K Number
K172481
Device Name
IntelliCart System
Date Cleared
2017-09-14

(29 days)

Product Code
Regulation Number
878.4780
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The IntelliCart™ System is a self-powered suction/vacuum pump intended to collect and dispose of liquid waste within Hospital Operating Rooms, Pathology Labs, Surgical Outpatient Centers, and Doctor's Offices.
Device Description
The IntelliCart™ System is a self-powered suction / vacuum pump intended to collect and dispose of liquid waste within hospital operating rooms, pathology labs, surgical outpatient centers, and doctor's offices. The IntelliCart™ System (System) consists of a Fluid Cart (Cart) and Evac Station (Evac). Carts are mobile devices used during surgery to collect patient fluids. Evacs are stationary devices used to process and clean Carts. The System's closed design significantly reduces employee exposure to potentially infectious surgical fluids, while eliminating up to 70% of operating room red bag waste. Carts are equipped with large volume fluid reservoirs, a single regulated vacuum pump, and a height-adjustable IV pole. A single-use manifold (REF 00-5140-201-00) serves as the interface between a Cart's fluid reservoir and sterile patient suction tubing. A Cart model equipped with a bracket to hold a Smoke Evacuator is also available. The IntelliCart™ System is a closed self-powered suction device providing various levels of suction, as selected by the user, ranging from 0-600 mmHg at maximum flow volume, and collection of up to 34L of liquid surgical waste into cart canisters equipped with a viewing window for display of canister contents shown in 100ml increments. The suction cart is portable, equipped with caster type wheels with a profile able to pass through 36 inch minimum wide doorways and allows for connection to a standard 120V/60Hz/15A facility power supply and connection to facility wall suction when necessary. Cart Canisters are integrated with a window tint feature that visually restricts canister contents during transport. The IntelliCart™ System is operated using a back lit LCD touch screen display monitor equipped with lateral adjustment capabilities and provides digital display confirmation of total fluid capacity used as well as a functional interface for suction selection/adjustment and cart cleaning. Single use manifolds are equipped with hydrophobic filters which turn color after wash cycle is completed, giving visual indication of a manifold which must be discarded. The Evac Station is equipped with a coupler that connects to the Suction Cart and, using compatible bleach and enzymatic solutions to break down solid waste, empties, cleans and disinfects cart canisters. After emptying and cleaning cart canisters, the Evac Station allows for draining surgical waste into facility drains. The IntelliCart™ System can be equipped with a powered or manual IV pole, supporting up to 12,000mL of bagged fluid and allows mounting of a compatible smoke evacuation device.
More Information

Not Found

No
The document describes a suction/vacuum pump system for fluid waste collection and disposal. There is no mention of AI or ML in the device description, intended use, or performance studies. The system relies on user selection of suction levels and automated cleaning cycles, not intelligent algorithms.

No.
The device is intended to collect and dispose of liquid waste, primarily surgical fluids, and is not directly used for the treatment or diagnosis of disease or health conditions. Its function is to manage waste in a medical setting, improving safety and efficiency for healthcare workers.

No

The device description clearly states its purpose is to "collect and dispose of liquid waste." It functions as a self-powered suction/vacuum pump, not for diagnosing medical conditions.

No

The device description clearly outlines hardware components such as a suction/vacuum pump, fluid reservoirs, IV pole, touch screen display, and a physical cart and evac station. While software is mentioned for operation and display, it is integral to the function of the physical hardware.

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

Here's why:

  • Intended Use: The intended use is to "collect and dispose of liquid waste within Hospital Operating Rooms, Pathology Labs, Surgical Outpatient Centers, and Doctor's Offices." This describes a device used for waste management and fluid collection during medical procedures, not for testing samples in vitro (outside the body) to diagnose or monitor a medical condition.
  • Device Description: The description details a suction/vacuum pump system for collecting surgical fluids, cleaning and disinfecting canisters, and managing waste. It does not mention any components or processes related to analyzing biological samples for diagnostic purposes.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Reagents or assays
    • Analysis of biological samples (blood, urine, tissue, etc.)
    • Measurement of analytes
    • Diagnostic or monitoring claims

The IntelliCart™ System is a medical device used for fluid management and waste disposal in a clinical setting.

