K Number
K050974
Device Name
DRAEGER MEDICAL INFORMATION BUS (MIB, MIB II, MIB DUO) PROTOCOL CONVERTERS
Date Cleared
2005-04-29

(11 days)

Product Code
Regulation Number
870.2060
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Infinity Medical Information Bus (MIB) Protocol Converters (MIB, 11 & MIB Duo) are indicated for use in an environment where patient care is provided by healthcare professionals (Physician, Nurse, Technician) when the professional determines that third party medical devices that provide data should be connected to a Draeger Infinity Modular Monitor for display. Such devices include: Maquet SV 300 ventilator Maquet Servoi Ventilator Maquet SV900 ventilator Draeger Evita 2 ventilator Draeger Evita 4 ventilator Draeger EvitaXL ventilator Draeger Savina ventilator Draeger Babylog ventilator Draeger FabiusGS Anesthesia System Draeger Narkomed 2 Anesthesia System Draeger Narkomed 4 Anesthesia System Draeger Narkomed 6000 / 6400 Anesthesia Systems Draeger Julian Anesthesia Machine Puritan Bennett 7200 ventilator Puritan Bennett 840 ventilator Hamilton Galileo ventilator Ohmeda 7900 Anesthesia Machine Abbott Oximetrix 3 Blood Gas Analyzer Abbott Q2 CCO monitor AVL Medical Instruments: Opti Critical Care Analyzer, Portable Blood Gas Analyzer Baxter Vigilance blood gas/continuous cardiac output monitor Optical Sensors Inc .: OSI - Optical CAM VIA Medical: VIA V-ABG1 Blood Gas Chemistry Monitor Aspect A-2000 BIS Monitor* Sensormedics Micro Gas 7650 Draeger Fabius Tiro Draeger Primus Viasys Bear 1000 Note: * The SC 9000 does not support communication with the Aspect BIS Monitor
Device Description
Draeger's Infinity Medical Information Bus Protocol Converters have received numerous 510(k) clearances for connectivity to third party devices. The release of MIB VF5.1 software enables connectivity of the Viasys Bear 1000 ventilator to the Infinity modular monitors. This connection enables the display of device specific data on an Infinity modular monitor. Data from the Viasys Bear 1000 ventilator can also be displayed and alarms annunciated on the VentCentral application (K003246) of the MultiView.
More Information

No
The document describes a protocol converter for connecting medical devices to a monitor for data display. There is no mention of AI or ML in the intended use, device description, or performance studies.

No.
The device's intended use is to connect third-party medical devices that provide data to a Draeger Infinity Modular Monitor for display of that data, not to provide therapy itself.

No

The device is a protocol converter that enables the display of data from various third-party medical devices on an Infinity Modular Monitor. It does not perform any diagnostic functions itself; it merely facilitates communication and display of data from other devices that may or may not be diagnostic.

No

The device is described as "Protocol Converters" and mentions "software version VF5.1," implying a combination of hardware and software to facilitate communication between different medical devices. The description focuses on connectivity and data display, which typically involves hardware interfaces.

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

Here's why:

  • Intended Use: The intended use is to connect third-party medical devices (like ventilators, anesthesia systems, and some analyzers) to a Draeger Infinity Modular Monitor for the display of data. It facilitates the communication and presentation of information from these devices.
  • Device Description: The device is described as a "Protocol Converter" that enables "connectivity" and the "display of device specific data".
  • Lack of IVD Characteristics: An IVD device is typically used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device does not perform any analysis of biological specimens. It simply transmits and displays data generated by other medical devices.
  • Types of Connected Devices: The list of connected devices includes ventilators, anesthesia systems, and some analyzers. While some of these analyzers might perform in vitro diagnostics (like blood gas analyzers), the protocol converter itself is not performing the diagnostic test. It's just handling the data from those devices.

In summary, the Infinity Medical Information Bus Protocol Converter acts as an intermediary to facilitate data display from other medical devices. It does not perform any diagnostic testing on biological samples, which is the core function of an IVD.

