K Number
K181775
Device Name
Quantum Blood and IV Fluid Infusion Warmer
Manufacturer
Date Cleared
2019-01-28

(209 days)

Product Code
Regulation Number
880.5725
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Quantum Blood and IV Fluid Infusion Warmer is indicated for warming blood, blood products and intravenous solutions prior to administration in adult patients. It is intended to be used by healthcare professionals in hospital. clinical. field and transport environments to help prevent hypothenmia.
Device Description
The Quantum Blood and IV Fluid Infusion Warmer is a light weight, portable, battery powered, in-line fluid warming system in which specially designed thermal IV administration tubing is integrated with a warming element. The device is prescription only. The Quantum is comprised of the following components: Controller, Battery, Charger, and Quantum thermal tubing available in two configurations: TIS (Thermal Infusion Set) and TTS-B (Thermal Transfusion Set for blood) with standard IV administration components. The microprocessor and algorithm in the Quantum Controller continually receive and assess temperature input from thermistors located on the proximal, medial and distal tubing segments. In response to this input, the Controller regulates the energy applied to the tubing to reach and/or maintain a pre-set temperature range of 38 °C ± 2 °C at delivery. A double-extrusion process results in tubing configuration with an inner tubing layer and an outer tubing layer. The warming element is in between but does not contact the fluid. Warming begins at the fluid source and continues the length of the tubing until near the point of patient entry. The TIS an TTS-B tubing perform the same function as standard IV tubing, however, when warming is desired, the TIS or TTS-B is simply connected to the Quantum Controller and the Controller is connected to the Battery. The TIS and TTS-B tubing sets are provided sterile (i.e., fluid path) for single patient use. The Controller, Battery Chargers are reusable.
More Information

Not Found

No
The device description mentions a "microprocessor and algorithm" that receives and assesses temperature input to regulate energy. While this involves computation and control, it does not describe the characteristics of AI or ML, such as learning from data or complex pattern recognition beyond simple feedback loops. The document also explicitly states "Mentions AI, DNN, or ML: Not Found".

Yes.
The device's intended use is to warm blood and intravenous solutions prior to administration to help prevent hypothermia, which is a therapeutic intervention.

No

The device is an infusion warmer, indicated for warming blood, blood products, and intravenous solutions, not for diagnosis.

No

The device description clearly outlines multiple hardware components: Controller, Battery, Charger, and specialized thermal IV administration tubing. While it mentions a microprocessor and algorithm in the Controller, the device is fundamentally a hardware system with integrated software for control.

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

Here's why:

  • Intended Use: The intended use is to warm blood, blood products, and intravenous solutions prior to administration to a patient. This is a therapeutic or supportive function, not a diagnostic one.
  • Device Description: The description details a system for warming fluids being delivered to the patient. It does not mention any components or processes related to analyzing biological samples or providing diagnostic information.
  • Lack of Diagnostic Indicators: There are no mentions of analyzing samples, detecting analytes, or providing any kind of diagnostic result.
  • Predicate Device: The predicate device (enFlow IV Fluid Warmer) is also a fluid warming system, further supporting the classification as a therapeutic/supportive device, not an IVD.

IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnostic, monitoring, or compatibility purposes. The Quantum Blood and IV Fluid Infusion Warmer does not perform any of these functions.

N/A

Intended Use / Indications for Use

The Quantum Blood and IV Fluid Infusion Warmer is indicated for warming blood, blood products and intravenous solutions prior to administration in adult patients. It is intended to be used by healthcare professionals in hospital. clinical. field and transport environments to help prevent hypothermia.

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

LGZ, BSB

Device Description

The Quantum Blood and IV Fluid Infusion Warmer is a light weight, portable, battery powered, in-line fluid warming system in which specially designed thermal IV administration tubing is integrated with a warming element.

The device is prescription only.

The Quantum is comprised of the following components: Controller, Battery, Charger, and Quantum thermal tubing available in two configurations: TIS (Thermal Infusion Set) and TTS-B (Thermal Transfusion Set for blood) with standard IV administration components. The microprocessor and algorithm in the Quantum Controller continually receive and assess temperature input from thermistors located on the proximal, medial and distal tubing segments. In response to this input, the Controller regulates the energy applied to the tubing to reach and/or maintain a pre-set temperature range of 38 °C ± 2 °C at delivery. A double-extrusion process results in tubing configuration with an inner tubing layer and an outer tubing layer. The warming element is in between but does not contact the fluid. Warming begins at the fluid source and continues the length of the tubing until near the point of patient entry. The TIS an TTS-B tubing perform the same function as standard IV tubing, however, when warming is desired, the TIS or TTS-B is simply connected to the Quantum Controller and the Controller is connected to the Battery. The TIS and TTS-B tubing sets are provided sterile (i.e., fluid path) for single patient use. The Controller, Battery Chargers are reusable.

