TEMP 3

K012276 · Medical Solutions, Inc. · LGZ · Aug 20, 2001 · General Hospital

Device Facts

• Record ID: K012276
• Device Name: TEMP 3
• Applicant: Medical Solutions, Inc.
• Product Code: LGZ · General Hospital
• Decision Date: Aug 20, 2001
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.5725
• Device Class: Class 2

Intended Use

THE WEDICAL SOLUTIONS, INC TEMP 3 WARMING CABINET IS DESIGNED TO STORE, REPIDLY HARM AND MAINTAIN TERRERATURE OF I.V. FLUID BAGS AND IRRIGATION BAGS PRIOR TO TICK TO THE IDE.

Device Story

Temp 3 Warming Cabinet stores, warms, and maintains temperature of I.V. fluid and irrigation bags. Used in clinical settings to prepare fluids for patient administration. Device operates by heating stored bags to a set temperature; healthcare providers load bags into the cabinet and retrieve them when needed for clinical procedures. Benefits include ensuring fluids are at appropriate temperatures for patient use, potentially improving patient comfort and clinical outcomes during fluid administration.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Warming cabinet for I.V. and irrigation bags. Class II device (Product Code: LGZ, Regulation: 21 CFR 880.5725).

Indications for Use

Indicated for the storage, rapid warming, and temperature maintenance of I.V. fluid bags and irrigation bags prior to clinical use.

Regulatory Classification

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.

Submission Summary (Full Text)

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

## JAN 1 0 2017

Mr. Bruce Heymann Medical Solutions, Incorporated 3901 Centerview Drive, Suite W Chantilly, Virginia 20151

Re: K012276

Trade/Device Name: Temp 3 Regulation Number: 21 CFR 880.5725 Regulation Name: Infusion Pump Regulatory Class: Class II Product Code: LGZ Dated: July 3, 2001 Received: July 19, 2001

Dear Mr. Heymann:

This letter corrects our substantially equivalent letter of August 20, 2001.

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. 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.

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 Parts 801 and 809 ); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements

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Page 2 - Mr. Bruce Heymann

as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Parts 801 and 809] ), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

## Erin I. Keith -S

Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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KC12276/A'

of____________________________________________________________________________________________________________________________________________________________________________ Page__________________________________________________________________________________________________________________________________________________________________________

K012276 510(k) Number (if known):

TEMP 3 Device Name:_

Indications For Use:

THE WEDICAL SOLUTIONS, INC TEMP 3 WARMING CABINET IS DESIGNED TO STORE, REPIDLY HARM AND MAINTAIN TERRERATURE OF I.V. FLUID BAGS AND IRRIGATION BAGS PRIOR TO TICK TO THE IDE.

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

> > Concurrence of CDRH, Office of Device Evaluation (ODE)

Patrica Cucenta

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devi 102 510(k) Number .

Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-96)

SK19