K Number
K042121
Device Name
SPECTRUM AND SPECTRUM WITH MASTER DRUG LIBRARY
Manufacturer
Date Cleared
2004-08-26

(20 days)

Product Code
Regulation Number
880.5725
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Spectrum and Spectrum with Master Drug Library is intended to be used for the controlled administration of intravenous fluids. These fluids may include pharmaceutical drugs, blood, blood products and mixtures of required patient therapy. The intended routes of administration consist of the following clinically acceptable routes: intravenous, arterial, subcutaneous, intrathecal, epidural or irrigation of fluid space. The spectrum is intended to be used in conjunction with legally marketed intravenous administration sets and medications provided by the user. The Spectrum and Spectrum with Master Drug Library is suitable for many user facility applications such as but not limited to hospitals, outpatient care areas, homecare and ambulatory care services. The Spectrum and Spectrum with Master Drug Library is intended to reduce operator interaction through automated programming thereby helping to reduce errors associated with complex device programming. Parameter programming requires trained healthcare professional confirmation of limits and drug therapy to physician's directive.
Device Description
The Spectrum with Master Drug Library (device) is an infusion pump having a basic The Spectrum with Master Brag Libra, P(2018) Section 5725. The Spectrum infusion desomplon as loonimou nicuitry and mechanical mechanisms that are integrated into pump consists of clouronio sirounly and mechanical operations are software a lightweight plastic ontroller and processor technology. The motor control / controlled dolly disorte merces in the linear peristaltic design using inlet and exit recoback partiping moontrol. Infusion therapy fluids and selected intravenous (IV) sets The Spectrum infusion pump is specifically are supplied by the device user. are Supplied by the cated for the application of standard gravity infusion sets of a manufacturer's brand, as indicated by the Spectrum's labeling. The IV set is loaded into the Spectrum infusion pump. After acceptance of program parameters, the pump is the Upontain 'infactor' palled by the rhythmic action of the pumping mechanism against started and is properies a fine in tubing. The pump is controlled to create smooth fluid the outbide carace on volumetric accuracy, and uniformity of flow rate profile. The Spectrum infusion pump is small in comparison to the traditional "Large Volume" infusions pumps currently on the market. However, it is designed to be used in a infosions pampe carren IV pole mounted configuration or carried by the user in an ambulatory manner. The Master Drug Library (MDL) capability is a software package that allows the rno nation and management of a patented downloadable drug library into to a target infusion pump. The library may be loaded directly into the infusion pump or uploaded into another computer, Personal Assistants (PDA's), or other transfer apparatus (I.e. "smart" C-pen) for wired or wireless communication to the infusion pump. The MDL software reduces the risk of medication errors by providing programmed delivery profiles and limits for a corresponding drug that is intend for a specific use classification. The MDL software will operate on a popular software systems platform (I.e. Windows) and have the capability (using external peripherals) of printing text / barcode labels that may be used to label and identify drug therapy bags and or patient identification labels. Through the application of the C-pen equipment, scanned patient and IV prescription information can be downloaded into the Spectrum infusion pump. The Spectrum infusion pump has the capability of communicating with a hospital information management system. The Spectrum infusion pump uses coded passwords and redundancy checks to mitigate the acceptance of improper information.
More Information

Not Found

No
The description focuses on automated programming and a Master Drug Library for reducing errors, which are rule-based systems, not AI/ML. There is no mention of learning, adaptation, or complex pattern recognition characteristic of AI/ML.

No.
The device is an infusion pump designed for controlled administration of intravenous fluids, including pharmaceutical drugs, blood, and blood products. While it administers fluids that may contain therapeutic drugs, the device itself is for administration and not directly providing the therapeutic action.

No

The device is an infusion pump designed for controlled administration of fluids and drugs, not for diagnosing medical conditions. Its function is therapeutic delivery, not diagnostic assessment.

No

The device description clearly states that the Spectrum infusion pump consists of electronic circuitry and mechanical mechanisms, indicating it is a hardware device with integrated software. While the Master Drug Library is a software package, the overall device is not software-only.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for the "controlled administration of intravenous fluids." This is a therapeutic function, delivering substances into the body, not a diagnostic function of testing samples outside the body.
  • Device Description: The description details a mechanical and electronic pump designed to move fluids through tubing. This aligns with an infusion pump, not an IVD device which typically involves analyzing biological samples.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring specific analytes
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions
    • Using reagents or test kits

The device is an infusion pump, which is a medical device used for administering fluids and medications to a patient.

