Reusable Silicone Cover CPRmeter 2

K183348 · Laerdal Medical AS · LIX · Dec 17, 2018 · Cardiovascular

Device Facts

• Record ID: K183348
• Device Name: Reusable Silicone Cover CPRmeter 2
• Applicant: Laerdal Medical AS
• Product Code: LIX · Cardiovascular
• Decision Date: Dec 17, 2018
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 870.5210
• Device Class: Class 2
• Attributes: Pediatric

Intended Use

The CPRmeter 2 CPR Feedback Device is used as a guide in administering cardiopulmonary resuscitation (CPR) to a suspected sudden cardiac arrest (SCA) victim at least 8 years old.

Device Story

CPRmeter 2 is a handheld CPR feedback device placed between the responder's hands and the patient's chest. It utilizes an accelerometer and force sensor to monitor chest compressions. The device provides real-time visual feedback via LEDs regarding compression depth, rate, and release; it also counts compressions and notifies the user of inactivity. It is intended for use by trained responders in clinical or emergency settings. The optional silicone cover provides a textured, non-adhesive patient-contact surface to stabilize the device on the chest. The device helps ensure CPR is performed in accordance with current guidelines, potentially improving resuscitation quality.

Clinical Evidence

Bench testing only. Testing included performance evaluation, ambient pressure resistance, physical fit, water ingress, shelf-life testing, and biocompatibility analysis.

Technological Characteristics

Polycarbonate housing; silicone cover accessory. Sensing via accelerometer and force sensor. Visual feedback via LEDs. Dimensions: 153 mm x 64 mm x 25 mm (device); 156 mm x 31 mm x 67 mm (with cover). Battery-powered. Standalone operation. No wireless connectivity.

Indications for Use

Indicated for suspected sudden cardiac arrest (SCA) victims at least 8 years old requiring cardiopulmonary resuscitation (CPR).

Regulatory Classification

Identification

CPR Aid device with feedback is a device that provides real-time feedback to the rescuer regarding the quality of CPR being delivered to the victim, and provides either audio and/or visual information to encourage the rescuer to continue the consistent application of effective manual CPR in accordance with current accepted CPR guidelines (to include, but not be limited to, parameters such as compression rate, compression depth, ventilation, recoil, instruction for one or multiple rescuers, etc.). These devices may also perform a coaching function to aid rescuers in the sequence of steps necessary to perform effective CPR on a victim.

Special Controls

*Classification.* Class II (special controls). The special controls for this device are:(i) Nonclinical performance testing under simulated physiological or use conditions must demonstrate the accuracy and reliability of the feedback to the user on specific compression rate, depth and/or respiration over the intended duration, and environment of use. (ii) Labeling must include the clinical training, if needed, for the safe use of this device and information on the patient population for which the device has been demonstrated to be effective (including patient size and/or age limitations, *e.g.,* adult, pediatric and/or infant).(iii) For devices that incorporate electrical components, appropriate analysis and testing must demonstrate that the device is electrically safe and electromagnetically compatible in its intended use environment. (iv) For devices containing software, software verification, validation, and hazard analysis must be performed. (v) Components of the device that come into human contact must be demonstrated to be biocompatible. (vi) Human factors testing and analysis must validate that the device design and labeling are sufficient for effective use by the intended user. (3) *Premarket notification.* The CPR Aid with feedback device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter if it does not contain software (*e.g.,* is mechanical or electro-mechanical) and is in compliance with the special controls under paragraph (b)(2) of this section, subject to the limitations of exemptions in § 870.9.

Predicate Devices

• CPRmeter 2 (K173886)

Submission Summary (Full Text)

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health and Human Services logo on the left and the FDA acronym and name on the right. The Department of Health and Human Services logo is a stylized depiction of an eagle. The FDA acronym is in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

December 17, 2018

Laerdal Medical AS % Dan Dillon Senior Regulatory Scientist MED Institute Inc. 1330 Win Hentschel Blvd. West Lafayette, Indiana 47906

Re: K183348

Trade/Device Name: Reusable Silicone Cover CPRmeter 2 Regulation Number: 21 CFR 870.5210 Regulation Name: Cardiopulmonary resuscitation (CPR) aid Regulatory Class: Class II Product Code: LIX Dated: November 30, 2018 Received: December 3, 2018

Dear Dan Dillon:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Actinclude 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

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requirements, including, but not limited to: registration and listing (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

Fernande Aguel Fernando Aguel -S

for Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known): K183348

Device Name: CPRmeter 2 CPR Feedback Device

Indications for Use:

The CPRmeter 2 CPR Feedback Device is used as a guide in administering cardiopulmonary resuscitation (CPR) to a suspected sudden cardiac arrest (SCA) victim at least 8 years old.

| Prescription Use | XX |
|-----------------------------|----|
| (Part 21 CFR 801 Subpart D) | |

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)

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#### 510(k) SUMMARY

| Submitted By: | Mari Kaada<br>Corporate Regulatory Affairs Manager<br>Laerdal Medical AS<br>Tanke Svilandsgate 30<br>P.O. Box 377<br>4002 Stavanger<br>Norway<br>[phone]-16-30<br>[e-mail] |
|----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device: | |
| Trade Name: | CPRmeter 2 CPR Feedback Device |
| Common Name: | CPR Feedback Device Accessory |
| Classification Name: | Cardiopulmonary Resuscitation Aid |

#### Indications for Use:

The CPRmeter 2 CPR Feedback Device is used as a guide in administering cardiopulmonary resuscitation (CPR) to a suspected sudden cardiac arrest (SCA) victim at least 8 years old.

