K170853 · Respironics Respiratory Drug Delivery (Uk) , Ltd. · CAF · Nov 2, 2017 · Anesthesiology
Device Facts
Record ID
K170853
Device Name
InnoSpire Go
Applicant
Respironics Respiratory Drug Delivery (Uk) , Ltd.
Product Code
CAF · Anesthesiology
Decision Date
Nov 2, 2017
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 868.5630
Device Class
Class 2
Attributes
Therapeutic, Pediatric
Indications for Use
The InnoSpire Go is a vibrating mesh nebulizer system designed to aerosolize liquid medications for inhalation by the patient. The device may be used with pediatric (2 years and older), defined by the prescribed medication, and adults patients in the home environment or in a hospital/clinic setting.
Device Story
InnoSpire Go is a handheld, battery-powered vibrating mesh nebulizer; aerosolizes liquid medications for inhalation. Operates by vibrating a palladium-nickel mesh at 137 kHz to generate aerosol; continuous delivery during inhalation and exhalation. Used in home or clinical settings by patients or caregivers. Device features an 8 mL reservoir; rechargeable battery; mouthpiece or mask interface. Healthcare providers prescribe the medication; device output (aerosolized drug) allows patient to inhale medication for respiratory treatment. Benefits include portable, efficient drug delivery.
Clinical Evidence
Bench testing only. Comparative aerosol performance testing (MMAD, GSD, delivered dose, fine/respirable particle fractions) conducted at 15 lpm and 30 lpm using Salbutamol, Ipratropium bromide, and Sodium cromoglicate. Results showed comparable or improved performance metrics versus predicate. Biocompatibility testing per ISO 10993-1 and electrical safety/EMC testing per IEC 60601 series performed.
Technological Characteristics
Vibrating mesh technology (palladium-nickel mesh, 137 kHz). Handheld form factor; 8 mL reservoir. Rechargeable battery power. Materials tested per ISO 10993-1. Standards met: AAMI ANSI ES 60601-1, IEC 60601-1-2, IEC 60601-1-6, IEC 60601-1-11, IEC 62133.
Indications for Use
Indicated for pediatric (2 years+) and adult patients requiring aerosolized liquid medications. No contraindications.
Regulatory Classification
Identification
A nebulizer is a device intended to spray liquids in aerosol form into gases that are delivered directly to the patient for breathing. Heated, ultrasonic, gas, venturi, and refillable nebulizers are included in this generic type of device.
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November 2, 2017
Respironics Respiratory Drug Delivery (UK) Ltd. % Paul Dryden ProMedic, LLC 131 Bay Point Dr. NE St. Petersburg, Florida 33704
Re: K170853
Trade/Device Name: InnoSpire Go Regulation Number: 21 CFR 868.5630 Regulation Name: Nebulizer (Direct Patient Interface) Regulatory Class: Class II Product Code: CAF Dated: September 29, 2017 Received: October 2, 2017
Dear Paul Dryden:
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.
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 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);
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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 (DICE) 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/SafetyReportaProblem/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 (DICE) 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.
# Tara A. Ryan -S
for
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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# DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration
# Indications for Use
510(k) Number (if known)
K170853
Device Name
# InnoSpire Go
Indications for Use (Describe)
The InnoSpire Go is a vibrating mesh nebulizer system designed to aerosolize liquid medications for inhalation by the patient. The device may be used with pediatric (2 years and older), defined by the prescribed medication, and adults patients in the home environment or in a hospital/clinic setting.
Type of Use (Select one or both, as applicable)
| <b>XX</b> Prescription Use (Part 21 CFR 801 Subpart D) |
|--------------------------------------------------------|
| Over-The-Counter Use (21 CFR 801 Subpart C) |
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Page 1 of 1
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# 510(k) Summary Page 1 of 8 2-Nov-17
| Company: | Respironics Respiratory Drug Delivery (UK) Ltd.<br>Chichester Business Park<br>City Fields Way, Tangmere<br>Chichester PO20 2FT UK<br>Tel: +011 [44] 870 423 1558 |
|----------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Official Contact: | Filippo Quadrelli - Project Manager |
| Proprietary or Trade Name: | InnoSpire Go |
| Common/Usual Name: | Nebulizer (Direct Patient Interface) |
| Classification Name: | CAF |
| Regulation number: | 21 CFR 868.5630 |
| Class | II |
| Predicate Device: | K081650 – Aerogen AeroNeb nebulizer |
# Device Description:
The InnoSpire Go nebulizer is a small, handheld, internally powered nebulizer which utilizes vibrating mesh technology to generate aerosol.