N/A

Intended Use / Indications for Use

The Spectrum and Spectrum with Master Drug Library is intended to be used for the controlled administration of intravenous fluids. These fluids may include pharmaceutical drugs, blood, blood products and mixtures of required patient therapy. The intended routes of administration consist of the following clinically acceptable routes: intravenous, arterial, subcutaneous, intrathecal, epidural or irrigation of fluid space. The spectrum is intended to be used in conjunction with legally marketed intravenous administration sets and medications provided by the user.

The Spectrum and Spectrum with Master Drug Library is suitable for many user facility applications such as but not limited to hospitals, outpatient care areas, homecare and ambulatory care services.

The Spectrum and Spectrum with Master Drug Library is intended to reduce operator interaction through automated programming thereby helping to reduce errors associated with complex device programming. Parameter programming requires trained healthcare professional confirmation of limits and drug therapy to physician's directive.

Product codes

FRN

Device Description

The Spectrum with Master Drug Library (device) is an infusion pump having a basic design and construction as continuous circuitry and mechanical mechanisms that are integrated into a lightweight plastic enclosure. The motor control / operations are software controlled utilizing discrete mercedes in the linear peristaltic design using inlet and exit recopack piping for flow control. Infusion therapy fluids and selected intravenous (IV) sets are supplied by the device user. The Spectrum infusion pump is specifically indicated for the application of standard gravity infusion sets of a manufacturer's brand, as indicated by the Spectrum's labeling. The IV set is loaded into the Spectrum infusion pump. After acceptance of program parameters, the pump is started and is propelled by the rhythmic action of the pumping mechanism against the outside surface on IV tubing. The pump is controlled to create smooth fluid delivery with volumetric accuracy, and uniformity of flow rate profile. The Spectrum infusion pump is small in comparison to the traditional "Large Volume" infusions pumps currently on the market. However, it is designed to be used in a IV pole mounted configuration or carried by the user in an ambulatory manner.

The Master Drug Library (MDL) capability is a software package that allows the creation and management of a patented downloadable drug library into to a target infusion pump. The library may be loaded directly into the infusion pump or uploaded into another computer, Personal Assistants (PDA's), or other transfer apparatus (I.e. "smart" C-pen) for wired or wireless communication to the infusion pump. The MDL software reduces the risk of medication errors by providing programmed delivery profiles and limits for a corresponding drug that is intend for a specific use classification. The MDL software will operate on a popular software systems platform (I.e. Windows) and have the capability (using external peripherals) of printing text / barcode labels that may be used to label and identify drug therapy bags and or patient identification labels. Through the application of the C-pen equipment, scanned patient and IV prescription information can be downloaded into the Spectrum infusion pump. The Spectrum infusion pump has the capability of communicating with a hospital information management system. The Spectrum infusion pump uses coded passwords and redundancy checks to mitigate the acceptance of improper information.

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

hospitals, outpatient care areas, homecare and ambulatory care services. Parameter programming requires trained healthcare professional confirmation of limits and drug therapy to physician's directive.

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)

The determination of substantial equivalency is also based on non-clinical performance data. The testing conducted on the Spectrum infusion pump was in accordance with recognized performance standards for infusion pumps. In addition, non-clinical testing based on the validation of design requirements has been conducted and is provided as support data for this 510(k) submission. The performance data indicate that the Spectrum and Spectrum with Master Drug Library meets specification requirements and is substantially equivalent to the predicate devices.

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

Not Found

Predicate Device(s)

K030459, K011975, K950766, K002211

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

Premarket Notification 510(k) K44212 Summary of Safety and Effectiveness

AUG 2 6 2004

Image /page/0/Picture/2 description: The image shows the logo for Sigma International. The word "SIGMA" is written in large, bold, sans-serif letters, with the "I" slightly taller than the other letters. Below "SIGMA", the word "International" is written in a smaller, sans-serif font. The logo is simple and modern, with a focus on the company name.

