K962537 · Hollister, Inc. · ILO · Nov 27, 1996 · Physical Medicine
Device Facts
Record ID
K962537
Device Name
INCARE HOT/ICE LITE MACHINE
Applicant
Hollister, Inc.
Product Code
ILO · Physical Medicine
Decision Date
Nov 27, 1996
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 890.5720
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The InCare HOT/ICE Lite Machine is intended to provide cold therapy to body surfaces by pumping and circulating chilled water through a plastic bag or plastic blanket that has been secured to the patient’s anatomy.
Device Story
Device provides localized cold therapy; circulates chilled water/alcohol mixture through plastic blanket or bag secured to patient anatomy. Used in institutional or home environments. Solid-state electronics control pump and circulation. Healthcare provider or patient secures blanket; device maintains therapy temperature range (50° to 72° F). Output is cooling of localized skin surface; intended to reduce skin temperature for therapeutic benefit.
Clinical Evidence
Bench testing only. Evaluation of skin cooling ability performed using temperature probe on test subjects' skin surface over a specific period. Results confirmed device efficacy in reducing patient skin temperature.
Technological Characteristics
Solid-state electronics; 120VAC, 136 watts, 50/60Hz power supply. Liquid media: water/alcohol mixture (500 ml capacity). Nominal flow rate: 4 GPH; nominal operating pressure: 3.5 PSI. Therapy temperature range: 50° to 72° F (10° to 22° C). Weight: approx 7.1 lbs. Form factor: portable unit for institutional/home use.
Indications for Use
Indicated for patients requiring localized cold therapy to body surfaces.
Regulatory Classification
Identification
A water circulating hot or cold pack is a device intended for medical purposes that operates by pumping heated or chilled water through a plastic bag and that provides hot or cold therapy for body surfaces.
Special Controls
*Classification.* Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 890.9.
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K964006 — INCARE HOT/ICE SYSTEM BLANKETS (VARIOUS SIZES AND SHAPES) · Hollister, Inc. · Dec 31, 1996
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K970533 — MODEL 1100 COLD THERAPY DEVICE · Smith & Nephew, Inc. · Apr 15, 1997
K963261 — EBI THERMAL THERAPY SYSTEM · Electro-Biology, Inc. · Sep 27, 1996
Submission Summary (Full Text)
{0}
NOV 27 1996
Hollister Incorporated InCare HOT/ICE Lite Machine
K962537
# Safety and Effectiveness Summary
## 1. Submitter's name, Address and Contact Person
| Submitter | Contact Person |
| --- | --- |
| Hollister Incorporated
2000 Hollister Drive
Libertyville, IL 60048 | Joseph S. Tokarz
Manager, Regulatory Affairs
Phone (847)680-2849
Fax (847)918-3860 |
Date Summary Prepared - June 26, 1996
## 2. Name of Device:
InCare HOT/ICE Lite Machine
## 3. Name of Predicate Device(s)
a. InCare HE500 (K830757)
b. InCare System 3 (K915196)
## 4. Description of Device
The InCare HOT/ICE Lite Machine incorporates state of the art technology with solid state electronics. The device is designed to deliver cold therapy to a localized area. This is accomplished by circulating cold water through a plastic blanket or bag that has been secured to the patient’s anatomy. The device is intended to be used in an institution or home environment.
## 5. Statement of Intended Use
The InCare HOT/ICE Lite Machine is intended to provide cold therapy to body surfaces by pumping and circulating chilled water through a plastic bag or plastic blanket that has been secured to the patient’s anatomy.
## 6. Statement of Technological Characteristics of the Device
On the following page is a comparison of the technical specifications of the InCare HOT/ICE Lite Machine and the predicate devices.
{1}
Hollister Incorporated
InCare HOT/ICE Lite Machine
| Features/Specs | Proposed device
InCare HOT/ICE Lite | InCare HE500
K830757 | InCare System 3
K915196 |
| --- | --- | --- | --- |
| Intended to provide cold therapy to body surfaces | Yes | Yes | Yes |
| Solution Flow Rates
GPH=gallons per hour | 4 GPH (nominal) | 15 GPH (nominal) | 19 GPH (nominal) |
| Operating Pressure
PSI=pounds per square inch | 3.5 PSI (nominal) | 2.5 PSI (nominal) | 4.8 PSI (nominal) |
| Liquid media | Water / Alcohol | Water / Alcohol | Water / Alcohol |
| Liquid Capacity | 500 ml = 350 ml Water +
150 ml Alcohol | 500 ml = 350 ml Water +
150 ml Alcohol | 650 ml water/alcohol |
| Therapy temperature range | 50° to 72° F
10° to 22° C | 40° to 150° F
4° to 40° C | 40° to 150° F
4° to 40° C |
| Weight | approx 7.1 lbs | approx 20 lbs | 32 lbs (approximate) |
| Power Supply | 120VAC, 136 watts,
50/60Hz | 115 V, 60 Hz, 3 AMPS | 115 VAC, 60 Hz 3 AMPS |
## 7. Performance Testing
The InCare HOT/ICE Lite Machine with a HOT/ICE blanket was evaluated for its ability to cool the test subjects skin as measured by a temperature probe on the skin surface. Skin temperature was recorded over a specific period of time. The results indicated that the InCare HOT/ICE Lite Machine in its ability to reduce patient skin temperature.
## 8. Conclusion
The InCare HOT/ICE Lite Machine is substantially equivalent to the predicate devices and is safe and effective for its intended use.
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