### Indications for Use:
The InnoSpire Go is a vibrating mesh nebulizer system designed to aerosolize liquid medications for inhalation by the patient. The device may be used with pediatric (2 years and older), defined by the prescribed medication and adult patients in the home environment or in a hospital/clinic setting.
# Patient Population:
Pediatric (2 years or older), defined by the prescribed medication, and adult patients
# Environment of Use:
The InnoSpire Go is intended to be used in home environment or in a hospital/clinic setting.
### Contraindications:
None.
# Predicate Device Comparison
As indicated the subject device utilizes the vibrating mesh technology of the predicate. K081650 – Aerogen Aeroneb® Go.
The primary differences between the devices is the design related to form factor, otherwise they are very similar. We will present a comparison of the proposed device and a predicate in Tables 1 to 4 and then discuss the table and any differences.
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# 510(k) Summary Page 2 of 8 Table 1 – Substantial Equivalence Comparative Table - Nebulizer
| Features | Predicate | Proposed |
|---------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Aerogen AeroNeb® Go | InnoSpire Go Nebulizer |
| | K081650 | |
| Indications for use | The Aeroneb® Go nebulizer, for use by pediatric and | The InnoSpire Go is a vibrating mesh nebulizer system |
| | adult patients, is intended to aerosolize physician- | designed to aerosolize liquid medications for inhalation by |
| | prescribed solutions for inhalation that are approved for | the patient. The device may be used with pediatric (2 years |
| | use with a general purpose nebulizer. | and older), defined by the prescribed medication and adult |
| Patient Population | Pediatric and adult patients | patients in the home environment or in a hospital/clinic |
| Environment of Use | None specified, but known to be used in the home, | setting. |
| | hospital, and sub-acute care settings | |
| Contraindications | None | None |
| Principle of Operation and rate | Vibrating mesh - Palladium nickel 128 kHz | Vibrating mesh - Palladium nickel 137 KHz |
| Aerosolization | Continuous during inhalation and exhalation | Continuous during inhalation and exhalation |
| Compressed gas source | None needed | None needed |
| Reservoir volume | 6 ml | 8 ml |
| Nebulization rate | >0.3 ml/min | >0.45 ml/min |
| Duration of Use | Home setting | Home and clinical setting |
| | Single patient, multi-use | Single patient, multi-use |
| Nebulizer components cleanable | Yes | Yes |
| Software driven | Yes | Yes |
| Patient interface | Mouthpiece and multiple size mask | Mouthpiece and 2 mask sizes |
| | | Internal volume |
| | | Large - 99 ml |
| | | Medium (2 yo – 5 yo) – 34 ml |
| Power source | "AA" battery | Rechargeable battery |
| | AC Adapter 100-240 V | AC Adapter 100-240 V |
