K190494 · Ningbo David Medical Device Co., Ltd. · FMZ · Nov 25, 2019 · General Hospital
Device Facts
Record ID
K190494
Device Name
Infant Incubator
Applicant
Ningbo David Medical Device Co., Ltd.
Product Code
FMZ · General Hospital
Decision Date
Nov 25, 2019
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 880.5400
Device Class
Class 2
Attributes
Therapeutic, Pediatric
Indications for Use
The device is an infant incubator and an infant warmer. The two functions can be converted through the canopy lifting system. The incubator provides an enclosed, temperature-controlled environment and the warmer provides infrared heat in an open environment. The warmer provides heat in a controlled manner to neonates who are unable to thermoregulate based on their own physiology. The incubator and warmer may also be used for short periods of time to facilitate a neonate's transition from the uterus to the external environment.
Device Story
The YP-3000 is a dual-function infant incubator and radiant warmer; functions are converted via a canopy lifting system. In incubator mode, it uses a convective heater and servo-control to maintain air/skin temperature and humidity. In warmer mode, it uses an infrared heating source with a parabolic reflector to provide heat to the patient, controlled via skin temperature feedback. The device includes a mattress, electronic scale, oxygen control system, observation lamp, tray, and IV pole. It is used in clinical settings for neonatal care, including resuscitation and emergency treatment. Healthcare providers monitor the device via integrated sensors and alarms; output allows for precise thermal and environmental management, supporting neonatal stability during transition or treatment.
Clinical Evidence
No clinical data. Substantial equivalence is supported by bench testing, including electrical safety (IEC 60601-1), electromagnetic compatibility (IEC 60601-1-2), alarm systems (IEC 60601-1-8), and performance standards for infant incubators (IEC 60601-2-19) and radiant warmers (IEC 60601-2-21). Biocompatibility testing was performed per ISO 10993-5 and ISO 10993-10.
Technological Characteristics
Dual-mode infant incubator/warmer; convective heater (incubator) and infrared radiant heater (warmer). Servo-controlled temperature (air/skin), humidity, and oxygen concentration. Includes electronic scale, RS232 connectivity, and multi-port transducer connectors. Complies with IEC 60601-1, IEC 60601-1-2, IEC 60601-2-19, IEC 60601-2-21, ISO 10993-5, and ISO 10993-10.
Indications for Use
Indicated for neonates, including low birth weight infants and critically sick babies, who are unable to thermoregulate. Used for constant temperature incubation, body temperature resuscitation, transfusion, oxygen therapy, emergency treatment, and hospitalization.
Regulatory Classification
Identification
A neonatal incubator is a device consisting of a rigid boxlike enclosure in which an infant may be kept in a controlled environment for medical care. The device may include an AC-powered heater, a fan to circulate the warmed air, a container for water to add humidity, a control valve through which oxygen may be added, and access ports for nursing care.
K053399 — VERSALET 7700 CARE CENTER · Draeger Medical Infant Care, Inc. · Aug 4, 2006
K102226 — DUAL INCU I · Atom Medical Corporation · Jan 4, 2011
K972885 — SERVO-CONTROL WALL-MOUNT COSYCOT INFANT WARMER MODEL IW960, MANUAL CONTROL WALL-MOUNT COSYCOT INFANT WARMER MODEL IW970 · Fisher & Paykel Electronics , Ltd. · Oct 30, 1997
K173516 — NuBorne Infant Warmer · International Biomedical · Aug 17, 2018
K230278 — Babyroo TN300 · Draeger Medical Systems, Inc. · May 30, 2023
Submission Summary (Full Text)
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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.
