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510(k) Data Aggregation

    K Number
    K190494
    Device Name
    Infant Incubator
    Date Cleared
    2019-11-25

    (270 days)

    Product Code
    Regulation Number
    880.5400
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended 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 Description

    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.

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for the YP-3000 Infant Incubator, demonstrating its substantial equivalence to a predicate device (OHMEDA MEDICAL OmniBed). This document focuses on proving equivalence through bench testing against recognized standards rather than detailing a clinical study with human readers or AI performance.

    Therefore, many of the requested criteria for reporting an acceptance criteria and study proving performance (e.g., sample size for test set, number of experts, adjudication methods, MRMC studies, standalone algorithm performance, training set details) are not applicable or not specified in this regulatory submission, as it is for a physical medical device (infant incubator/warmer) and not an AI/ML powered diagnostic device.

    However, I can extract information related to the acceptance criteria for the device's technical specifications and how its performance was proven through non-clinical testing.

    Here's a breakdown of the available information:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document provides a comprehensive comparison table between the subject device (YP-3000 Infant Incubator) and the predicate device (OmniBed), detailing various specifications and performance characteristics. The acceptance criteria essentially align with meeting the performance characteristics of the predicate device or demonstrating that any differences do not raise new questions of safety and effectiveness, often by showing compliance with relevant IEC and ISO standards.

