K Number
K051873
Device Name
DISPOSABLE TEMPERATURE, SKIN AND ESOPHAGEAL PROBES
Manufacturer
Date Cleared
2005-09-20

(71 days)

Product Code
Regulation Number
880.2910
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
GP probes (REF M1024231 and M1024229): The General Purpose Temperature Probe is intended for continuous temperature monitoring. The probe is inserted into the esophagus or the rectum. It is sterile and individually packaged. It has a low-friction surface finish to make the insertion easier. The temperature probe beneath the cuff at the distal tip is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Series temperature probes.The device is indicated for use by qualified medical personnel only. Skin probe (REF M1024222): The Skin Temperature Probe is intended for monitoring the skin surface temperature. It is sterile and individually packaged. There is a temperature sensor affixed to the center of the foam naterial on the adhesive cover. The disk-shaped adhesive cover has a reflective backing and a hypo-allergenic adhesive which follows closely the contour of the skin. The skin temperature probe is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Scries temperature probes. The device is indicated for use by qualified medical personnel only. Esophageal probes (REF M1024205, M1024212, M1024215 and M1024218): The Esophageal Stethoscope with Temperature Probe is to be used for monitoring temperature, heart, and respiratory sounds on an anesthetized patient. The stethoscope tube is inserted into the esophagus. The probe is sterile, individually packaged and connes in different sizes. It has a low-friction surface finish to make the insertion easier, and a thin cuff to enhance sound transmission and fidelity. The stethoscope has a male luer fitting for attachment to a standard ear piece. The temperature probe, beneath the cuff at the distal tip, is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Series temperature probes. The device is indicated for use by qualified medical personnel only.
Device Description
Disposable temperature probes (Table below) are used during patient temperature measurement. These probes consist of the "Molex" plug connector on the adapter cable end and a thermistor on the patient end. These probes are to be used with 400-series compatible temperature measurement systems only. Esophageal stethoscopes with temperature probes have a dual role, in addition to temperature probe they can be used also as a stethoscope. The temperature probe measures temperature by a resistor that is sensitive to temperature changes. The probe is connected to the patient monitor by using an interconnect cable. These probes have skin or core contact with a patient. Probes are shipped in sterile condition and there is a shelf life declared for each manufacturing batch.
More Information

No
The device description and intended use focus on basic temperature sensing technology (thermistors) and standard medical device functionalities (stethoscope). There is no mention of AI, ML, or any computational analysis of the data beyond simple temperature measurement.

No
These devices are intended for continuous temperature monitoring and, in the case of esophageal stethoscopes, for monitoring heart and respiratory sounds. They do not claim to treat or cure any medical condition.

No

The device is described as a "temperature probe" or "esophageal stethoscope with temperature probe" used for "monitoring" temperature, heart, and respiratory sounds during patient measurement. Monitoring is a measurement activity, not a diagnostic one.

No

The device description clearly states that the device consists of physical components like a "Molex" plug connector and a thermistor, and is a disposable temperature probe. It also mentions physical characteristics like low-friction surface finish and adhesive covers. This indicates a hardware-based medical device, not software-only.

Based on the provided text, these devices are not IVDs (In Vitro Diagnostics).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The described devices are temperature probes designed for direct patient contact (esophagus, rectum, skin) to measure body temperature. They are used for monitoring physiological parameters within the patient's body, not for analyzing samples taken from the body.

Therefore, these temperature probes fall under the category of in vivo medical devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

GP probes (REF M1024231 and M1024229): The General Purpose Temperature Probe is intended for continuous temperature monitoring. The probe is inserted into the esophagus or the rectum. It is sterile and individually packaged. It has a low-friction surface finish to make the insertion easier. The temperature probe beneath the cuff at the distal tip is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Series temperature probes.The device is indicated for use by qualified medical personnel only.

Skin probe (REF M1024222): The Skin Temperature Probe is intended for monitoring the skin surface temperature. It is sterile and individually packaged. There is a temperature sensor affixed to the center of the foam naterial on the adhesive cover. The disk-shaped adhesive cover has a reflective backing and a hypo-allergenic adhesive which follows closely the contour of the skin. The skin temperature probe is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Scries temperature probes. The device is indicated for use by qualified medical personnel only.