November 25, 2019
Ningbo David Medical Device Co., Ltd Lin Dingyu Vice General Manager No.2, Keyuan Road, Shipu Technology Park, Xiangshan Ningbo. 15731 China
Re: K190494
Trade/Device Name: Infant Incubator Regulation Number: 21 CFR 880.5400 Regulation Name: Neonatal incubator Regulatory Class: Class II Product Code: FMZ, FMZ, FMT Dated: October 23, 2019 Received: October 25, 2019
Dear Lin Dingyu:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
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Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
for Geeta Pamidimukkala Acting Assistant Director DHT3C: Division of Drug Delivery and General Hospital Devices, and Human Factors OHT3: Office of Gastrorenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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### Indications for Use
510(k) Number (if known) K190494
Device Name YP-3000 Infant Incubator
#### Indications for Use (Describe)
The device is an infant incubator and an infant warmer. The two functions can be converted through the canopy lifting system. The incubator provides an enclosed, temperature-controlled environment and the warmer provides infrared heat in an open environment. The warmer provides heat in a controlled manner to neonates who are unable to thermoregulate based on their own physiology. The incubator and warmer may also be used for short periods of time to facilitate a neonate's transition from the uterus to the external environment.
| Type of Use (Select one or both, as applicable) | |
|----------------------------------------------------------------------------------------------------------------------------|--|
| <span style="white-space: nowrap;"><input checked="" type="checkbox"/> Prescription Use (Part 21 CFR 801 Subpart D)</span> | |
| <span style="white-space: nowrap;"><input type="checkbox"/> Over-The-Counter Use (21 CFR 801 Subpart C)</span> | |
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## K190494 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS
(As Required by 21 CFR 807.92)
### 1. Date Prepared [21 CFR 807.92(a)(1)]
November 22, 2019
### 2. Submitter's Information [21 CFR 807.92(a)(1)]
| Company Name: | Ningbo David Medical Device Co., Ltd. |
|------------------|---------------------------------------------------------------------------------------------|
| Company Address: | NO. 2, KEYUAN ROAD, SHIPU TECHNOLOGY PARK, XIANGSHAN, NINGBO, ZHEJIANG PROVINCE, P.R. China |
| Fax: | +86-574-87800008 |
**Fax:**
### 3. Trade Name, Common Name, Classification [21 CFR 807.92(a)(2)]
| Trade Name: | |
|--------------------|--|
| Models: | |
| Product Codes: | |
| Regulation Number: | |
| Regulation Name: | |
| Device Class: | |
Infant Incubator YP-3000 FMZ, FMT 21 CFR 880.5400 Neonatal incubator Class II
### 4. Identification of Predicate Devices(s) [21 CFR 807.92(a)(3)[
The identification of the predicate device within this submission is as follows:
Manufacturer: Trade Name: Product Codes: Regulation Name: Regulation Number: FDA 510 (k) #:
OHMEDA MEDICAL. OmniBed FMZ, FMT Neonatal incubator 21 CFR 880.5400 K993407
### 5. Description of the Device [21 CFR 807.92(a)(4)]
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The YP-3000 has the functions of an infant incubator and an infant radiant warmer. The infant radiant warmer is optional, the two functions can be converted through the canopy lifting system. For the infant incubator, the temperature control system implements servo control on the temperature in the incubator (air temperature / skin temperature) and the device performs proportional heating control based on the setting of the temperature and the actual measured temperature. The internal air is adjusted through thermal convection to create an environment with proper temperature and humidity for infant incubation. It is intended to be used for constant temperature incubation of low birth weight infants, critically sick babies and neonates, as well as neonatal body temperature resuscitation, transfusion, oxygen therapy, emergency treatment, and hospitalization for neonates. The Infant radiant warmer transfers heat to the patient from the infrared radiation heating source through the parabolic reflecting hood transmitting heat to the patient on the mattress. proportional heating is controlled based on actual skin temperature. The device is equipped with a mattress, an electronic scale, and an oxygen control system. Other accessories include an observation lamp, tray, and an IV pole.
