOVES® SLCTM
#### Indications for Use (Describe)
The MOVES® SLC™ is a portable computer controlled, electrically powered emergency ventilator intended to provide continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation.
#### a. Suction
The MOVES® SLC™ suction pump is intended for aspiration and removal of fluids, tissue (including bone), gases, bodily fluids or infectious materials from wounds or from a patient's airway or respiratory support system.
#### b. Supplementary Oxygen
The MOVES® SLC™ is intended to provide supplemental oxygen enriched air to patients that require supplemental oxygen.
#### c. Patient Monitoring
The MOVES® SLC™ is intended to monitor physiological parameters of patients and provide these parameters to a health care provider for interpretation in the form of physiological data and system alarms. Physiological data and system alarms will be available to the care provider from the monitor.
Operating Environment
The MOVES® SLC™ is intended to be operated in a transport and emergency setting.
Target Population
Adults and pediatric(Infant, Child, Adolescent) patients who weigh between 10kg and 120 kg.
| Type of Use (Select one or both, as applicable) | |
|--------------------------------------------------------------------------------|------------------------------------------------------------------------------|
| <div> <span> Prescription Use (Part 21 CFR 801 Subpart D) </span> </div> | <div> <span> Over-The-Counter Use (21 CFR 801 Subpart C) </span> </div> |
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Release Date: 05/05/2017 Section 5 - Page 1 of 7
# 510(k) SUMMARY
#### SUBMITTER INFORMATION
| Company Name: | Thornhill Research Inc. |
|------------------|-----------------------------|
| Company Address: | 210 Dundas St. W, Suite 200 |
| | Toronto, ON, Canada M5G 2E8 |
| Company Phone: | (416) 597-1325 |
| Company Fax: | (416) 597-1330 |
#### Contact Person: Kipton Lade, CEO
#### DEVICE IDENTIFICATION
| Trade/Proprietary Name: | MOVES® SLC™ |
|-------------------------|--------------------------------------------------------------------------------------------------------------|
| Classification: | II |
| Generic Device Name: | Emergency and transport ventilator with suction, multi-parameter patient monitoring, and Oxygen Concentrator |
#### Classification Names
| Classification Name | Product<br>Code | Class | Regulation<br>Number |
|-------------------------------------|-----------------|-------|----------------------|
| Ventilator, Emergency and Transport | BTL | II | 21 CFR 868.5925 |
| Oxygen Concentrator | CAW | II | |
| Patient Monitoring Equipment | MWI | II | |
| Powered Suction Pump | BTA | II | |
#### DEVICE DESCRIPTION
The MOVES® SLC™ (SLC) is an upgraded version of the cleared MOVES® SLC™ device (K140049), a portable multifunction patient support and monitoring system with the following capabilities:
- Computer controlled, electrically powered circle ventilator intended to provide ● continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation.
- . Delivery of oxygen-enriched air that may be supplied from an external oxygen source or generated internal to the system with the on-board oxygen concentrator.
- Patient monitoring functions including the following patient parameters: Pulse ● Rate, Noninvasive BP (NIBP), Invasive BP (IBP), SPO2, Temperature, Respiration Rate, CO2, and O2.
- . Suction/aspirator pump for medical suction procedures where secretions, blood and other body fluids must be removed through the application of continuous negative pressure.
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Release Date: 05/05/2017 Section 5 - Page 2 of 7
The MOVES® SLCTM is capable of operating under battery power or external AC supply. It includes a handle and mounting equipment that allows it to attach to a stretcher.
### INDICATIONS FOR USE
The MOVES® SLC™ is a portable computer controlled, electrically powered emergency ventilator intended to provide continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation.
#### a. Suction
The MOVES® SLC™ suction pump is intended for aspiration and removal of fluids, tissue (including bone), gases, bodily fluids or infectious materials from wounds or from a patient's airway or respiratory support system.
#### b. Supplementary Oxygen
The MOVES® SLC™ is intended to provide supplemental oxygen enriched air to patients that require supplemental oxygen.
#### c. Patient Monitoring
The MOVES® SLC™ is intended to monitor physiological parameters of patients and provide these parameters to a health care provider for interpretation in the form of physiological data and system alarms. Physiological data and system alarms will be available to the care provider from the monitor.
#### Operating Environment
The MOVES® SLC™ is intended to be operated in a transport and emergency setting.
#### Target Population
Adults and pediatric patients who weigh between 10kg and 120 kg.