711 Park Avenue • Medina, New York 14103-0756 • 585-798-3901 • Fax: 585-798-3909

SIGMA International General Medical Apparatus, LLC. Spectrum with or without Master Drug Library

510(k) Summary

Submitter Information

Company Name & Address: SIGMA International General Medical Apparatus, LLC. 711 Park Avenue Medina, NY 14103-0756

Contact Name: Charles Martina Test Engineer SIGMA International (585) 798-3901 (585) 798-3909 Fax

Date Summary Prepared: April 12, 2003

Device Information

Generic Name: Infusion Pump

Trade or Proprietary Name: Spectrum with or without Drug Library Work Station

Classification Designation: Class II, 80FRN Infusion Pump

Device Description Information

The Spectrum with Master Drug Library (device) is an infusion pump having a basic The Spectrum with Master Brag Libra, P(2018) Section 5725. The Spectrum infusion desomplon as loonimou nicuitry and mechanical mechanisms that are integrated into pump consists of clouronio sirounly and mechanical operations are software a lightweight plastic ontroller and processor technology. The motor control / controlled dolly disorte merces in the linear peristaltic design using inlet and exit recoback partiping moontrol. Infusion therapy fluids and selected intravenous (IV) sets The Spectrum infusion pump is specifically are supplied by the device user. are Supplied by the cated for the application of standard gravity infusion sets of a manufacturer's brand, as indicated by the Spectrum's labeling. The IV set is loaded into

510(k) Submission Page 1508 of 1514

1

K442121 Premarket Notification 510(k) Summary of Safety and Effectiveness 10.2 of 3,

510(k) Summary (continuation)

the Spectrum infusion pump. After acceptance of program parameters, the pump is the Upontain 'infactor' palled by the rhythmic action of the pumping mechanism against started and is properies a fine in tubing. The pump is controlled to create smooth fluid the outbide carace on volumetric accuracy, and uniformity of flow rate profile. The Spectrum infusion pump is small in comparison to the traditional "Large Volume" infusions pumps currently on the market. However, it is designed to be used in a infosions pampe carren IV pole mounted configuration or carried by the user in an ambulatory manner.

The Master Drug Library (MDL) capability is a software package that allows the rno nation and management of a patented downloadable drug library into to a target infusion pump. The library may be loaded directly into the infusion pump or uploaded into another computer, Personal Assistants (PDA's), or other transfer apparatus (I.e. "smart" C-pen) for wired or wireless communication to the infusion pump. The MDL software reduces the risk of medication errors by providing programmed delivery profiles and limits for a corresponding drug that is intend for a specific use classification. The MDL software will operate on a popular software systems platform (I.e. Windows) and have the capability (using external peripherals) of printing text / barcode labels that may be used to label and identify drug therapy bags and or patient identification labels. Through the application of the C-pen equipment, scanned patient and IV prescription information can be downloaded into the Spectrum infusion pump. The Spectrum infusion pump has the capability of communicating with a hospital information management system. The Spectrum infusion pump uses coded passwords and redundancy checks to mitigate the acceptance of improper information.

Predicate Device Information

The Spectrum with Master Drug Library is considered to be substantially equivalent (as defined by U.S. FDA regulatory information) to other infusion pumps with software managing systems. The safety and effectiveness related to the predicate devices is comparable to the Spectrum with Master Drug Library. Examples of devices within the same requlatory classification as the Spectrum with Master Drug Library are identified as follows:

| Premarket
Notification,

Number510(k)Device NameApplicant
K030459Medley™ System with Medication
Management SystemALARIS Medical Systems, Inc.
K011975Horizon Outlook™ with
DoseCom™B. Braun Medical Inc.

The Spectrum infusion pump may also be used without the Master Drug Library. Predicate devices within the same regulatory classification as the Spectrum are identified as follows:

510(k) Submission Page 1509 of 1514

2

Premarket Notification 510(k) Summary of Safety and Effectiveness P.30831

510(k) Summary (continuation)

| Premarket
Notification,

Number510(k)Device NameApplicant
K950766SIGMA Model 8000 and 8002
Infusion PumpsSIGMA International General
Medical Apparatus, LLC.
K002211Colleague® CX Volumetric
Infusion PumpBaxter Healthcare
Corporation