### 6. Indications for Use [21 CFR 807.92(a)(5)]
The device is an infant incubator and an infant warmer. The two functions can be converted through the canopy lifting system. The incubator provides an enclosed, temperature-controlled environment and the warmer provides infrared heat in an open environment. The warmer provides heat in a controlled manner to neonates who are unable to thermoregulate based on their own physiology. The incubator and warmer may also be used for short periods of time to facilitate a neonate's transition from the uterus to the external environment.
### 7. Substantial Equivalence [21 CFR 807.92(b)(1) and 807.92(b)(2)]
| | YP-3000<br>Infant Incubator | OmniBed | Differences Discussion |
|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| State | Subject Device | Predicate Device | N/A |
| | | | |
| Standards | IEC 60601-1<br>IEC 60601-1-2<br>IEC 60601-2-19<br>IEC 60601-2-21<br>ISO 10993-5<br>ISO 10993-10 | IEC 60601-1<br>IEC 60601-1-2<br>IEC 60601-2-19<br>IEC 60601-2-21<br>ISO 10993-5<br>ISO 10993-10 | Same |
| Indications for<br>Use | The device is an infant<br>incubator and an<br>infant warmer. The<br>two functions can be<br>converted through the<br>canopy lifting system.<br>The incubator<br>provides an enclosed,<br>temperature-<br>controlled<br>environment and the<br>warmer provides<br>infrared heat in an<br>open environment.<br>The warmer provides<br>heat in a controlled<br>manner to neonates<br>who are unable to<br>thermoregulate based<br>on their own<br>physiology. The<br>incubator and warmer<br>may also be used for<br>short periods of time<br>to facilitate a<br>neonate's transition<br>from the uterus to the<br>external environment. | The OmniBed is a<br>combination of an<br>infant incubator<br>(incubator) and an<br>infant warmer<br>(warmer). Incubators<br>and warmers provide<br>heat in a controlled<br>manner to neonates<br>who are unable to<br>thermo-regulate<br>based on their own<br>physiology. Incubators<br>provide an enclosed,<br>temperature-<br>controlled<br>environment and<br>warmers provide<br>infrared heat in an<br>open environment.<br>They may also be<br>used for short periods<br>of time to facilitate the<br>neonate's transition<br>from the uterus to the<br>external environment. | Similar - same intended<br>use, users, and use<br>environment; minor<br>grammatical differences<br>and device trade name is<br>not mentioned. |
| Electrical Description | | | |
| Power supply | AC 220-230V/50Hz;<br>AC 110-120V/60Hz | 100V, 115V, 220V,<br>230V, 240V, 50/60Hz | Similar-1.<br>We performed safety tests<br>and performance tests<br>based on IEC 60601-1,<br>IEC 60601-2-19 and IEC |
| | | | 60601-2-21 standards to<br>cover both voltage ranges.<br>The test results<br>demonstrate that the<br>subject device YP-3000<br>met the standard<br>requirements, so this<br>difference does not raise<br>new questions of safety<br>and effectiveness. |
| Maximum<br>current/ power<br>consumption | 1300VA | ≈1100VA | Similar-2.<br>We conducted safety tests<br>and performance tests<br>based on the IEC 60601-1<br>standard. The test results<br>demonstrate that the<br>subject device YP-3000<br>met the standard<br>requirements, so this<br>difference does not raise<br>new questions of safety<br>and effectiveness. |
| Electrical safety | According to IEC<br>60601-1 | According to IEC<br>60601-1 | Same |
| Principles of Operation | | | |
| General | Radiant Warmer and<br>Infant Incubator | Radiant Warmer and<br>Infant Incubator | Same |
| Control Modes | Incubator mode;<br>Warmer mode | Incubator mode;<br>Warmer mode | Same |
| Probe Type &<br>Connectors | Air temperature<br>sensor | Air temperature<br>sensor | Same |