Esophageal probes (REF M1024205, M1024212, M1024215 and M1024218): The Esophageal Stethoscope with Temperature Probe is to be used for monitoring temperature, heart, and respiratory sounds on an anesthetized patient. The stethoscope tube is inserted into the esophagus. The probe is sterile, individually packaged and connes in different sizes. It has a low-friction surface finish to make the insertion easier, and a thin cuff to enhance sound transmission and fidelity. The stethoscope has a male luer fitting for attachment to a standard ear piece. The temperature probe, beneath the cuff at the distal tip, is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Series temperature probes. The device is indicated for use by qualified medical personnel only.

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

FLL, BZT

Device Description

Disposable temperature probes (Table below) are used during patient temperature measurement. These probes consist of the "Molex" plug connector on the adapter cable end and a thermistor on the patient end. These probes are to be used with 400-series compatible temperature measurement systems only. Esophageal stethoscopes with temperature probes have a dual role, in addition to temperature probe they can be used also as a stethoscope. The temperature probe measures temperature by a resistor that is sensitive to temperature changes. The probe is connected to the patient monitor by using an interconnect cable. These probes have skin or core contact with a patient. Probes are shipped in sterile condition and there is a shelf life declared for each manufacturing batch.

REFNAME
M1024222Skin Temperature Probe
M1024231GP Temperature Probe, Adult
M1024229GP Temperature Probe, Pediatric
M1024205Esophageal Stethoscope w/Probe, 9 Fr
M1024212Esophageal Stethoscope w/Probe, 12 Fr
M1024215Esophageal Stethoscope w/Probe, 18 Fr
M1024218Esophageal Stethoscope w/Probe, 24 Fr

These temperature probes can be used with legacy GE Medical System monitors like Dash 3000/4000 (K033304), Solar (K012467), TRAM (K900540) and also with the new GE Healthcare S/5 modules like M-PRESTN (K041772) and also with legacy Datex-Ohmeda patient monitors and modules like Cardiocap 5 (K992323), Light (K981378) or M-ESTPR (K953175).

Products are packed inside a cardboard box having 25 pcs of individually packed probes (inside a plastic/paper pouch) in sterile condition. The package label describes product REF codes, manufacturing date, shelf life, CE-mark, legal entity information and a caution "Rx Only (USA), U.S. Federal law restricts this device to sale by or on the order of a physician.".

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Esophagus, rectum, skin surface

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Qualified medical personnel

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 device has been thoroughly tested through validation and verification of specifications against the following standards:

  • IEC 60601-1:1988 + Amdt. 1:1991 + Amdt. 2:1995 (Part 1: General requirements for safety) .
  • IEC 60601-2-49:2001 (Part 2:-49: Particular requirements for the safety of multifunction patient . monitoring equipment)
  • EN 12470-4, Performance of Electrical Thermometers .
  • 21 CFR Part 898 .
  • ISO 15223:2000 Medical Devices Symbols to be used with medical device labeling and ● information to be supplied
  • EN 980+A1+A2 Graphical symbols for use in the labeling of medical devices .
  • ISO 10993-xBiological evaluation of medical devices .
  • ISO 14971:2000 Medical devices Application of risk management to medical devices .
  • 510(k) Sterility Review Guidance K90-1;Guidance for Industry and FDA, August 30, 2002 .

Key results: The summary above shows that there are no new questions of safety and effectiveness for the disposable temperature probes (REF M1024231, M1024229, M1024205, M1024205, M1024212, M1024215 and M1024218) as compared to the predicate devices.

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.

K925789, K925006, K925791

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.

K033304, K012467, K900540, K041772, K992323, K981378, K953175

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

§ 880.2910 Clinical electronic thermometer.