Intended Use information for Subject Device

The Spectrum infusion pump is intended to be used for the controlled administration of intravenous fluids. These fluids may include blood, blood products or mixtures of inharmaceutical drugs for required patient therapy. The spectrum is used in conjunction with legally marked intravenous administration sets and medications provided by the user The Master Drug Library is a software package that will add additional features to The Master Drug Library will permit electronic the Spectrum infusion pump. the Opential "Mith the Spectrum pump and other external peripheral devices. The intended use of the Spectrum pump includes common drug error prevention, through the stand alone settings features of the pump. This includes drug parameter limits and associated drug name identification. With the Master Drug Library, the intended use is to reduce user errors associated with drug selection, drug dose rates, drug dose concentrations, and patient identification associated with the prescribed drug.

Technological Characteristic Information

The technological characteristics of the Spectrum infusion pump are similar in many respects to the predicate devices. The Spectrum and predicated devices share mechanical and electrical assembly design complexity similarities. Their respective designs contain "state-of-the-art" printed circuit board layout system, proven reliable corrosion resistant pumping mechanisms and microcomputer software control intelligence. The functional characteristics including the user interface, alarm sensing systems, and display technology are of similar technological form. The Master Drug Library features and communication interaction with the Spectrum or other peripherals is also technologically similar in nature to the predicate devices. The technological characteristics of the Spectrum and Spectrum with Master Drug Library are substantially equivalent to the predicate device for intended use. Technological differences between the Spectrum and Spectrum with Master Drug Library do not raise new issues of safety and effectiveness.

Non-Clinical Performance Data Information

The determination of substantial equivalency is also based on non-clinical performance data. The testing conducted on the Spectrum infusion pump was in accordance with recognized performance standards for infusion pumps. In addition, non-clinical testing based on the validation of design requirements has been conducted and is provided as support data for this 510(k) submission. The performance data indicate that the Spectrum and Spectrum with Master Drug Library meets specification requirements and is substantially equivalent to the predicate devices.

510(k) Submission Page 1510 of 1514

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle with three lines forming its body and wings. The eagle is facing to the right.

AUG 2 6 2004

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SIGMA International General Medical Apparatus, LLC C/O Mr. Daniel W. Lehtonen Responsible Third Party Official Intertek Testing Services NA, Incorporated 70 Codman Hill Road Boxborough, Massachusetts 01779

Re: K042121

Trade/Device Name: Spectrum and Spectrum with Master Drug Library Regulation Number: 880.5725 Regulation Name: Infusion Pump Regulatory Class: II Product Code: FRN Dated: August 18, 2004 Received: August 19, 2004

Dear Mr. Reuber:

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 approvisions 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 (1 Wr ), it hay of budging in the Code of Federal Regulations, Title 21. Parts 800 to 898. In your device announcements concernents concerning your device in the Federal Register.

4

Page 2 - Mr. Reuber

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. or the rive of any with all the Act's requirements, including, but not limited to: registration r ou intel comply was a 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 requirences as bectronic 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) I mis letter will and in J . The FDA finding of substantial equivalence of your device to a premainter letting and 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), 11 you debite 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,

Chiu Lin, Ph.D.

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

510(k) Number (if known): K042121

Device Name: Spectrum, Spectrum with Master Drug Library

Indications for Use

The Spectrum and Spectrum with Master Drug Library is intended to be used for the controlled administration of intravenous fluids. These fluids may include pharmaceutical drugs, blood, blood products and mixtures of required patient therapy. The intended routes of administration consist of the following clinically acceptable routes: intravenous, arterial, subcutaneous, intrathecal, epidural or irrigation of fluid space. The spectrum is intended to be used in conjunction with legally marketed intravenous administration sets and medications provided by the user.

The Spectrum and Spectrum with Master Drug Library is suitable for many user facility applications such as but not limited to hospitals, outpatient care areas, homecare and ambulatory care services.

The Spectrum and Spectrum with Master Drug Library is intended to reduce operator interaction through automated programming thereby helping to reduce errors associated with complex device programming. Parameter programming requires trained healthcare professional confirmation of limits and drug therapy to physician's directive.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (Part 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)

Anton Kent

of Anesthesiology, General Houpital. ontrol. Dental

510(k) Number

510(k) Submission Page 132 of 1514 REVISED DATE 7/06/04