Dose IQ Safety Software

K211124 · Baxter Healthcare Corporation · PHC · Aug 30, 2022 · General Hospital

Device Facts

• Record ID: K211124
• Device Name: Dose IQ Safety Software
• Applicant: Baxter Healthcare Corporation
• Product Code: PHC · General Hospital
• Decision Date: Aug 30, 2022
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.5725
• Device Class: Class 2
• Attributes: Software as a Medical Device

Intended Use

Dose IQ Safety Software is intended to be used with the Novum IQ Syringe Pump to support the controlled administration of fluids. Dose IQ Safety Software is intended to allow users to create and maintain drug libraries, including the configuration of pump settings for the Novum IQ Syringe Pump. Dose IQ Safety Software is intended to allow users to establish the facility-defined syringe list, which is a subset of Baxter's approved compatible syringes, for the Novum IQ Syringe Pump. Dose IQ Safety Software is intended to be used by licensed pharmacists. Dose IQ Safety Software is intended to be used in hospitals and outpatient health care facilities.

Device Story

Dose IQ Safety Software is a standalone, browser-based application installed on hospital computing platforms; used by pharmacists to create/configure facility-specific drug libraries and syringe lists for Novum IQ Syringe Pumps. Software does not directly control pumps; drug library files are transferred via USB or IQ Enterprise Gateway. Libraries define medication concentrations, dosing limits, and alarm configurations to implement Dose Error Reduction Systems (DERS). Pharmacists select syringe brands/sizes from a pre-approved, non-modifiable list provided by Baxter. Output is a digitally signed drug library file loaded onto the pump. Pump operates independently once loaded. System benefits include reduced medication errors through standardized, facility-defined limits and alerts.

Clinical Evidence

No clinical testing was performed. Evidence consists of bench testing, software verification/validation (functional, regression, smoke/sanity, code review, static analysis, unit testing), and human factors evaluation in a simulated clinical environment.

Technological Characteristics

Standalone browser-based software (Google Chrome); requires hospital-provided computing platform. Implements DERS via drug library configuration. Features include digital signature security, role-based access control, and audit logging. Complies with IEC 62366-1 for usability. Software level of concern: Major.

Indications for Use

Indicated for use by licensed pharmacists in hospitals and outpatient healthcare facilities to create and maintain drug libraries and facility-defined syringe lists for the Novum IQ Syringe Pump to support controlled fluid administration.

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

• Spectrum IQ Infusion System with Dose IQ Safety Software (K173084)

Submission Summary (Full Text)

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Baxter Healthcare Corporation Michelle Rixie Principal Specialist, Regulatory Affairs One Baxter Parkway Deerfield. Illinois 60015

August 30, 2022

### Re: K211124

Trade/Device Name: Dose IO Safety Software Regulation Number: 21 CFR 880.5725 Regulation Name: Infusion pump Regulatory Class: Class II Product Code: PHC Dated: July 25, 2022 Received: July 29, 2022

#### Dear Michelle Rixie:

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

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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 [phone] or 301-796-7100).

Sincerely,

Courtney H. Lias, Ph.D. Office Director OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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#### Indications for Use

510(k) Number (if known) K211124

Device Name Dose IQ Safety Software

Indications for Use (Describe)

Dose IQ Safety Software is intended to be used with the Novum IQ Syringe Pump to support the controlled administration of fluids.

Dose IQ Safety Software is intended to allow users to create and maintain drug libraries, including the configuration of pump settings for the Novum IQ Syringe Pump.

Dose IQ Safety Software is intended to allow users to establish the facility-defined syringe list, which is a subset of Baxter's approved compatible syringes, for the Novum IQ Syringe Pump.

Dose IQ Safety Software is intended to be used by licensed pharmacists.

