Panda iRes Warmer, Giraffe Warmer

K201628 · GE Healthcare · FMT · Feb 12, 2021 · General Hospital

Device Facts

• Record ID: K201628
• Device Name: Panda iRes Warmer, Giraffe Warmer
• Applicant: GE Healthcare
• Product Code: FMT · General Hospital
• Decision Date: Feb 12, 2021
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.5130
• Device Class: Class 2
• Attributes: Therapeutic, Pediatric

Indications for Use

Infant radiant warmers provide infrared heat in a controlled manner to neonates who are unable to thermoregulate based on their own physiology. Infant radiant warmers may be used to facilitate the neonate's transition to the external environment or to provide a controlled open environment. An optional integrated SpO2 monitoring feature may be used for continuous noninvasive monitoring of functional oxygen saturation of arterial hemoglobin (Sp02) and pulse rate (measured by a SpO2 sensor). An optional integrated resuscitation system may be used to provide the basic equipment required for pulmonary resuscitation of infants. Pulmonary resuscitation includes practices necessary to establish a clear airway and provide oxygen or air/oxygen mixtures and/or manual ventilation to the infant.

Device Story

Infant radiant warmer provides infrared heat to neonates; maintains thermal balance via direct radiation. Operates in Manual Mode (fixed heater power percentage) or Baby Mode (closed-loop control based on skin temperature probe). Optional integrated SpO2 monitoring and resuscitation system (airway management, oxygen delivery, manual ventilation). Used in clinical settings by healthcare providers. Modifications include strengthened bedside panels and metal latches to withstand mechanical forces from misuse. Output allows clinicians to monitor infant status and provide life-support interventions; benefits include stable thermal environment and immediate access to resuscitation equipment.

Clinical Evidence

No clinical data. Substantial equivalence supported by non-clinical bench testing, including mechanical verification (static load, fatigue, impact tests) and summative usability testing for the modified bedside panel.

Technological Characteristics

Infant radiant warmer; infrared heating source. Control modes: Manual (power percentage) and Baby (skin probe feedback). Modifications: metal bedside panel latches. Standards: AAMI/ANSI ES60601-1, IEC 60601-1-2, IEC 60601-2-21. Quality system: 21 CFR 820, ISO 13485.

Indications for Use

Indicated for neonates unable to thermoregulate; used to facilitate transition to external environment or provide controlled open environment. Optional features for SpO2/pulse rate monitoring and pulmonary resuscitation (airway clearance, oxygen/air delivery, manual ventilation).

Regulatory Classification

Identification

The infant radiant warmer is a device consisting of an infrared heating element intended to be placed over an infant to maintain the infant's body temperature by means of radiant heat. The device may also contain a temperature monitoring sensor, a heat output control mechanism, and an alarm system (infant temperature, manual mode if present, and failure alarms) to alert operators of a temperature condition over or under the set temperature, manual mode time limits, and device component failure, respectively. The device may be placed over a pediatric hospital bed or it may be built into the bed as a complete unit.

Special Controls

*Classification.* Class II (Special Controls):(1) The Association for the Advancement of Medical Instrumentation (AAMI) Voluntary Standard for the Infant Radiant Warmer; (2) A prescription statement in accordance with § 801.109 of this chapter (restricted to use by or upon the order of qualified practitioners as determined by the States); and (3) Labeling for use only in health care facilities and only by persons with specific training and experience in the use of the device.

Predicate Devices

• Panda Warmer, Giraffe Warmer (K122267)

Submission Summary (Full Text)

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left side of the logo is the seal of the Department of Health & Human Services. To the right of the seal is the FDA logo in blue, with the words "U.S. FOOD & DRUG" on the top line and "ADMINISTRATION" on the bottom line.

February 12, 2021

GE Healthcare Michelle Johnson Sr. Regulatory Affairs Leader 9900 Innovation Drive Wauwatosa, Wisconsin 53226

Re: K201628

Trade/Device Name: Panda iRes Warmer, Giraffe Warmer Regulation Number: 21 CFR 880.5130 Regulation Name: Infant Radiant Warmer Regulatory Class: Class II Product Code: FMT Dated: December 21, 2020 Received: December 22, 2020

### Dear Michelle Johnson:

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.