| | Skin temperature<br>sensor | Skin temperature<br>sensor | Same |
| | air flow temp. sensor | air flow temp. sensor | Same |
| | O2 Sensors | O2 Sensors | Same |
| | Humidity Sensor | Humidity Sensor | Same |
| | Isolated air<br>temperature sensor | Isolated air<br>temperature sensor | Same |
| | Multi-port connector<br>connects 2 | Multi-port connector<br>connects 2 | Same |
| | transducers | transducers | |
| | RS232 connector | RS232 connector | Same |
| Warmer Operation | | | |
| Warmer | Radiant Warmer | Radiant Warmer | Same |
| Temperature<br>Control Modes | Pre-warm mode;<br>Manual mode;<br>Baby mode (Baby<br>temperature<br>control) | Manual mode;<br>Baby mode;<br>(Pre-warm mode); | Same |
| Temperature<br>Control Range<br>Under the Skin<br>temp. Mode | 34.5°C~37.5°C in 0.1<br>increments | 35~37.5°C in 0.1<br>increments | Similar-3.<br>Compared with the<br>predicate device, the<br>temperature control range<br>of the subject device YP-<br>3000 is slightly wider, and<br>under this temperature<br>control range, the<br>temperature control<br>accuracy of the device, the<br>consistency of the bed<br>temperature and the<br>predicate device are<br>equivalent. This control<br>range satisfies the<br>requirements of<br>201.15.4.2.2.101 of<br>IEC60601-2-21. This<br>difference does not raise<br>new questions of safety<br>and effectiveness. |
| Difference<br>Between Skin<br>Temperature<br>Sensor and<br>Control<br>Temperature | ≤0.5°C | ≤0.5°C | Same |
| Temperature<br>Uniformity of<br>Bed Surface | ≤2°C | ≤2°C | Same |
| Incubator Operation | | | |
| Heater | Convective heater | Convective heater | Same |
| Modes under the<br>incubator mode | Air mode;<br>Baby mode | Air mode;<br>Baby mode | Same |
| Air Temperature<br>Control range | 25~39℃ in<br>0.1increments | 20~39℃ in 0.1<br>increments | Similar-4.<br>Neonatal patients in the<br>ambient temperature<br>should not be less than 25<br>℃, so YP-3000 product air<br>control temperature range<br>is designed to 25℃~39℃.<br>Under this temperature<br>control range, the<br>temperature control<br>accuracy, temperature<br>stability and predicate<br>equipment of the<br>equipment are equivalent.<br>This control range satisfies<br>the requirements of<br>201.15.4.2.2.101 in<br>IEC60601-2-19. Therefore,<br>this difference does not<br>raise new questions of<br>safety and effectiveness. |
| Skin<br>Temperature<br>Control range | 34~38℃ in 0.1<br>increments | 35~37.5℃ in 0.1<br>increments | Similar-5.<br>The comparison with the<br>predicate device, YP-<br>3000's temperature control<br>range is slightly wider, and<br>under this temperature<br>control range, the<br>temperature control<br>accuracy, temperature<br>stability and predicate<br>equipment of the device<br>are all equivalent. This<br>control range satisfies the<br>requirements of<br>201.15.4.2.2.102 in |
| | | | |
| | | | IEC60601-2-19. Therefore,<br>this difference does not<br>raise new questions of<br>safety and effectiveness. |
| Temperature<br>Rise Time | ≤40min | <50min | Similar-6.<br>Compared with the<br>predicate device, the<br>temperature rise time of<br>the YP-3000 is faster, and<br>the product can be<br>warmed up to the<br>predetermined<br>temperature and put into<br>use. The performance of<br>this article meets the<br>requirements of<br>201.12.1.107 in IEC60601-<br>2-19, so this difference<br>does not raise new<br>questions of safety and<br>effectiveness. |
| Difference<br>Between<br>Average<br>Incubator<br>Temperature<br>and Control<br>Temperature | ≤1.0°C | ≤1.0°C | Same |
| Difference<br>Between<br>Incubator<br>Temperature<br>and Average<br>Incubator<br>Temperature | ≤0.5°C…
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