K Number
K152809
Device Name
Giraffe Incubator Carestation CS1
Date Cleared
2015-12-31

(94 days)

Product Code
Regulation Number
880.5400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Giraffe Incubator Carestation is an Infant Incubator. Incubators provide heat in a controlled manner to neonates who are unable to thermo-regulate based on their own physiology. They achieve this by providing an enclosed temperature controlled environment to the infant. This device may incorporate a Servo Controlled Oxygen Delivery System. This is indicated to provide a stable oxygen concentration within the infant compartment at the value set by the operator (21-65%).
Device Description
The Giraffe Incubator Carestation is an updated version of the cleared predicate Giraffe Incubator. The Giraffe Incubator Carestation is an enclosed infant bed, which provides thermal support for infants who are unable to provide for their own heat requirements. The device maintains the infant's temperature by circulating heated air within the closed bed compartment. The operator may select either the air or skin temperature control method. Depending on the control method selected, heat is regulated based on either the air temperature or the infant's skin temperature compared to the operator selected control temperature. Physical access to the patient is obtained through the side portholes or by opening one of the side doors. The Giraffe Incubator Carestation incorporates an optional weighing scale, Uninterruptible Power Supply (UPS) & Shuttle, Mounting Accessories Rail and Shelves and Storage drawers.
More Information

Not Found

No
The summary describes a standard infant incubator with temperature and oxygen control, and optional features like a weighing scale. There is no mention of AI, ML, or related concepts in the intended use, device description, or performance studies. The control methods described are based on air or skin temperature compared to a set point, which is a traditional control system, not AI/ML.

Yes
The device is an infant incubator that provides controlled heat and oxygen to neonates who are unable to thermo-regulate on their own, which directly supports their physiological well-being.

No

The device is an infant incubator that provides thermal support and controlled oxygen. It does not perform any diagnostic functions like detecting, diagnosing, or monitoring a disease or condition.

No

The device description clearly outlines physical components like an enclosed infant bed, heating elements, side portholes, doors, and optional hardware like a weighing scale and UPS. While it mentions software testing (IEC 62304), the core functionality and description are centered around a physical incubator with integrated controls.

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

Here's why:

  • Intended Use: The intended use is to provide thermal support and potentially controlled oxygen to neonates. This is a direct intervention on the patient's body, not a test performed on samples taken from the body.
  • Device Description: The description details a physical enclosure for the infant, focusing on temperature control and access for care. It does not mention any components or processes related to analyzing biological samples.
  • Lack of IVD Indicators: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analysis of blood, urine, tissue, or other biological samples.
    • Detection or measurement of analytes.
    • Diagnostic purposes based on laboratory testing.

The Giraffe Incubator Carestation is a therapeutic device designed to support the physiological needs of infants.

N/A

Intended Use / Indications for Use

The Giraffe Incubator Carestation is an Infant Incubator. Incubators provide heat in a controlled manner to neonates who are unable to thermo-regulate based on their own physiology. They achieve this by providing an enclosed temperature controlled environment to the infant. This device may incorporate a Servo Controlled Oxygen Delivery System. This is indicated to provide a stable oxygen concentration within the infant compartment at the value set by the operator (21-65%).

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

FMZ

Device Description

The Giraffe Incubator Carestation is an updated version of the cleared predicate Giraffe Incubator. The Giraffe Incubator Carestation is an enclosed infant bed, which provides thermal support for infants who are unable to provide for their own heat requirements. The device maintains the infant's temperature by circulating heated air within the closed bed compartment. The operator may select either the air or skin temperature control method. Depending on the control method selected, heat is regulated based on either the air temperature or the infant's skin temperature compared to the operator selected control temperature. Physical access to the patient is obtained through the side portholes or by opening one of the side doors. The Giraffe Incubator Carestation incorporates an optional weighing scale, Uninterruptible Power Supply (UPS) & Shuttle, Mounting Accessories Rail and Shelves and Storage drawers.

