(29 days)
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 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.
The provided text describes the IntelliCart System, a self-powered suction/vacuum pump, and its comparison to a predicate device. The information primarily focuses on establishing substantial equivalence to a previously cleared device (K162421) rather than detailing a de novo study proving the device meets specific clinical acceptance criteria. Instead, the document outlines performance tests against engineering and safety standards and acceptance criteria related to its operation and design.
Here's an organized breakdown of the relevant information:
1. A table of acceptance criteria and the reported device performance
The document provides a table of applicable performance standards and states that both the predicate and modified devices passed these standards, indicating they met the acceptance criteria corresponding to these standards.
| Standard or Test Type | Predetermined Acceptance Criteria | Predicate Device (IntelliCart™ System (K162421) Results | Modified Device (IntelliCart™ System) Results |
|---|---|---|---|
| IEC 60601-1 Medical electrical equipment - Part 1: General requirements for basic safety and essential performance | Yes | Pass | Pass |
| 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 | Yes | Pass | Pass |
| IEC 60601-1-6 Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability | Yes | Pass | Pass |
| ISO 10079-1 Medical suction equipment - Part 1: Electrically powered suction equipment | Yes | Pass | Pass |
| ISO 10993-1 Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process | Not required - no direct or indirect patient contact | N/A | N/A |
In addition to the table, other performance aspects were tested against "predetermined acceptance criteria" and universally reported as "met all predetermined acceptance criteria with passing results." These include:
- Electrical Safety, Electromagnetic compatibility (EMC) and Usability: Passed tests according to IEC 60601-1, IEC 60601-1-2, and IEC 60601-1-6. Also, identified issues from usability studies were managed and mitigated.
- Software and Display Verification and Validation: Passed all predetermined acceptance criteria, including reservoir overflow protection, cart reservoir processing, low-level disinfection using validated cycles, watchdog safety transducer, and safety start-up warning screen.
- Suction Performance: Evaluated according to ISO 10079-1 and FDA Guidance for Powered Suction Pump 510(k)s. Demonstrated adjustable vacuum pressure at the manifold port up to 12 hours of continuous use at 600mmHg.
- Safety Features: Tested for Closed System Design, Interactive controls, Fluid Backflow Protection, Watchdog Safety Transducer, Wash Fluid leak-free seals, and User Interface Vacuum Start Up Warning. All met acceptance criteria.
- Fluid Path Chemical Resistance: Tested against compatible enzymatic cleaners, bleach, and Bactisure™ and met acceptance criteria.
- Disposable Manifold: Tested for vacuum seal in the reservoir when installed and met acceptance criteria.
- IV Pole Function and Support: Tested for maximum bagged fluid support and automatic function (power IV pole) and met acceptance criteria.
- Outer Body Shell and Fluid Capacity: Tested for portability (casters, brakes, 36″ door thresholds), directly viewable fluid measurements, easily viewable touchscreen monitor, and chemical resistance of exterior surfaces to hospital wipes. All met acceptance criteria.
- Fluid Reservoir Concealment: ConSeal™ technology evaluated for concealment of collected waste fluid and met acceptance criteria.
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
The document does not specify sample sizes for any of the described performance tests. The data provenance is also not mentioned. These appear to be in-house engineering and bench tests rather than clinical studies with human participants or large datasets.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)
This information is not provided. The evaluations are based on engineering standards and internal testing, not expert-adjudicated ground truth as typically seen in AI/diagnostic device studies.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
This information is not applicable and therefore not provided. The evaluations described are not based on human reviewer adjudication.
5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
An MRMC comparative effectiveness study was not conducted. This device is a powered suction pump, not an AI diagnostic or assistive device for human readers.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
This concept is not applicable to the IntelliCart System, which is a physical medical device (suction pump). Performance tests demonstrate the device's functional and safety capabilities in isolation.
7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)
The "ground truth" for the performance tests described (e.g., electrical safety, EMC, software functionality, suction performance) is defined by the predetermined acceptance criteria of relevant international and FDA-specified engineering standards (e.g., IEC 60601-1, ISO 10079-1) and the manufacturer's own design specifications.
8. The sample size for the training set
This information is not applicable. The IntelliCart System is a hardware device; thus, there is no "training set" in the context of machine learning or AI.
9. How the ground truth for the training set was established
This information is not applicable, as there is no "training set" for this device.
