K Number
K980378
Device Name
MELODIE INFUSION PUMP
Date Cleared
1998-12-09

(313 days)

Product Code
Regulation Number
880.5725
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
for use in the infusion of chemotherapy, antibiotherapy, patient controlled analgesia, anti-emetic therapy, parenteral nutrition, and other infusion therapies that require continuous, bolus or intermittent delivery.
Device Description
MELODIE INFUSION PUMP
More Information

Not Found

Not Found

No
The summary does not mention AI, ML, or any related concepts like image processing, training sets, or performance metrics typically associated with AI/ML devices. The description focuses on the basic function of an infusion pump.

Yes
The device is an infusion pump used for delivering various therapies like chemotherapy, antibiotherapy, and analgesia, which directly treat medical conditions.

No

The device is described as an "infusion pump" used for "infusion therapies," which are therapeutic rather than diagnostic actions. Its intended use involves delivering substances for treatment, not for identifying a disease or condition.

No

The device description explicitly states "MELODIE INFUSION PUMP," which is a hardware device. The summary does not mention any software-only component or function.

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

Here's why:

  • Intended Use: The intended use describes the infusion of various therapies directly into a patient. This is a therapeutic function, not a diagnostic one.
  • Device Description: The device is an "INFUSION PUMP," which is a device used to administer fluids or medications to a patient.
  • Lack of IVD Indicators: There is no mention of analyzing biological samples (blood, urine, tissue, etc.) or providing information about a patient's health status based on such analysis, which are key characteristics of IVDs.

IVDs are devices used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This infusion pump does not perform any such function.

N/A

Intended Use / Indications for Use

for use in the infusion of chemotherapy, antibiotherapy, patient controlled analgesia, anti-emetic therapy, parenteral nutrition, and other infusion therapies that require continuous, bolus or intermittent delivery.

Product codes

FRN

Device Description

Not Found

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

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

§ 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/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three heads, representing the department's mission to protect the health of all Americans and provide essential human services. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.

DEC 9 1998 Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Compagnie de Developpement Aguettant C/O Ms. Diane B. McColl Hyman, Phelps & McNamara, P.C. 700 Thirteenth Street N.W. Suite 1200 Washington, D.C. 20005

Re : K980378 Melodie® Infusion Pump Trade Name: Requlatory Class: II Product Code: FRN Dated: September 30, 1998 Received: September 30, 1998

Dear Ms. McColl:

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 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). 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. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical General regulation (21 CFR Part 820) and that, Devices: through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in requlatory 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

1

Page 2 - Ms. McColl

through 542 of 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 diaqnostic 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" (21CFR 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/dsma/dsmamain.html".

Sincerely yours,

Gerald W. Shipp

Timothy A. Ulatowski Director Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Page

K980378

510(k) Number (if known):

MELODIE INFUSION PUMP

Device Name:

Indications For Use: for use in the infusion of chemotherapy, antibiotherapy, patient controlled analgesia, anti-emetic therapy, parenteral nutrition, and other infusion therapies that require continuous, bolus or intermittent delivery.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

The Hubbard for 1st Circuit.

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

510(k) Number 1980

Prescription Use (Per 21 CFR 801.109)

ુક્ત

Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-96)