| Power consumption | < 2 W | < 5 W when charging |
| Weight | Nebulizer - 65g | <130g (including battery) |
| | Control module – 260g (excluding battery) | |
| Dimensions (mm) | Nebulizer - 40 x 105 x 95mm | 46 x 130 x 70mm (approx.) |
| | Control module - 70 x 110 x 32mm | |
| 2-Nov-17 | | |
| Features | Predicate<br>Aerogen AeroNeb® Go<br>K081650 | Proposed<br>InnoSpire Go Nebulizer |
| Operating Conditions | 5 to 45°C / up to 95%% RH | +5°C to +40°C<br>15% to 93% RH, non-condensing<br>Atmospheric pressure 70 kPa to 106 kPa |
| Storage Conditions | -20 to + 60°C / up to 95% RH | -25°C to +70°C,<br>10% to 93% RH, non-condensing<br>Atmospheric pressure 50 kPa to 106 kPa |
| User interface | On/Off switch<br>LED indicators | On/Off switch<br>LED indicators |
| Standards met | ES 60601-1<br>IEC 60601-1-2 | AAMI ANSI ES 60601-1: 2005 +A1: 2012<br>IEC 60601-1-2:2014<br>IEC 60601-1-6:2013<br>IEC 60601-1-1:2015 |
| Performance | | |
| Materials per<br>ISO 10993-1 | External Communicating<br>(Indirect gas pathway)<br>Tissue / Bone / Dentin communicating<br>Duration of Use – permanent (> 30 days)<br>And<br>Surface Contact<br>Mucosal membrane<br>Duration of Use – permanent (> 30 days) | External Communicating<br>(Indirect gas pathway)<br>Tissue / Bone / Dentin communicating<br>Duration of Use – permanent (> 30 days)<br>And<br>Surface Contact<br>Mucosal membrane<br>Duration of Use – permanent (> 30 days) |
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# 510(k) Summary
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# 510(k) Summary Page 4 of 8 2-Nov-17 Table 2 – Substantial Equivalence Comparative Table - Face Mask
| Face mask | Reference Device | Proposed InnoSpire Go Nebulizer |
|-----------------|-----------------------------------------------|-------------------------------------------------------------------|
| | K110293 | |
| | Optichamber Diamond Valved Holding Chamber | |
| | Respironics New Jersey (Philips) | |
| Sizes | 2 | 2<br>It is intended that patient 2 to 5 years old use a face mask |
| Internal volume | Large - 99 ml<br>Medium (2 yo – 5 yo) – 34 ml | Large - 99 ml<br>Medium (2 yo – 5 yo) – 34 ml |
Note the intended face masks are the identical mask cleared under a sister company.
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# 510(k) Summary Page 5 of 8 2-Nov-17
# Table 3 - Comparative Aerosol Performance - Adult Flow Rate - 30 Ipm (Values shown are mean and 95% confidence interval)
| Parameter | Drug | InnoSpire Go | Aeroneb Go |
|----------------------------------------------------|-------------------------------------|--------------|-------------|
| Delivered dose (µg) * | Salbutamol (5 mg/ 2.5 mL) | 2370 ± 113 | 2206 ± 216 |
| | Ipratropium bromide (500 µg / 2 mL) | 234 ± 6 | 229 ± 12 |
| | Sodium cromoglicate (20 mg/2mL) | 10146 ± 507 | 9210 ± 500 |
| Mass median<br>aerodynamic diameter<br>/ MMAD (µm) | Salbutamol (5 mg / 2.5 mL) | 3.90 ± 1.04 | 4.06 ± 0.47 |