#### De vice Description:

The CPRmeter 2 is used as a guide in administering CPR to a suspected sudden cardiac arrest (SCA) victim at least 8 years old. The housing material of the CPRmeter 2 is composed of polycarbonate. It is small, lightweight, and powered by a replaceable battery. The device is approximately 153 mm × 64 mm × 25 mm (6.0" × 2.5" × 1.0") and weighs approximately 191 g (6.7 oz) excluding batteries. The device is approximately the size and weight of a cell phone. It is intended to be placed between the responder's hands and the patient's chest during CPR. The CPRmeter 2 is intended for use by responders who have been trained in CPR and use of the CPRmeter 2. When placed on the bare chest of a suspected SCA victim, the CPRmeter 2 provides real-time feedback on CPR compressions in accordance with current CPR guidelines. It displays CPR feedback indicators for depth, rate, and release of chest compressions. It also counts the number of compressions in a series and provides notification of lack of expected CPR activity.

The Silicone Cover is an optional accessory to the CPRmeter 2 that is designed to cover the patient contacting side of the CPRmeter 2 and provide a larger patient-contact area during use. The Silicone Cover does not require a patient adhesive.

#### Comparison to Predicate Device:

The CPRmeter 2 with Silicone Cover is substantially equivalent to the CPRmeter 2. See Table 2-1. The addition of the Silicone Cover does not change the indications for use of the CPRmeter 2. The purpose of the Silicone Cover is to provide a larger patient contact area

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during use. The materials, fundamental scientific technology, and principle of operation of the CPRmeter 2 are unchanged with the addition of the Silicone Cover. When the CPRmeter 2 is used without the Silicone Cover, a patient adhesive is required between the CPRmeter 2 and the patient's skin. When the CPRmeter 2 is used with the Silicone Cover, the patient adhesive is not required. Instead, the patient-contacting surface is soft silicone with a textured surface. The textured surface serves to stabilize the CPRmeter 2 on the patient's chest during use.

| | CPRmeter 2 with Silicone Cover<br>(this 510(k)) | CPRmeter 2<br>(K173886) | | |
|--------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------|--|--|
| Indications for Use | The CPRmeter 2 CPR Feedback Device<br>is used as a guide in administering<br>cardiopulmonary resuscitation (CPR) to<br>a suspected sudden cardiac arrest (SCA)<br>victim at least 8 years old. | Identical | | |
| Prescription status | Prescription only | Identical | | |
| Design | | | | |
| Measuring methods | Accelerometer and force sensor | Identical | | |
| Visual output | Light emitting diodes | Identical | | |
| Auditory output | None | Identical | | |
| Compression Feedback | | | | |
| Depth | Visual | Identical | | |
| Rate | Visual | Identical | | |
| Release | Visual | Identical | | |
| Shelf Life | 5 years | Identical | | |
| External Components | | | | |
| Housing (top and bottom) | Basic structure of device, encasing all<br>internal components. | Identical | | |
| Status LED | Indicates operating status of the device:<br>• Green blinking light: Device in<br>standby mode.<br>• Orange steady light: Device has<br>failed internal self-test and must be<br>taken out of service.<br>• No light: Battery needs replacement. | Identical | | |
| Display panel | Provides feedback to the user when<br>performing chestcompressions,<br>approximately 30 mm × 37 mm. | Identical | | |
| Compression area | Provides area for the responder to<br>perform compressions. | Identical | | |
| Placement guide | Indicates correct placement of the<br>device on the patient's chest. | Identical | | |

Table 2-1: Substantial Equivalence Comparison Table

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| | CPRmeter 2 with Silicone Cover<br>(this 510(k)) | CPRmeter 2<br>(K173886) |
|-----------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------|-------------------------|
| On/Off button | Turns the device on or off. Device<br>turns off automatically after 10 minutes<br>of inactivity. | Identical |
| A hydrophobic membrane that<br>prevents ingress of water and dust<br>while equalizing atmospheric<br>pressure changes within the device | Located on the side of the device | Identical |
| Rear cover screws | No rear cover or rear cover screws | Identical |
| Optional Silicone Cover | | |
| Material | Silicone | Not Applicable |
| Dimensions (length × height ×<br>width) | $156 mm × 31 mm × 67 mm$ | Not Applicable |
| Skin contacting surface | Silicone with an etched textured pattern | Not Applicable |
| Requires patient adhesive | No | Not Applicable |
| Shelf life | 5 years | Not Applicable |

# Data Used in Determination of Substantial Equivalence

The following tests demonstrate that the Silicone Cover met applicable design and performance requirements and support a determination of substantial equivalence.

- Bench testing demonstrated acceptable performance of the device and adequate ability to withstand changes in ambient pressure, adequate physical fit, minimal water ingress, and other factors.
- Shelf life testing showed that the device could perform acceptably at the end of its ● labeled shelf life.
- Biocompatibility analysis was performed and demonstrated biocompatibility of the materials of the device.

### Conclusion

Based on the results of the testing and other information submitted in the 510(k) application, the Silicone Cover does not raise any different questions regarding the safety or effectiveness of the CPRmeter 2. Further, the device was tested based on accepted scientific methods and the performance data demonstrate substantial equivalence; the CPRmeter 2 with Silicone Cover is considered to be substantially equivalent to the CPRmeter 2.