N/A

Intended Use / Indications for Use

The IntelliCart™ System is a self-powered suction/vacuum pump intended to collect and dispose of liquid waste within Hospital Operating Rooms, Pathology Labs, Surgical Outpatient Centers, and Doctor's Offices.

Product codes

JCX

Device Description

The IntelliCart™ System is a self-powered suction / vacuum pump intended to collect and dispose of liquid waste within hospital operating rooms, pathology labs, surgical outpatient centers, and doctor's offices.

The IntelliCart™ System (System) consists of a Fluid Cart (Cart) and Evac Station (Evac).

Carts are mobile devices used during surgery to collect patient fluids. Evacs are stationary devices used to process and clean Carts. The System's closed design significantly reduces employee exposure to potentially infectious surgical fluids, while eliminating up to 70% of operating room red bag waste.

Carts are equipped with large volume fluid reservoirs, a single regulated vacuum pump, and a height-adjustable IV pole. A single-use manifold (REF 00-5140-201-00) serves as the interface between a Cart's fluid reservoir and sterile patient suction tubing. A Cart model equipped with a bracket to hold a Smoke Evacuator is also available.

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

Hospital Operating Rooms, Pathology Labs, Surgical Outpatient Centers, and Doctor's Offices.

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

Non-Clinical Performance Data

Standard or Test Type: IEC 60601-1 Medical electrical equipment - Part 1: General requirements for basic safety and essential performance
Acceptance Criteria: Yes
Results Predicate Device (IntelliCartTM System (K162421)): Pass
Results Modified Device (IntelliCartTM System): Pass

Standard or Test Type: IEC 60601-1-2 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and Tests
Acceptance Criteria: Yes
Results Predicate Device (IntelliCartTM System (K162421)): Pass
Results Modified Device (IntelliCartTM System): Pass

Standard or Test Type: IEC 60601-1-6 Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability
Acceptance Criteria: Yes
Results Predicate Device (IntelliCartTM System (K162421)): Pass
Results Modified Device (IntelliCartTM System): Pass

Standard or Test Type: ISO 10079-1 Medical suction equipment - Part 1: Electrically powered suction equipment
Acceptance Criteria: Yes
Results Predicate Device (IntelliCartTM System (K162421)): Pass
Results Modified Device (IntelliCartTM System): Pass

Standard or Test Type: ISO 10993-1 Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process
Acceptance Criteria: Not required - no direct or indirect patient contact
Results Predicate Device (IntelliCartTM System (K162421)): N/A
Results Modified Device (IntelliCartTM System): N/A

Electrical Safety, Electromagnetic compatibility (EMC): Medical device safety testing was conducted in accordance with IEC 60601-1 standard for safety, IEC 60601-1-2 standard for EMC. Human factors were also considered in the design of the IntelliCart™ System and testing was performed in accordance with IEC 60601-1-6 and Applying Human Factors and Usability Engineering to Optimize Medical Device Design, Guidance for Industry and Food and Drug Administration Staff, February 3, 2016. Critical and essential tasks were identified as part of the studies. All identified issues were managed and mitigated to an acceptable level. The IntelliCart™ System passed all electrical safety, and electromagnetic compatibility tests to predetermined acceptance criteria.

Software and Display Verification and Validation: Software verification and validation were performed at a systems and unit level and information supplied in accordance with guidance as recommended by FDA Guidance for Industry "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices". Software passed all predetermined acceptance criteria including reservoir overflow protection, cart reservoir processing and low level disinfection using validated cycles, watchdog safety transducer and safety start up warning screen.

Mechanical Verification and Validation:
Suction Performance: The IntelliCart™ System suction performance was designed and evaluated according to ISO 10079-1 Electrically powered suction equipment and as recommended by FDA "Guidance for Industry and FDA Reviewers/Staff: Guidance Document for Powered Suction Pump 510(k)s". All critical and essential tasks were identified and mitigated through risk analysis to an acceptable level. The IntelliCart™ System was evaluated to provide adjustable vacuum pressure as measured at the manifold port to predetermined acceptance criteria to demonstrate operation capable of providing adjustable vacuum up to 12 hours of continuous use at 600mmHg.