Dose IQ Safety Software is intended to be used in hospitals and outpatient health care facilities.

| Type of Use (Select one or both, as applicable) | |
|---------------------------------------------------------------------------------|--------------------------------------------------------------------------------|
| <div> <span> ☑ Prescription Use (Part 21 CFR 801 Subpart D) </span> </div> | <div> <span> ☐ Over-The-Counter Use (21 CFR 801 Subpart C) </span> </div> |

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#### 510(k) Summary

August 25, 2022

#### OWNER:

Baxter Healthcare Corporation One Baxter Parkway Deerfield, Illinois 60015

### CONTACT PERSON:

Michelle Rixie Principal Specialist, Global Regulatory Affairs 32650 N Wilson Road Round Lake, IL 60073 Telephone: [phone] Fax: [phone]

### IDENTIFICATION OF THE DEVICE:

Trade/Device Name: Dose IQ Safety Software Common Name: Infusion Safety Management Software Classification Panel: General Hospital Regulation Number: 21 CFR 880.5725 Regulation Name: Infusion Pump Regulatory Class: Class II Product Code: PHC

#### Table 1. Catalogue Code for Dose IQ Safety Software

| Code Number | Name |
|-------------|-------------------------|
| DOSEIQW0001 | Dose IQ Safety Software |

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#### PREDICATE DEVICE:

The Dose IO Safety Software is substantially equivalent to the following predicate device:

| Device | Company | Predicate 510(k) | Clearance Date |
|--------------------------------------------------------------|----------------------------------|------------------|----------------|
| Spectrum IQ Infusion System<br>with Dose IQ Safety Software1 | Baxter Healthcare<br>Corporation | K173084 | May 11, 2018 |

#### Table 2. Predicate Device

## DESCRIPTION OF THE DEVICE:

Dose IQ is a standalone (not embedded in pumps) browser-based software application that is installed on a hospital-provided computing platform. It provides the hospital's pharmacists the ability to create and configure a facility-specific drug library file for the Novum IQ Syringe Pump. Dose IQ stores the created drug library for future transfer to an infusion pump that is compatible with the drug library file through the IQ Enterprise Gateway, or via a USB. It is intended to be used by multiple users simultaneously. Authorized users access the software though a Google Chrome web browser (build 76.0.3809.100 and above).

Creating a facility-specific drug library in Dose IO is one method to implement a Dose Error Reduction System (DERS) – a safety system intended to reduce medication errors. A hospital-defined drug library defines medications with individual concentrations, concentration limits, dosing units, dosing limits, alarm configuration settings, and administration requirements that are specific to each patient care area. Pump programming values are checked against these hospital-defined limits. The pump alerts clinicians if programmed values exceed these limits. Also included in the drug library are hospital-defined individual care area settings and general pump settings. DERS is not active when programming an infusion using Basic Mode, which requires the pump user to manually specify the parameters for the infusion on the pump, therefore only individual Care Area settings, general pump settings, and pump default settings apply.

Dose IQ does not directly interface with or control the compatible infusion pump. It solely provides the ability to create a drug library file that can then be loaded to the compatible infusion pump. Dose IO does not deploy the file to the pump; this is done by

⁴ Since this submission is limited to the Safety Software, equivalency is demonstrated only for the Safety Software referred to as "Spectrum IQ Infusion System with Dose IQ Safety Software" as predicate throughout this submission.

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USB media or the IQ Enterprise Gateway software. A copy of the drug library file is stored in each pump, so that the pump can operate without real-time interaction with other components of the Novum IQ Platform.

Baxter provides a list of syringe containers that are permissible with the Novum IQ Syringe pump based on specific syringe brands and sizes. The Approved Syringe List is available on Baxter's Technical Service Portal and must be uploaded into Dose IQ. The Approved Syringe List cannot be modified in Dose IQ. The pharmacist selects the required syringe brands and sizes from this Approved Syringe List to create the Facility Syringe List for use within the hospital. Dose IQ incorporates the Approved Syringe List and the Facility Syringe List as part of the drug library file for the Novum Syringe pump.

### INDICATIONS FOR USE:

Dose IQ Safety Software is intended to be used with the Novum IQ Syringe Pump to support the controlled administration of fluids. Dose IQ Safety Software is intended to allow users to create and maintain drug libraries, including the configuration of pump settings for the Novum IQ Syringe Pump. Dose IQ Safety Software is intended to allow users to establish the facility-defined syringe list, which is a subset of Baxter's approved compatible syringes, for the Novum IQ Syringe Pump. Dose IQ Safety Software is intended to be used by licensed pharmacists. Dose IQ Safety Software is intended to be used in hospitals and outpatient health care facilities.

## DEVICE COMPARISON AND SUBSTANTIAL EQUIVALENCE:

The Dose IQ Safety Software is substantially equivalent to the predicate device with regards to intended use, indications for use, design attributes, features, functions, and performance specifications. The following table provides a comparison summary.

