K Number
K953896
Device Name
THE IMED AMBULATORY INFUSION PUMP, ADMINISTRATION SETS
Manufacturer
Date Cleared
1996-03-20

(216 days)

Product Code
Regulation Number
880.5725
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The IMED Ambulatory Infusion System is intended for use in a health care facility as well as home health care setting to pump standard IV fluids, medications, blood and blood products into a patient in a controlled manner.
Device Description
The IMED Ambulatory Infusion System is comprised of a cassette assembly and the pump. The system uses a rotary peristaltic pumping action which physically pumps fluid to the patient when used in conjunction with the dedicated administration sets. Various confiqurations of the IV administration sets are available. The IMED Ambulatory Infusion System incorporate the following features: - Battery status Indicator; provides estimated remaining battery run time. - Ease of Use; provides operator queries, visual and audio alarms. - Flow Rates; range of 0.1-999 mL/hr - Free Flow Protection; administration set-based protection. - Occlusion Pressure; provides multiple detection options. - Secondary Infusion; provides dual rate sequential piggyback infusions. - Tamper-resistant Mode; provides the ability to lockout kevpad. - Volume-To Be-Infused; range of 0.1-9999 mL.
More Information

Not Found

Not Found

No
The device description and features listed are standard for an ambulatory infusion pump and do not mention any AI or ML capabilities. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

Yes
The device is described as pumping "standard IV fluids, medications, blood and blood products into a patient," which implies it is directly involved in administering substances for medical treatment, thus qualifying it as a therapeutic device.

No.
The "Intended Use" section states that the device is "intended for use... to pump standard IV fluids, medications, blood and blood products into a patient in a controlled manner," which describes a therapeutic function, not a diagnostic one.

No

The device description explicitly states it is comprised of a cassette assembly and a pump, which are physical hardware components. It also describes a rotary peristaltic pumping action, which is a mechanical process.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is used to "pump standard IV fluids, medications, blood and blood products into a patient in a controlled manner." This describes a device used for delivering substances directly into the body, which is an in-vivo (within the living body) application, not an in-vitro (outside the living body) diagnostic test.
  • Device Description: The description details a pump and cassette system that physically moves fluids. This aligns with an infusion pump, not a device designed to analyze samples of bodily fluids or tissues to diagnose conditions.
  • Lack of IVD Characteristics: There is no mention of analyzing samples, detecting biomarkers, or providing diagnostic information based on laboratory tests.

Therefore, the IMED Ambulatory Infusion System is an infusion pump, which is a therapeutic device, not an in-vitro diagnostic device.

N/A

Intended Use / Indications for Use

The IMED Ambulatory Infusion System is intended for use in a health care facility as well as home health care setting to pump standard IV fluids, medications, blood and blood products into a patient in a controlled manner.

Product codes

Not Found

Device Description

The IMED Ambulatory Infusion System is comprised of a cassette assembly and the pump. The system uses a rotary peristaltic pumping action which physically pumps fluid to the patient when used in conjunction with the dedicated administration sets. Various confiqurations of the IV administration sets are available. The IMED Ambulatory Infusion System incorporate the following features:

  • Battery status Indicator; provides estimated remaining battery run time.
  • Ease of Use; provides operator queries, visual and audio alarms.
  • Flow Rates; range of 0.1-999 mL/hr
  • Free Flow Protection; administration set-based protection.
  • Occlusion Pressure; provides multiple detection options.
  • Secondary Infusion; provides dual rate sequential piggyback infusions.
  • Tamper-resistant Mode; provides the ability to lockout kevpad.
  • Volume-To Be-Infused; range of 0.1-9999 mL.

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

health care facility as well as home health care setting

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

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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The conclusion drawn from the Performance Data demonstrates that the IMED Ambulatory Infusion Pump and Administration Sets are equivalent to legally marketed devices and that they perform as well as or better than the predicate devices.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

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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.

The IMED Ambulatory Infusion Pump is substantially equivalent to the CADD series of ambulatory infusion pumps (CADD-PCA®, CADD-TPN™, and CADD-PLUS®). Some features of the IMED Ambulatory Infusion Pump are equivalent to the Gemini PC-2TX Infusion Pump/Controller. The IMED Ambulatory Administration Sets are substantially equivalent to the Gemini series of IV Administration Sets.

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

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

IMED Corporation

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Telex 00005-3989 1619

249061 IMED UR

FAX (619) 693-9434

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Image /page/0/Picture/6 description: The image shows the word "imed" in a bold, sans-serif font. The letters are all connected and in black. The letters are all lowercase.

