K Number
K041839
Device Name
8NONE
Date Cleared
2005-02-15

(222 days)

Product Code
Regulation Number
880.5725
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The 8" ONE™ is designed to store, rapidly warm and maintain the temperatures of I.V. fluid bags and irrigation solution bags prior to their use. The 8" ONE™ also provides a visual and hardcopy documentation of vital data of the heating cycle for each solution bag as long as it is in the cabinet.
Device Description
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More Information

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No
The summary describes a device for warming and documenting the temperature of fluid bags, with no mention of AI or ML capabilities.

No
The device is a warmer for I.V. fluid bags and irrigation solution bags; it does not directly treat or diagnose a medical condition.

No
Explanation: The device is designed to warm and maintain temperatures of IV fluid and irrigation solution bags, and to document heating cycle data. It does not diagnose any medical conditions or diseases.

No

The intended use describes a device that stores, warms, and maintains the temperature of fluid bags, which are physical actions requiring hardware. The summary does not mention any software-only functionality.

Based on the provided information, the 8" ONE™ device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to store, warm, and maintain the temperature of IV fluid and irrigation solution bags. This is a physical process applied to the solutions themselves, not a diagnostic test performed on a biological sample.
  • Lack of Diagnostic Activity: The device does not perform any analysis of biological samples (like blood, urine, tissue, etc.) to provide information about a patient's health status, disease, or condition.
  • Focus on Solution Preparation: The primary function is to prepare solutions for administration to a patient, not to diagnose anything.
  • Documentation of Heating Cycle: While it documents data, this data relates to the heating process of the solutions, not diagnostic results.

IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens derived from the human body to provide information for diagnostic purposes. The 8" ONE™ does not fit this description.

N/A

Intended Use / Indications for Use

The 8" ONE™ is designed to store, rapidly warm and maintain the temperatures of I.V. fluid bags and irrigation solution bags prior to their use. The 8" ONE™ also provides a visual and hardcopy documentation of vital data of the heating cycle for each solution bag as long as it is in the cabinet.

Product codes

LGZ

Device Description

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Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

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Indicated Patient Age Range

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Intended User / Care Setting

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

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

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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

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

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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.

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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.

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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).

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§ 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).

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Image /page/0/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of an eagle with its wings spread, and a caduceus symbol is below the eagle.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

JAN 1 0 2017

Medical Solutions, Incorporated C/O Mr. E.J. Smith Smith Associates P.O. Box 4341 Crofton, Maryland 21114

Re: K041839

Trade/Device Name: 8" One™ Warming Cabinet Regulation Number: 21 CFR 880.5725 Regulation Name: Infusion Pump Regulatory Class: Class II Product Code: LGZ Dated: December 16, 2004 Received: December 21, 2004

Dear Mr. Smith:

This letter corrects our substantially equivalent letter of February 15, 2005.

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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 and listing (21 CFR Part 807); labeling (21 CFR Parts 801 and 809 ); medical device reporting (reporting of

1

Page 2 - Mr. E.J. Smith

medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Parts 801 and 8091 ), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Erin I. Keith -S

Erin I. Keith, M.S. Director Division of Anesthesiology. General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number: K041839

Device Name: 80 ONE™ Warming Cabinet

Indications For Use:

The 8" ONE™ is designed to store, rapidly warm and maintain the temperatures of I.V. fluid bags and irrigation solution bags prior to their use. The 8" ONE™ also provides a visual and hardcopy documentation of vital data of the heating cycle for each solution bag as long as it is in the cabinet.

Prescription Use X (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)

Cinta Vinta u.a.

(Co-min Sign-Oif) . ............................................................................................................................................................................ .

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:(K) Number. K41839