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

neonates

Intended User / Care Setting

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)

The testing performed to support these modifications was based on the risk assessment and design controls, and summary level data was provided in the 510(k) for the testing described above. The subject of this premarket submission, Giraffe Incubator Carestation, did not require clinical studies to support substantial equivalence. GE Healthcare considers the Giraffe Incubator Carestation to be as safe, as effective, and the performance to be substantially equivalent to the predicate device.

Summary of Non-Clinical Tests:
The Giraffe Incubator Carestation is an updated version of the cleared predicate Giraffe Incubator; K101778, K072512, K020547, K010222. It complies with voluntary standards and the following quality assurance measures were applied to the development of the system:

  • Risk Analysis (ISO 14971)
  • Design Reviews (OSR, ISO 13485)
  • Testing on unit level (Module verification)
  • Integration testing (System verification)
  • Software testing (Verification and Validation IEC 62304, "moderate" level of concern)
  • Performance testing (Verification of performance specifications, including IEC 60601-2-19)
  • Safety and EMC testing (Verification ES 60601-1, IEC60601-1-2)
  • Usability testing (Validation IEC 62366)

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.

K101778, K072512, K020547, K010222

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.

Not Found

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

§ 880.5400 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/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular arrangement of text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA". Inside the circle is a stylized symbol featuring three profiles facing to the right, resembling a family or group of people. The profiles are connected and appear to be flowing or moving together.

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

December 31, 2015

Ohmeda Medical, A Division Of Datex-ohmeda, Inc. Mr. Kenny Bello Regulatory Affairs Leader, Product 8880 Gorman Road Laurel, Maryland 20723

Re: K152809

Trade/Device Name: Giraffe Incubator Carestation CS1 Regulation Number: 21 CFR 880.5400 Regulation Name: Neonatal Incubator Regulatory Class: II Product Code: FMZ Dated: November 25, 2015 Received: November 27, 2015

Dear Mr. Bello:

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.

1

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); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) 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 Part 801), 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" (21 CFR 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, Tina Kiang -S

for 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 (if known) K152809

Device Name Giraffe Incubator Carestation CSI

Indications for Use (Describe)

The Giraffe Incubator Carestation is an Infant Incubator. Incubators provide heat in a controlled manner to neonates who are unable to thermo-regulate based on their own physiology. They achieve this by providing an enclosed temperature controlled environment to the infant. This device may incorporate a Servo Controlled Oxygen Delivery System. This is indicated to provide a stable oxygen concentration within the infant compartment at the value set by the operator (21-65%).

Type of Use (Select one or both, as applicable)
× Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

Image /page/3/Picture/1 description: The image contains the logo of General Electric (GE). The logo consists of the letters 'g' and 'e' intertwined within a circular frame. The color of the logo is a light blue.

510(k) Summary

In accordance with 21 CFR 807.92 the following summary of information is provided:

