K Number
K031728
Device Name
KLIMAMED THERMAL BLANKETS, INCLUDING ARM SHOULDER WEST THERMAL BLANKET AND LEG WARMER THERMAL BLANKET
Date Cleared
2004-10-12

(496 days)

Product Code
Regulation Number
870.5900
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The device is intended to warming pre-set body temperature as determined by the physician. It can also be utilized to warming normal body temperature during surgical procedures. It is indicated for use in hospital invasive and coronary care units, in operating, recovery and emergency rooms, in burn units, and on medical / surgical floors. The device has heating capability, not cooling.
Device Description
This device is an external thermal regulating system consisting of blankets that are placed in contact with the patient, and a temperature controller and is to warming the patient's temperature using carbon technology between 30 and 40 ℃ (86 and 104ºF). The function of the device is heating, not cooling. The heating element and sensor are both embedded inside the blankets. Four blanket sizes are available: 11- 100 Watts, Pediatric: 1.0 by 0.65 meters (3.3 by 2.17) and 3mm high (0.12 inches) weighing 0.9 kgs (Product code WD-01-100); 2 140 Watts, Adult: 2.0 by 1.35 meters (6.6 by 4.5 ft) and 3mm high (0.12 inches) weighing 2.0 kgs (Product code WD-01-200); 3- 40 Watts, Arm Shoulder: 1.5 meters (5.0 ft) and 3mm high (0.12 inches) weighing 1.0 kg (Product code 150-AW); 4- 50 Watts, Leg Warmer: 0.95 meters (3.17 ft) and 3mm high (0.12 inches) weighing 1.2 kgs (Product code 100-DB).
More Information

Not Found

No
The summary describes a simple thermal regulation system with heating elements and sensors, and there is no mention of AI, ML, or any complex algorithms for decision-making or adaptation.

Yes
The device is intended to warm human body temperature during surgical procedures, a medical intervention to maintain homeostasis, which is therapeutic.

No

The device is an external thermal regulating system used for warming patients to a pre-set body temperature. Its function is heating, not cooling, and it consists of blankets and a temperature controller. It is used in various hospital settings. There is no mention of diagnostic functions such as detection, diagnosis, or monitoring of a disease or condition.

No

The device description explicitly details hardware components including blankets, a temperature controller, heating elements, and sensors embedded within the blankets. This is not a software-only device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • Device Function: This device is an external thermal regulating system that directly warms the patient's body using blankets. It does not analyze any biological samples.
  • Intended Use: The intended use is to warm the patient's body temperature, not to diagnose or monitor a condition based on in vitro analysis.

The device is a therapeutic device used for patient warming.

N/A

Intended Use / Indications for Use

The device is intended to warming pre-set body temperature as determined by the physician. It can also be utilized to warming normal body temperature during surgical procedures. It is indicated for use in hospital invasive and coronary care units, in operating, recovery and emergency rooms, in burn units, and on medical / surgical floors. The device has heating capability, not cooling.

Product codes (comma separated list FDA assigned to the subject device)

DWJ

Device Description

This device is an external thermal regulating system consisting of blankets that are placed in contact with the patient, and a temperature controller and is to warming the patient's temperature using carbon technology between 30 and 40℃ (86 and 104ºF). The function of the device is heating, not cooling.

  • The heating element and sensor are both embedded inside the blankets. Four blanket sizes are available:
    • 11- 100 Watts, Pediatric: 1.0 by 0.65 meters (3.3 by 2.17) and 3mm high (0.12 inches) weighing 0.9 kgs (Product code WD-01-100)
    • 2 140 Watts, Adult: 2.0 by 1.35 meters (6.6 by 4.5 ft) and 3mm high (0.12 inches) weighing 2.0 kgs (Product code WD-01-200)
    • 3- 40 Watts, Arm Shoulder: 1.5 meters (5.0 ft) and 3mm high (0.12 inches) weighing 1.0 kg (Product code 150-AW)
    • 4- 50 Watts, Leg Warmer: 0.95 meters (3.17 ft) and 3mm high (0.12 inches) weighing 1.2 kgs (Product code 100-DB)
      The device is intended to warming pre-set body temperature as determined by the physician. It can also be utilized to warming normal body temperature during surgical procedures. It is indicated for use in hospital invasive and coronary care units, in operating, recovery and emergency rooms, in burn units, and on medical / surgical floors. The device has heating capability, not cooling.

