K Number
K061856
Device Name
V-2200 INFANT INCUBATOR
Manufacturer
Date Cleared
2006-09-28

(90 days)

Product Code
Regulation Number
880.5400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The V-2200 Infant Incubator is a device to keep premature infants or neonatal infants in a warm environment which is covered by a hood and isolated from ambient air and of which internal air temperature and humidity, are controlled. It is intended for inpatient use in maternity nurseries, and neonatal care environments of hospitals or other healthcare facilities. Optional functions include pulse oximetry and oxygen delivery. This device is not intended for home use. This device is not intended as a transport incubator. This is a prescription device.
Device Description
This product consists of a hood, a sensor module, a mattress platform, a middle deck section, a conditioning chamber, a humidity chamber, an operation control section, a power source, a relay box, an oxygen supply/filter box, a pulse oximeter, an oxygen controller and a weight monitor. It is equipped with an incubator air temperature control function to circulate the air containing the heat energy generated by the heater attached to the conditioning chamber inside the hood by means of a fan in order to maintain the incubator air temperature at a fixed level. The device is also equipped with a skin temperature control function to maintain the infant's skin temperature at a fixed level in response to the patients temperature as measured by the skin probe. There is a humidity control function to adjust the amount of vapor generated in the humidity chamber. The following additional features can be installed into the incubator: a pulse oximeter function to monitor Sp02 concentration and pulse rate non-invasively; an oxygen control function to draw oxygen and outside air and control the oxygen concentration delivered to the patient compartment to the desired level; and a weight monitor to facilitate taking the infants weight without moving them from the incubator. This device is designed to be used in treatment, procedures and observation of low-birth-weight and sick neonates, providing heat to the neonate when the body temperature is low and also to provide humidity if desired
More Information

Not Found

No
The description focuses on standard incubator functions and controls (temperature, humidity, oxygen, pulse oximetry, weight) and does not mention any AI or ML capabilities. The "Mentions AI, DNN, or ML" section is explicitly marked as "Not Found".

Yes
The device is described as providing a controlled warm environment, humidity, and oxygen delivery for premature or neonatal infants, and it is explicitly stated to be "used in treatment, procedures and observation of low-birth-weight and sick neonates, providing heat to the neonate when the body temperature is low and also to provide humidity if desired." These functions directly support the therapeutic care of infants.

No

This device is an infant incubator designed for providing a controlled environment (temperature, humidity, oxygen) and monitoring (pulse oximetry, weight) for premature or neonatal infants. While it includes monitoring functions, its primary purpose is therapeutic and supportive, not diagnostic.

No

The device description explicitly lists numerous hardware components (hood, sensor module, mattress platform, conditioning chamber, etc.) and describes physical functions like circulating air, generating heat, and controlling humidity. This is clearly a hardware-based medical device with integrated software for control and monitoring.

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

Here's why:

  • Intended Use: The primary intended use is to provide a controlled environment (temperature, humidity) for premature and neonatal infants. This is a life support/environmental control function, not a diagnostic test performed on samples from the body.
  • Device Description: The description focuses on the physical components and functions related to maintaining the infant's environment and monitoring vital signs (temperature, SpO2, pulse rate, weight). It does not mention any components or processes for analyzing biological samples (blood, urine, tissue, etc.).
  • Lack of IVD Characteristics: There is no mention of reagents, assays, sample collection, or any other activities typically associated with in vitro diagnostics.

In summary, the V-2200 Infant Incubator is a medical device used for patient care and environmental support, not for performing diagnostic tests on biological samples.

N/A

Intended Use / Indications for Use

The V-2200 Infant Incubator is a device to keep premature infants or neonatal infants in a warm environment which is covered by a hood and isolated from ambient air and of which internal air temperature and humidity, are controlled. It is intended for inpatient use in maternity nurseries, and neonatal care environments of hospitals or other healthcare facilities. Optional functions include pulse oximetry and oxygen delivery.

This device is not intended for home use.

This device is not intended as a transport incubator.

This is a prescription device.

Product codes

FMZ, DQA

Device Description

This product consists of a hood, a sensor module, a mattress platform, a middle deck section, a conditioning chamber, a humidity chamber, an operation control section, a power source, a relay box, an oxygen supply/filter box, a pulse oximeter, an oxygen controller and a weight monitor. It is equipped with an incubator air temperature control function to circulate the air containing the heat energy generated by the heater attached to the conditioning chamber inside the hood by means of a fan in order to maintain the incubator air temperature at a fixed level. The device is also equipped with a skin temperature control function to maintain the infant's skin temperature at a fixed level in response to the patients temperature as measured by the skin probe. There is a humidity control function to adjust the amount of vapor generated in the humidity chamber. The following additional features can be installed into the incubator: a pulse oximeter function to monitor Sp02 concentration and pulse rate non-invasively; an oxygen control function to draw oxygen and outside air and control the oxygen concentration delivered to the patient compartment to the desired level; and a weight monitor to facilitate taking the infants weight without moving them from the incubator. This device is designed to be used in treatment, procedures and observation of low-birth-weight and sick neonates, providing heat to the neonate when the body temperature is low and also to provide humidity if desired

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

premature infants or neonatal infants / low-birth-weight and sick neonates

Intended User / Care Setting

inpatient use in maternity nurseries, and neonatal care environments of hospitals or other healthcare facilities.