N/A

Intended Use / Indications for Use

The Infinity Medical Information Bus (MIB) Protocol Converters (MIB, 11 & MIB Duo) are indicated for use in an environment where patient care is provided by healthcare professionals (Physician, Nurse, Technician) when the professional determines that third party medical devices that provide data should be connected to a Draeger Infinity Modular Monitor for display. Such devices include:

Maquet SV 300 ventilator
Maquet Servoi Ventilator
Maquet SV900 ventilator
Draeger Evita 2 ventilator
Draeger Evita 4 ventilator
Draeger EvitaXL ventilator
Draeger Savina ventilator
Draeger Babylog ventilator
Draeger FabiusGS Anesthesia System
Draeger Narkomed 2 Anesthesia System
Draeger Narkomed 4 Anesthesia System
Draeger Narkomed 6000 / 6400 Anesthesia Systems
Draeger Julian Anesthesia Machine
Puritan Bennett 7200 ventilator
Puritan Bennett 840 ventilator
Hamilton Galileo ventilator
Ohmeda 7900 Anesthesia Machine
Abbott Oximetrix 3 Blood Gas Analyzer
Abbott Q2 CCO monitor
AVL Medical Instruments: Opti Critical Care Analyzer, Portable Blood Gas Analyzer
Baxter Vigilance blood gas/continuous cardiac output monitor
Optical Sensors Inc .: OSI - Optical CAM
VIA Medical: VIA V-ABG1 Blood Gas Chemistry Monitor
Aspect A-2000 BIS Monitor*
Sensormedics Micro Gas 7650
Draeger Fabius Tiro
Draeger Primus
Viasys Bear 1000

Note: * The SC 9000 does not support communication with the Aspect BIS Monitor

Product codes

DRQ

Device Description

Draeger's Infinity Medical Information Bus Protocol Converters have received numerous 510(k) clearances for connectivity to third party devices. The release of MIB VF5.1 software enables connectivity of the Viasys Bear 1000 ventilator to the Infinity modular monitors.

This connection enables the display of device specific data on an Infinity modular monitor. Data from the Viasys Bear 1000 ventilator can also be displayed and alarms annunciated on the VentCentral application (K003246) of the MultiView.

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

healthcare professionals (Physician, Nurse, Technician) / 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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Verification and validation testing performed indicates that the modifications implemented with software version VF5.1 are as safe and effective as previous versions and have not altered the fundamental technology of the device(s).

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

Not Found

Predicate Device(s)

Infinity Medical Information Bus Protocol Converter

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.2060 Transducer signal amplifier and conditioner.

(a)
Identification. A transducer signal amplifier and conditioner is a device used to provide the excitation energy for the transducer and to amplify or condition the signal emitted by the transducer.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image contains the logo for Dräger medical. The logo is in black and features the word "Dräger" in a bold, stylized font, followed by the word "medical" in a smaller, less bold font. Below the logo, there is some smaller text, and to the right of the logo, there is some additional text that is partially visible.

A Dräger and Siem

APR 2 9 2005

510(k) SUMMARY

as required per 807.92(c)

| Submitter's Name and Address: | Draeger Medical Systems, Inc.
16 Electronics Avenue
Danvers, MA 01923 |
|-----------------------------------------|-------------------------------------------------------------------------------------|
| Contact Person: | Penelope H. Greco
Regulatory Affairs Manager
(978) 907-7503
(978) 750-6879 |
| Date submission was prepared: | April 12, 2005 |
| Device Name: | |
| Common Name: | Amplifier and Signal Conditioner,
Transducer Signal |
| Classification Name: | DRQ |
| Regulation Number: | 21 CFR 870.2060 |
| Class: | 2 |
| Legally Marketed Device Identification: | Infinity Medical Information Bus
Protocol Converter |

Device Description:

Draeger's Infinity Medical Information Bus Protocol Converters have received numerous 510(k) clearances for connectivity to third party devices. The release of MIB VF5.1 software enables connectivity of the Viasys Bear 1000 ventilator to the Infinity modular monitors.

This connection enables the display of device specific data on an Infinity modular monitor. Data from the Viasys Bear 1000 ventilator can also be displayed and alarms annunciated on the VentCentral application (K003246) of the MultiView.

Page 1 of 2

COMPANY CONFIDENTIAL

Draeger Medical Systems, Inc. 16 Electronics Avenue Danvers. MA 01923 Tel: (978) 907-7500 Fax: (978) 750-6879

1

Image /page/1/Picture/1 description: The image shows the logo for Dräger medical. The logo is in black and white, with the word "Dräger" in a bold, sans-serif font. The word "medical" is in a thinner, sans-serif font. Below the logo, it says "A Dräger and Siemens Company" in a smaller font.

Image /page/1/Picture/2 description: The image shows handwritten text that appears to be a combination of letters and numbers. The first line reads 'K050974', and the second line reads 'P 3/2'. The handwriting is somewhat rough, but the characters are generally legible. The text may represent a code, identifier, or some other form of notation.

Intended Use:

The Draeger Medical Information Bus Protocol Converters are intended for use in an environment where patient care is provided by healthcare professionals (Physician, Nurse, Technician) when the professional determines that a third party medical device should be connected to an Infinity Modular Monitor for display of data.