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

{1}------------------------------------------------

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 mediation-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 ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

For Payal Patel 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

{2}------------------------------------------------

## Indications for Use

510(k) Number (if known) K201628

Device Name Panda iRes Warmer , Giraffe Warmer

Indications for Use (Describe)

Infant radiant warmers provide infrared heat in a controlled manner to neonates who are unable to thermoregulate based on their own physiology. Infant radiant warmers may be used to facilitate the neonate's transition to the external environment or to provide a controlled open environment. An optional integrated SpO2 monitoring feature may be used for continuous nonitoring of functional oxygen saturation of arterial hemoglobin (Sp02) and pulse rate (measured by a SpO2 sensor). An optional integrated resuscitation system may be used to provide the basic equipment required for pulmonary resuscitation of infants. Pulmonary resuscitation includes practices necessary to establish a clear airway and provide oxygen or air/oxygen mixtures and/or manual ventilation to the infant.

| Type of Use (Select one or both, as applicable) |
|-------------------------------------------------|
|-------------------------------------------------|

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

#### CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

#### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff [e-mail]

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

{3}------------------------------------------------

# K201628 510(k) Summary

| In accordance with 21 CFR 807.92 the following summary of information is provided: | |
|------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Date: | February 12, 2021 |
| Primary Contact<br>Person: | Michelle Johnson<br>Sr. Regulatory Affairs Leader<br>Datex-Ohmeda, Inc.<br>9900 Innovation Drive<br>Wauwatosa, WI 53226<br>Phone: [phone]<br>Email: [e-mail] |
| Secondary Contact<br>Person: | Lee Bush<br>Regulatory Affairs Director<br>Datex-Ohmeda, Inc.<br>Phone: [phone]<br>Email: [e-mail] |
| Device Trade Name: | Panda iRes Warmer, Giraffe Warmer |
| Common/Usual Name: | Infant Warmer |
| Classification Names: | Warmer, Infant Radiant |
| Regulation | 21 CFR 880.5130 Infant radiant warmer. |
| Classification | II |
| Product Code: | FMT |
| Predicate Device: | Panda Warmer, Giraffe Warmer (K122267) |

{4}------------------------------------------------

| Indications for Use: | Infant radiant warmers provide infrared heat in a controlled manner to neonates who are unable to thermoregulate based on their own physiology. Infant radiant warmers may be used to facilitate the neonate's transition to the external environment or to provide a controlled open environment. An optional integrated SpO2 monitoring feature may be used for continuous noninvasive monitoring of functional oxygen saturation of arterial hemoglobin (Sp02) and pulse rate (measured by a SpO2 sensor). An optional integrated resuscitation system may be used to provide the basic equipment required for pulmonary resuscitation of infants. Pulmonary resuscitation includes practices necessary to establish a clear airway and provide oxygen or air/oxygen mixtures and/or manual ventilation to the infant. |
|-------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Comparison of<br>Intended Use | There is no change to the intended use of the Panda iRes Warmer or Giraffe Warmer. |

## 5.1 Device Description:

The Panda iRes Warmer and Giraffe Warmer are infant radiant warmers with a heating source intended to maintain the thermal balance of an infant patient by direct radiation of energy in the infrared region of the electromagnetic spectrum. This device also provides optional integrated SpO2 Monitoring and Resuscitation.

Radiant heat from an infrared heat source is focused onto the bed to warm the patient. The operator may select either the heater power or skin temperature control method. Depending on the control method selected, the heater is either regulated at the operator selected power level or the heater output is modulated to maintain the patient's temperature at the value selected by the operator.

The subject devices have two control modes, Manual Mode and Baby Mode. In the manual Mode, the warmer controls radiant heater output from a heater power percentage setting that you enter using the control panel. In baby mode, the warmer controls radiant heater output based on temperature readings from a probe attached to the baby's skin (skin temperature probe and the reflective probe patch) and a set temperature (set temp) you enter using the control panel.

## 5.2 Comparison of Technological Characteristics with the Predicate Device

The modified Panda iRes Warmer and Giraffe Warmer are infant radiant warmers

{5}------------------------------------------------

developed on the same platform as predicate Panada iRes Warmer and Giraffe Warmer (K122267). The proposed modifications to the Panda iRes Warmer and Giraffe Warmer include changes to strengthen the bedside panels and latches (including changing the material of the bedside panel latch from plastic to metal), to better withstand forces in the event of misuse by maneuvering the warmer by pulling the bedside panel wall. The bedside panel design is modified to accommodate the changed latch. These modifications to the bedside panel are mechanical in nature.

