INFUSOMAT SPACE VOLUMETRIC INFUSION PUMP SYSTEM
Device Facts
| Record ID | K062700 |
|---|---|
| Device Name | INFUSOMAT SPACE VOLUMETRIC INFUSION PUMP SYSTEM |
| Applicant | B.Braun Medical, Inc. |
| Product Code | FRN · General Hospital |
| Decision Date | Oct 26, 2006 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 880.5725 |
| Device Class | Class 2 |
| Attributes | Therapeutic, Pediatric, 3rd-Party Reviewed |
Indications for Use
The Infusomat® Space Volumetric Infusion Pump System includes an external transportable electronic volumetric infusion pump, dedicated administration sets, and pump accessories. The system is intended for use on adults, pediatrics, and neonates for the intermittent or continuous delivery of parenteral and enteral fluids through clinically accepted routes of administration. These routes include, but are not limited to intravenous, intra-arterial, subcutaneous, epidural, irrigation/ablation, and enteral. The system is used for the delivery of medications indicated for infusion therapy including but not limited to drugs like anesthetics, sedatives, analgesics, catecholamines, anticoagulants etc., blood and blood components, Total Parenteral Nutrition (TPN), lipids, and enteral fluids. The Infusomat® Space Volumetric Infusion Pump System is intended to be used by trained healthcare professionals in healthcare facilities, home care, outpatient, and medical transport environments.
Device Story
Infusomat® Space is a transportable, 12V DC/battery-powered volumetric infusion pump using linear peristaltic mechanism. System includes pump, dedicated silicone-tubing administration sets, and accessories (SpaceStation docking, SpaceCover). Operated by trained healthcare professionals in hospitals, home care, outpatient, and transport. Pump interfaces with administration sets containing free-flow protection clamps. DrugListEditor software allows creation of drug libraries (up to 3500 entries) downloaded to pumps via service tool. SpaceStation provides central power and communication for up to 24 pumps. Clinicians use pump interface to set infusion parameters; system provides continuous/intermittent fluid delivery. Benefits include organized bedside management, flexible infusion therapy, and automated maintenance/calibration alerts. Safety features include free-flow protection upon door opening and alarm signaling via SpaceCover Comfort.
Clinical Evidence
Bench testing only. No clinical data presented.
Technological Characteristics
Linear peristaltic pumping mechanism; 12V DC or battery power; thermoplastic housing; silicone tubing for pump interface; free-flow protection clamp; modular docking system (SpaceStation) for power/communication; supports drug library software (DrugListEditor); single-use, sterile, non-pyrogenic administration sets; latex-free; DEHP-free (except blood filter tubing).
Indications for Use
Indicated for adults, pediatrics, and neonates requiring intermittent or continuous delivery of parenteral and enteral fluids, including medications, blood/blood products, TPN, and lipids, via intravenous, intra-arterial, subcutaneous, epidural, irrigation/ablation, or enteral routes. For use by trained healthcare professionals in clinical, home, outpatient, and medical transport (road ambulance) settings.
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.
Predicate Devices
- Vista Basic with fm System (K023189)
- ALARIS Medical Systems, Alaris Medley™ Patient Care System (K030459)
- ALARIS Medical Systems, Alaris MEDLEY™ Pump Module (K950419)
- B. Braun Medical Inc. Millennium CRT Infusion Pump and Millennium CRT Infusion Pump Administration Sets (K972678)
Submission Summary (Full Text)
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K062700
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August i, 2006
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| 5. 510(k) Summary | |
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| APPLICANT: | B. Braun Medical Inc.<br>901 Marcon Boulevard<br>Allentown, PA 18109-9341<br>610-266-0500 |
| | Contact: Scott Pease<br>Manager, Regulatory Affairs<br>Phone: 610-596-2376 |
| SUBMITTER: | B. Braun Melsungen AG<br>Carl-Braun-Strasse 1<br>34212 Melsungen<br>GERMANY |
| | Contact: Thomas Möller<br>Manager, Regulatory Affairs<br>Phone: 49 5661 71-1349 |
| DEVICE NAME: | Infusomat® Space Volumetric Infusion Pump System |
| COMMON OR<br>USUAL NAME: | Infusion Pump and Intravascular Administration Sets |
| DEVICE<br>CLASSIFICATION: | Class II per Code of Federal Regulation Title 21<br>§880.5725: Infusion Pump, product code FRN and Enteral<br>Infusion Pump, product code LZH; 21 CFR §880.5440:<br>Intravascular Administration Set, product code FPA and<br>Blood Transfusion Set, product code BRZ.<br>Classification Panel: General Hospital. |
| PREDICATE<br>DEVICES: | Predicate device for infusion pump: B. Braun Medical Inc.<br>Vista Basic with <i>fm</i> System 510(k) K023189; ALARIS<br>Medical Systems, Alaris Medley™ Patient Care System<br>510(k) K030459, ALARIS Medical Systems, Alaris<br>MEDLEY <sup>TM</sup> Pump Module 510(k) K950419.<br>Predicate device for administration sets: B. Braun Medical<br>Inc. Millennium CRT Infusion Pump and Millennium CRT<br>Infusion Pump Administration Sets 510(k) K972678. |
| DESCRIPTION: | The Infusomat® Space Volumetric Infusion Pump System<br>includes an external transportable electronic volumetric<br>infusion pump, dedicated administration sets, and pump<br>accessories. |