Connectable devices include: Maquet SV 900, SV 300, Servoi ventilators, Baxter Vigilance blood gas/continuous cardiac output monitor. Draeger Evita II, VI, EvitaXL, Babylog, & Savina ventilators, Puritan Bennett 7200 & 840 ventilators, Hamilton Galileo ventilator, Draeger Narkomed 6000 & 6400 / Narkomed II & VI Anesthesia Systems, Draeger Julian Anesthesia machine, Ohmeda 7900 Anesthesia Machine, Abbott Oximetric 3 Blood Gas Analyzer, AVL Medical Instruments: Opti Critical Care Analyzer Portable Blood Gas Analyzer, Optical Sensors Inc .: OSI-Optical CAM, VIA Medical: VIA V-ABG1 Blood Gas Chemistry Monitor, and Aspect A-2000 BIS, Abbott Q2, Sensormedics Micro Gas 7650, Draeger Fabius Tiro, Draeger Primus, and Viasys Bear 1000 ventilator.

Substantial Equivalence:

Assessment of non-clinical performance data for equivalence:

Verification and validation testing performed indicates that the modifications implemented with software version VF5.1 are as safe and effective as previous versions and have not altered the fundamental technology of the device(s).

Assessment of clinical performance data for equivalence: Not applicable

Biocompatibility: Not applicable

  • Sterilization: Not applicable
    Standards and Guidance:

1073.3.1 Medical Device Communications-Transport Profile-Connection Mode 1073.3.2 - 2000 IEEE Standard for Medical Communications Transport Profile - IrDA Based - Cable Connected

Page 2 of 2

COMPANY CONFIDENTIAL

Draeger Medical Systems, Inc. 16 Electronics Avenue Danvers, MA 01923 Tel: (978) 907-7500 Fax: (978) 750-6879

2

APR 2 9 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Draeger Medical Systems, Inc. c/o Ms. Penelope H. Greco Regulatory Affairs Manager 16 Electronics Avenue Danvers, MA 01923

Re: K050974

Trade Name: Infinity Medical Information Bus Protocol Converter Regulation Number: 21 CFR 870.2060 Regulation Name: Transducer Signal Amplifier and Signal Conditioner Regulatory Class: II (two) Product Code: DRQ Dated: April 12, 2005 Received: April 18, 2005

Dear Ms. Greco:

We have reviewed your Section 510(k) premarket notification of intent to market the device we neversioned your betermined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for ass stated in the encreases 9776, 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, do noos mat have been require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The r ou may a news 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 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.

3

Page 2 -- Ms. Penelope H. Greco

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 Part 801); good manufacturing practice requirements as set Errt 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. This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results 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), please contact the Office of Compliance at (240) 276-0120. 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 may be obtained from the Oixision 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,

Blymmmoe for

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

Enclosure

4

K050974

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: Infinity Medical Information Bus Protocol Converter Indications for use

The Infinity Medical Information Bus (MIB) Protocol Converters (MIB, 11 & MIB Duo) are indicated for use in an environment where patient care is provided by healthcare professionals (Physician, Nurse, Technician) when the professional determines that third party medical devices that provide data should be connected to a Draeger Infinity Modular Monitor for display. Such devices include:

Maquet SV 300 ventilator Maquet Servoi Ventilator Maquet SV900 ventilator Draeger Evita 2 ventilator Draeger Evita 4 ventilator Draeger EvitaXL ventilator Draeger Savina ventilator Draeger Babylog ventilator Draeger FabiusGS Anesthesia System Draeger Narkomed 2 Anesthesia System Draeger Narkomed 4 Anesthesia System Draeger Narkomed 6000 / 6400 Anesthesia Systems Draeger Julian Anesthesia Machine Puritan Bennett 7200 ventilator Puritan Bennett 840 ventilator Hamilton Galileo ventilator Ohmeda 7900 Anesthesia Machine Abbott Oximetrix 3 Blood Gas Analyzer Abbott Q2 CCO monitor AVL Medical Instruments: Opti Critical Care Analyzer, Portable Blood Gas Analyzer Baxter Vigilance blood gas/continuous cardiac output monitor Optical Sensors Inc .: OSI - Optical CAM VIA Medical: VIA V-ABG1 Blood Gas Chemistry Monitor Aspect A-2000 BIS Monitor* Sensormedics Micro Gas 7650 Draeger Fabius Tiro Draeger Primus Viasys Bear 1000

Note: * The SC 9000 does not support communication with the Aspect BIS Monitor

MRI Compatibility Statement:

The MIB, MIB II and MIB DUO Protocol Converters are not compatible for use in a MRI magnetic field.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

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

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