#### 5.3 Determination of Substantial Equivalence:

#### Summary of Non-Clinical Testing:

The following performance data was provided in support of the substantial equivalence determination:

#### Compliance with Voluntary Standards

The Panda iRes Warmer and Giraffe Warmer is designed and tested for compliance with the following performance standards:

- 1. AAMI / ANSI ES60601-1:2005/(R)2012 And A1:2012. C1:2009/(R)2012 And A2:2010/(R)2012 (Consolidated Text) Medical Electrical Equipment - Part 1: General Requirements For Basic Safety And Essential Performance (IEC 60601-1:2005, MOD)
- 2. AAMI / ANSI / IEC 60601-1-2 Edition 4.0 2014-02 Medical Electrical Equipment -- Part 1-2: General Requirements For Basic Safety And Essential Performance --Collateral Standard: Electromagnetic Disturbances -- Requirements And Tests
- 3. IEC 60601-2-21 Edition 2.1 2016-04, CONSOLIDATED VERSION Medical Electrical Equipment - Part 2-21: Particular Requirements For The Basic Safety And Essential Performance Of Infant Radiant Warmers [Including: Amendment 1 (2016)]

The Panda iRes and Giraffe Warmer was designed and is manufactured under the Quality System Regulations of 21CFR 820 and ISO 13485 and the following quality assurance measures were applied to the development of subject features:

- . Risk Analysis
- . Requirements Reviews
- Design Reviews .
- Performance Testing (Verification .
- . Safety/Reliability Testing (Verification)
- . Summative Usability Testing (Validation)

{6}------------------------------------------------

#### Verification and Validation Testing

The proposed device has successfully completed all testing per our quality system.

#### Non-Clinical Testing

Evaluations of safety and effectiveness of the modified bedside panel used controlled engineering test fixtures to substantiate the performance of the new panel to worstcase conditions. Various mathematical and statistical analyses were performed to demonstrate that each performance item was successfully verified. The type of test and method of verification are listed in the table below.

| Test Name | Verification<br>Method |
|-----------------------------------------------------------------------------------------------------------------------------------------|------------------------|
| South Door Pull Test (includes Wall 20N IEC Push Test) | Test |
| South Wall 660N Static Load Verification | Test |
| Impact Test - Door shock frame test per IEC 60601-1 – 15.3.5.c. | Test |
| Wall Threshold Test – Modified threshold test per IEC 60601-1 –<br>9.4.2.4.3 with operator pulling on wall instead of pushing on handle | Test |
| East and West side panels are interchangeable | Analysis |
| Wall Ergonomics – Caregiver Proximity | Analysis |
| Panel Corner Spacing | Analysis |
| Drawer Access | Analysis |
| Side Wall Removal | Analysis |
| Walls are Cleanable | 3rd Party Test |
| Reliability - Wall Latch / Bed Pin Wear Test | Test |
| Reliability - Wall Pull Fatigue Test | Test |
| Reliability - Wall Lean Push Fatigue – Wall in Up Position | Analysis |
| Reliability - Wall Knee Push Fatigue – Wall in Down Position | Test |

#### Animal Study

The Panda iRes Warmer and Giraffe Warmer did not require animal tests to support substantial equivalence.

#### Clinical Studies

The Panda iRes Warmer and Giraffe Warmer did not require clinical tests to support substantial equivalence.

#### Reprocessing

The device modifications have been validated for processing in accordance with recommended evaluations as listed in AAMI TIR12 and Guidance for Industry and FDA Staff -

{7}------------------------------------------------

Processing/Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling.

## Human Factors Analysis

The modifications to the Panda iRes Warmer and Giraffe Warmer required summative usability for the bedside panel instructions for use.

## Conclusion:

GE Healthcare considers the modified Panda iRes Warner and Giraffe Warmer to be as safe, as effective, and the performance to be substantially equivalent to the predicate device. Nonclinical tests have been summarized in the verification testing. The testing was completed with passing results per the acceptance criteria defined in the test cases. Based on development under GE Healthcare's quality system, the successful verification and engineering bench testing, GE Healthcare believes that the Panda iRes Warmer and Giraffe Warmer perform in a substantially equivalent manner to the predicate devices (K122267) and hence is safe and effective for its intended use.