Safety Features: The IntelliCart™ System was tested to predetermined acceptance criteria for Closed System Design, Interactive controls including de-bounce feature, Fluid Backflow Protection, Watchdog Safety Transducer, Wash Fluid leak free seals around covers and manifolds, and User Interface Vacuum Start Up Warning. The IntelliCart™ System met all predetermined acceptance criteria with passing results. The IntelliCart™ fluid path was tested to predetermined acceptance criteria for chemical resistance against compatible enzymatic cleaners, bleach and Bactisure™. The IntelliCart™ met all predetermined acceptance criteria with passing results. The IntelliCart™ System disposable manifold was tested to predetermined acceptance criteria to provide vacuum seal in the reservoir when installed. The IntelliCart™ met all acceptance criteria with passing results.

IV Pole Function and Support: Manual and Power IV Poles were tested to predetermined acceptance criteria for maximum bagged fluid support and automatic function (power IV pole only). The IntelliCart™ met all acceptance criteria with passing results.

Outer Body Shell and Fluid Capacity: The IntelliCart™ was tested to predetermined acceptance criteria for portability using casters and brakes including profile requirements to pass through standard 36″ door thresholds. The IntelliCart''' met all acceptance criteria with passing results. IntelliCart™ was tested to predetermined acceptance criteria to include directly viewable fluid measurements, easily viewable touchscreen monitor and exterior surfaces which provide chemical resistance to standard hospital wipes. The IntelliCart™ met all acceptance criteria with passing results.

Fluid Reservoir Concealment: ConSeal™ technology providing concealment of canister contents was evaluated to predetermined acceptance criteria for the concealment of collected waste fluid. The IntelliCart™ met all acceptance criteria with passing results.

Key Metrics

Not Found

Predicate Device(s)

IntelliCart™ System (K162421)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4780 Powered suction pump.

(a)
Identification. A powered suction pump is a portable, AC-powered or compressed air-powered device intended to be used to remove infectious materials from wounds or fluids from a patient's airway or respiratory support system. The device may be used during surgery in the operating room or at the patient's bedside. The device may include a microbial filter.(b)
Classification. Class II.

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Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an image of three stylized human profiles facing to the right. The profiles are stacked on top of each other, with the first profile being the largest and the third profile being the smallest.

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

October 5, 2017

Dornoch Medical Systems Michael Wolford Regulatory Affairs Sr. Specialist 200 West Parkway Riverside, Missouri 64150

Re: K172481

Trade/Device Name: IntelliCart System Regulation Number: 21 CFR 878.4780 Regulation Name: Powered Suction Pump Regulatory Class: Class II Product Code: JCX Dated: August 11, 2017 Received: August 16, 2017

Dear Michael Wolford:

This letter corrects our substantially equivalent letter of September 14, 2017

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.

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 device

1

related adverse events) (21 CFR 803); 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.

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 (DICE) 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 (DICE) 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.

Michael J. Ryan -S

for Tina Kiang, PhD Acting Director Division of Anesthesiology. General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K172481

Device Name IntelliCart™ System

Indications for Use (Describe)

The IntelliCart™ System is a self-powered suction/vacuum pump intended to collect and dispose of liquid waste within Hospital Operating Rooms, Pathology Labs, Surgical Outpatient Centers, and Doctor's Offices.

Type of Use (Select one or both, as applicable)|X Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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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:

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Image /page/3/Picture/0 description: The image shows the word "Dornoch" in a stylized font. The letters are primarily in a light gray color, except for the "O" which is in a dark red color. Below the word "Dornoch" are the words "Medical Systems, Inc." in a smaller, light gray font.