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

adult patients

Intended User / Care Setting

healthcare professionals in hospital. clinical. field and transport environments

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)

Performance Testing Summary:
The Quantum Blood and IV Fluid Infusion Warmer design requirements have been defined and successfully tested to support substantial equivalence, and validation to standards necessary to demonstrate the functionality of the device.

Device-Specific Testing:
Quantum conforms to the following device specific standards:

  • ASTM F2172-02 (2011), Standard Specification for blood/intravenous fluid irrigation warmers;
  • ISO 1135-5 (2015), Transfusion equipment for medical use- Part 5: Transfusion sets for single use with pressure infusion apparatus;
  • ISO 1135-4 (2015) Transfusion equip. for medical use-Part 4: Transfusion sets for single use, gravity feed:
  • ISO 8536-4: (2010): Infusion equipment for medical use Part 4: Infusion sets for single use, gravity feed;
  • ISO 8536-8: (2015): Transfusion equipment for medical use- Part 8: Infusion sets for single use with pressure infusion apparatus.
  • USP 788: Particulate Matter in Injections (Light Obscuration Testing)

Biocompatibility: The Quantum was successfully subjected to the following biocompatibility testing:

  • Cytotoxicity: 1) MEM Elution Test; 2) Neutral Red Uptake (ISO 10993-5: 2009)
  • Sensitization: Kligman Maximization Test (ISO 10993-10: 2010)
  • Irritation/Intracutaneous Reactivity: Intracutaneous Injection Test (ISO 10993-10: 2010)
  • Systemic Toxicity: 1) Systemic Injection Test, 2) Material Mediated Rabbit Pyrogen Test, 14-Day Repeat Dose Intravenous Toxicity Study; 3) Subchronic Systemic Toxicity: 14-Day Repeat Dose Intraperitoneal Toxicity Study in Rats (ISO 10993-11: 2017)
  • Interactions with Blood: 1) Rabbit Blood Hemolysis Test; 2) In Vitro Hemocompatibility Test (Direct); 3) C3A and SC58-B-9 Complement Activation Test (Direct); 4) Platelet Aggregation Test (direct); (ISO 10993-4: 2017

Electrical Safety and Electromagnetic Compatibility: The Quantum system has been subjected to testing and conforms with the following electrical safety and EMC standards:

  • AAMI ES 60601-1:2005 (R) 2012+ A1: 2012/CSAC22.2 No. 60601-1:14 Medical Electrical Equipment Part 1: General Requirements for Basic Safety and Essential Performance'
  • IEC 60601-6:2010 + A1:2013/CSAC22.2 No. 60601-1-6:11 + A1:15 Medical electrical equipment Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability;
  • IEC 60601-1-12: 2014 Medical electrical equipment-Part 1-12: General requirements for basic safety and essential performance – Collateral Standard: Requirements for medical electrical equipment and medical electrical systems intended for use in the emergency medical services environment;
  • EMC: Type Ref. 63-5900 per IEC 60601-1-2: 2014; EMC: Type Ref: 63-5000 Quantum Battery/Quantum Charger (accessory);
  • Emission Test: EN 55032: 2012/AC: 2013; CISPR 32: 2012;
  • Immunity Test: EN 55024: 2010: CISPR24: 2010:
  • EMC: Type Ref: 63-5900, tested to the requirements of RTCA DO-160G (Section 21).

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.

K112902

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

§ 880.5725 Infusion pump.

(a)
Identification. An infusion pump is a device used in a health care facility to pump fluids into a patient in a controlled manner. The device may use a piston pump, a roller pump, or a peristaltic pump and may be powered electrically or mechanically. The device may also operate using a constant force to propel the fluid through a narrow tube which determines the flow rate. The device may include means to detect a fault condition, such as air in, or blockage of, the infusion line and to activate an alarm.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

January 28, 2019

Life Warmer, Inc. John Pettini Chief Medical Officer, Founder 840 F. Avenue Suite 104 Plano, Texas 75074

Re: K181775

Trade/Device Name: Quantum Blood and IV Fluid Infusion Warmer Regulation Number: 21 CFR 880.5725 Regulation Name: Infusion Pump Regulatory Class: Class II Product Code: LGZ Dated: December 27, 2018 Received: December 28, 2018

Dear John Pettini:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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 of medical device-related adverse events) (21 CFR 803) for

1

devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products, and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Carolyn C. Dorgan -S

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

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K181775

Device Name

Quantum Blood and IV Fluid Infusion Warmer

Indications for Use (Describe)

The Quantum Blood and IV Fluid Infusion Warmer is indicated for warming blood, blood products and intravenous solutions prior to administration in adult patients. It is intended to be used by healthcare professionals in hospital. clinical. field and transport environments to help prevent hypothenmia.