OCT 26 2006
K-57
RECEIVED
2006 SEP 11 P 2:07
FDA/CDRH/ODE/PMO
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# Infusomat® Space Pump
The Infusomat® Space is a 12V DC or battery powered external, transportable, volumetric infusion pump. The Infusomat® Space utilizes a linear peristaltic pumping mechanism and is intended to provide infusions of parenteral and enteral fluids. The Infusomat® Space is intended for but not limited to be used by trained healthcare professionals in healthcare facilities, home care, outpatient, and medical transport environments. A trained Biomedical Technician must perform a complete set-up of the pump prior to use in a clinical setting. The system created by using the administration sets with
the Infusomat® Space is intended to provide intermittent or continuous flow of parenteral and enteral fluids to the patient. Parenteral fluids may include all standard fluids and/or medications indicated for infusion as well as blood and blood products.
#### SpaceStation
The B. Braun Space Station is a 12V DC or battery powered flexible docking and communication system for the medical workplace, in particular the intensive medical care. It serves the perspicuous accommodation of the infusion and infusion-syringe pumps Infusomat® Space and Perfusor® Space. The pillar and mounting system synchronized system components enables the individualized workplace design. The SpaceStation module allows the set-up of a complete
pump system with up to 24 pumps. Up to four pumps can be installed in every SpaceStation. The pumps are supplied with power via the integrated power supply and the built-in connectors. Up to six SpaceStations can be set-up as a column with a total of 24 pumps. SpaceStation placed next to each other can be connected via special connection cables, if the maximum number of 24 pumps in maximum three columns is not exceeded.
### SpaceCover
SpaceCover Standard or SpaceCover Comfort forms the top of each column. Every SpaceStation or a column of SpaceStations must be closed with a cover. Alarms are
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signalled by a row of LEDs and a loudspeaker in the SpaceCover Comfort.
The SpaceCover Standard does not contain any additional electronics. It protects the upper connectors from humidity and damage and allows a single SpaceStation to be used as a carrying unit. The SpaceCover standard housing mainly consists of the bottom part and the upper part. The design of the SpaceCover comfort corresponds to that of the SpaceCover standard. SpaceCover Comfort offers a
greater system functionality and operating facility. The cover is equipped on its front side with a large and very well readable status and alarm display. All status and alarm conditions of the pumps within the system as well as of the pumps themselves are displayed.
### DrugListEditor
The DrugListEditor Space is a programm to create a drug pool with drug names including the corresponding parameter. The DLE-Space only may be used together with the infusion pumps Infusomat® Space and Perfusor® Space. A download of a drug list into the respective pump is possible by using the HiBaSeD service tool. The DrugListEditor is able to hold up to 3500 drug names with corresponding parameters. From this pool, single drug libraries can be compiled and stored. The drug pool is saved as a binary file on the computer.
### Administration sets
The administration sets are single-use, sterile, nonpyrogenic, disposable devices for use with the B. Braun Infusomat® Space Volumetric Infusion Pump for pump and gravity administration of fluids. There are currently 13 administration set configurations available including basic sets, burette sets, additive sets, filtered sets, epidural sets, low adsorption sets, add-on sets and blood sets.
The Infusomat® Space Volumetric Infusion Pump administration sets will be available in lengths ranging from 88 in. (224 cm) to 136 in. (345 cm), drops/mL ranging from 10 to 60 and priming volumes ranging from approximately 13 to 39 mL. All sets are latex free and all but one of the sets is DEHP-Free. The only DEHP containing item is the tubing portion of the blood filter component of the blood administration set. All other tubing components are DEHP free. The epidural
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administration set has a yellow stripe in the tubing. All other tubing segments are clear.
Each set contains a segment of tubing intended to interface with the linear peristaltic mechanism of the pump. This segment of tubing is composed of silicone. There are two connectors at each end of the pump tube segment to ensure proper placement of the set into the pump. The silicone tubing provides greater resistance to loss of shape from the peristaltic pumping action compared to standard PVC tubing.
Each set also contains a free flow protection clamp. This clamp is intended to prevent free flow of fluid when the pump door is opened and the set is removed. The free flow protection clamp is specifically designed to interface with a mating receptacle in the pump. The free flow protection clamp is forced in to the open position when the pump door is closed; however, fluid flow does not begin until the run button is pressed. When the pump door is opened, the free flow protection clamp is forced into the closed position; thus stopping fluid flow and protecting against free flow.