510(k) Summary

| 510(k)
Summary | Sponsor: | Dornoch Medical Systems, Inc.
200 North West Parkway
Riverside, MO 64150
Establishment Registration Number: 1954182
Michael T. Wolford
Regulatory Affairs Sr. Specialist
Phone: (330) 364-9411 |
|-------------------|-----------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Date: | 8/11/2017 |
| | Trade Name: | IntelliCart™ System |
| | FDA Product
Code/Device
Common Name: | JCX – Apparatus, Suction, Ward Use, Portable, Ac-Powered |
| | Regulation Number
and Description;
Device Classification: | 21 CFR 878.4780 – Powered suction pump; Class II |
| | Predicate Device | IntelliCart™ System (K162421) |
| | Device Description | The IntelliCart™ System is a self-powered suction / vacuum pump intended
to collect and dispose of liquid waste within hospital operating rooms,
pathology labs, surgical outpatient centers, and doctor's offices. |
| | | The IntelliCart™ System (System) consists of a Fluid Cart (Cart) and Evac
Station (Evac). |
| | | Carts are mobile devices used during surgery to collect patient fluids. Evacs
are stationary devices used to process and clean Carts. The System's closed
design significantly reduces employee exposure to potentially infectious
surgical fluids, while eliminating up to 70% of operating room red bag
waste. |
| | | Carts are equipped with large volume fluid reservoirs, a single regulated
vacuum pump, and a height-adjustable IV pole. A single-use manifold (REF
00-5140-201-00) serves as the interface between a Cart's fluid reservoir and
sterile patient suction tubing. A Cart model equipped with a bracket to hold
a Smoke Evacuator is also available. |
| | Intended Use: | The IntelliCart™ System is a self-powered suction/vacuum pump intended
to collect and dispose of liquid waste within Hospital Operating Rooms,
Pathology Labs, Surgical Outpatient Centers, and Doctor's Offices. |
| | Technological
Characteristics | The IntelliCart™ System is a closed self-powered suction device providing
various levels of suction, as selected by the user, ranging from 0-600 mmHg |

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at maximum flow volume, and collection of up to 34L of liquid surgical waste into cart canisters equipped with a viewing window for display of canister contents shown in 100ml increments. The suction cart is portable, equipped with caster type wheels with a profile able to pass through 36 inch minimum wide doorways and allows for connection to a standard 120V/60Hz/15A facility power supply and connection to facility wall suction when necessary. Cart Canisters are integrated with a window tint feature that visually restricts canister contents during transport.

The IntelliCart™ System is operated using a back lit LCD touch screen display monitor equipped with lateral adjustment capabilities and provides digital display confirmation of total fluid capacity used as well as a functional interface for suction selection/adjustment and cart cleaning.

Single use manifolds are equipped with hydrophobic filters which turn color after wash cycle is completed, giving visual indication of a manifold which must be discarded.

The Evac Station is equipped with a coupler that connects to the Suction Cart and, using compatible bleach and enzymatic solutions to break down solid waste, empties, cleans and disinfects cart canisters. After emptying and cleaning cart canisters, the Evac Station allows for draining surgical waste into facility drains.

The IntelliCart™ System can be equipped with a powered or manual IV pole, supporting up to 12,000mL of bagged fluid and allows mounting of a compatible smoke evacuation device.

Comparison to Predicate:

The IntelliCart"" System is substantially equivalent to the legally marketed predicate device IntelliCart'"" System in that these devices are identical in intended use, materials and design. The following tables provide a comparison between the predicate device and modified device showing similarities and differences:

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Image /page/5/Picture/0 description: The image shows the logo for Dornoch Medical Systems, Inc. The word "Dornoch" is written in a sans-serif font, with the "O" in a dark red color and the rest of the letters in a light gray color. Below the word "Dornoch" is the text "Medical Systems, Inc." in a smaller, light gray font. The logo is simple and modern, with a focus on the company name.

System Use

| Property | Predicate Device (IntelliCartTM System
(K162421) | Modified Device (IntelliCartTM System) |
|---------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------|
| Intended Use | The IntelliCartTM System is a self-powered
suction/vacuum pump intended to collect and
dispose of liquid waste within Hospital
Operating Rooms, Pathology Labs, Surgical
Outpatient Centers, and Doctor's Offices. | Same |
| Single Use or
Reusable | Cart, Evac – Reusable
Manifold, Single Use | Same |
| Target
Population | Ward Use, General Surgical Application | Same |