MAR 20 996

SAFETY AND EFFECTIVENESS SUMMARY

(Page one)

1.0 SUBMITTER INFORMATION

IMED Corporation 9775 Businesspark Ave. San Diego, CA 92131-1699

Contact Person: Ahmad Sajadi, Manager, Regulatory Affairs

2.0 DEVICE NAME

| Trade Name: | The IMED Ambulatory Infusion Pump and Administration
Sets |
|-----------------------|--------------------------------------------------------------------------------------------------------|
| Common Names: | Infusion Pump
Intravascular Administration Sets |
| Classification Names: | Infusion Pumps (21 CFR 880.5725),
Class II
IV Administration Sets (21 CFR 880.5440),
Class II |

3.0 PREDICATE DEVICE

The IMED Ambulatory Infusion Pump is substantially equivalent to the CADD series of ambulatory infusion pumps (CADD-PCA®, CADD-TPN™, and CADD-PLUS®). These devices are currently being marketed by Pharmacia Deltec (St. Paul, MN). Some features of the IMED Ambulatory Infusion Pump are equivalent to the Gemini PC-2TX Infusion Pump/Controller. The IMED Ambulatory Administration Sets are substantially equivalent to the Gemini series of IV Administration Sets. The Gemini devices have been reviewed by FDA and are currently being marketed by IMED Corporation (San Diego, CA).

1

SAFETY AND EFFECTIVENESS SUMMARY (Page two)

4.0 DESCRIPTION OF THE SUBJECT DEVICE

The IMED Ambulatory Infusion System is comprised of a cassette assembly and the pump. The system uses a rotary peristaltic pumping action which physically pumps fluid to the patient when used in conjunction with the dedicated administration sets. Various confiqurations of the IV administration sets are available. The IMED Ambulatory Infusion System incorporate the following features:

  • Battery status Indicator; provides estimated remaining battery run time. 18
  • Ease of Use; provides operator queries, visual and audio alarms. 育
  • 食 Flow Rates; range of 0.1-999 mL/hr
  • 费 Free Flow Protection; administration set-based protection.
  • ★ Occlusion Pressure; provides multiple detection options.
  • 食 Secondary Infusion; provides dual rate sequential piggyback infusions.
  • 食 Tamper-resistant Mode; provides the ability to lockout kevpad.
  • ★ Volume-To Be-Infused; range of 0.1-9999 mL.

5.0 INTENDED USE OF THE SUBJECT DEVICE

The IMED Ambulatory Infusion System is intended for use in a health care facility as well as home health care setting to pump standard IV fluids, medications, blood and blood products into a patient in a controlled manner. The system is electrically powered, with back up battery power available, and uses rotary peristaltic pumping action to infuse fluids. The IMED Ambulatory Infusion System is capable of detecting air-in-line and occlusions.

6.0 TECHNOLOGICAL ASPECTS OF THE SUBJECT DEVICE

The technological aspects of the IMED Ambulatory Infusion Pump and Administration Sets are substantially equivalent to the technological aspects of the CADD series of infusion pumps and IMED Gemini Administration Sets. This is supported by the comparison of the design and component materials of both systems. The performance data resulting from the comparative functional testing also support the substantial equivalence claim to the predicate device. The IMED Ambulatory System complies with the applicable safety and/or performance standards.

2

IMED Corporation

Telex FAX (E19) 693-9434 249061 IMED UR Diego, CA 9213 1699 (619) 566-9000

SAFETY AND EFFECTIVENESS SUMMARY

(Page three)

TECHNOLOGICAL ASPECTS (CONT'D)

The IMED Ambulatory Administration Sets are equivalent to the Gemini Administration Sets. The materials are equivalent in that per the device category definition in the Tripartite Biocompatibility Guidance For Medical Devices and ISO 10993; Biological Testing of Medical and Dental Materials and Devices, Part 1, Guidance on Selection of Tests (as modified by FDA effective 1 July 1995), both are "Externally Communicating Devices for Blood Path Indirect and Short-term Contact Duration." Consequently all materials must meet the same testing criteria as outlined in the above referenced documents. Biocompatibility data to support this claim is provided.

The conclusion drawn from the Performance Data demonstrates that the IMED Ambulatory Infusion Pump and Administration Sets are equivalent to legally marketed devices and that they perform as well as or better than the predicate devices.

7.0 CERTIFICATION

I hereby certify that to the best of my knowledge all information contained in this Premarket Notification is truthful and accurate and that no material fact has been omitted.

Ahmad S. Syarif.
Date:

August 15, 1995

Ahmad Sajadi Manager, Regulatory Affairs

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