    Acceptance Criteria (Corresponding Predicate Value or Standard)Reported Device Performance (YP-3000)Discussion of Equivalence and How Proven
    Electrical Description
    Power supply: 100V, 115V, 220V, 230V, 240V, 50/60Hz (Predicate)AC 220-230V/50Hz; AC 110-120V/60HzSimilar: Safety and performance tests based on IEC 60601-1, IEC 60601-2-19, and IEC 60601-2-21 cover both voltage ranges. Test results demonstrate compliance, raising no new safety/effectiveness questions.
    Maximum current/power consumption: ≈1100VA (Predicate)1300VASimilar: Safety and performance tests based on IEC 60601-1 conducted. Test results demonstrate compliance, raising no new safety/effectiveness questions.
    Electrical safety: According to IEC 60601-1 (Predicate)According to IEC 60601-1Same
    Principles of Operation
    General: Radiant Warmer and Infant Incubator (Predicate)Radiant Warmer and Infant IncubatorSame
    Control Modes: Incubator mode; Warmer mode (Predicate)Incubator mode; Warmer modeSame
    Probe Type & Connectors: Air temp, Skin temp, air flow temp, O2, Humidity, Isolated air temp, Multi-port, RS232 (Predicate)Air temp, Skin temp, air flow temp, O2, Humidity, Isolated air temp, Multi-port, RS232Same
    Warmer Operation
    Warmer: Radiant Warmer (Predicate)Radiant WarmerSame
    Temperature Control Modes: Manual mode; Baby mode; (Pre-warm mode) (Predicate)Pre-warm mode; Manual mode; Baby mode (Baby temperature control)Same
    Temperature Control Range Under Skin temp. Mode: 35~37.5°C in 0.1 increments (Predicate)34.5°C~37.5°C in 0.1 incrementsSimilar: Slightly wider range. Accuracy and consistency equivalent. Satisfies IEC60601-2-21 (201.15.4.2.2.101). No new safety/effectiveness questions.
    Difference Between Skin Temperature Sensor and Control Temperature: ≤0.5°C (Predicate)≤0.5°CSame
    Temperature Uniformity of Bed Surface: ≤2°C (Predicate)≤2°CSame
    Incubator Operation
    Heater: Convective heater (Predicate)Convective heaterSame
    Modes under the incubator mode: Air mode; Baby mode (Predicate)Air mode; Baby modeSame
    Air Temperature Control range: 20~39℃ in 0.1 increments (Predicate)25~39℃ in 0.1 incrementsSimilar: Neonatal ambient temperature not less than 25℃, so YP-3000 range is designed accordingly. Accuracy and stability equivalent. Satisfies IEC60601-2-19 (201.15.4.2.2.101). No new safety/effectiveness questions.
    Skin Temperature Control range: 35~37.5℃ in 0.1 increments (Predicate)34~38℃ in 0.1 incrementsSimilar: Slightly wider range. Accuracy and stability equivalent. Satisfies IEC60601-2-19 (201.15.4.2.2.102). No new safety/effectiveness questions.
    Temperature Rise Time: <50min (Predicate)≤40minSimilar: Faster rise time. Product can be warmed to predetermined temperature. Meets IEC60601-2-19 (201.12.1.107). No new safety/effectiveness questions.
    Difference Between Average Incubator Temperature and Control Temperature: ≤1.0°C (Predicate)≤1.0°CSame
    Difference Between Incubator Temperature and Average Incubator Temperature: ≤0.5°C (Predicate)≤0.5°CSame
    Skin Temperature Sensor Precision: ±0.3°C (Predicate)±0.2°CSimilar: More accurate. Satisfies IEC60601-2-19 (201.12.1.103). No new safety/effectiveness questions.
    Humidity Control: 30% - 95% in 5% increments (Predicate)30% - 90% in 1% incrementsSimilar: YP-3000 range is included in predicate's range. No new safety/effectiveness questions.
    Humidity Control Precision: ±10% for settings up to 85%; minimum 75% for settings >85% (Predicate)±5% RHSimilar: Better precision for YP-3000. No new safety/effectiveness questions.
    Oxygen Concentration Control Range: 21% O₂~65% O₂ (Predicate)20% O₂~60% O₂Similar: YP-3000 range is included in predicate's range and verified to meet design requirement. No new safety/effectiveness questions.
    Oxygen Concentration Control Precision: ±5% O₂ (Predicate)±4% O₂Similar: Slightly different but verified to meet design requirement. No new safety/effectiveness questions.
    Carbon dioxide (CO2) Concentration Inside the Hood Under Incubator Mode: 0.2% (Predicate)<0.5%Similar: Both conform to IEC 60601-2-19 clause 201.12.4.2.101. No new safety/effectiveness questions.
    Weight Scale
    Function Range: 300mg to 8kg (Predicate)100mg to 8kgSimilar: Both comply with IEC 60601-2-19 (201.12.1.112). Difference does not affect temperature control performance as it's an auxiliary function. No new safety/effectiveness questions.
    Accuracy: ± 10 mg (Predicate)± 10 mgSame
    Integrated X-Ray Cassette / Tray: Yes (Predicate)YesSame
    Drawer: Yes (Predicate)YesSame
    Bed-tilt Mechanism: Yes (Predicate)YesSame
    Operating Noise
    Operating Noise Volume in Patient Compartment: <49dB (Predicate)≤50dB (Under the steady temperature condition)Similar: Both meet IEC60601-2-19 clause 201.9.6.2.1.101. No new safety/effectiveness questions.
    Alarm Volume: According to IEC 60601-2-19 and IEC 60601-1-8 (Predicate)According to IEC 60601-2-19 and IEC 60601-1-8Same
    Alarms
    Power Failure Alarm: Yes (Predicate)YesSame
    Non-recoverable system failure: Yes (Predicate)YesSame
    Failure of Fan system: Fan Failure Alarm (Predicate)Fan Motor AlarmSame (functionally)
    High Air Temp: 1.5°C over SET (Predicate)Display temperature is 3°C higher than set temperatureSimilar: Both meet IEC 60601-2-19 (201.15.4.2.1 dd). No new safety/effectiveness questions.
    Low Air Temp: 3.0°C under SET (Predicate)Display temperature is 3°C lower than set temperatureSame (functionally, 3.0°C vs 3°C)
    Baby Cold: 1.0°C under SET (Predicate)Display temperature of sensor 1 is 1°C lower than set temperatureSame
    Baby Hot: 1.0°C over SET (Predicate)Display temperature of sensor 1 is 1°C higher than set temperatureSame
    Air Overheat: >38°C (SET≤37°C), >40°C (SET>37°C) (Predicate)Temperature of incubator is not over 38°C (set value is less than 37°C), or not over 39.5°C (set value is over than 37°C)Similar: Both meet IEC 60601-2-19 (201.15.4.2.1 aa). No new safety/effectiveness questions.
    Skin Overheat Alarm: Not provided (Predicate)The temperature measured by skin temperature sensor under the warmer mode is over 38.5°CSimilar: Both meet IEC 60601-2-19 (201.15.4.2.1 bb). No new safety/effectiveness questions.
    Water Shortage: Water tank is lacking water (Predicate)Water tank is lacking waterSame
    Operating Condition Description
    Temperature: +20~+30°C (Predicate)+20~+30°CSame
    Humidity: 10% to 95% RH (Predicate)30%~75%RHSimilar: Environmental test report proves YP-3000 works normally under this condition. No new safety/effectiveness questions.
    Storage Condition Description
    Temperature: -25~+60°C (Predicate)-20~+55°CSimilar: Environmental testing supports performance as intended. No new safety/effectiveness questions.
    Relative humidity: ≤95%RH (Predicate)≤93%RHSimilar: Environmental testing supports performance as intended. No new safety/effectiveness questions.