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### SUBSTANTIAL EQUIVALENCE
The MOVES® SLCTM is of comparable type and is substantially equivalent to the following predicate devices:
| Device | 510(k) # |
|----------------------------------|----------|
| MOVES® SLCTM (Primary Predicate) | K140049 |
| Univent 754 | K931473 |
| Viasys AVEA (Reference Device) | K062093 |
| The Medela® Vario 18 | K061205 |
| SeQual Eclipse® 2 | K013931 |
| Criticare 8100 | K012059 |
| Lifepak 15 (Reference Device) | K103567 |
| Hamilton T1 (Reference Device) | K120670 |
### Comparison to Predicate Devices
The MOVES® SLC™ is an upgrade to the previously cleared MOVES® SLC™ (K140049), which serves as the primary predicate device. Additional functionality has been added to the MOVES® SLC™ as follows:
- Extension to pediatric patients >10kg included extended tidal down to 50 ml ●
- Addition of a wired external screen/controller.
- Enabling of previously disabled extended oximetry capabilities.
- Addition of a rotary control knob.
- Addition of extended oximetry parameters: hemoglobin (SpHb), total oxygen . content (SpOC), methemoglobin (SpMet), carboxyhemoglobin (SpCO) and/or pleth variability index (PVI)
| Feature/<br>Characteristic | Modified MOVES®<br>SLCTM | MOVES®<br>SLCTM<br>(K140049) | Univent 754<br>(K931473) | Viasys AVEA<br>(K062093)<br>REFERENCE<br>DEVICE |
|--------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------|
| Environment | Transport and emergency<br>care | Transport and<br>Emergency Care. | Clinical, field<br>hospital, transport,<br>aeromedical and pre-<br>hospital (BLS<br>through ATLS)<br>environments. | Transport,<br>Emergency Care,<br>and Critical Care |
| Patient Population | Adults and Peditric<br>Patients between 10 and<br>120kg | Adults between<br>40kg and 120kg | No restriction | Neonatal, infant,<br>pediatric, and<br>adults |
| Frequency | 6-40 BPM | 6-40 BPM | 1 to 150 BPM | 1-150 |
| Tidal Volume | 50 -750 ml | 100 -750 ml | Based on peak flow<br>not exceeding 10<br>LPM | 100 to 2500 ml<br>(adult)<br>25-500ml |
| Feature/<br>Characteristic | Modified MOVES®<br>SLCTM | MOVES®<br>SLCTM<br>(K140049) | Univent 754<br>(K931473) | Viasys AVEA<br>(K062093)<br>REFERENCE<br>DEVICE |
| I:E Ratio | 1:1 to 1:3 | 1:1 to 1:3 | 1:599 | Not explicitly<br>settable. Set by<br>adjusting RR and<br>inspire time. |
| PEEP | 0 to 20 cm H2O | 0 to 20 cm H2O | 1 to 20 cmH20 | 0 to 50 cm H2O |
| PSV | 0.5 to 40 cmH2O | 0.5 to 40 cmH2O | No PSV | 0-90 cmH2O |
| CPAP | No | No | No | Yes |
| APRV | Yes | No | No | Yes (also<br>included in<br>Hamilton T1<br>which is intended<br>for transport) |
| Oxygen Supply | 15 LPM maximum flow<br>Internal oxygen<br>concentrator | 15 LPM maximum<br>flow<br>Internal oxygen<br>concentrator | 50 PSI | 20 to 80 psig |
| CO2 Absorber | Extendaire (Calcium<br>Hydroxide, Potassium<br>Hydroxide, and Sodium<br>Hydroxide) | Extendaire<br>(Calcium<br>Hydroxide,<br>Potassium<br>Hydroxide, and<br>Sodium Hydroxide) | None | None |
| Airway Pressure,<br>Display Range | End inspiratory pressure,<br>end expiratory pressure<br>(numeric)<br>Airway pressure graph<br>labeled as Paw graph.<br>0-99 cmH2O | End inspiratory<br>pressure, end<br>expiratory pressure<br>(numeric)<br>Airway pressure<br>graph labeled as<br>Paw graph.<br>0-99 cmH2O | Airway Pressure<br>Graph | Peak Inspiratory<br>Pressure, end<br>expiratory<br>pressure, mean<br>airway pressure<br>0 to 120 cmH2O |
| Electrical Source<br>Displayed | Yes | Yes | Yes | Yes |
| Battery Level<br>Displayed | Yes | Yes | Yes | Yes |
| Feature/<br>Characteristic | Modified MOVES®<br>SLCTM | MOVES®<br>SLCTM<br>(K140049) | Univent 754<br>(K931473) | Viasys AVEA<br>(K062093)<br>REFERENCE<br>DEVICE |
| Power Supply | 100-240 VAC 50-60Hz | 100-240 VAC 50-<br>60Hz | 90-265 VAC, 47-<br>440HZ | 100-240 VAC 50-<br>60Hz depending<br>on supply used |
| Internal Battery | Two Lithium Polymer,<br>>2.5 hours total<br>operation time, 25.9 V<br>nominal<br>(Rechargeable) | Two Lithium<br>Polymer, >2.5<br>hours total<br>operation time, 25.9<br>V nominal<br>(Rechargeable) | 20-36 Volts | Internal battery<br>backup and<br>optional external<br>battery 20-29 V<br>Battery |