(a)
Identification. A clinical electronic thermometer is a device used to measure the body temperature of a patient by means of a transducer coupled with an electronic signal amplification, conditioning, and display unit. The transducer may be in a detachable probe with or without a disposable cover.(b)
Classification. Class II (performance standards). The device is exempt from the premarket notification procedures in part 807, subpart E of this chapter, subject to the limitations in § 880.9 and the following conditions for exemption:(1) Device is not a clinical thermometer with telethermographic functions;
(2) Device is not a clinical thermometer with continuous temperature measurement functions; and
(3) Appropriate analysis and testing (such as that outlined in the currently FDA-recognized editions, as appropriate, of ISO 80601-2-56, “Medical electrical equipment—Part 2-56: Particular requirements for basic safety and essential performance of clinical thermometers for body temperature measurement,” or ASTM E1965, “Standard Specification for Infrared Thermometers for Intermittent Determination of Patient Temperature,” or ASTM E1112, “Standard Specification for Electronic Thermometer for Intermittent Determination of Patient Temperature,” or ASTM E1104, “Standard Specification for Clinical Thermometer Probe Covers and Sheaths”) must validate specifications and performance of the device.

0

SEP 2 0 2005

K051873

Premarket Notification 510(k) Summary As required by section 807.92 Disposable Temperature Probes (M1024222, Skin Temperature Probe M1024231, GP Temperature Probe, Adult M1024229, GP Temperature Probe, Pediatric M1024205, Esophageal Stethoscope w/Probe, 9 Fr M1024212, Esophageal Stethoscope w/Probe, 12 Fr M1024215, Esophageal Stethoscope w/Probe, 18 Fr M1024218, Esophageal Stethoscope w/Probe, 24 Fr)

GENERAL COMPANY INFORMATION as required by 807.92(a)(1)

COMPANY NAME/ADDRESS/PHONF/FAX:

GE Healthcare 86 Pilgrim Road Needham, MA 02492 USA Tel: 781-449-8685 Fax: 781-433-1344

NAME OF CONTACT:

Mr. Joel Kent

DATE:

July 7, 2005

DEVICE NAME as required by 807.92(a)(2)

TRADE NAME:

Disposable Temperature Probes M1024222, Skin Temperature Probe M1024231, GP Temperature Probe, Adult M1024229, GP Temperature Probe, Pediatric M1024205, Esophageal Stethoscope w/Probe, 9 Fr M1024212, Esophageal Stethoscope w/Probe, 12 Fr M1024215, Esophageal Stethoscope w/Probe, 18 Fr M1024218, Esophageal Stethoscope w/Probe, 24 Fr)

COMMON NAME:

Temperature probe

1

CLASSIFICATION NAME:

The following Class II classifications appear applicable:

FLLClinical electronic thermometer21 CFR 880.2910
BZTStethoscope, esophageal, with electrical conductors21 CFR 868.1920

NAME OF LEGALLY MARKETED DEVICE FOR WHICH A CLAIM OF SUBSTANTIAL EQUIVALENCE IS MADE as required by 807.92(a)(3)

The disposable temperature probes (REF M1024229, M1024229, M1024205, M1024212, M1024215 and M1024218) are substantially equivalent in safety and effectiveness to the predicate DeRoyal temperature probes (K925789, K925006, K925791).

DEVICE DESCRIPTION as required by 807.92(a)(4)

Disposable temperature probes (Table below) are used during patient temperature measurement. These probes consist of the "Molex" plug connector on the adapter cable end and a thermistor on the patient end. These probes are to be used with 400-series compatible temperature measurement systems only. Esophageal stethoscopes with temperature probes have a dual role, in addition to temperature probe they can be used also as a stethoscope. The temperature probe measures temperature by a resistor that is sensitive to temperature changes. The probe is connected to the patient monitor by using an interconnect cable. These probes have skin or core contact with a patient. Probes are shipped in sterile condition and there is a shelf life declared for each manufacturing batch.

REFNAME
M1024222Skin Temperature Probe
M1024231GP Temperature Probe, Adult
M1024229GP Temperature Probe, Pediatric
M1024205Esophageal Stethoscope w/Probe, 9 Fr
M1024212Esophageal Stethoscope w/Probe, 12 Fr
M1024215Esophageal Stethoscope w/Probe, 18 Fr
M1024218Esophageal Stethoscope w/Probe, 24 Fr

These temperature probes can be used with legacy GE Medical System monitors like Dash 3000/4000 (K033304), Solar (K012467), TRAM (K900540) and also with the new GE Healthcare S/5 modules like M-PRESTN (K041772) and also with legacy Datex-Ohmeda patient monitors and modules like Cardiocap 5 (K992323), Light (K981378) or M-ESTPR (K953175).

