(87 days)
The AutoMed 3200 ambulatory infusion pump with integrated administration set is intended for general infusion use. Routes of infusion include intravenous, percutaneous, subcutaneous, inter-arterial and epidural, and into intra-operative (soft tissue / body cavity) sites. The AutoMed 3200 infusion pump is also intended for patient-controlled infusion using the integrated bolus button. General infusion uses include continuous infusion of a local anesthetic near a nerve for regional anesthesia and pain management for pre-operative, perioperative and postoperative surgery.
The AutoMed 3200 infusion pump with integrated administration set and drug reservoir is a rotary peristaltic pump. Associated dedicated administration set, AM 330, and accessories are part of the overall system. The system is suitable for use as an ambulatory device and is intended for use in the hospital, home environment or alternative care sites.
This document describes the AutoMed 3200 infusion pump, a rotary peristaltic pump intended for general infusion use, including patient-controlled infusion. The device is significantly similar to several predicate devices. The information provided does not include acceptance criteria or a study that proves the device meets specific performance criteria. The document is primarily a 510(k) premarket notification summary and an FDA clearance letter for the device, focusing on its intended use and substantial equivalence to existing products.
Therefore, I cannot provide the requested information regarding acceptance criteria and studies demonstrating device performance based on the input text. The text does not contain:
- A table of acceptance criteria and reported device performance.
- Sample sizes or data provenance for a test set.
- Details about experts used for ground truth or adjudication methods.
- Information on multi-reader multi-case (MRMC) studies or effect sizes.
- A standalone algorithm performance study.
- The type of ground truth used (e.g., pathology, outcomes data).
- Sample size for a training set.
- How ground truth was established for a training set.
{0}------------------------------------------------
FEB 2 7 2003
Image /page/0/Picture/1 description: The image shows a sequence of characters and numbers. The sequence starts with the letter 'K', followed by the numbers '023973'. The characters are written in a handwritten style, with varying stroke thicknesses.
SUMMARY OF SAFETY AND EFFECTIVENESS
September 20, 2002
Trade Name: AutoMed 3200 infusion pump
Common Name: Infusion Pump
Classification Name: Pump, Infusion,
Classification Panel: General Hospital and Personal Use Device
All questions and/or comments concerning this document should be made to:
Robert J. Bard, Esq. Managing Director
HELP Technologies 24312 Armada Dr. Dana Point, CA 92629 Telephone: 949.235.0545 Fax: 949.240.3460
1.0 DEVICE DESCRIPTIONS
The AutoMed 3200 infusion pump with integrated administration set and drug reservoir is a rotary peristaltic pump. Associated dedicated administration set, AM 330, and accessories are part of the overall system. The system is suitable for use as an ambulatory device and is intended for use in the hospital, home environment or alternative care sites.
2.0 INTENDED USE
For general infusion use. Routes of infusion include intravenous, percutaneous, subcutaneous, inter-arterial and epidural and into the intraoperative (soft tissue / body cavity) site.
The AutoMed 3200 infusion pump is intended for patient-controlled infusion using the integrated bolus button.
General infusion use includes continuous infusion of a local anesthetic near a nerve for regional anesthesia and pain management for pre-operative, perioperative and postoperative surgery.
PREDICATE PRODUCTS 3.0
The AutoMed 3200 is substantially similar to the following devices: McKinley WalkMed® 300, 350, PCA and IC; Sorenson Medical, Inc, MicroJect® Model 30 pump, Model 200 Pump, Model PCA Pump, Model PCEA Pump; Stryker Instruments Pain Pump II; and the I-Flow PainBuster Infusion Kit.
{1}------------------------------------------------
Image /page/1/Picture/1 description: The image is a black and white logo for the U.S. Department of Health and Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it. The words "HUMAN SERVICES - USA" are written in a circular pattern around the top of the symbol, and the word "DEPARTMENT" is written along the bottom.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
FEB 2 7 2003
Mr. Robert J. Bard Managing Director HELP Technologies 24312 Armada Drive Dana Point, California 92629
Re: K023973
Trade/Device Name: AutoMed 3200 Infusion Pump Regulation Number: 880.5725, 880.5440 Regulation Name: Infusion Pump, Intravascular Administration Set Regulatory Class: II Product Code: FRN, FPA Dated: September 20, 2002 Received: December 2, 2002
Dear Mr. Bard:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate 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) that do not require approval of a premarket approval application (PMA). 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration
{2}------------------------------------------------
Page 2 - Mr. Bard
and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
This letter will allow you to begin marketing your device as described in your Section 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), please contact the Office of Compliance at (301) 594-4618. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html
Sincerely yours,
Susan Puoser
Susan Runner, DDS, MA Interim Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{3}------------------------------------------------
510(k) Number (if known): K 023973 Device Name: AutoMed 3200 infusion pump
Indications for Use:
The AutoMed 3200 ambulatory infusion pump with integrated administration set is intended for general infusion use. Routes of infusion include intravenous, percutaneous, subcutaneous, inter-arterial and epidural, and into intra-operative (soft tissue / body cavity) sites. The AutoMed 3200 infusion pump is also intended for patient-controlled infusion using the integrated bolus button. General infusion uses include continuous infusion of a local anesthetic near a nerve for regional anesthesia and pain management for pre-operative, perioperative and postoperative surgery.
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUED ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
| Prescription Use(Per 21 CFR 801.109) | OR | Over-The-Counter Use | |
|---|---|---|---|
| (Division Sign-Off) | |||
| Von NH2ymm Fou PXC | (Optional Format 1-2-96) | ||
| Division of Anesthesiology, General Hospital,Infection Control, Dental Devices | |||
| 510(k) Number: | K023973 |
Page ii
§ 880.5725 Infusion pump.
(a)
Identification. An infusion pump is a device used in a health care facility to pump fluids into a patient in a controlled manner. The device may use a piston pump, a roller pump, or a peristaltic pump and may be powered electrically or mechanically. The device may also operate using a constant force to propel the fluid through a narrow tube which determines the flow rate. The device may include means to detect a fault condition, such as air in, or blockage of, the infusion line and to activate an alarm.(b)
Classification. Class II (performance standards).