| | Ipratropium bromide (500 µg / 2 mL) | 3.87 ± 0.9 | 3.79 ± 0.20 |
| | Sodium cromoglicate (20mg/2mL) | 4.02 ± 0.91 | 4.15 ± 0.32 |
| Geometric standard<br>deviation/ GSD | Salbutamol (5 mg/ 2.5 mL) | 2.02 ± 0.11 | 2.00 ± 0.05 |
| | Ipratropium bromide (500 µg / 2 mL) | 2.02 ± 0.18 | 2.06 ± 0.07 |
| | Sodium cromoglicate (20 mg/2mL) | 2.00 ± 0.18 | 2.02 ± 0.04 |
| Fine particle fraction <5<br>μm (%) | Salbutamol (5 mg/2.5 mL) | 61.1 ± 14.4 | 58.9 ± 7.4 |
| | Ipratropium bromide (500 µg / 2 mL) | 61.9 ± 11.4 | 62.4 ± 2.6 |
| | Sodium cromoglicate (20mg/2mL) | 59.6 ± 11.6 | 56.9 ± 4.5 |
| Fine particle dose <5<br>μm (µg) | Salbutamol (5 mg/ 2.5 mL) | 1450 ± 389 | 1300 ± 198 |
| | Ipratropium bromide (500 µg / 2 mL) | 145 ± 30 | 143 ± 13 |
| | Sodium cromoglicate (20mg/2mL) | 6047 ± 1407 | 5240 ± 358 |
| Coarse particle fraction<br>>5 µm (%) | Salbutamol (5 mg / 2.5 mL) | 38.9 ± 14.4 | 41.1 ± 7.4 |
| | Ipratropium bromide (500 µg / 2 mL) | 38.1 ± 11.4 | 37.6 ± 2.6 |
| | Sodium cromoglicate (20 mg/2mL) | 40.4 ± 11.6 | 43.1 ± 4.5 |
| Coarse particle dose >5<br>μm (µg) | Salbutamol (5 mg/ 2.5 mL) | 920 ± 315 | 906 ± 188 |
| | Ipratropium bromide (500 µg / 2 mL) | 89 ± 25 | 86 ± 4 |
| | Sodium cromoglicate (20 mg/2mL) | 4098 ± 1054 | 3970 ± 556 |
| Respirable fraction 1 - 5<br>μm (%) | Salbutamol (5 mg/ 2.5 mL) | 56.0 ± 11.9 | 53.8 ± 6.6 |
| | Ipratropium bromide (500 µg / 2 mL) | 56.6 ± 9 | 56.4 ± 1.6 |
| | Sodium cromoglicate (20 mg/2mL) | 47.9 ± 6.4 | 43.7 ± 1.7 |
| Respirable dose 1 - 5<br>μm (µg) | Salbutamol (5 mg/2.5 mL) | 1328 ± 328 | 1187 ± 185 |
| | Ipratropium bromide (500 µg / 2 mL) | 132 ± 24 | 129 ± 10 |
| | Sodium cromoglicate (20 mg / 2 mL) | 4859 ± 790 | 4023 ± 83 |
| Ultra-fine particle<br>fraction <1 µm (%) | Salbutamol (5 mg / 2.5 mL) | 5.2 ± 2.6 | 5.1 ± 0.9 |
| | Ipratropium bromide (500 µg / 2 mL) | 5.4 ± 3.2 | 6.0 ± 1.0 |
| | Sodium cromoglicate (20mg/2mL) | 11.7 ± 5.8 | 13.2 ± 3.4 |
| Ultra-fine particle dose<br><1 µm (µg) | Salbutamol (5 mg / 2.5 mL) | 123 ± 65 | 112 ± 16 |
| | Ipratropium bromide (500 µg / 2 mL) | 12.6 ± 8 | 13.7 ± 3 |
| | Sodium cromoglicate (20 mg/2mL) | 1189 ± 643 | 1217 ± 304 |
* determined using a simulated breathing pattern (tidal volume = 500 mL, I:E ratio = 1:1, breaths per minute = 15)
# Discussion:
The statistical analysis of comparison showed that there are some statistically significant differences in performance at 95% confidence, but in those cases the InnoSpire Go provided either higher Total Dose; smaller particle size (MMAD and GSD); larger Total Respirable Dose.
For the differences in particle size distributions, their differences reflect the results of the Total Respirable Dose, which was an overall higher dose, thus the Coarse, Fine and Ultra- fine particle data would mirror these results as well.
Overall the results are comparable to the predicate and would support a determination of substantial equivalence.
