← Product Code [FOG](/submissions/AN/subpart-f%E2%80%94therapeutic-devices/FOG) · K962182

# BURLEW INFANT HOOD (K962182)

_Promedic, Inc. · FOG · Jul 15, 1996 · Anesthesiology · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/AN/subpart-f%E2%80%94therapeutic-devices/FOG/K962182

## Device Facts

- **Applicant:** Promedic, Inc.
- **Product Code:** [FOG](/submissions/AN/subpart-f%E2%80%94therapeutic-devices/FOG.md)
- **Decision Date:** Jul 15, 1996
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 868.5700
- **Device Class:** Class 1
- **Review Panel:** Anesthesiology
- **Attributes:** Therapeutic, Pediatric

## Indications for Use

The device indicated for patients who need to be placed in an oxygen enriched environment.

## Device Story

Disposable infant hood with flexible drape; provides oxygen-enriched environment for neonates/pediatrics. Used in hospitals, neonatal/pediatric ICUs, respiratory therapy, and transport isolettes/incubators. Device features rigid hood (Plexiglas/polycarbonate) and flexible PVC drape; collapsible for storage; includes oxygen source fittings and removable panel for patient access. Clinicians place patient within hood to facilitate oxygen delivery. Benefits include controlled oxygen environment and ease of patient access.

## Clinical Evidence

No clinical data; bench testing only.

## Technological Characteristics

Materials: Plexiglas/polycarbonate hood, PVC drape. Design: Rigid hood with flexible drape, oxygen source fittings, removable access panel, collapsible form factor. Single-patient use.

## Regulatory Identification

A nonpowered oxygen tent is a device that encloses a patient's head and upper body to contain oxygen delivered to the patient for breathing. This generic type of device includes infant oxygen hoods.

## Predicate Devices

- Nova Health Systems ([K893713](/device/K893713.md))
- Sunnydale (K# unknown)
- Utah Medical Disposa-Hood (K# unknown)

## Submission Summary (Full Text)

> This content was OCRed from public FDA records by [Innolitics](https://innolitics.com). If you use, quote, summarize, crawl, or train on this content, cite Innolitics at https://innolitics.com.
>
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K962182
ProMedic, Inc.
JUL 15 1996

Non-Confidential Summary of Safety and Effectiveness
June 3, 1996

page 1 of 3

ProMedic, Inc. Tel - 317-335-3780
6329 W. Waterview Ct. Fax - 317-335-9270
McCordsville, IN 46055

Official contact: Paul Dryden, President

Proprietary or Trade Name: Burlew Infant Hood

Common/Usual Name: Infant hood

Classification Name: 73 BYL or FOG - Infant oxygen tent / hood
Subsection 868.5700

Intended device: Disposable Infant hood with drape

Predicate devices: Nova Health Systems - K893713
Sunnydale - K# unknown
Utah Medical - Disposa-Hood - K# unknown

Device description:
Indicated use:

The device indicated for patients who need to be placed in an oxygen enriched environment.

Target Population:
Neonates and pediatrics

Environment of use:
Hospital, ICU ( neonatal and pediatric), respiratory therapy and transport isolettes / incubators

page 3 of 23

6329 W. Waterview Court • McCordsville, IN 46055-9501
317-335-3780 • 317-335-9270 Fax

{1}

Non-Confidential Summary of Safety and Effectiveness (continued)
June 3, 1996
page 2 of 3

Comparison to predicate devices:

|  Attribute | Burlew Intended device | Nova / Sunnydale Tent | Utah Medical Disposa-Hood  |
| --- | --- | --- | --- |
|  Use |  |  |   |
|  Intended for use with patient for an oxygen rich environment | Yes | Yes | Yes  |
|  Intended for use in RT | Yes | Yes | Yes  |
|  Indicated for use in ICU | Yes | Yes | Yes  |
|  Intended to be used in transport | Yes | No | No  |
|  Indicated for single patient use | Yes | Yes | Yes  |
|  Indicated for use with neonate and pediatric | Yes | Yes | Yes  |
|  Design |  |  |   |
|  Clear patient area | Yes | Yes | Yes  |
|  Fittings for connection to oxygen source | Yes | Yes | Yes  |
|  Different sizes | Yes | Yes | Yes  |
|  Flexible drape to cover patient | Yes | Yes | No  |
|  Collapsible for easy storage | Yes | No | No  |
|  Panel removable for easy patient access | Yes | Yes | No  |
|  Materials |  |  |   |
|  Plexiglas / polycarbonate hood | Yes | No | Yes  |
|  PVC drape | Yes | Yes | No  |
|  Performance Testing |  |  |   |
|  None applicable | Yes | Yes | Yes  |

page 4 of 23

{2}

Non-Confidential Summary of Safety and Effectiveness (continued)
June 3, 1996
page 3 of 3

## Differences

The only difference in the intended device is that it incorporates the feature of the two predicate into one device - a rigid patient hood and flexible body drape.

Any other differences that do exist would not have a significant effect on the safety or effectiveness of the device.

page 5 of 23

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**Source:** [https://fda.innolitics.com/submissions/AN/subpart-f%E2%80%94therapeutic-devices/FOG/K962182](https://fda.innolitics.com/submissions/AN/subpart-f%E2%80%94therapeutic-devices/FOG/K962182)

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