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)

Form Approved: OMB No. 0910-0120

Expiration Date: 06/30/2020

See PRA Statement below.

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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3

Image /page/3/Picture/0 description: The image shows the logo for LifeWarmer. The logo consists of a stylized "W" made up of three red triangles, followed by the word "LIFEWARMER" in red, with the "LIFE" portion in a lighter shade than the "WARMER" portion. The logo is simple and modern, and the use of red gives it a sense of energy and warmth.

510(k) Summary K181775

| Submitted by/
Sponsor: | Life Warmer, Inc.
840 F. Avenue #104
Plano, TX 75074 USA
972-908-9808 | | Contact Person: | John Pettini, DO, FACEP
860-204-1711 | | |
|------------------------------------------|--------------------------------------------------------------------------------|----------------------------------------------|-----------------|-----------------------------------------|------------------|--|
| Date Prepared: | January 28, 2019 | | | | | |
| Trade Name: | Quantum Blood and IV Fluid Infusion Warmer | | | | | |
| Common Name: | Sterile Fluid Path in-line Blood and Fluid Warmer | | | | | |
| Classification Code
Name & Reference: | LGZ | Warmer, Thermal, Infusion Fluid | | | 21 CFR §880.5725 | |
| | BSB | Warmer, Blood, Non-electromagnetic radiation | | | | |
| | Class II | | | | | |
| Predicate Device | K112902: enFlow IV Fluid Warmer by VITAL SIGNS, a GE Healthcare | | | | | |
| | Company | | | | | |

Device Description:

The Quantum Blood and IV Fluid Infusion Warmer is a light weight, portable, battery powered, in-line fluid warming system in which specially designed thermal IV administration tubing is integrated with a warming element.

The device is prescription only.

Indications for Use: The Quantum Blood and IV Fluid Infusion Warmer is indicated for warming blood, blood products and intravenous solutions prior to administration in adult patients. It is intended to be used by healthcare professionals in hospital, field and transport environments to help prevent hypothermia.

Technological Characteristics: The Quantum Blood and IV Fluid Infusion Warmer is a light weight, portable, battery powered, in-line fluid warming system in which specially designed themal is integrated with a warming element. The Quantum is comprised of the following components: Controller, Battery, Charger, and Quantum thermal tubing available in two configurations: TIS (Thermal Infusion Set) and TTS-B (Thermal Transfusion Set for blood) with standard IV administration components. The microprocessor and algorithm in the Quantum Controller continually receive and assess temperature input from thermistors located on the proximal, medial and distal tubing segments. In response to this input, the Controller regulates the energy applied to the tubing to reach and/or maintain a pre-set temperature range of 38 °C ± 2 °C at delivery. A doubleextrusion process results in tubing configuration with an inner tubing layer and an outer tubing layer. The warming element is in between but does not contact the fluid. Warming begins at the fluid source and continues the length of the tubing until near the point of patient entry. The TIS an TTS-B tubing perform the same function as standard IV tubing, however, when warming is desired, the TIS or TTS-B is simply connected to the Quantum Controller and the Controller is connected to the Battery. The TIS and TTS-B tubing sets are provided sterile (i.e., fluid path) for single patient use. The Controller, Battery Chargers are reusable.

Comparison to Predicate

The Quantum has the same intended use as the predicate device and similar technological features. The primary difference between the Quantum and the predicate device is the warming path and the integrated thermal tubing. The following table presents a comparison of the devices' technology and features.

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Image /page/4/Picture/0 description: The image shows the logo for LIFEWARMER. The logo is red and features a stylized "W" on the left side. The word "LIFEWARMER" is written in capital letters to the right of the "W".

5

Image /page/5/Picture/0 description: The image shows the logo for LIFEWARMER. The logo consists of a stylized "W" made up of three red chevrons, followed by the word "LIFEWARMER" in red sans-serif font. The "LIFE" part of the word is a lighter shade of red than the "WARMER" part. The logo is simple and modern, and the red color gives it a sense of warmth and energy.

