K955549 · Oxlife, Inc. · CAW · Mar 15, 1996 · Anesthesiology
Device Facts
Record ID
K955549
Device Name
OXLIFE OXYGEN CONCENTRATORS
Applicant
Oxlife, Inc.
Product Code
CAW · Anesthesiology
Decision Date
Mar 15, 1996
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 868.5440
Device Class
Class 2
Attributes
Therapeutic
Intended Use
The OxLife oxygen concentrators are intended to provide supplemental oxygen. The device is not intended for life support nor does it provide any patient monitoring capabilities.
Device Story
Oxygen concentrator; filters room air into holding tank; air passes through two aluminum welded molecular sieve tanks in series; molecular sieve absorbs nitrogen; produces gas with ~93% oxygen concentration. Used in home or institution; operated by patient or caregiver. Modification replaces single-headed compressor with dual-headed Thomas WOB-L compressor; increases output to 3 CFM; enables oxygen flow up to 6 LPM. Available in single-outlet (5 LPM or 6 LPM) or dual-outlet (two 6 LPM flow meters) configurations. Provides supplemental oxygen to one or two patients. Output monitored via flow meters; healthcare provider adjusts flow based on patient needs. Benefits patient by providing inexpensive, continuous supplemental oxygen supply.
Clinical Evidence
Bench testing only. No clinical data provided.
Technological Characteristics
Molecular sieve nitrogen absorption; aluminum welded sieve tanks; dual-headed Thomas WOB-L compressor; 5 AMP circuit breaker; 43 lb weight; 6 LPM max flow; 5 PSI outlet pressure; 93% ± 3% oxygen concentration. No software or electronic algorithms.
Indications for Use
Indicated for patients requiring supplemental oxygen in home or institutional settings. Not for life support or life-sustaining use.
Regulatory Classification
Identification
A portable oxygen generator is a device that is intended to release oxygen for respiratory therapy by means of either a chemical reaction or physical means (e.g., a molecular sieve).
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Submission Summary (Full Text)
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9.0 SUMMARY OF SAFETY AND EFFECTIVENESS
"510(k) SUMMARY"
K955549
9.1 Trade/Proprietary Name: OxLife Oxygen Concentrators
9.2 Common/Usual Name: Oxygen Concentrator
9.3 Classification Name: Portable Oxygen Generator
MAR 15 1996
9.4 Comparison to Currently Marketed Devices
The modified OxLife Oxygen Concentrator is substantially equivalent to the existing OxLife Oxygen Concentrator (K933081).
9.5 Device Description
9.5.1 Discussion
The OxLife Oxygen Concentrators are prescription devices designed to provide an inexpensive supply of supplemental oxygen in a home or institution without a continuous source of purified oxygen. They are not life-supporting or life-sustaining devices. The device works by filtering room air into a holding tank. The air is then flushed through two aluminum welded molecular sieve tanks in series. The molecular sieve material absorbs nitrogen which comprises approximately 78% of the makeup of the room air. The resulting gas is approximately 93% oxygen.
This modification is designed to increase the output of the device to enable an oxygen flow of up to 6 LPM at 93% ± 3% purity. The device will be marketed with several options to provide the most marketing flexibility. One set of devices will be marketed with a single oxygen outlet through a single flow meter. The others will be marketed with two oxygen outlets, each with its own regulator and flow meter. The single outlet devices will be sold with a 5 LPM (L-5) model or 6 LPM (L-6) model with a 5 LPM or 6 LPM flow meter respectively. The dual outlet device (DL-3) will be marketed with two 6 LPM flow meters. This device is designed to provide for the needs of two patients in any combination of flows up to 6 LPM. The major change to the device has been the replacement of the single-headed Thomas WOB-L compressor with a dual-headed Thomas WOB-L compressor. This doubled the output to 3 CFM, facilitating the increased oxygen flow.
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## 9.5.2 Physical Specifications
### 9.5.2.1 Modified components
There are two components that have been changed to accomplish this modification. The compressor has been upgraded to a dual-headed Thomas compressor, as discussed above, and the circuit breaker has been increased to a 5 AMP breaker from a 4 AMP breaker to accommodate the increased power requirements of the new compressor.
### 9.5.2.2 Modified materials
None of the air or oxygen contact materials have been modified.
### 9.5.2.3 Modified physical specifications
The only physical specification that has changed is the overall weight of the unit. The new compressor adds 6 pounds, increasing the unit weight to 43 pounds.
## 9.5.3 Operational Specifications
### 9.5.3.1 Flow Rates
The liter flow of oxygen has been increased to a maximum of 6 LPM from 4 LPM. The outlet pressure remains at 5 PSI.
### 9.5.3.2 Accuracy
The accuracy of the oxygen concentration remains the same at $93\% \pm 3\%$ for flow rates greater than 2 LPM.
### 9.5.3.3 Environmental Susceptibility
The modifications do not have any effect on the susceptibility of the unit to withstand environmental influences. The ability of the unit to perform within specifications under normal temperature and pressure variations and its ability to withstand electrostatic discharge (ESD) and Electromagnetic interference (EMI) has not changed.
## 9.6 Indications for Use
The OxLife oxygen concentrators are intended to provide supplemental oxygen. The device is not intended for life support nor does it provide any patient monitoring capabilities.
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9.7 Technological Characteristics
The OxLife oxygen concentrator operates by using molecular sieve material to absorb the nitrogen from filtered air. The resulting gas has an increased concentration of oxygen. This technology is well established and has been used in the predicate device as well as other legally marketed products.
9.8 Conclusion
Based on the design, performance specifications and intended use, the modified OxLife Oxygen Concentrators are substantially equivalent to the currently marketed devices.
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