K Number
K970197
Device Name
HTP-1500 LOCALIZED HEAT THERAPY PUMP
Date Cleared
1997-09-10

(232 days)

Product Code
Regulation Number
890.5720
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The HTP-1500 Localized Heat Therapy Pump is intended for use in those situations where a physician determines that heat therapy is necessary or desirable.
Device Description
The HTP-1500 Localized Heat Therapy Pump is a small electronically controlled electric water heater containing a water reservoir, an electric resistance heater, a heat exchanger, an integral electric pump and associated tubing, hoses and fittings that allow it to be connected to a separate external pad. In use, the pump circulates water from the reservoir through the heat exchanger, associated tubing, hoses and fittings into and through the external pad. The operator, using a membrane switch keypad, selects the desired water temperature as observed and confirmed on a digital display. The electronic controller selectively turns on and off the electric resistance heater to heat the heat exchanger, thereby heating the water to the desired temperature. The actual water temperature is monitored and displayed on a digital display.
More Information

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Not Found

No
The description details a simple electronically controlled water heater with a pump and temperature control based on operator input and a digital display. There is no mention of AI, ML, or any complex algorithms that would suggest their use.

Yes.
The device's intended use is for heat therapy, and it is designed to provide this therapy to patients as determined by a physician.

No
The device, HTP-1500 Localized Heat Therapy Pump, is described as a heat therapy pump used to apply heat to a patient, which is a therapeutic function, not a diagnostic one. Its intended use is "where a physician determines that heat therapy is necessary or desirable," meaning it treats a condition, rather than identifying or analyzing one.

No

The device description explicitly details hardware components such as a water reservoir, electric resistance heater, heat exchanger, pump, tubing, hoses, and fittings.

Based on the provided information, the HTP-1500 Localized Heat Therapy Pump is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is for "localized heat therapy," which is a physical treatment applied to the body. IVD devices are used to examine specimens taken from the body (like blood, urine, tissue) to diagnose diseases or conditions.
  • Device Description: The description details a system for heating and circulating water through an external pad applied to the body. This is consistent with a physical therapy device, not a diagnostic one that analyzes biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological specimens, reagents, or any processes related to in vitro testing.

Therefore, the HTP-1500 Localized Heat Therapy Pump falls under the category of a therapeutic device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The HTP-1500 Localized Heat Therapy Pump is intended for use in those situations where a physician determines that heat therapy is necessary or desirable.

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

ILO

Device Description

The HTP-1500 Localized Heat Therapy Pump is a small electronically controlled electric water heater containing a water reservoir, an electric resistance heater, a heat exchanger, an integral electric pump and associated tubing, hoses and fittings that allow it to be connected to a separate external pad. In use, the pump circulates water from the reservoir through the heat exchanger, associated tubing, hoses and fittings into and through the external pad. The operator, using a membrane switch keypad, selects the desired water temperature as observed and confirmed on a digital display. The electronic controller selectively turns on and off the electric resistance heater to heat the heat exchanger, thereby heating the water to the desired temperature. The actual water temperature is monitored and displayed on the digital display.

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

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Indicated Patient Age Range

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Intended User / Care Setting

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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)

This section is not required for this submission because substantial equivalence is based on intended use and device characteristics and specifications, and not on an assessment of performance data.

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.

Not Found

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

§ 890.5720 Water circulating hot or cold pack.

(a)
Identification. A water circulating hot or cold pack is a device intended for medical purposes that operates by pumping heated or chilled water through a plastic bag and that provides hot or cold therapy for body surfaces.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 890.9.

0

SEP 1 0 1997

510(k) Summary

| a(1) | Submitted by: | Adroit Medical Systems, Inc.
1146 Carding Machine Rd.
Loudon, TN 37774
423-458-8600 |
|------|-----------------------------------------------------------|-------------------------------------------------------------------------------------------------|
| | Contact Person: | Richard L. Studer
423-458-8600 |
| | Prepared on: | January 17, 1997 |
| a(2) | Proprietary Name:
Common Name:
Classification Name: | HTP-1500 Localized Heat Therapy Pump
Heat Therapy Pump
Water Circulating Hot or Cold Pack |

  • Adroit Medical Systems, Inc. believes that the HTP-1500 Localized Heat a(3) Therapy Pump is substantially equivalent to the MICRO-TEMP models SMS-1000 and SMS-2000 Localized Heat Therapy Pumps which are currently distributed by Seabrook Medical Systems, Inc.
  • The HTP-1500 Localized Heat Therapy Pump is a small electronically controlled a(4) electric water heater containing a water reservoir, an electric resistance heater, a heat exchanger, an integral electric pump and associated tubing, hoses and fittings that allow it to be connected to a separate external pad. In use, the pump circulates water from the reservoir through the heat exchanger, associated tubing, hoses and fittings into and through the external pad. The operator, using a membrane switch keypad, selects the desired water temperature as observed and confirmed on a digital display. The electronic controller selectively turns on and off the electric resistance heater to heat the heat exchanger, thereby heating the water to the desired temperature. The actual water temperature is monitored and displayed on the digital display.

Included in this section is a three dimensional drawing of the HTP-1500 Localized Heat Therapy Pump showing the control panel, water reservoir fill cap, folding handle, water level viewing window, power switch, hose for connection to the pad, and the location of the power cord, and a schematic representation of an HTP-1500 connected to a pad.

510(k) Summary page # 1 of 5

1

  • The HTP-1500 Localized Heat Therapy Pump is intended for use in those a(5) situations where a physician determines that heat therapy is necessary or desirable.
    Localized heat therapy is of particular benefit in, but not limited to, orthopedic conditions such as lower back pain, strains, acute injuries, chronic pain, muscle spasm, tendonitis, and arthritis. Heat therapy is also sometimes prescribed for skin trauma (bruises, contusions, abscesses, boils, burns) and other medical problems like infection, phlebitis, I.V. infiltration, and neuritis.