| Weight (Battery) | Two Batteries at 3.25 lbs | Two Batteries at<br>3.25 lbs | 3 hours maximum<br>operating time using<br>internal compressor. | Not separately<br>listed |
| Weight | 37.5lbs (system<br>excluding battery) | 37.5lbs (system<br>excluding battery) | 13 lbs | 83-90 lbs |
| Dimensions (w x h<br>x d) | 33 x 10.25 x 6.5 inches | 33 x 10.25 x 6.5<br>inches | 8.87 x 11.5 x 4.5<br>inches | 17 x 10.5 x 16<br>inches |
| External Interfaces | Isolated RS232 through<br>custom connector to<br>power and communicate<br>with external windows<br>based tablet controller | Isolated RS232<br>through custom<br>connector + isolated<br>5V | None | Analog inputs(2)<br>SVGA output |
| Monitor | Color screen<br>External Windows based<br>tablet | Color screen | Monochrome screen | Color screen<br>External VGA<br>port to secondary<br>monitor |
| User Interface | Context sensitive and<br>permanent buttons near<br>screen And rotary knob<br>Touch screen on external<br>tablet. | Context sensitive<br>and permanent<br>buttons near screen. | Dials & buttons | Context sensitive<br>and permanent<br>buttons near<br>screen. Touch<br>screen. |
| Water Trap | Separable Water trap<br>accessory | Water trap<br>embedded in<br>scrubber cartridge | NA | NA |
| Feature/<br>Characteristic | Modified MOVES®<br>SLCTM | MOVES®<br>SLCTM<br>(K140049) | Criticare<br>8100<br>(K012059) | LIFEPAK® 15<br>(K103567)<br>REFERENCE<br>DEVICE |
| SPO2 sensitivity | Fixed | Fixed | Fixed | User selectable: Normal,<br>High |
| SPO2 pulse rate<br>range | 25 to 240 bpm | 25 to 240<br>bpm | 20-300 | 25 to 240 bpm |
| SPO2 pulse rate<br>accuracy | +/- 3% | +/- 3% | +/-1 BMP | +/- 3 digits (during no<br>motion conditions)<br>+/- 5 digits (during motion<br>conditions) |
| Additional<br>oximetry<br>parameters | Optional include hemoglobin (SpHb), total oxygen content (SpOC), methemoglobin (SpMet), carboxyhemoglobin in (SpCO) and/or pleth variability index (PVI) | None | None | Optional include hemoglobin (SpHb), total oxygen content (SpOC), methemoglobin (SpMet), carboxyhemoglobin in (SpCO) and/or pleth variability index (PVI) |
#### Comparison of Ventilator and User Interface Characteristics.
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Section 5 – Page 4 of 7
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Section 5 – Page 5 of 7
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Section 5 – Page 6 of 7
#### Comparison of Oximetry between Subject and Predicate Devices
In all cases the extended indications for use or functionality are found in the identified substantially equivalent predicate devices. Furthermore, the performance specifications of the MOVES® SLC™ are substantially equivalent to those of the identified predicate devices.
#### Compliance to Standards and Regulations
IEC 60601-1 IEC 60601-1-2 IEC 60601-2-27 IEC 60601-2-34 IEC 60601-2-49 ISO 80601-2-30 ISO 80601-2-55 ISO 80601-2-61 EN 794-3 ISO 8359 ASTM E1112-00 IEC 62133
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Testing was conducted in accordance with all referenced standards and regulations, and to validate all system requirements. EMC, environmental, and shock and vibration testing was conducted in accordance with IEC 60601-1-2. EN794-3 and MIL-STD-810F.
### Summary of Performance Testing
The results of performance testing demonstrate that the characteristics the MOVES® SLC™ are substantially equivalent to the identified predicates in terms of ventilator characteristics, patient monitoring performance, ability to delivery supplemental oxygen, and provide airway suction.
### Determination of Substantial Equivalence
The MOVES® SLC™ system is substantially equivalent to the predicate devices. In addition, the MOVES® SLC™ has been tested to comply with relevant recognized consensus standards as well as voluntary standards (detailed above). The combination of performance verification testing and testing to applicable objective standards substantiates the claim of substantial equivalence of the MOVES® SLC™ system.
## CONCLUSION
The MOVES® SLC™ is substantially equivalent to the identified predicate devices.
