K-numberK253549
Device nameDeVilbiss 5 Liter Oxygen Concentrator (555)
ApplicantDevilbiss Healthcare, LLC
Product codeCAW
Device classClass II
Decision dateMar 26, 2026
DecisionSubstantially Equivalent
Regulation868.5440
AI Summary extracted from FDA summary PDF · never regenerated
Intended use

The DeVilbiss 5 Liter (555) Oxygen Concentrator is a portable device that produces oxygen-enriched gas by drawing in room air and removing nitrogen through pressure swing adsorption. It delivers supplemental oxygen at adjustable flow rates (0.5–5 liters per minute) to adult patients in home or institutional settings who require oxygen therapy, and is not intended to sustain or support life.

Technological characteristics

Both the subject device and predicate use pressure swing adsorption with molecular sieves to generate oxygen. Key specifications are equivalent: oxygen concentration 87%–96% (subject) vs. 93%±3% (predicate), continuous adjustable flow 0.5–5 LPM, outlet pressure 8.5 PSIG vs. 38 kPa±5 kPa, and similar alarm functions. Power requirements, noise levels, weight, and dimensions are comparable with minor numerical variations that do not raise safety or effectiveness concerns.

Test standards cited

ISO 18562 series (biocompatibility of breathing gas pathways), ISO 10993-17 (toxicological risk assessment), ISO 80601-2-69 (oxygen concentrator safety and performance), IEC 60601-1-2 (electromagnetic compatibility), ANSI/AAMI ES60601-1 (electrical safety), IEC 60601-1-8 (alarm systems), IEC 60601-1-11 (home healthcare environments), IEC 62304 (software life cycle), and ANSI/AAMI/IEC 62366-1 (usability engineering).

Substantial equivalence argument

The subject device is substantially equivalent to the JUMAO predicate (K230969) because both use identical pressure swing adsorption technology with molecular sieves, serve the same indications for supplemental oxygen delivery to adult patients, share the same product code (CAW), and demonstrate equivalent safety and performance across all key specifications and operating parameters. Performance testing across biocompatibility, electrical safety, EMC, software, and alarm functions confirms the devices are equally safe and effective.

Extracted by AI from the official FDA summary PDF →
Source

View the full FDA submission: accessdata.fda.gov

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