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| Characteristic | Subject Device | Predicate Device (K173084)¹ | Discussion of Differences |
|-----------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for Use | Dose IQ Safety Software is intended to allow users to create and maintain drug libraries including the configuration of pump settings for the Novum IQ Syringe Pump. | N/A | The indications for the Predicate Device were developed for the infusion pump and safety software combined. As the subject device will be standalone safety software, indications for it have been specifically defined. The difference in wording does not raise different questions of safety or effectiveness. |
| | Dose IQ Safety Software is intended to allow users to establish the facility-defined syringe list, which is a subset of Baxter's approved compatible syringes, for the Novum IQ Syringe Pump | N/A | The subject device introduces a Syringe Library that is sent to the Novum IQ Syringe Pump as part of the Drug Library file to provide users a limited selection of only qualified disposables to be used with compatible Syringe Pumps. The syringe library file is a secure digitally signed file. The syringe library and its contents cannot be modified by the pharmacist in the Dose IQ Safety Software. The pharmacist only selects the required syringe brands and sizes from this approved syringe library to be used for the specific drug library being created. This change does not raise different questions of safety or effectiveness because the Syringe Library follows similar concepts of the Master Drugs in how drugs are assigned from preset Care Areas. |
| Use Environment | Dose IQ Safety Software is intended to be used in hospitals and outpatient health care facilities. | The Spectrum IQ Infusion System with Dose IQ Safety Software is suitable for a variety of patient care environments such as, but not limited to hospitals and outpatient care areas. | Both subject and predicate devices are suitable for hospitals and outpatient healthcare facilities; difference in wording does not raise different questions of safety or effectiveness. |
| Characteristic | Subject Device | Predicate Device (K173084)¹ | Discussion of Differences |
| Other Indications<br>for Use | Dose IQ Safety Software is<br>intended to be used by licensed<br>pharmacists. | The Spectrum IQ Infusion System<br>with Dose IQ Safety Software is<br>intended to be used by trained<br>healthcare professionals. | The indications for the Predicate Device were<br>developed for the infusion pump and safety software<br>combined. Intended users are also trained healthcare<br>professionals. The difference in wording does not<br>raise different questions of safety or effectiveness. |
| Infusion Delivery<br>Modes | Continuous<br>Amount/Time<br>Volume/Time | Same as subject device | N/A |
| System Basis | A browser-based application<br>requiring Google Chrome on the<br>compatible hardware | Microsoft Windows® 7(32 or 64-<br>bit) and Microsoft Windows®<br>10(64-bit) operating system<br>compatibility. | The subject device uses web browser technology that<br>can be accessed from any computer and is no longer a<br>product directly installed on Microsoft Windows. This<br>change does not raise different questions of safety or<br>effectiveness as both applications require access by<br>authenticated users. |
| Drug Library<br>Capacity | Number of Care Areas: 32<br>Number of Drugs: 5000 per pump<br>Number of Clinical Advisories:<br>800<br>Number of Modifiers: 1000 | Number of Care Areas: 32<br>Number of Drugs: 5000<br>Number of Clinical Advisories: 400<br>Number of Modifiers: 500 | Subject device supports increased capacity in the<br>areas of Clinical Advisories and Modifiers that aligns<br>with the capacity requirements for the compatible<br>infusion pump. These differences do not raise<br>different questions of safety or effectiveness. |
| Care Area Type | Standard<br>Anesthesia<br>Enteral Feeding<br>(only one Enteral Feeding Care<br>Area allowed) | Standard<br>Anesthesia | Subject device supports an additional Care Area Type<br>to facilitate use on the Syringe Pump as supported by<br>the Indications for Use. This difference does not raise<br>different questions of safety or effectiveness because<br>Baxter has already established different care area<br>types (Anesthesia and Standard), available within the<br>software to establish the relevant limits. |
| Characteristic | Subject Device | Predicate Device (K173084)¹ | Discussion of Differences |
| Character Limits | Care Area Name & Drug Name<br>20 characters<br>Name must be unique.<br>Clinical Advisory:<br>200 characters | Care Area Name & Drug Name<br>20 characters<br>Name must be unique.<br>Clinical Advisory:<br>7 lines or 175 characters | Subject device accommodates increased character<br>limits for clinical advisory content compared to the<br>predicate. This difference does not raise different<br>questions of safety or effectiveness. |
| Downstream<br>Occlusion<br>Pressure Setting | High<br>Medium High<br>Medium<br>Low<br>Very Low | High<br>Medium<br>Low | Subject device supports additional Downstream<br>Occlusion Pressure Settings to facilitate use on the<br>Syringe Pump. The additional settings align with the<br>requirements for the compatible infusion pump. This<br>difference does not raise different questions of safety<br>or effectiveness. |