    2. Sample size used for the test set and the data provenance:

    • Sample Size: Not applicable. This is a physical medical device. Performance claimed is based on laboratory bench testing against recognized standards, not on a data set of patient cases.
    • Data Provenance: Not applicable. The "data" here refers to the outcomes of physical device measurements and assessments in a laboratory setting. No geographical or retrospective/prospective data collection is relevant.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • Not applicable. Ground truth for a physical device's performance (e.g., temperature accuracy, noise levels) is established through standardized engineering and safety tests, not through expert human interpretation of medical data (like in AI diagnostics). The "experts" involve engineers and technicians conducting the tests.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

    • Not applicable. This is not a study involving human or AI interpretation requiring adjudication.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

    • No MRMC study was done. This is a medical device for infant care, not an AI diagnostic tool that assists human readers.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

    • Not applicable. This is a physical device, not an algorithm. Bench testing demonstrates its standalone performance (i.e., the device itself performs according to specifications).

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    • Ground Truth: The "ground truth" for this device's performance is derived from measurements taken during rigorous bench testing against established international performance and safety standards (e.g., IEC 60601 series, ISO 10993 series). These standards define acceptable ranges for various parameters (temperature control, humidity, noise, alarms, electrical safety, biocompatibility, etc.). The device's measurements serve as its performance, and these are compared against the required thresholds and the predicate device's performance.

    8. The sample size for the training set:

    • Not applicable. This device does not use a training set as it is not an AI/ML system.

    9. How the ground truth for the training set was established:

    • Not applicable. As there is no training set for this physical device.
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    K Number
    K132543
    Device Name
    INFANT INCUBATOR
    Manufacturer
    Date Cleared
    2014-07-03

    (324 days)

    Product Code
    Regulation Number
    880.5400
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Bisto's BT-500 is a Infant Incubator and intended to keep Premature in a warm environment in the hood for Neonatal hypothermia, Observation and Examination in newborn nurseries.

    BT-500 provides Heat and Air in a controlled manner to neonates or premature infants who are unable to themn-regulate on their own physiology.

    BT-500 is not intended for transport.

    Device Description

    BT-500 Infant Incubator consists of Hood, Control Box, LCD external monitor and main body with stand ( optional), This device incorporates two sensors to control Humidity, and Temperature inside the Hood and monitors the Air Conditions, and controls Circulation with proper temperature.

    Also Heater is equipped inside of the hood to control the Skin Temperature of Infant at a fixed level as measured by the skin probe and showing, measuring and graphing the humidity, Air Temperature, Skin Temperature, Weight and SpO2

    This Incubator is provided with function to control the infant's skin temperature.

    AI/ML Overview

    The provided text does not contain information about acceptance criteria and a study proving the device meets those criteria. The document is a 510(k) summary for the BT-500 Infant Incubator, primarily focused on demonstrating substantial equivalence to a predicate device.

    While it mentions "various Performing, Safety test voluntary and accordance with the guidance for Industry and FDA Staff -Neonatal Transport Incubator Premarket notifications," and states "all test report attached," the specific details of these tests, their acceptance criteria, and the reported performance are not included in the provided text.

    Therefore, I cannot populate the table or answer the specific questions about sample size, ground truth, expert qualifications, or comparative effectiveness studies based on the given information.

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    K Number
    K040910
    Date Cleared
    2004-04-21

    (13 days)

    Product Code
    Regulation Number
    880.5400
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The CHS-i1000 Infant Incubator provides a controlled thermal environment for neonates who are unable to provide their own thermoregulation. They may be used for short periods of time to facilitate the neonate's transition from the uterus to the external environment. The CHS-i1000 Infant Incubators can be used in two operating modes, such as Air Control Mode and Skin Control Mode. The CHS-i1000 incubator is not for the transport of the patient.