Products are packed inside a cardboard box having 25 pcs of individually packed probes (inside a plastic/paper pouch) in sterile condition. The package label describes product REF codes, manufacturing date, shelf life, CE-mark, legal entity information and a caution "Rx Only (USA), U.S. Federal law restricts this device to sale by or on the order of a physician.".

2

INTENDED USE as required by 807.92(a)(5)

Intended use & Indication for use for GP probes (REF M1024231 and M1024229): The General Purpose Temperature Probe is intended for continuous temperature monitoring. The probe is inserted into the esophagus or the rectum. It is sterile and individually packaged. It has a lowfriction surface finish to make the insertion easier. The temperature probe beneath the cuff at the distal tip is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Series temperature probes.The device is indicated for use by qualified medical personnel only.

Intended use & Indication for use for skin probe (REF M1024222): The Skin Temperature Probe is intended for monitoring the skin surface temperature. It is sterile and individually packaged. There is a temperature sensor affixed to the center of the foam material on the adhesive cover. The disk-shaped adhesive cover has a reflective backing and a hypo-allergenic adhesive which follows closely the contour of the skin. The skin temperature probe is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Scries temperature probes. The device is indicated for use by qualified medical personnel only.

Intended use & Indication for use for esophageal probes (REF M1024205, M1024215 and M1024218): The Esophageal Stethoscope with Temperature Probe is to be used for monitoring temperature, heart, and respiratory sounds on an anesthetized patient. The stethoscope tube is inserted into the esophagus. The probe is sterile, individually packaged and comes in different sizes. It has a low-friction surface finish to make the insertion easier, and a thin cuff to enhance sound transmission and fidelity. The stethoscope has a male luer fitting for attachment to a standard ear picce. The temperature probe, beneath the cuff at the distal tip, is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Series temperature probes. The device is indicated for use by qualified medical personnel only.

SUMMARY OF TECHNOLOGICAL CHARACTERITICS OF DEVICE COMPARED TO THE PREDICATE DEV1CE as required by 807.92(a)(6)

The disposable temperature probes (REF M1024231, M1024222, M1024205, M1024212, M1024215 and M1024218) are substantially equivalent in safety and effectiveness to the predicate DeRoval temperature probes (K925789, K925006, K925791).

The disposable temperature probes have the following similarities to the predicate device: - Have the same indicated use and shelf life

  • Mechanical design, including colours, dimensions, materials and manufacturing processes are equal

  • Thermistor and functional performance are equal

  • Process of stcrilization is equal

The proposed disposable temperature probes have the following differences compared to the predicate device:

  • Labeling, artwork, LOGO and different wording of the instruction for use insert

3

Image /page/3/Picture/0 description: The image shows a sequence of handwritten characters that appear to be a combination of letters and numbers. The sequence reads 'k4S1873'. The characters are written in a simple, slightly slanted style, with varying stroke thicknesses. The overall impression is that of a quickly jotted down code or identifier.

SUMMARY OF NONCLINICAL TESTING FOR THE DEVICE and CONCLUSIONS as required by 807.92(b)(1)(3)

The disposable temperature probes (REF M1024229, M1024229, M1024222, M1024205, M1024212, M1024215 and M1024218) have been assessed against the standards below. The device has been thoroughly tested through validation and verification of specifications.

  • IEC 60601-1:1988 + Amdt. 1:1991 + Amdt. 2:1995 (Part 1: General requirements for safety) .
  • IEC 60601-2-49:2001 (Part 2:-49: Particular requirements for the safety of multifunction patient . monitoring equipment)
  • EN 12470-4, Performance of Electrical Thermometers .
  • 21 CFR Part 898 .
  • ISO 15223:2000 Medical Devices Symbols to be used with medical device labeling and ● information to be supplied
  • EN 980+A1+A2 Graphical symbols for use in the labeling of medical devices .
  • ISO 10993-xBiological evaluation of medical devices .
  • ISO 14971:2000 Medical devices Application of risk management to medical devices .
  • 510(k) Sterility Review Guidance K90-1;Guidance for Industry and FDA, August 30, 2002 .