| Downstream<br>Occlusion<br>Detection Speed | Normal<br>Rapid | N/A | Subject device supports Downstream Occlusion<br>Detection Speed settings to facilitate use on the<br>Syringe Pump as supported by the Indications for Use.<br>The additional settings align with the requirements for<br>the compatible infusion pump. This difference does<br>not raise different questions of safety or<br>effectiveness. |
| EMR Integration | On<br>Off | Same as subject device | N/A |
| Concentration<br>Type | Standard<br>Variable<br>mL mode | Fixed<br>Standard<br>Variable<br>mL mode | Fixed concentration type is not applicable for Syringe<br>Pump as this device automatically detects the fill<br>volume of the syringe container. This difference does<br>not raise different questions of safety or effectiveness. |
| Dose Modes | Continuous | Continuous<br>• mL/hr, mL/kg/min, mL/kg/hr | Predefined dose modes reduce manual calculations<br>required by clinicians. Additional dose modes align<br>with the requirements for the compatible infusion |
| Characteristic | Subject Device | Predicate Device (K173084)1 | Discussion of Differences |
| | mL/hr, mL/kg/min, mL/kg/hr g/hr mg/hr, mg/kg/hr, mg/min, mg/kg/min, mg/kg/day mcg/hr, mcg/kg/hr, mcg/min, mcg/kg/min, mcg/kg/day ng/min, ng/kg/min Units/hr, Units/kg/hr, Units/min, Units/kg/min MillionUnits/day mUnits/min, mUnits/kg/hr, mUnits/kg/min mEq/hr, mEq/kg/hr mmol/hr, mmol/kg/hr <b>Amount / Time</b><br>Non-weight-based: mg, Units, g, mcg, mEq, mmol, MillionUnits Weight based: mL/kg, mg/kg, Units/kg, g/kg, mcg/kg, mEq/kg, mmol/kg | g/hr mg/hr, mg/kg/hr, mg/min, mg/kg/min, mg/kg/day mcg/hr, mcg/kg/hr, mcg/min, mcg/kg/min, mcg/kg/day ng/min, ng/kg/min Units/hr, Units/kg/hr, Units/min, Units/kg/min mUnits/min, mUnits/kg/hr, mUnits/kg/min mEq/hr, mEq/kg/hr mmol/hr, mmol/kg/hr <b>Amount / Time</b><br>Non-weight-based: mL, mg, Units, g, mcg, mEq, mmol Weight based: mL/kg, mg/kg, Units/kg, g/kg, mcg/kg, mEq/kg, mmol/kg BSA based: mg/m², Units/m², g/m², mcg/m² | pump. The subject device continues to provide<br>continuous and intermittent infusions. These<br>differences do not raise different questions of safety<br>or effectiveness. |
| Characteristic | Subject Device | Predicate Device (K173084)1 | Discussion of Differences |
| | MillionUnits/kg BSA based: mg/m2, Units/m2, g/m2, mcg/m2, MillionUnits/m2 Volume / Time Total Volume / Total Time | Volume / Time<br>Total Volume / Total Time | |
| Bolus / Loading<br>Dose | Enable<br>Disable (default) | Same as subject device | N/A |
| Bolus/Loading<br>Dose Amount<br>limits and Time<br>Limits | Lower Hard, Lower Soft, Starting,<br>Upper Soft, Upper Hard<br>1 lower and 1 upper limit required<br>for Care Area Drug | Same as subject device | N/A |
| Characteristic | Subject Device | Predicate Device (K173084)¹ | Discussion of Differences |
| Max Line Flush | 0.1 to 10 mL<br>Applicable to Amount / Time and<br>Volume/Time Infusions | 1 to 100 mL<br>Applicable to Amount/Time drugs | Max Line Flush aligns with the requirements for the<br>compatible infusion pump. Subject device supports<br>expanded Max Line Flush to facilitate use on the<br>Syringe Pump as supported by the Indications for Use.<br>This difference does not raise different questions of<br>safety or effectiveness. |
| Clinical Advisory<br>Assignment | ●<br>per concentration<br>●<br>per modifier for all<br>concentrations<br>●<br>per drug for all<br>concentrations | ●<br>per modifier for all<br>concentrations<br>●<br>per drug for all<br>concentrations | Both devices provide clinical advisories, which are<br>optional and facility defined. Differences do not raise<br>different questions of safety or effectiveness. |
| Modifiers<br>assignment | 2 to 5 per drug | Same as subject device | N/A |
| Single Step Rate<br>Change | 20% to 500% (standard Care Area)<br>500% (Anesthesia Care Area)<br>Configurable increase limit<br>between 20% to<br>500% with an auto-calculated<br>decrease limit of 50%<br>of the increase limit, up to 99%<br>decrease (Standard Care Area)<br>Fixed increase limit of 500% and<br>decrease limit of 99%<br>(Anesthesia Care Area) | Same as subject device | N/A |
| Characteristic | Subject Device | Predicate Device (K173084)1 | Discussion of Differences |
| Audio Level<br>Alarm | High<br>Medium<br>Low<br>Use Pump Settings | Same as subject device | N/A |
| Near Empty<br>Alarm | Syringe Near Empty:<br>On, [1,5,10,30,60,90,120 mins]<br>Off | Bag Near Empty:<br>On, 30 minutes<br>Off<br>Use Pump Settings | Syringe Near Empty Alarm was added to facilitate use<br>with the Syringe Pump. Both the subject and predicate<br>device require the user to correct the condition to<br>proceed. Both the subject and predicate have the same<br>default time setting. The additional settings align with<br>the requirements for the compatible infusion pump.<br>These differences in the available setting options do<br>not raise different issues of safety and effectiveness. |
| Maximum Keep<br>Vein Open (KVO)<br>Rate | 0.01 to 5 mL/hr | 0.5 to 50 mL/hr | Syringe KVO Rate was added to facilitate use with<br>the Syringe Pump. The KVO feature is intended for<br>use when delivering a series of infusions to a patient,<br>and the delivery site must remain patent between the<br>end of one infusion and the beginning of the<br>next. Lower end of KVO rate configuration aligns<br>with flow rate range of the compatible pump.<br>The different range does not raise different questions<br>and safety or effectiveness. |

