K Number
K961486
Device Name
IVAC MEDSYSTEM III, INFUSION PUMP W/DRUG EDITING SOFTWARE KIT
Date Cleared
1998-04-17

(732 days)

Product Code
Regulation Number
880.5725
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The intended use of the MedSystem III Infusion Pump is to deliver a wide variety of drugs and fluids (e.g., bloods, lipids, saline, dextrose) over a broad range of infusion rates, at high levels of accuracy. IVAC's policy is to not indicate specific drugs and/or fluids. Specific intended uses include enteral, intravenous, and epidural deliveries. The Drug Editing Software Kit (DESK) allows the user to customize the resident drug list for the Dose Rate Calculator (DRC) feature that is available in the legally marketed MedSystem III Infusion Pump. The current system allows custom changes on a one by one basis. The DESK system allows users to make permanent custom changes to the resident drug list.
Device Description
The DESK is a PC-based software tool operated under Microsoft Windows. This software tool will be used to customize the drug list for the Dose Rate Calculator (DRC) feature that is already available in the legally marketed MedSystem III Infusion Pump. The DESK allows the user to access the factory default druq list in the infusion pump via the Field Maintenance Software (FMS). After access the user can add, modify, or delete drug names and dosing parameters. The modified list can then be downloaded into the MedSystem III Infusion Pump via the FMS. The FMS is already available as a legally marketed accessory to the MedSystem III Infusion Pump.
More Information

Not Found

Not Found

No
The description focuses on software for customizing a drug list and does not mention any AI/ML capabilities for decision-making, analysis, or prediction.

Yes.
The device, an infusion pump, is designed to deliver a wide variety of drugs and fluids, which directly relates to treating or mitigating disease, or affecting the structure or function of the body.

No

The MedSystem III Infusion Pump is intended for delivering drugs and fluids, and the DESK software customizes its drug list. Neither component is described as diagnosing medical conditions.

Yes

The device description explicitly states that the DESK is a "PC-based software tool" and its function is to customize the drug list for an existing infusion pump. It does not include any hardware components.

Based on the provided text, the device described (the MedSystem III Infusion Pump and the DESK software) is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to deliver drugs and fluids to a patient. This is a therapeutic and delivery function, not a diagnostic function performed on samples taken from the body.
  • Device Description: The device is an infusion pump and software to customize its drug list. This aligns with drug delivery, not in vitro testing.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions

The DESK software is a tool to customize the functionality of the infusion pump, which is a medical device for drug delivery. It does not perform any diagnostic testing.

N/A

Intended Use / Indications for Use

The intended use for the DESK is to allow users the ability to add, modify, or delete drug names and dosing parameters to the existing drug list for the Dose Rate Calculator feature in the MedSystem III Infusion Pump. The intended use for the MedSystem III Infusion Pump is to deliver a wide variety of fluids over a broad range of infusion rates, at high levels of accuracy.

The intended use of the MedSystem III Infusion Pump is to deliver a wide variety of drugs and fluids (e.g., bloods, lipids, saline, dextrose) over a broad range of infusion rates, at high levels of accuracy. IVAC's policy is to not indicate specific drugs and/or fluids. Specific intended uses include enteral, intravenous, and epidural deliveries.

The Drug Editing Software Kit (DESK) allows the user to customize the resident drug list for the Dose Rate Calculator (DRC) feature that is available in the legally marketed MedSystem III Infusion Pump. The current system allows custom changes on a one by one basis. The DESK system allows users to make permanent custom changes to the resident drug list.

Product codes

MRZ

Device Description

The DESK is a PC-based software tool operated under Microsoft Windows. This software tool will be used to customize the drug list for the Dose Rate Calculator (DRC) feature that is already available in the legally marketed MedSystem III Infusion Pump. The DESK allows the user to access the factory default druq list in the infusion pump via the Field Maintenance Software (FMS). After access the user can add, modify, or delete drug names and dosing The modified list can then be parameters. downloaded into the MedSystem III Infusion Pump via the FMS. The FMS is already available as a legally marketed accessory to the MedSystem III Infusion Pump.