  • a(6) The HTP-1500 Localized Heat Therapy Pump and the SMS-1000 and SMS-2000 MICRO-TEMP heat therapy pumps have substantially equivalent technological characteristics in that each use electrical resistance heaters to heat water, a solid state controller to control the temperature of the water, and an electric pump to circulate the water through a pad. This fact is further supported by the "SPECIFICATION COMPARISON" table included with this section.

  • b This section is not required for this submission because substantial equivalence is based on intended use and device characteristics and specifications, and not on an assessment of performance data.

2

Image /page/2/Picture/1 description: This image shows a product called HTP-1500, which is shown with a hose and power cord in the storage position. The image labels the water reservoir fill cap, folding handle, control panel, water level viewing window, hose for connection to pad, power switch, and power cord. The control panel displays "HTP-1500 Heat Therapy Pump" and a water temperature of 107 degrees Fahrenheit.

3

Image /page/3/Picture/0 description: The image shows a diagram of a device with a rectangular panel on the left and a cylindrical component on the right. Two tubes connect the panel to the cylindrical component, with arrows indicating the direction of flow. The cylindrical component has a label that reads "HTP-1500" and some symbols.

Pad

f

HTP-1500

HTP-1500 Hookup To Pad Note: Bi-directional Water Flow

510(k) Summary page # 4 of 5

4

SPECIFICATION COMPARISON

r
r

ﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴﻴ

: ***************************************************************************************************************************************************************************

SPECIFICATION COMPARISON
Adroit HTP-1500Seabrook SMS-2000Seabrook SMS-1000
Physical
Size7" Diameter. 8.5" High8.5" Wide, 6.0625" Deep,
5.75" High8.5" Wide, 6.0625" Deep,
5.75" High
Weight (empty)7 Pounds5.25 Pounds4.7 Pounds
Connector Fitting TypeQuick-ConnectQuick-ConnectQuick-Connect
Housing MaterialPolypropyleneG.E. Noryl PlasticG.E. Noryl Plastic
Housing ColorOff WhiteOff WhiteOff White
Electrical System
Voltage115 Volt, 60 Hz.115 Volt, 60 Hz.115 Volt, 60 Hz.
Current2.2 Amp.1.75 Amp.1.75 Amp.
Fuse3 Amp., Type 3AG3 Amp., Type 3 AG3 Amp., Type 3AG
Power Cord3 Conductor, 18 AWG, 10
Feet Long, Hospital Grade
Plug3 Conductor, 18 AWG, 10
Feet Long, Hospital Grade
Plug3 Conductor, 18 AWG, 10
Feet Long, Hospital Grade
Plug
Leakage CurrentLess Than 50 MicroampLess Than 50 MicroampLess Than 50 Microamp
Heating System
Temperature Range75 °F to 107 °F78 °F to 107 °F86 °F to 107 °F
Heating Element200 Watts150 Watts150 Watts
Control System
TypeDigital, Solid State
(Microprocessor based)Digital, Solid State
(Microprocessor based)Analog, Solid State
Accuracy+/- 1 °F (95 °F to 107 °F)+/- 1 °F (Range ??)+/- 1 °F (Range ??)
Self-CalibratingNoYesYes
Set Point Read OutDigital DisplayDigital DisplayAnalog Dial
Water TemperatureDigital DisplayDigital DisplayNone
Readout
Water Temperature
Display Range32 °F to 122 °F31 °F to 121 °FNone
Safety Range
Primary Limit ThermostatSoftware Set at 109 °FHardware set at 113 °F +/-
3 °FHardware set at 113 °F +/-
3 °F
Secondary LimitHardware set at 115 °F +/-Hardware set at 117 °F +/-Hardware set at 117 °F +/-
Thermostat5 °F5 °F5 °F
Warning LightsFlashing Display for Over
TemperatureLight for Low Water and
Over TemperatureLight for Low Water and
Over Temperature
Audible AlarmsOver TemperatureLow Water and Over
TemperatureNone
Circulating System
Reservoir Capacity1.5 Liter (50.72)0.89 Liter (30 Ounces)0.89 Liter (30 Ounces)
Reservoir FluidDistilled WaterDistilled WaterDistilled Water
Fill CapVentedVentedVented
Flow Rate Through Pad10 to 14 GPH Average10 to 14 GPH Average10 to 14 GPH Average

5

Image /page/5/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 words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 1 0 1997

Mr. Richard L. Studer ·Adroit Medical Systems, Inc. P.O. Box 277 Loudon, Tennessee 37774

K970197 Re: HTP-1500 Localized Heat Therapy Pump Requlatory Class: II Product Code: ILO Dated: July 15, 1997 Received: July 16, 1997

Dear Mr. Studer:

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, Drug, and Cosmetic Act (Act). 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.

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 requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. ਸ substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory In addition, FDA may publish further announcements action. 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 the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

6

Page 2 - Mr. Richard L. Studer

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 regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. 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.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D., M.D.
Director

Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

7

510(k) Number (if known):

Device Name: _HTP-1500 Localized Heat Therapy Pump

Indications For Use:

The HTP-1500 Localized Heat Therapy Pump is intended for use in those situations where a physician determines that heat therapy is necessary or desirable.

CAUTION: Federal law restricts this device to sale by or on the order of a physician.

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

tocoefo

Prescription Use X (Per 21 CFR 801.109) OR

Over-The Counter Use

(Optional Format 1-2-96)