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

physicians in clinics and hospitals; hospital invasive and coronary care units, in operating, recovery and emergency rooms, in burn units, and on medical / surgical floors.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K011859

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 870.5900 Thermal regulating system.

(a)
Identification. A thermal regulating system is an external system consisting of a device that is placed in contact with the patient and a temperature controller for the device. The system is used to regulate patient temperature.(b)
Classification. Class II (performance standards).

0

007 1 % 2004

510(k) Summary As Required by 21 section 807.92 ( c )

1-Submitter Name:Klimamed® Technologie Medizingeräte GmbH
2-Address:Oderstr 3 D-71083
Herrenberg GERMANY
3-Phone:(011) 49-7032-83190
4-Fax:(011) 49-7032-83290
5-Contact Person:Thomas Schneider, quality inspector
6-Date summary prepared:July 21st, 2004
7- Official Correspondent:Mansour Consulting LLC
8- Address:1308 Morningside Park Dr
Alpharetta, GA 30022 USA
9- Phone:(770) 777-4146
10- Fax(425) 795-9341
11- Contact person:Jay Mansour, president
12-Device Trade or Proprietary Name:Klimamed® Thermal Blankets, including Arm

Shoulder West Thermal Blanket and Leg Warmer Thermal Blanket

13-Device Common or usual name: Thermal blankets and controller

System, Thermal regulating 14-Device Classification Name:

15-Substantial Equivalency is claimed against the following device:

  • Klimamed® Thermal Mats, 510k # K011859 (refer to appendix 2) .

16-Description of the Device:

DESCRIPTION/INDICATION FOR USE by physicians in clinics and hospitals

This device is an external thermal regulating system consisting of blankets that are placed in contact with the patient, and a temperature controller and is to warming the patient's temperature using carbon technology between 30 and 40 ℃ (86 and 104ºF). The function of the device is heating, not cooling.

  • The heating element and sensor are both embedded inside the blankets. Four blanket sizes are available:
    • 11- 100 Watts, Pediatric: 1.0 by 0.65 meters (3.3 by 2.17) and 3mm high (0.12 inches) weighing 0.9 kgs (Product code WD-01-100)
    • 2 140 Watts, Adult: 2.0 by 1.35 meters (6.6 by 4.5 ft) and 3mm high (0.12 inches) weighing 2.0 kgs (Product code WD-01-200)
    • 3- 40 Watts, Arm Shoulder: 1.5 meters (5.0 ft) and 3mm high (0.12 inches) weighing 1.0 kg (Product code 150-AW)
    • 4- 50 Watts, Leg Warmer: 0.95 meters (3.17 ft) and 3mm high (0.12 inches) weighing 1.2 kgs (Product code 100-DB)

The device is intended to warming pre-set body temperature as determined by the physician. It can also be utilized to warming normal body temperature during surgical procedures. It is indicated for use in hospital invasive and coronary care units, in operating, recovery and emergency rooms, in burn units, and on medical / surgical floors. The device has heating capability, not cooling.

17-Intended use of the device:

The device is intended to warming pre-set body temperature as determined by the physician. It can also be utilized to warming normal body temperature during surgical procedures. It is indicated for use in hospital invasive and coronary care units, in operating, recovery and emergency rooms, in burn units, and on medical / surgical floors. The device has heating capability, not cooling.

18-Safety and Effectiveness of the device:

This device is safe and effective as the other predicate device cited above.

This is better expressed in the tabulated comparison (Paragraph 19 below)

1

K031728

p212

19-Summary comparing technological characteristics with other predicate device:

Please find below a tabulated comparison supporting that Klimamed® blanket & controller is substantially equivalent to other medical devices in commercial distribution. Also, Equivalency detailed chart path is attached.