    The CHS-i1000 Infant Incubator has alarms to alert clinicians when certain patient or equipment conditions occur, such as a malfunction, or an excessive departure of the patient's temperature from the set value.

    The CHS-i1000 Infant Incubator incorporates other features, such as humidification of the infant environment and tilting of the bed.

    Device Description

    The CHS-i1000 incubator provides a controlled temperature and humidity for infants. It is designed to minimize the effect of external heat loss on infants.

    The incubator is composed of 4 main elements namely, the hood, base, cabinet and controller. Together they measure W1000 x H1367 x D634mm. The foam based mattress that measures W690 x D370mm positions centrally within the confines of the hood. The mattress can also be raised at the head and foot end to a maximum incline of 12°. This is achieved by turning the handles that are located on each end of the base.

    The hood is made of a clear acrylic to permit clear visibility of the baby yet provide isolation for the baby. The hood comprised of access ports gives access to the baby without compromising the thermal environment. Four of the access ports(two on the front and two on the rear) allow for regular access by the caregiver. The other two access ports are in the form of iris ports with are used primarily for ventilator tubes and monitoring cables to be channeled into the hood to the baby. Pulling the mattress towards the caregiver can enhance access even further.

    AI/ML Overview

    The provided text does not contain detailed acceptance criteria or a specific study proving the device meets them. Instead, it describes a 510(k) submission for a neonatal incubator (CHS-i1000) seeking substantial equivalence to a predicate device (OHMEDA Medical Model 4000 CARE-PLUS).

    Here's an analysis based on the information available:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document does not provide a table of explicit acceptance criteria with specific quantitative thresholds for the CHS-i1000's performance. Instead, it states that:

    • "Electrical, mechanical, environmental safety and performance testing according to standard EN/IEC 60601-1 and EN/IEC 60601-2-19 was performed, and EMC testing was conducted in accordance with standard EN/IEC 60601-1-2(1993), and Biocompatibility testing was conducted in accordance with standard ISO 10993-1."
    • "All test results were satisfactory."

    This indicates that the device's performance was evaluated against the requirements of these standards, and it successfully met those requirements. The specific performance metrics and their acceptance limits as defined by these standards are not detailed in this summary.

    2. Sample Size Used for the Test Set and Data Provenance:

    The document does not specify a "test set" in the context of clinical data or human subjects. The testing mentioned (safety, EMC, performance, biocompatibility) likely involved laboratory testing of the device itself rather than a clinical study with patients. Therefore, information about sample size, country of origin, or retrospective/prospective nature of a clinical test set is not applicable or provided.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications:

    This information is not applicable. The device is a neonatal incubator, and the testing described pertains to its engineering and safety specifications, not a diagnostic or prognostic capability requiring expert-established ground truth from clinical data.

    4. Adjudication Method for the Test Set:

    This information is not applicable for the reasons stated above.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done:

    No, an MRMC comparative effectiveness study was not done. This type of study is typically used for diagnostic imaging or AI-assisted diagnostic tools to assess the impact of technology on human reader performance. The CHS-i1000 is an incubator, not a diagnostic device.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done:

    The concept of "standalone performance" typically applies to AI algorithms. The CHS-i1000 is a physical medical device (an incubator), not an AI algorithm. Therefore, "standalone performance" in this context is not applicable. The performance testing was for the device itself.

    7. The Type of Ground Truth Used:

    For the "performance" testing mentioned, the "ground truth" would be the engineering specifications and safety requirements defined by the standards (EN/IEC 60601-1, EN/IEC 60601-2-19, EN/IEC 60601-1-2, ISO 10993-1). The device's measurements and functionalities are compared against these predetermined, objective standards to determine compliance. There is no expert consensus, pathology, or outcomes data used as ground truth in the context of this summary.

    8. The Sample Size for the Training Set:

    This information is not applicable. The CHS-i1000 is not described as an AI/ML device that requires a training set.

    9. How the Ground Truth for the Training Set Was Established:

    This information is not applicable for the reasons stated above.

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