Substantial Equivalence Comparison Table
Subject devicePrimary Predicate
Quantum Blood and IV Fluid
Infusion WarmerenFlow IV/Blood Warming System
[510(k) K112902]Comparison
Common NameSterile Fluid Path in-line Blood and
Fluid WarmerSterile Fluid Path, In-Line Blood Fluid
WarmerSame
Regulation21 CFR Part 880.572521 CFR Part 880.5725Same
Prod. CodeLGZ, BSBLGZ, BSBSame
Indication for
UseThe Quantum™ Blood and IV Fluid
Infusion Warmer is indicated for
warming blood, blood products and
intravenous solutions prior to
administration in adult patients. It is
intended for use by healthcare
professionals in hospital, clinical,
field and transport environments to
help prevent hypothermia.The enFlow IV Fluid/Blood Warming
System is indicated for warming
blood, blood products and
intravenous solutions prior to
administration. It is intended for use
by healthcare professionals in
hospital, clinical and field
environments to help prevent
hypothermia.Difference: Quantum
specifies "adult patients"
and transport
environment.
Intended UseMedical Emergencies or surgeries
where warm fluid administration is
required to treat the patient.
Whenever parenteral introduction
of normothermic fluid are desired or
indicated.Medical Emergencies or surgeries
where warm fluid administration is
required to treat the patient.
Whenever parenteral introduction of
normothermic fluid are desired or
indicated.Same
User PopulationHealthcare professionals (e.g.,
physicians, registered nurses, mid-
level practitioners, EMT/Paramedic,
military medics)Healthcare professionals (e.g.,
paramedic, nurse, doctor, etc.)Difference: Quantum
identifies additional
specialties (mid-level
practitioners,
EMT/Paramedic, military
medics)
Use EnvironmentHospital, Clinic, Field and
TransportHospital, Clinic and FieldDifference: Quantum
adds Transport
environment
User InterfaceVisual (LED) and audibleVisual (LED) and audibleSame
User Feedback
ProvidedOver temperature, under
temperature, battery low, no-
flow/poor connection, system errorOver temperature, under
temperature, battery low conditionDifference: Quantum
includes system error
System
ComponentsSterile disposable thermal tubing
(TIS/TTS-B), Controller (with
LEDs), Battery (w/ LEDs and
audible alert)Fluid warmer with display, sterile
disposable heat exchangerDifference: Quantum
contains thermal IV
administration tubing and
a controller which
regulates warming.
Predicate contains a heat
exchanger cartridge.
Infusion
Temperature$38 °C ± 2°C$$Up to 40 °C (± 2 °C)$Difference: 36 to 40°C is
typical normothermic
range. To conserve
battery life, the Quantum
has a 38°C set point.
Fluid PathSterile; direct path with disposable
IV administration tubingSterile; intercept path with aluminum
extrusion cartridgeQuantum has direct fluid
path; no intercept and
redirect.
Flow RateGravity
2 to 200 mL/min
(depending on starting
temperatures)Gravity
1 to 200 ml/minDifference: Quantum has
the ability to detect a
static line and initiates
warming at 2mL/min.
Heating MethodResistive heatingResistive HeatingSame
Heating ControlSoftwareSoftwareSame

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Image /page/6/Picture/0 description: The image shows the logo for LifeWarmer. The logo consists of a stylized "W" made up of three red triangles, followed by the word "LIFEWARMER" in a light blue sans-serif font. The logo is simple and modern, and the colors are eye-catching.

Substantial Equivalence Comparison Table (continued)
Power SourceRechargeable batteryRechargeable battery
110-120 or 220-240 VACSame
BiocompatibilityBiocompatibility testing
demonstrates tubing/fluid path to
be biocompatible and non-
bioreactive.Fluid path contacts biocompatible
coated aluminum extrusionSame
(Fluid path is
biocompatible)
SterilizationDisposable TIS, TTS-B tubing:
(ethylene oxide)Disposable unit: Sterile
(ethylene oxide)Same
(sterilization method)
Product Specific
StandardsASTM 2172: 2002
Standard specification for
blood/intravenous fluid irrigation
warmerASTM 2172:2002
Standard Specification for
blood/intravenous Fluid Irrigation
Fluid WarmersSame

Substantial Equivalence: The Quantum Blood and IV Fluid Infusion Warmer is substantially equivalent to the enFlow IV Fluid Warmer. Both the subject and predicate devices are under the same product code (LGZ and BSB), conform to the same device-specific standard AASTM 2172, and have the same intended use. As can be seen from the Substantial Equivalence Comparison Table above, many of the technological characteristics of both devices are the same. The main technological differences between the Quantum and the predicate device is the warming path, the method of sensing and controlling temperature, and the materials. These differences, however, are not considered to raise different questions of safety and effectiveness. Further, the technological differences are supported by performance and other substantiating testing.