Date:23 DEC 2015
Submitter:Ohmeda Medical, a Division of Datex-Ohmeda, Inc., A General Electric
Company
8800 Gorman Road
Laurel, MD 20723
Tel: (410)888-5200
Fax: (410)888-0544
Primary Contact Person:Kenny M Bello
Regulatory Affairs Leader
Ohmeda Medical, a Division of Datex-Ohmeda, Inc., A General Electric
Company
Tel: (410) 888-5393
Fax: (410) 888-0544
Secondary Contact Person:Monica Morrison
Regulatory Affairs Director
Ohmeda Medical, a Division of Datex-Ohmeda, Inc., A General Electric
Company
Device Trade Name:Giraffe Incubator Carestation CS1
Common/Usual Name:Incubator
Classification Names:Incubator, Neonatal: (880.5400)
Regulatory ClassII
Product Code:FMZ
Predicate Device(s):Giraffe Incubator; K101778, K072512, K020547, K010222
Device Description:The Giraffe Incubator Carestation is an updated version of the cleared
predicate Giraffe Incubator. The Giraffe Incubator Carestation is an
enclosed infant bed, which provides thermal support for infants who are
unable to provide for their own heat requirements. The device maintains
the infant's temperature by circulating heated air within the closed bed
compartment. The operator may select either the air or skin temperature
control method. Depending on the control method selected, heat is
regulated based on either the air temperature or the infant's skin
temperature compared to the operator selected control temperature.
Physical access to the patient is obtained through the side portholes or
by opening one of the side doors. The Giraffe Incubator Carestation
incorporates an optional weighing scale, Uninterruptible Power Supply
(UPS) & Shuttle, Mounting Accessories Rail and Shelves and Storage
drawers.
Description of Device
ModificationThe proposed modification of the Giraffe Incubator is referred to as the
Giraffe Incubator Carestation.
The Giraffe Incubator Carestation updates the graphical monochrome
display user interface (UI) on the predicate to a digital touchscreen UI,
with the required software changes to support the new format and
layout. The main system control software was not changed; however the
software for the UI was updated because of the UI format change. The
modified Giraffe Incubator Carestation maintains the predicate Giraffe
Incubator functionality, performance, and clinical workflows. The
changes also include a modified device visual indicator light and the
capability for Hands Free Alarm Silencing (HFAS).
Other modifications being made for the Giraffe Incubator Carestation
include upgrading the power supply from 75W to 120W to support the
increased power requirements of the touchscreen and associated
electronics.
There is no change in the indications for use or intended use of the
system. There are no changes to the patient contacting materials of the
device, and they remain identical to the predicate. The changes made do
not affect the function, performance, safety, or clinical use of the device.
Indication for Use:The Giraffe Incubator Carestation is an Infant Incubator. Incubators
provide heat in a controlled manner to neonates who are unable to
thermo-regulate based on their own physiology. They achieve this by
providing an enclosed temperature controlled environment to the infant.
This device may incorporate a Servo Controlled Oxygen Delivery
System. This is indicated to provide a stable oxygen concentration
within the infant compartment at the value set by the operator (21-65%).
Device Modification
Technology:The Giraffe Incubator Carestation employs the same fundamental
scientific technology as its predicate devices.
The Giraffe Incubator Carestation replaces the Graphic Display of the
current Giraffe Incubator (GINC) with a new design based on a Single
Board Computer (SBC), color LCD, and touch screen. The Graphical
User Interface (GUI) incorporates graphical elements that are
compatible with current Giraffe functionality and workflow. The
information displayed to the user and the device functionality/features
are equivalent, with a different layout and touch screen functionality.
The existing 75W power supply was replaced with a 120W part because
the new interface have a higher power budget than the predicate unit's

4

Image /page/4/Picture/1 description: The image shows the General Electric (GE) logo. The logo consists of the letters 'g' and 'e' intertwined within a circular shape. The logo is in blue and has a vintage look.

5

Image /page/5/Picture/1 description: The image shows the General Electric (GE) logo, which consists of the letters 'GE' in a stylized script, enclosed within a circular border. The logo is colored in blue. To the right of the logo, there is a horizontal black line.

graphical monochrome display interface.

The Giraffe Incubator Carestation also introduces an updated device Indicator light and Hands Free Alarm Silence (HFAS) capability.

Determination of Substantial Equivalence and performance Data:

Summary of Non-Clinical Tests:

The Giraffe Incubator Carestation is an updated version of the cleared predicate Giraffe Incubator; K101778, K072512, K020547, K010222. It complies with voluntary standards and the following quality assurance measures were applied to the development of the system:

  • Risk Analysis (ISO 14971)
  • Design Reviews (OSR, ISO 13485)
  • Testing on unit level (Module verification)
  • · Integration testing (System verification)
  • Software testing (Verification and Validation IEC 62304, "moderate" level of concern)
  • Performance testing (Verification of performance specifications, including IEC 60601-2-19)
  • " Safety and EMC testing (Verification ES 60601-1, IEC60601-1-2)
  • Usability testing (Validation IEC 62366)

The testing performed to support these modifications was based on the risk assessment and design controls, and summary level data was provided in the 510(k) for the testing described above.

Summary of Clinical Tests:

The subject of this premarket submission, Giraffe Incubator Carestation, did not require clinical studies to support substantial equivalence.

  • Conclusion: GE Healthcare considers the Giraffe Incubator Carestation to be as safe, as effective, and the performance to be substantially equivalent to the predicate device.