K Number
K960486
Device Name
KSEA MODEL 383320 20 ANGIOMAT
Date Cleared
1996-10-25

(266 days)

Product Code
Regulation Number
870.1800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The KSEA model 38320 20 Angiomat pump is designed to provide a clear field of view during percutaneous and intra-operative endoscopy of the peripheral vascular system. Please consult your angloscope manual for specific indications and contraindications for use.
Device Description
The KSEA model 383320 20 Angiomat for endoscopy of the peripheral vascular system is a microprocessor-based infusion pump, with user adjustable flow rates and pressure adjustment. The unit incorporates a wide variety of safety features including: bubble detection, pressure monitoring, volume monitoring and flow control. The Angiomat has two operating modes and also incorporates a bolus infusion function.
More Information

Not Found

Not Found

No
The description mentions a "microprocessor-based infusion pump" with standard safety features and adjustable parameters, but there is no mention of AI, ML, image processing, or any learning capabilities.

No
The device is an infusion pump designed to provide a clear field of view during endoscopy, not to treat a specific medical condition.

No

Explanation: The device is described as an "infusion pump" designed to "provide a clear field of view during percutaneous and intra-operative endoscopy of the peripheral vascular system." Its function is to facilitate a procedure (endoscopy) rather than to diagnose a condition. It provides support during a medical intervention.

No

The device description clearly states it is a "microprocessor-based infusion pump," indicating it is a hardware device with embedded software, not a standalone software-only medical device.

Based on the provided information, the KSEA model 38320 20 Angiomat pump is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "provide a clear field of view during percutaneous and intra-operative endoscopy of the peripheral vascular system." This describes a device used in vivo (within the body) to facilitate a medical procedure (endoscopy).
  • Device Description: The description details an "infusion pump" that delivers fluids. This is consistent with a device used to irrigate or infuse fluids directly into the body during a procedure.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens in vitro (outside the body), such as blood, urine, or tissue samples, to provide information about a patient's health status.

IVD devices are specifically designed to perform tests on samples taken from the human body to diagnose, monitor, or screen for diseases or conditions. The Angiomat pump's function is to support a surgical/endoscopic procedure, not to analyze biological samples.

N/A

Intended Use / Indications for Use

The KSEA model 38320 20 Angiomat pump is designed to provide a clear field of view during percutaneous and intra-operative endoscopy of the peripheral vascular system. Please consult your angloscope manual for specific indications and contraindications for use.

Product codes

Not Found

Device Description

The KSEA model 383320 20 Angiomat for endoscopy of the peripheral vascular system is a microprocessor-based infusion pump, with user adjustable flow rates and pressure adjustment. The unit incorporates a wide variety of safety features including: bubble detection, pressure monitoring, volume monitoring and flow control. The Angiomat has two operating modes and also incorporates a bolus infusion function.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

peripheral vascular system

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1800 Withdrawal-infusion pump.

(a)
Identification. A withdrawal-infusion pump is a device designed to inject accurately drugs into the bloodstream and to withdraw blood samples for use in determining cardiac output.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the logo for Karl Storz Endoscopy. The logo is in black and white and features the word "STORZ" in large, bold letters. Below the word "STORZ" is the text "Karl Storz Endoscopy" in a smaller font. The "O" in STORZ is stylized as a target.

Karl Storz Endoscopy-America, Inc.

600 Corporate Pointe Culver City, Ca ifornia 90230-7600 Phone 310 558 1500

Toll Free 800 421 0837 Fax 310 410 5527

K960486

OCT 2 5 1996

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of the Safe Medical Devices Act (SMDA) of 1990 and 21 CFR 807.92. All data included in this document are accurate and complete to the best of KSEA's knowledge.

Applicant:

Karl Storz Endoscopy - America, Inc. 600 Corporate Pointe Culver City, CA 90230 (310) 558-1500

Contact:

Betty M. Johnson Manager, Regulatory Affairs

Device Identification:

Common Name Infusion Pump

Trade Name KSEA Model 383320 20 Angiomat

Indication: The KSEA model 38320 20 Angiomat pump is designed to provide a clear field of view during percutaneous and intra-operative endoscopy of the peripheral vascular system. Please consult your angloscope manual for specific indications and contraindications for use.

Device Description: The KSEA model 383320 20 Angiomat for endoscopy of the peripheral vascular system is a microprocessor-based infusion pump, with user adjustable flow rates and pressure adjustment. The unit incorporates a wide variety of safety features including: bubble detection, pressure monitoring, volume monitoring and flow control. The Angiomat has two operating modes and also incorporates a bolus infusion function.

Substantial Equivalence: The KSEA model 383320 20 Angiomat for endoscopy of the peripheral vascular system is substantially equivalent to the predicate devices since the basic features, design and intended uses are similar. The minor differences between the KSEA Angiomat and the predicate devices raise no new issues of safety and effectiveness, as these differences have no effect on the performance, function or intended use of these devices.

Signed:

Renate A. MacLaren, Ph.D.

Regulatory Affairs Speciali