The Infusomat® Space Volumetric Infusion Pump System INTENDED USE: includes an external transportable electronic volumetric infusion pump, dedicated administration sets, and pump accessories. The system is intended for use on adults, pediatrics, and neonates for the intermittent or continuous delivery of parenteral and enteral fluids through clinically accepted routes of administration. These routes include. but are not limited to intravenous, intra-arterial. subcutaneous, epidural, irrigation/ablation, and enteral. The system is used for the delivery of medications indicated for infusion therapy including but not limited to drugs like anesthetics, sedatives, analgesics. catecholamines, anticoagulants etc., blood and blood components, Total Parenteral Nutrition (TPN), lipids, and enteral fluids. The Infusomat® Space Volumetric Infusion Pump System is intended to be used by trained healthcare professionals in healthcare facilities, home care, outpatient, and medical transport environments.
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## SUBSTANTIAL EQUIVALENCE:
The Infusomat® Space Volumetric Infusion Pump System, including an external transportable electronic volumetric infusion pump, dedicated administration sets, and pump accessories has the same intended use, operation, and function as the Vista Basic with fin System distributed by B. Braun Medical Inc., 510(k) K023189, Alaris MedleyTM Patient Care System distributed by ALARIS Medical Systems, 510(k) K030459, and Millennium CRT Infusion Pump and Millennium CRT Infusion Pump Administration Sets (now referred to as the Vista Infusion Pump and Adminsitration Sets) distributed by B. Braun Medical Inc., 510(k) K972678. There are no differences between the subject device and the predicate devices that raise new issues of safety and effectiveness.
The subject and the predicate devices are software controlled, electronic, external, volumetric infusion pumps, composed of injection molded thermoplastic components. The components of the subject and predicate devices are non solution contact. The subject and predicate devices are similar in operation, as they are all linear peristaltic volumetric infusion pumps. The subject and predicate devices achieve fluid delivery in a similar manner by the cyclical crushing action of the pumping fingers of the peristaltic mechanism on a straight piece of tubing. The subject and predicate devices are also similar in that they are used in the hospital or home health care setting to control the infusion rate of parenteral fluids to the patient.
The included accessories of the Infusomat® Space Volumetric Infusion Pump System are similar to the predicate devices in that they all offer the clinician maximum flexibility in providing infusion therapy. The subject and predicate systems provide possibilities to clean up and organize the patient bedside by storage different pumps in a filing and communication system. This filing and communication system provides central power supply to the single pumps and tubing retainers to prevent IV line confusion. Also the subject and the predicate provide a means for easy transportation of the modules as well as of the system. Additionally the subject and predicate devices are used to customize the menu items and drug library parameters for each facility. The calibration preventive
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maintenance of the pump can also be stored in each device and the users notified when such calibration or routine maintenance is due to be completed.
The subject administration sets and the predicate administration sets are similar in that they are both singleuse, sterile, non-pyrogenic, disposable devices for use with an external linear peristaltic volumetric infusion pump. Both the predicate and subject administration sets contain a free flow protection clamp intended to prevent free flow when the door is opened and the set is removed. The predicate device contains a straight piece of tubing to interface with the pump. Whereas the subject device contains a dedicated piece of silicone tubing to interface with the pump. Both the predicate and subject devices contain standard administration set components (spike, injections sites, roller clamps, slide clamps, check valves, filters, luers, etc.). Both the subject and predicate administration sets are intended for use with a specific infusion pump controlled volumetric infusion of parenteral and enteral fluids. The subject and predicate administration sets are also intended for use independent of their respective pumps for gravity controlled infusion.
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/6/Picture/2 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features a circular design with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract emblem resembling an eagle or bird in flight, composed of stylized lines.
OCT 26 2006
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
B. Braun Medical, Incorporated C/O Mr. Stefan Preiss Responsible Third Party Official TÜV America, Incorporated 1775 Old Hwy 8 NW New Brighton, Minnesota 55112-1891
- Re: K062700
Trade/Device Name: Infusomat® Space Volumetric Infusion Pump System Regulation Number: 880.5725 Regulation Name: Infusion Pump Regulatory Class: II Product Code: FRN Dated: October 4, 2006 Received: October 11, 2006
Dear Mr. Preiss:
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.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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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Page 2 - Mr. Preiss
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); good manufacturing practice requirements 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.
This letter will allow you to begin marketing your device as described in your Section 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). please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely yours.
Suoer Raonon
Chiu Lin, Ph.D.
Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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510(k) Number (if known):
Device Name:
Infusomat® Space Volumetric Infusion Pump System
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Indications For Use:
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