System Operating Principle

PropertyPredicate Device (IntelliCart™ System) (K162421)Modified Device (IntelliCart™ System)
DisplayLCD, Backlit TouchSame
Suction/ExhaustClosed suction system with variable suction levels based
on user selection providing regulated vacuum from 0-
600mmHg using AC powered twin piston vacuum pump
passing through single use manifolds and into canisters.Same
FiltrationHEPA Filtration 99.97%Same
CleaningCart Canister Processing using automated validated cycleCart Canister Processing using
automated validated cycle to
low level of disinfection
ManifoldSingle Use, disposable manifold with Hydrophobic FilterSame
SoftwareValidated SoftwareSame
Electrical
Requirements(Cart) 120VAC, 60Hz, 4.75amp
(Evac) SameSame
PortableLocking casters and push handle allow cart to be easily
movedSame

System Design

PropertyPredicate Device (IntelliCartTM System (K162421))Modified Device (IntelliCartTM System)
MaterialsNo direct or indirect patient contactSame
Touch ScreenLCD backlit color touch screen displaySame
Total Fluid Capacity34LSame
Single Use
ManifoldManifold hydrophobic filter turns blue after use,
indicating it must be replacedSame
Suction Range0-600mmHgSame
Footprint55"H x 23.5"W x 23"DSame
Safety AlertAudible and visual display for early warning of overflow
protection system and vacuum start up alertSame
Compatible with
Wall SuctionYesSame
ConSeal™ TintYesSame
Canister Exterior
GraduationsGraduations marked on canister exterior provide
approximate visual indication of contents in 100mL
increments.Same
IV PoleCarts available with powered or manual IV pole, capable
of 12,000mL maximum fluid capacitySame
External Mounting
of compatible
smoke evacuationYesSame
HEPA Filtration99.97%Same
CleaningMultiple user selected Enzymatic and Bleach cleaning
cycles from 3-12 minutesSame
Safety Features
FeaturePredicate Device (IntelliCart™ System (K162421)Modified Device (IntelliCart™
System)
Closed System
DesignConfine and contain fluids during collection and disposalSame
Interactive
ControlsGraphical User Interface (GUI) guides user through
system operationSame
Bleach Cycle
MonitoringContinuous automatic monitoring of bleach cycle using
electronic sensorsSame
Fluid Backflow
ProtectionPositive air gap maintained between collected fluids and
single-use ManifoldsSame
Vacuum System
ProtectionHydrophobic filters shut off vacuum supply when wet,
preventing liquids from contaminating the Cart vacuum
supplySame
Air Exhaust
ProtectionReplaceable HEPA rated filterSame
Overflow
ProtectionWarning to alert user when reservoir is 3000mL and
1500mL from full capacity – automatic shut off when
canisters have reached full capacitySame
ES 60601-1
ClassificationClass 1, Type B applied part (suction tubing - not supplied
by Zimmer Biomet)Same

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Dornoch

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Image /page/7/Picture/0 description: The image shows the logo for Dornoch Medical Systems, Inc. The word "Dornoch" is written in a sans-serif font, with the "O" in "Dornoch" colored in a dark red. The rest of the letters are in a light gray color. Below the word "Dornoch" is the text "Medical Systems, Inc." in a smaller font.

Non-Clinical Performance Data as Compared with the Predicate Device

The following performance standards are applicable to the predicate and modified devices:

PredeterminedResults
Standard or Test TypeAcceptance
CriteriaPredicate Device
(IntelliCartTM
System (K162421)Modified Device
(IntelliCartTM
System)
IEC 60601-1 Medical electrical equipment - Part
1: General requirements for basic safety and
essential performanceYesPassPass
IEC 60601-1-2 Medical electrical equipment -
Part 1-2: General requirements for basic safety
and essential performance - Collateral Standard:
Electromagnetic disturbances - Requirements
and TestsYesPassPass
IEC 60601-1-6 Medical electrical equipment -
Part 1-6: General requirements for basic safety
and essential performance - Collateral standard:
UsabilityYesPassPass
ISO 10079-1 Medical suction equipment - Part
1: Electrically powered suction equipmentYesPassPass
ISO 10993-1 Biological evaluation of medical
devices - Part 1: Evaluation and testing within a
risk management processNot required - no
direct or indirect
patient contactN/AN/A

