DOUBLE UP BREAST PUMP

K964396 · The Natural Choice Co., Inc. · HGX · Jun 6, 1997 · Obstetrics/Gynecology

Device Facts

• Record ID: K964396
• Device Name: DOUBLE UP BREAST PUMP
• Applicant: The Natural Choice Co., Inc.
• Product Code: HGX · Obstetrics/Gynecology
• Decision Date: Jun 6, 1997
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 884.5160
• Device Class: Class 2

Intended Use

The Double Up Breast Pump is indicated to facilitate expression of milk from the breasts of lactating women.

Device Story

Double Up Breast Pump is a device used by lactating women to express breast milk. It operates as a mechanical pump to create suction on the breast, facilitating milk expression. Used in home or clinical settings by the patient. Output is expressed breast milk collected in a container. Benefits include assisting mothers with breastfeeding or milk supply maintenance.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Mechanical breast pump; manual or powered suction mechanism; intended for expression of breast milk. No software or electronic algorithm components described.

Indications for Use

Indicated for lactating women to facilitate expression of breast milk.

Regulatory Classification

Identification

A powered breast pump in an electrically powered suction device used to express milk from the breast.

Submission Summary (Full Text)

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DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
Food and Drug Administration
9200 Corporate Boulevard
Rockville MD 20850

JUN - 6 1997

Ms. Debbie Shaw
President
The Natural Choice Company, Inc.
1155 Chess Drive, Suite 105
Foster City, California 94404

Re: K964396
Double Up Breast Pump
Dated: May 1, 1997
Received: May 5, 1997
Regulatory class: II
21 CFR §884.5160/Product code: 85 HGX

Dear Ms. Shaw:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number [phone] or [phone] or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Lillian Yin, Ph.D.
Director, Division of Reproductive, Abdominal, Ear, Nose and Throat and Radiological Devices
Office of Device Evaluation
Center for Devices and Radiological Health

Enclosure

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11144374/5

510(k) Number: K964396

Device Name: Double Up Breast Pump

Indications For Use:

The Double Up Breast Pump is indicated to facilitate expression of milk from the breasts of lactating women.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Peter R. Natting
(Division Sign-Off)

Division of Reproductive, Abdominal, ENT, and Radiological Devices

510(k) Number: K964396

Prescription Use
(Per 21 CFR 801 109)

OR

Over-The-Counter Use