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

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)

IVAC MedSystem III™ Infusion Pump

Reference Device(s)

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

APR 17 1998

K96/486

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

| 1. | SUBMITTER'S NAME: | IVAC Medical Systems, Inc.
10221 Wateridge Circle |
|----|-------------------|------------------------------------------------------|
| | | San Diego, California 92121 |
| | | (619) 458-7563 |

  • Renée L. Fluet CONTACT PERSON: Requiatory Affairs Specialist
    April 12, 1996 DATE PREPARED:

IVAC MedSystem III™ Infusion Proprietary Name: DEVICE NAME: 2. Pump with Drug Editing Software Kit (DESK)

Infusion Pump Common Name:

Classification Name: Infusion Pump

    1. PREDICATE DEVICE: IVAC MedSystem III™ Infusion Pump
  • DEVICE DESCRIPTION: The DESK is a PC-based software tool operated 4. under Microsoft Windows. This software tool will be used to customize the drug list for the Dose Rate Calculator (DRC) feature that is already available in the legally marketed MedSystem III Infusion Pump. The DESK allows the user to access the factory default druq list in the infusion pump via the Field Maintenance Software (FMS). After access the user can add, modify, or delete drug names and dosing The modified list can then be parameters. downloaded into the MedSystem III Infusion Pump via the FMS. The FMS is already available as a legally marketed accessory to the MedSystem III Infusion Pump.
    1. INTENDED USE: The intended use for the DESK is to allow users the ability to add, modify, or delete drug names and dosing parameters to the existing drug list for the Dose Rate Calculator feature in the MedSystem III Infusion Pump. The intended use for the MedSystem III Infusion Pump is to deliver a wide variety of fluids over a broad range of infusion rates, at high levels of accuracy.

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1

6. TECHNOLOGICAL CHARACTERISTICS:

The MedSystem III Infusion Pump has not changed. The DESK is a software accessory with the same technological characteristics as the FMS software accessory.

The primary function of the MedSystem III Infusion Pump with or without the DESK is the same: to deliver a wide variety of fluids over a broad range of infusion rates. A similar feature to the DESK is already available in the legally marketed MedSystem III Infusion Pump. This feature allows the user to customize the drug list on a single basis. DESK allows the user to customize the drug list on a permanent basis. The technological characteristics of the devices are the same and raise no new questions of safety and effectiveness. IVAC Medical Systems, Inc. concludes that the MedSystem III Infusion Pump with or without the DESK are substantially equivalent.

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with flowing lines representing hair or clothing.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 1 7 1998

Ms. Renee L. Fluet ·Regulatory Affairs Specialist ALARIS Medical™ Systems, Incorporated Corporate Office 10221 Wateridge Circle San Diego, California 92121-2733

Re : K961486 Trade Name: IVAC MedSystem III™, (MSIII) Infusion Pump with Drug Editing Software Kit, (DESK) Requlatory Class: II Product Code: MRZ Dated: January 14, 1998 Received: January 20, 1998

Dear Ms. Fluet:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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, Druq, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. ਜੋ substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of

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Page 2 - Ms. Fluet

the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4692. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to
premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance_ at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fdal.gov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

hy A Directbr Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Image /page/4/Picture/0 description: The image shows the logo for IVAC Medical Systems. The logo consists of a stylized graphic to the left of the text "IVAC" in large, bold letters. To the right of the "C" is a superscripted "TM" symbol. Below the logo is the text "MEDICAL SYSTEMS" in a smaller, sans-serif font.

INDICATIONS FOR USE

510(k) Number (if known):

Device Name: MedSystem III Infusion Pump with Drug Editing Software Kit (DESK)

Indications for Use:

The intended use of the MedSystem III Infusion Pump is to deliver a wide variety of drugs and fluids (e.g., bloods, lipids, saline, dextrose) over a broad range of infusion rates, at high levels of accuracy. IVAC's policy is to not indicate specific drugs and/or fluids. Specific intended uses include enteral, intravenous, and epidural deliveries.

The Drug Editing Software Kit (DESK) allows the user to customize the resident drug list for the Dose Rate Calculator (DRC) feature that is available in the legally marketed MedSystem III Infusion Pump. The current system allows custom changes on a one by one basis. The DESK system allows users to make permanent custom changes to the resident drug list.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

Patricia

OR

(Division Sign-Off)
(Division of Dental, Infection Control,
and General Hospital Devices)

510(k) Number

Over-The Counter Use

K 96 14866

(K) Number