Electrical Safety, Electromagnetic compatibility (EMC)

Medical device safety testing was conducted in accordance with IEC 60601-1 standard for safety, IEC 60601-1-2 standard for EMC. Human factors were also considered in the design of the IntelliCart™ System and testing was performed in accordance with IEC 60601-1-6 and Applying

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Image /page/8/Picture/0 description: The image shows the logo for Dornoch Medical Systems, Inc. The logo features the word "Dornoch" in a sans-serif font, with the "O" in a dark red color and the rest of the letters in a light gray. Below the word "Dornoch" is the text "Medical Systems, Inc." in a smaller font size and the same light gray color.

Human Factors and Usability Engineering to Optimize Medical Device Design, Guidance for Industry and Food and Drug Administration Staff, February 3, 2016. Critical and essential tasks were identified as part of the studies. All identified issues were managed and mitigated to an acceptable level. The IntelliCart™ System passed all electrical safety, and electromagnetic compatibility tests to predetermined acceptance criteria.

Software and Display Verification and Validation

Software verification and validation were performed at a systems and unit level and information supplied in accordance with guidance as recommended by FDA Guidance for Industry "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices". Software passed all predetermined acceptance criteria including reservoir overflow protection, cart reservoir processing and low level disinfection using validated cycles, watchdog safety transducer and safety start up warning screen.

Mechanical Verification and Validation

Suction Performance

The IntelliCart™ System suction performance was designed and evaluated according to ISO 10079-1 Electrically powered suction equipment and as recommended by FDA "Guidance for Industry and FDA Reviewers/Staff: Guidance Document for Powered Suction Pump 510(k)s". All critical and essential tasks were identified and mitigated through risk analysis to an acceptable level.

The IntelliCart™ System was evaluated to provide adjustable vacuum pressure as measured at the manifold port to predetermined acceptance criteria to demonstrate operation capable of providing adjustable vacuum up to 12 hours of continuous use at 600mmHg.

Safety Features

The IntelliCart'" System was tested to predetermined acceptance criteria for Closed System Design, Interactive controls including de-bounce feature, Fluid Backflow Protection, Watchdog Safety Transducer, Wash Fluid leak free seals around covers and manifolds, and User Interface Vacuum Start Up Warning. The IntelliCart™ System met all predetermined acceptance criteria with passing results.

The IntelliCart™ fluid path was tested to predetermined acceptance criteria for chemical resistance against compatible enzymatic cleaners, bleach and Bactisure™. The IntelliCart™ met all predetermined acceptance criteria with passing results.

The IntelliCart™ System disposable manifold was tested to predetermined acceptance criteria to provide vacuum seal in the reservoir when installed. The IntelliCart™ met all acceptance criteria with passing results.

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Image /page/9/Picture/0 description: The image shows the logo for Dornoch Medical Systems, Inc. The word "Dornoch" is written in a sans-serif font, with the "O" in "Dornoch" being a dark red color, while the rest of the letters are a light gray color. Below the word "Dornoch" is the text "Medical Systems, Inc." in a smaller, light gray font.

IV Pole Function and Support

Manual and Power IV Poles were tested to predetermined acceptance criteria for maximum bagged fluid support and automatic function (power IV pole only). The IntelliCart™ met all acceptance criteria with passing results.

Outer Body Shell and Fluid Capacity

The IntelliCart™ was tested to predetermined acceptance criteria for portability using casters and brakes including profile requirements to pass through standard 36″ door thresholds. The IntelliCart''' met all acceptance criteria with passing results.

IntelliCart™ was tested to predetermined acceptance criteria to include directly viewable fluid measurements, easily viewable touchscreen monitor and exterior surfaces which provide chemical resistance to standard hospital wipes. The IntelliCart™ met all acceptance criteria with passing results.

Fluid Reservoir Concealment

ConSeal™ technology providing concealment of canister contents was evaluated to predetermined acceptance criteria for the concealment of collected waste fluid. The IntelliCart™ met all acceptance criteria with passing results.

Conclusion

The subject device is substantially equivalent to the predicate device.