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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
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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)
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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 ParkwayRiverside, MO 64150Establishment Registration Number: 1954182Michael T. WolfordRegulatory Affairs Sr. SpecialistPhone: (330) 364-9411 |
|---|---|---|
| Date: | 8/11/2017 | |
| Trade Name: | IntelliCart™ System | |
| FDA ProductCode/DeviceCommon Name: | JCX – Apparatus, Suction, Ward Use, Portable, Ac-Powered | |
| Regulation Numberand 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 intendedto 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 EvacStation (Evac). | ||
| Carts are mobile devices used during surgery to collect patient fluids. Evacsare stationary devices used to process and clean Carts. The System's closeddesign significantly reduces employee exposure to potentially infectioussurgical fluids, while eliminating up to 70% of operating room red bagwaste. | ||
| Carts are equipped with large volume fluid reservoirs, a single regulatedvacuum pump, and a height-adjustable IV pole. A single-use manifold (REF00-5140-201-00) serves as the interface between a Cart's fluid reservoir andsterile patient suction tubing. A Cart model equipped with a bracket to holda Smoke Evacuator is also available. | ||
| Intended Use: | The IntelliCart™ System is a self-powered suction/vacuum pump intendedto collect and dispose of liquid waste within Hospital Operating Rooms,Pathology Labs, Surgical Outpatient Centers, and Doctor's Offices. | |
| TechnologicalCharacteristics | The IntelliCart™ System is a closed self-powered suction device providingvarious 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-poweredsuction/vacuum pump intended to collect anddispose of liquid waste within HospitalOperating Rooms, Pathology Labs, SurgicalOutpatient Centers, and Doctor's Offices. | Same |
| Single Use orReusable | Cart, Evac – ReusableManifold, Single Use | Same |
| TargetPopulation | Ward Use, General Surgical Application | Same |
System Operating Principle
| Property | Predicate Device (IntelliCart™ System) (K162421) | Modified Device (IntelliCart™ System) |
|---|---|---|
| Display | LCD, Backlit Touch | Same |
| Suction/Exhaust | Closed suction system with variable suction levels basedon user selection providing regulated vacuum from 0-600mmHg using AC powered twin piston vacuum pumppassing through single use manifolds and into canisters. | Same |
| Filtration | HEPA Filtration 99.97% | Same |
| Cleaning | Cart Canister Processing using automated validated cycle | Cart Canister Processing usingautomated validated cycle tolow level of disinfection |
| Manifold | Single Use, disposable manifold with Hydrophobic Filter | Same |
| Software | Validated Software | Same |
| ElectricalRequirements | (Cart) 120VAC, 60Hz, 4.75amp(Evac) Same | Same |
| Portable | Locking casters and push handle allow cart to be easilymoved | Same |
System Design
| Property | Predicate Device (IntelliCartTM System (K162421)) | Modified Device (IntelliCartTM System) |
|---|---|---|
| Materials | No direct or indirect patient contact | Same |
| Touch Screen | LCD backlit color touch screen display | Same |
| Total Fluid Capacity | 34L | Same |
| Single UseManifold | Manifold hydrophobic filter turns blue after use,indicating it must be replaced | Same |
| Suction Range | 0-600mmHg | Same |
| Footprint | 55"H x 23.5"W x 23"D | Same |
| Safety Alert | Audible and visual display for early warning of overflowprotection system and vacuum start up alert | Same |
| Compatible withWall Suction | Yes | Same |
| ConSeal™ Tint | Yes | Same |
| Canister ExteriorGraduations | Graduations marked on canister exterior provideapproximate visual indication of contents in 100mLincrements. | Same |
| IV Pole | Carts available with powered or manual IV pole, capableof 12,000mL maximum fluid capacity | Same |
| External Mountingof compatiblesmoke evacuation | Yes | Same |
| HEPA Filtration | 99.97% | Same |
| Cleaning | Multiple user selected Enzymatic and Bleach cleaningcycles from 3-12 minutes | Same |
| Safety Features | ||
| Feature | Predicate Device (IntelliCart™ System (K162421) | Modified Device (IntelliCart™System) |
| Closed SystemDesign | Confine and contain fluids during collection and disposal | Same |
| InteractiveControls | Graphical User Interface (GUI) guides user throughsystem operation | Same |
| Bleach CycleMonitoring | Continuous automatic monitoring of bleach cycle usingelectronic sensors | Same |
| Fluid BackflowProtection | Positive air gap maintained between collected fluids andsingle-use Manifolds | Same |
| Vacuum SystemProtection | Hydrophobic filters shut off vacuum supply when wet,preventing liquids from contaminating the Cart vacuumsupply | Same |
| Air ExhaustProtection | Replaceable HEPA rated filter | Same |
| OverflowProtection | Warning to alert user when reservoir is 3000mL and1500mL from full capacity – automatic shut off whencanisters have reached full capacity | Same |
| ES 60601-1Classification | Class 1, Type B applied part (suction tubing - not suppliedby 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:
| Predetermined | Results | ||
|---|---|---|---|
| Standard or Test Type | AcceptanceCriteria | Predicate Device(IntelliCartTMSystem (K162421) | Modified Device(IntelliCartTMSystem) |
| IEC 60601-1 Medical electrical equipment - Part1: General requirements for basic safety andessential performance | Yes | Pass | Pass |
| IEC 60601-1-2 Medical electrical equipment -Part 1-2: General requirements for basic safetyand essential performance - Collateral Standard:Electromagnetic disturbances - Requirementsand Tests | Yes | Pass | Pass |
| IEC 60601-1-6 Medical electrical equipment -Part 1-6: General requirements for basic safetyand essential performance - Collateral standard:Usability | Yes | Pass | Pass |
| ISO 10079-1 Medical suction equipment - Part1: Electrically powered suction equipment | Yes | Pass | Pass |
| ISO 10993-1 Biological evaluation of medicaldevices - Part 1: Evaluation and testing within arisk management process | Not required - nodirect or indirectpatient contact | N/A | 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
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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.
§ 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.