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)

K021809, K002355, K990966

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5400 Neonatal incubator.

(a)
Identification. A neonatal incubator is a device consisting of a rigid boxlike enclosure in which an infant may be kept in a controlled environment for medical care. The device may include an AC-powered heater, a fan to circulate the warmed air, a container for water to add humidity, a control valve through which oxygen may be added, and access ports for nursing care.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows a date and a signature. The date reads "SEP 28 2006". The signature is illegible but appears to be a combination of letters and numbers, possibly "Ka01856".

510(k) Summary of Safety and Effectiveness Section I

Applicant:

Atom Medical Inc lwakata Bldg 3rd Floor 3-18-15, Hungo Tokoyo, Bunkyo-ku 1130033 Japan Registration No: In process

Contact Person:

Neoforce Group, Inc 35 Commerce Drive lvyland, Pa. 18974

Mary Staniewicz Ph 215-672-6800 Fax 215-672-1123

Device trade/proprietary name:

V-2200 Infant Incubator

Device common/usual/classification name:

Infant Incubator

Classification:

General Hospital 21 CFR 880.5400 Infant Incubator, FMZ, Class II

Anesthesiology 21 CFR 870.2700 Oximeter, DQA, Class II

Performance Standards:

None applicable

Predicate Device:

10 10

. 8

:

K021809 V-2100G Infant Incubator K002355 V-505 Atom Infa Warmer K990966 Masimo Set Pulse Oximeter

1

Device Description

This product consists of a hood, a sensor module, a mattress platform, a middle deck section, a conditioning chamber, a humidity chamber, an operation control section, a power source, a relay box, an oxygen supply/filter box, a pulse oximeter, an oxygen controller and a weight monitor. It is equipped with an incubator air temperature control function to circulate the air containing the heat energy generated by the heater attached to the conditioning chamber inside the hood by means of a fan in order to maintain the incubator air temperature at a fixed level. The device is also equipped with a skin temperature control function to maintain the infant's skin temperature at a fixed level in response to the patients temperature as measured by the skin probe. There is a humidity control function to adjust the amount of vapor generated in the humidity chamber. The following additional features can be installed into the incubator: a pulse oximeter function to monitor Sp02 concentration and pulse rate non-invasively; an oxygen control function to draw oxygen and outside air and control the oxygen concentration delivered to the patient compartment to the desired level; and a weight monitor to facilitate taking the infants weight without moving them from the incubator. This device is designed to be used in treatment, procedures and observation of low-birth-weight and sick neonates, providing heat to the neonate when the body temperature is low and also to provide humidity if desired

Intended Use

The V-2200 Infant Incubator is a device to keep premature infants or neonatal infants in a warm environment which is covered by a hood and isolated from ambient air and of which internal air temperature and humidity, are controlled. It is intended for inpatient use in maternity nurseries, and neonatal care environments of hospitals or other healthcare facilities.

Description of Modifications

The V-2200 Infant Incubator now incorporates an optional pulse oximeter which was not the subject of the original V-2200 submission. The Pulse Oximetry SpO2 is provided by Masimo and is also a currently marketed device. The V-2100G Infant Incubator and the V-505 Infa Warmer are both currently marketed devices which incorporate this pulse oximetry technology from Masimo.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular pattern around the eagle. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 2 8 2006

Atom Medical, Incorporated C/O Ms. Mary Staniewicz Neoforce Group, Incorporated 35 Commerce Drive Ivyland, Pennsylvania 18974

Re: K061856

Trade/Device Name: V-2200 Infant Incubator Regulation Number: 21 CFR 880.5400 Regulation Name: Neonatal Incubator Regulatory Class: II Product Code: FMZ, DQA Dated: June 5, 2006 Received: June 30, 2006

Dear Ms. Staniewicz:

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.

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. Staniewicz

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 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.

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) 276-0115. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Clare

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

4

Indications for Use

510(k) Number (if known):

Device Name: V-2200 Infant Incubator

Indications for Use:

The V-2200 Infant Incubator is a device to keep premature infants or neonatal infants in a warm rne v-2200 miant modbated is a active tand isolated from ambient air and of which internal air temperature and humidity, are controlled. It is intended for inpatient use in maternity nurseries, temperature and hamilaty, are other healthcare facilities. Optional functions include pulse oximetry and oxygen delivery.

This device is not intended for home use.

This device is not intended as a transport incubator.

This is a prescription device.

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)

in Birnis

Jon Sign-Off) on of Anesthesiology, General Hospital, ction Control, Dental Devices

Page 1 of ____________________________________________________________________________________________________________________________________________________________________

Number KY 61356