K Number
K012044
Device Name
BI-PHASIC INFILTRATOR
Date Cleared
2001-08-28

(60 days)

Product Code
Regulation Number
880.5725
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Reliance Medical Bi-Phasic Infiltrator indication for use is: General surgical fluid irrigation and infiltration.
Device Description
Not Found
More Information

Not Found

Not Found

No
The provided 510(k) summary contains no mention of AI, ML, image processing, or any other indicators typically associated with AI/ML medical devices. The intended use is for general surgical fluid irrigation and infiltration, which is a mechanical function.

No
The intended use describes the device for "General surgical fluid irrigation and infiltration," which are procedural functions rather than therapeutic actions aimed at treating or curing a disease or condition.

No
The device's indication for use is "General surgical fluid irrigation and infiltration," which describes a therapeutic or procedural function, not a diagnostic one. Diagnostic devices are used to identify a disease or condition.

No

The provided 510(k) summary describes a "Bi-Phasic Infiltrator" for surgical fluid irrigation and infiltration. This function inherently involves the physical handling and delivery of fluids, which requires hardware components. The summary lacks information about the device description, but the intended use strongly suggests a hardware-based device, not a software-only one.

Based on the provided information, the Reliance Medical Bi-Phasic Infiltrator is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The stated intended use is "General surgical fluid irrigation and infiltration." This describes a device used during a surgical procedure on a patient, not a device used to test samples outside of the body (which is the definition of an in vitro diagnostic).
  • Lack of IVD Characteristics: The provided information does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Providing diagnostic information about a patient's health status
    • Using reagents or assays

Therefore, the Reliance Medical Bi-Phasic Infiltrator is a surgical device used for fluid management during procedures, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Reliance Medical Bi-Phasic Infiltrator indication for use is: General surgical fluid irrigation and infiltration.

Product codes

FRN

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

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AUG 2 8 2001

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Robert W. Nicks Managing Director Beliance Medical Corporation 730 Independent Avenue Grand Junction, Colorado 81505

K012044 Re : Bi-Phasic Infiltrator Trade/Device Name: 880.5725 Requlation Number: Regulatory Class: II Product Code: FRN Dated: April 2, 2001 Received: June 29, 2001

Dear Mr. Nicks:

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 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). 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 aqainst 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 requlations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. ਚੇ substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) 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 requlation may result in requlatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note:

1

Page 2 - Mr. Nicks

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 emroduct 312 or on Control provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA acberroom in your tial equivalence of your device to a legally marketed predicate device results in a classification for your markets and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained 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,

Timothy A. Ulatowski

Directør Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Page / of /

K012044 510(k) Number (if known):_

Bi-Phasic Infiltrator Device Name:_

Indications For Use:

The Reliance Medical Bi-Phasic Infiltrator indication for use is: General surgical fluid irrigation and infiltration.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Retara Ciccerite

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices 510(k) Number_4012044

Prescription Use_ (Per 21 CFR 801.109) OR

Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-96)

SK21