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## 510(k) Summary Page 6 of 8 2-Nov-17
# Table 4 - Comparative Aerosol Performance - Pediatric Flow Rate - 15 Ipm (Values shown are mean and 95% confidence interval)
| Parameter | Drug | InnoSpire Go | Aeroneb Go |
|----------------------------------------------------|-------------------------------------|--------------|-------------|
| Delivered dose (µg) * | Salbutamol (5 mg / 2.5 mL) | 2370 ± 113 | 2206 ± 216 |
| | Ipratropium bromide (500 µg / 2 mL) | 234 ± 6 | 229 ± 12 |
| | Sodium cromoglicate (20 mg / 2 mL) | 10146 ± 507 | 9210 ± 500 |
| Mass median<br>aerodynamic diameter<br>/ MMAD (µm) | Salbutamol (5 mg / 2.5 mL) | 3.99 ± 0.73 | 4.85 ± 0.77 |
| | Ipratropium bromide (500 µg / 2 mL) | 3.93 ± 0.74 | 5.08 ± 0.48 |
| | Sodium cromoglicate (20 mg / 2 mL) | 4.27 ± 0.76 | 4.87 ± 0.54 |
| Geometric standard<br>deviation / GSD | Salbutamol (5 mg / 2.5 mL) | 1.82 ± 0.02 | 2.10 ± 0.09 |
| | Ipratropium bromide (500 µg / 2 mL) | 1.82 ± 0.03 | 2.09 ± 0.11 |
| | Sodium cromoglicate (20 mg / 2 mL) | 1.83 ± 0.05 | 2.00 ± 0.08 |
| Fine particle fraction <5<br>µm (%) | Salbutamol (5 mg / 2.5 mL) | 64.4 ± 12.2 | 51.1 ± 9.5 |
| | Ipratropium bromide (500 µg / 2 mL) | 65.3 ± 12.3 | 48.4 ± 5.1 |
| | Sodium cromoglicate (20 mg / 2 mL) | 59.8 ± 11.6 | 51.0 ± 6.7 |
| Fine particle dose <5<br>µm (µg) | Salbutamol (5 mg / 2.5 mL) | 1526 ± 285 | 1129 ± 324 |
| | Ipratropium bromide (500 µg / 2 mL) | 153 ± 29 | 111 ± 6 |
| | Sodium cromoglicate (20 mg / 2 mL) | 6070 ± 1460 | 4689 ± 375 |
| Coarse particle fraction<br>>5 µm (%) | Salbutamol (5 mg / 2.5 mL) | 35.6 ± 12.2 | 48.9 ± 9.5 |
| | Ipratropium bromide (500 µg / 2 mL) | 34.7 ± 12.3 | 51.6 ± 5.1 |
| | Sodium cromoglicate (20 mg / 2 mL) | 40.2 ± 11.6 | 49.1 ± 6.7 |
| Coarse particle dose >5<br>µm (µg) | Salbutamol (5 mg / 2.5 mL) | 844 ± 305 | 1076 ± 109 |
| | Ipratropium bromide (500 µg / 2 mL) | 81 ± 29 | 118 ± 18.1 |
| | Sodium cromoglicate (20 mg / 2 mL) | 4076 ± 1000 | 4521 ± 852 |
| Respirable fraction 1 - 5<br>µm (%) | Salbutamol (5 mg / 2.5 mL) | 62.7 ± 11.6 | 47.2 ± 0.2 |
| | Ipratropium bromide (500 µg / 2 mL) | 63.6 ± 11.8 | 64.3 ± 0.2 |
| | Sodium cromoglicate (20 mg / 2 mL) | 58.3 ± 11.2 | 59.3 ± 11.2 |
| Respirable dose 1 - 5<br>µm (µg) | Salbutamol (5 mg / 2.5 mL) | 1485 ± 270 | 1042 ± 100 |
| | Ipratropium bromide (500 µg / 2 mL) | 149 ± 28 | 147 ± 8.3 |
| | Sodium cromoglicate (20 mg / 2 mL) | 5922 ± 1403 | 5458 ± 750 |
| Ultra-fine particle<br>fraction <1 µm (%) | Salbutamol (5 mg / 2.5 mL) | 1.7 ± 0.6 | 1.0 ± 0.2 |
| | Ipratropium bromide (500 µg / 2 mL) | 1.8 ± 0.6 | 1.0 ± 0.2 |
| | Sodium cromoglicate (20 mg / 2 mL) | 1.5 ± 0.5 | 0.4 ± 0.4 |
| Ultra-fine particle dose<br><1 µm (µg) | Salbutamol (5 mg / 2.5 mL) | 41 ± 15 | 23 ± 5 |
| | Ipratropium bromide (500 µg / 2 mL) | 4.1 ± 1.4 | 2.2 ± 0.4 |
| | Sodium cromoglicate (20 mg / 2 mL) | 148 ± 58.2 | 40 ± 36.1 |
* determined using a simulated breathing pattern (tidal volume = 500 mL, 1:1, breaths per minute = 15)
### Discussion:
The statistical analysis of comparison showed that there are some statistically significant differences in performance at 95% confidence, but in those cases the InnoSpire Go provided either higher Total Dose; smaller particle size (MMAD and GSD); larger Total Respirable Dose.