FDA file reference number510k K011859
Attachments inside notification submission file510k summary print out
TECHNOLOGICAL CHARACTERISTICSComparison result
Indications for useIdentical
Target populationIdentical
DesignSimilar
MaterialsSimilar
PerformanceIdentical
SterilityIdentical (not applicable)
BiocompatibilitySimilar
Mechanical safetyIdentical
Chemical safetyIdentical
Anatomical sitesIdentical
Human factorsIdentical
Energy used and/or deliveredIdentical
Compatibility with environment and other devicesIdentical
Where usedIdentical
Standards metIdentical
Electrical safetyIdentical
Thermal safetyIdentical
Radiation safetyIdentical

REFER TO MAIN SUBMISSION FOR DETAILED INFORMATION

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/2/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines. The overall design is simple and conveys a sense of national identity and governmental authority.

OCT 1 2 2004

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Klimamed® Technologie Medizingerate GmbH c/o Mr. Jay Mansour Mansour Consulting LLC 1308 Morningside Park Drive Alpharetta, GA 30022

Re: K031728

K031728
Klimamed® Thermal Blankets, Including Arm Shoulder West Thermal Blanket and Leg Warmer Thermal Blanket Regulation Number: 21 CFR 870.5900 Regulation Name: Thermal Regulation System Regulatory Class: Class II (two) Product Code: DWJ Dated: July 21, 2004 Received: August 13, 2004

Dear Mr. Mansour:

We have reviewed your Section 510(k) premarket notification of intent to market the device We have reviewed your Section 310(t) premaire is substantially equivalent (for the indications
referenced above and have determined the device is substanted in interstate referenced above and have decemblied the devices marketed predicate devices marketed in interstate for use stated in the enclosure) to regally manced producal Device Amendments, or to
commerce prior to May 28, 1976, the enactment date of the Federal Food. Drug commerce prior to May 28, 1970, the chaculture auth the provisions of the Federal Food, Drug, devices that have been reculted in accordance was are approval application (PMA).
and Cosmetic Act (Act) that do not require approval of a provisions of the Act. The and Cosmetic Act (Act) that do not require approval controls provisions of the Act. The
You may, therefore, market the device, subject to the general controls provisions of You may, therefore, market the device, subject to annual registration, listing of
general controls provisions of the Act include requirements for annual management general controls provisions of the fret merade comments of the summer misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it If your device is classified (see above) mist exist ease increase and more can and may be subject to such additional controller Entroling and to 898. In addition, FDA may be found in the Code of Federal Tregations, your device in the Federal Register.

3

Page 2 - Mr. Jay Mansour

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that FDA s issualled of a bacamate requirements of the Act that FDA has made a determination administered by other Federal agencies. You must of any Federal statutes and regulations daminders but not limited to: registration and listing (21 comply with an the Act 3 requirements, not 801); good manufacturing practice requirements as set CFR Part 807), labeling (21 CFR Part 807), good if applicable, the electronic forth in the quality systems (Sections 531-542 of the Act); 21 CFR 1000-1050. product radiation control provisions (Declines on a sectibed in your Section 510(k) I his letter will anow you to ocgin manetally your and equivalence of your device to a legally premarket notification. The PDA maing of basification 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 If you desire speedine at 1301) 594-4646. Additionally, for questions on the comact the Office of Compitance an evice, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to (2017) 574-4057. Allso, production and obtain. Other general information on your premarks. Inomicallon - (2) Of ICP are also obtained from the Division of Small Manufacturers, Itsponsibilities ander the Are Hey so out 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,

Blummenhof

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if known): K031728

Device Name: THERMAL BLANKETS AND CONTROLLER

Indications For Use:

THERMAL BLANKETS AND CONTROLLER

  • 1- 40 Watts Arm Shoulder blanket and controller
  • 2- 50 Watts Leg Warmer blanket and controller
  • 3- 100 Watts Thermal pediatric blanket and controller

3- 140 Watts Adult Thermal blanket and controller

The device is intended to warming pre-set body temperature as determined by the physician. The device is intended to warming pro oct body temperature during surgical procedures. It is It can also be unitized to warming normal care units, in operating, recovery and thurcated for use in nosplan madical / surgical floors. The device has heating capability, not cooling.

V Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Bhimmlama

(Division Sian-Off) Cordiovascular Devices 510(k) N

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