Sterilization and Shelf-Life

The Quantum TIS and TTS-B tubing assemblies are disposable with a sterile fluid path. Sterilization was achieved by exposure to ethylene oxide (EO) and validated in accordance with ANSI/AAMI/ISO 11135:2014, ANSI/AAMI/ISO 11737-1: 2006/(R) 2011; ANSI/AAMI/ISO 11737-2: 2009/(R) 2014; ANS//AAMI/ISO 11138-1: 2006/R) 2015; ANSI/AAMI/ISO 11138-2: 2006/(R) 2015; ANSI/AAMI/ISO10993-7: 2008/R) 2012; ISO 11607-1:2006, ANSI/AAMI/ISO 10993/(R) 2013.

The TIS and TTS-B shelf-life was supported with testing performed in accordance with ASTM F1980-16 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices, ISTA-2A (2011) Partial Simulation Performance Tests. Bacterial Endotoxin testing was performed using the Kinetic-Chromogenic Method.

Performance Testing Summary

The Quantum Blood and IV Fluid Infusion Warmer design requirements have been defined and successfully tested to support substantial equivalence, and validation to standards necessary to demonstrate the functionality of the device as presented below:

Device-Specific Testing:

Quantum conforms to the following device specific standards:

  • · ASTM F2172-02 (2011), Standard Specification for blood/intravenous fluid irrigation warmers;
  • · ISO 1135-5 (2015), Transfusion equipment for medical use- Part 5: Transfusion sets for single use with pressure infusion apparatus;
  • · ISO 1135-4 (2015) Transfusion equip. for medical use-Part 4: Transfusion sets for single use, gravity feed:
  • · ISO 8536-4: (2010): Infusion equipment for medical use Part 4: Infusion sets for single use, gravity feed;
  • ISO 8536-8: (2015): Transfusion equipment for medical use- Part 8: Infusion sets for single use with pressure infusion apparatus.
  • · USP 788: Particulate Matter in Injections (Light Obscuration Testing)

Biocompatibility: The Quantum was successfully subjected to the following biocompatibility testing:

  • Cytotoxicity: 1) MEM Elution Test; 2) Neutral Red Uptake (ISO 10993-5: 2009)
  • · Sensitization: Kligman Maximization Test (ISO 10993-10: 2010)
  • · Irritation/Intracutaneous Reactivity: Intracutaneous Injection Test (ISO 10993-10: 2010)

7

Image /page/7/Picture/0 description: The image shows the logo for LIFEWARMER. The logo consists of a stylized letter "W" in red, followed by the word "LIFEWARMER" in a slightly lighter shade of red. The font used for the word "LIFEWARMER" is sans-serif and appears to be bolded.

  • · Systemic Toxicity: 1) Systemic Injection Test, 2) Material Mediated Rabbit Pyrogen Test, 14-Day Repeat Dose Intravenous Toxicity Study; 3) Subchronic Systemic Toxicity: 14-Day Repeat Dose Intraperitoneal Toxicity Study in Rats (ISO 10993-11: 2017)
  • · Interactions with Blood: 1) Rabbit Blood Hemolysis Test; 2) In Vitro Hemocompatibility Test (Direct); 3) C3A and SC58-B-9 Complement Activation Test (Direct); 4) Platelet Aggregation Test (direct); (ISO 10993-4: 2017

Electrical Safety and Electromagnetic Compatibility: The Quantum system has been subjected to testing and conforms with the following electrical safety and EMC standards:

  • · AAMI ES 60601-1:2005 (R) 2012+ A1: 2012/CSAC22.2 No. 60601-1:14 Medical Electrical Equipment Part 1: General Requirements for Basic Safety and Essential Performance'
  • IEC 60601-6:2010 + A1:2013/CSAC22.2 No. 60601-1-6:11 + A1:15 Medical electrical equipment Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability;
  • · IEC 60601-1-12: 2014 Medical electrical equipment-Part 1-12: General requirements for basic safety and essential performance – Collateral Standard: Requirements for medical electrical equipment and medical electrical systems intended for use in the emergency medical services environment;
  • EMC: Type Ref. 63-5900 per IEC 60601-1-2: 2014; EMC: Type Ref: 63-5000 Quantum Battery/Quantum Charger (accessory);
  • Emission Test: EN 55032: 2012/AC: 2013; CISPR 32: 2012;
  • · Immunity Test: EN 55024: 2010: CISPR24: 2010:
  • · EMC: Type Ref: 63-5900, tested to the requirements of RTCA DO-160G (Section 21).

Conclusion

Based on comparison of the Quantum Blood and IV Fluid Infusion Warmer to the predicate device with regard to intended use and technological characteristics, and the results of Quantum device testing submitted, the devices are substantially equivalent.