For the differences in particle size distributions, their differences reflect the results of the Total Respirable Dose, which was an overall higher dose, thus the Coarse, Fine and Ultra- fine particle data would mirror these results as well.
Overall the results are comparable to the predicate and would support a determination of substantial equivalence.
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## 510(k) Summary Page 7 of 8 2-Nov-17
## Performance differences With and Without a Mask
Comparative performance testing was performed as to the reduction in delivered dose, Fine Particle ad Respirable Dose with and without a mask as compared to the predicate. Discussion:
The results show a decrease in delivered dose and respirable dose as compared to performance with a mouthpiece, however the reduced performance is substantially equivalent to the predicate with a face mask.
# Substantial Equivalence Discussion and Differences Between Predicate Devices
The InnoSpire Go nebulizer is viewed as substantially equivalent to the predicate device because:
Indications for Use – The proposed indications for use are to aerosolize commonly prescribed medications.
Discussion - The indications for use are similar for the proposed device and the predicate -K081650 – Aerogen Aeroneb® Go nebulizer.
Patient Population – The patient population of adult and pediatric (defined by the prescribed medication) patients that is consistent with the indications for the aerosol medication. This is similar to the predicate - K081650 - Aerogen Aeroneb® Go nebulizer.
Discussion - The patient population is similar for the proposed device and the predicate -K081650 – Aerogen Aeroneb® Go nebulizer.
Environment of Use – The proposed environments of use are common and usual for handheld nebulizers, namely home and hospital/clinic settings.
Discussion - The environment of use is identical for the proposed device and the predicate -K081650 – Aerogen Aeroneb® Go nebulizer.
Technology - The design is a vibrating mesh nebulizer which is the same principle of operation. Discussion - The technology is similar for the proposed device as compared to the predicate -K081650 – Aerogen Aeroneb® Go nebulizer.
## Non-clinical performance testing
### Biocompatibility / Materials -
The materials in patient / drug contact have been tested they are characterized as:
- External Communicating (Indirect gas pathway), Tissue / Bone / Dentin communicating. Duration of Use - permanent (> 30 days)
And
- Surface Contact, Mucosal membrane, Duration of Use permanent (> 30 days) ●
### Discussion -
We performed the following tests with guidance from ISO 10993-1 and the results were acceptable.
- . Cytotoxicity - ISO 10993-5:2009
- Sensitization - ISO 10993-10:2010
- Irritation (for surface contact materials) ISO 10993-10:2010 .
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# 510(k) Summary Page 8 of 8 2-Nov-17
- Leachable and Extractables - polar and non-polar - ISO 10993-12:2012 and ISO 10993-18:2005
- Gas emission VOC ASTM D 5466-01:2015 ●
- PM25 ●
- Risk based assessment ISO 10993-17:2002(R)2012 .
# Bench Testing
We have performed a number of tests which are discussed in detail in the respective sections of this submission. These include:
- Durability Testing ●
- . Simulated Life Cycle testing
- Cleaning validation
- Storage and Transportation ISTA 2A ●
- Electrical Safety, EMC, Battery safety IEC 60601-1:2005 (Third Edition)+ CORR. . 1:2006 + CORR. 2:2007+ A1:2012; IEC 60601-1-2:2014; IEC 60601-1-11:2015; IEC 62133:2012
- Particle Characterization Comparative at 15 lpm and 30 lpm ●
- Intra- and Inter- Sample Variability .
# Substantial Equivalence Conclusion
As discussed: the indications for use, patient population, environment of use, technology or principle of operation, and performance are substantially equivalent to the predicate.
Based upon the comparative performance testing we can conclude that the proposed device can be determined as substantially equivalent to the stated predicate.
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Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.