CONCLUSION:

The summary above shows that there are no new questions of safety and effectiveness for the disposable temperature probes (REF M1024231, M1024229, M1024205, M1024205, M1024212, M1024215 and M1024218) as compared to the predicate devices.

4

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH AND HUMAN SERVICES . USA" arranged around the perimeter. Inside the circle is a stylized representation of a human figure, with three overlapping profiles suggesting a sense of community and support.

SEP 2 0 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Joel C. Kent Manager, Quality and Regulatory Affairs GE Healthcare 86 Pilgrim Road Needham, Massachusetts 02492

Re: K051873

Trade/Device Name: Disposable Temperature Probes (REF M1024231 and M1024205, Skin probe (REF M1024222) and Esophageal probes (REF M1024205, M1024212, M1024215 and M1024218) Regulation Number: 21 CFR 880.2910 Regulation Name: Clinical Electronic Thermometer Regulatory Class: II Product Code: FLL Dated: July 7, 2005 Received: July 11, 2005

Dear Mr. Kent:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave teviewed your becaren or co (e) fee device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encroours) is togens and ment date of the Medical Device Amendments, or to Conninered pror to May 20, 1978, the excordance with the provisions of the Federal Food, Drug, devices filat have been recease not require approval of a premarket approval application (PMA). alla Cosmetic rece (110c) that to hevice, subject to the general controls provisions of the Act. The 1 ou may, morelore, mains of the Act include requirements for annual registration, listing of general controls proficioning 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 If your device is classified (600 a00 rols. Existing major regulations affecting your device can may be subject to such additions, Title 21, Parts 800 to 898. In addition, FDA may be found in the Outs neements concerning your device in the Federal Register.

5

Page 2 - Mr. Kent

Please be advised that FDA's issuance of a substantial equivalence determination does not mean I loast be advised and I Dr. mination that your device complies with other requirements of the Act that I Dri has made a actuations administered by other Federal agencies. You must or any I cachi suxures and regirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set CITY art 6075; adomig (21 CFR Part 820); and if applicable, the electronic forth in the quality by some (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 wifi and in you to boga finding of substantial equivalence of your device to a legally premaired 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 if you door office of Compliance at (240) 276-0115. Also, please note the regulation entitled, Connact the Office of Course to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small other general information on 70% Copymer Assistance at its toll-free number (800) 638-2041 or Manufacturers; international address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Qre

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

6

Indications for Use

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: Disposable Temperature Probes (GP probes (REF M1024231 and M1024229), Skin probe (REF M1024222) and Esophageal probes (REF M1024205, M1024212, M1024215 and M1024218))

Indications for Use:

GP probes (REF M1024231 and M1024229): The General Purpose Temperature Probe is intended for continuous temperature monitoring. The probe is inserted into the esophagus or the rectum. It is sterile and individually packaged. It has a low-friction surface finish to make the insertion easier. The temperature probe beneath the cuff at the distal tip is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Series temperature probes.The device is indicated for use by qualified medical personnel only.

Skin probe (REF M1024222): The Skin Temperature Probe is intended for monitoring the skin surface temperature. It is sterile and individually packaged. There is a temperature sensor affixed to the center of the foam naterial on the adhesive cover. The disk-shaped adhesive cover has a reflective backing and a hypo-allergenic adhesive which follows closely the contour of the skin. The skin temperature probe is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Scries temperature probes. The device is indicated for use by qualified medical personnel only.

Esophageal probes (REF M1024205, M1024212, M1024215 and M1024218): The Esophageal Stethoscope with Temperature Probe is to be used for monitoring temperature, heart, and respiratory sounds on an anesthetized patient. The stethoscope tube is inserted into the esophagus. The probe is sterile, individually packaged and connes in different sizes. It has a low-friction surface finish to make the insertion easier, and a thin cuff to enhance sound transmission and fidelity. The stethoscope has a male luer fitting for attachment to a standard ear piece. The temperature probe, beneath the cuff at the distal tip, is designed for use with Datex-Ohmeda and GE Medical Systems IT monitoring systems and other monitors compatible with 400 Series temperature probes. The device is indicated for use by qualified medical personnel only.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Cim Ven

Page __ of _

(Division Sign-Off) Division of Anesthesiology, General Hospital, Infection Control, Dental Devices

510(k) Number: K953873