PARI PEP THERAPY SYSTEM

K972042 · Pari Holding Co. · BWF · Aug 5, 1997 · Anesthesiology

Device Facts

• Record ID: K972042
• Device Name: PARI PEP THERAPY SYSTEM
• Applicant: Pari Holding Co.
• Product Code: BWF · Anesthesiology
• Decision Date: Aug 5, 1997
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 868.5690
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The PARI PEP Device is an Expiratory Resistance Exerciser and ii was designed to help patients exercise their lungs properly, improve secretion clearance. This expiratory resistance exerciser will be used with patients for whom a physician has prescribed lung exercise treatments at home. doctor's office, hospitals and clinics. The PARI PEP was designed to work with the PARI Nebulizers.

Device Story

PARI PEP is an expiratory resistance exerciser designed to assist in lung exercise and secretion clearance. The device functions by providing resistance during patient exhalation; it is intended for use in conjunction with PARI Nebulizers. Operated by patients in home settings or by clinicians in hospitals and clinics, the device facilitates airway clearance therapy. By providing controlled expiratory resistance, it helps patients perform prescribed respiratory exercises, potentially improving lung function and mucus mobilization.

Technological Characteristics

Expiratory resistance exerciser; designed for integration with PARI Nebulizers; mechanical device; no electronic or software components.

Indications for Use

Indicated for patients requiring lung exercise treatments to improve secretion clearance, as prescribed by a physician for use in home, clinical, or hospital settings.

Regulatory Classification

Identification

An incentive spirometer is a device that indicates a patient's breathing volume or flow and that provides an incentive to the patient to improve his or her ventilation.

Submission Summary (Full Text)

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20856

Mr. Miquel A. Arrizon PARI Respiratory Equipment, Inc. 13800 Hull Street Road …… 1 - 1 - 1 - 1 - 1 -Midlothian, Virqinia 23112

AUG - 5 1997

K972042 Re : PARI PEP® Positive Expiratory Pressure Therapy System Regulatory Class: II (two) Product Code: 73 BWF Dated: May 30, 1997 Received: June 2, 1997

Dear Mr. Arrizon:

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, Druq, 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, qood 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 A substantially equivalent determination assumes compliance to 895. with the current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QC) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) 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.

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## Page 2 - Mr. Miquel A. Arrizon

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,

Thomas J. Callahan

Thomas J. Callahan, Ph.D. Director Division of Cardiovascular, Respiratory, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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3.2 Statement of Intended Use _

The PARI PEP Device is an Expiratory Resistance Exerciser and ii was designed to help patients exercise their lungs properly, improve secretion clearance. This expiratory resistance exerciser will be used with patients for whom a physician has prescribed lung exercise treatments at home. doctor's office, hospitals and clinics.

The PARI PEP was designed to work with the PARI Nebulizers.

M. Puge

(Division Sign-Off) Division of Cardiovascular, Respiratory, and Neurological Devices 197204Z 510(k) Number _

prescription use √