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| Characteristic | Subject Device | Predicate Device (K173084)1 | Discussion of Differences |
|----------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Passcodes | Keypad Lock Passcode:<br>On<br>Off<br>Custom (3 to 4 digits)<br>Anesthesia Passcode:<br>For Anesthesia Care Area Type<br>On<br>Off<br>Custom (2- 6 digits) required<br>Biomed Passcode:<br>N/A - Established via User Lists | Keypad Lock Passcode:<br>On<br>Off<br>Custom (3 to 4 digits)<br>Anesthesia Passcode:<br>N/A<br>Biomed Passcode:<br>Level 1, 4 - 8 digits<br>Level 2, 4- 8 digits.<br>Level 2 only available when<br>enabled by hospital administrator | Keypad in predicate and subject devices can only be<br>locked while the infusion is running. Subject device<br>introduces customizable lock code for Anesthesia care<br>area restricting access to authorized personnel.<br>Subject device provides Hospital administrators the<br>ability to establish a single hospital wide passcode.<br>This customizable passcode provides an added level<br>of security by restricting access to only authorized<br>personnel when accessing Anesthesia care<br>areas. Regarding Biomed Passcode, both predicate<br>and subject devices prevent unauthorized access to<br>non-clinical functions.<br>These differences do not raise different questions of<br>safety or effectiveness. |
| Certificates | Required | Optional | Both devices use certificates to prevent tampering.<br>Differences do not raise different questions of safety<br>and effectiveness. |

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| Characteristic | Subject Device | Predicate Device (K173084)1 | Discussion of Differences |
|--------------------------|--------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------|
| Available Rate<br>Limits | Upper Hard Limit must be greater than or equal to Upper Soft Limit. | Upper Hard Limit must be greater than or equal to Upper Soft Limit. | Operational ranges are controlled by the respective compatible infusion pump. This change does not raise different questions of safety or effectiveness. |
| | Upper Soft Limit must be greater than or equal to a Starting Rate. | Upper Soft Limit must be greater than or equal to a Starting Rate. | |
| | Starting Rate must be greater than or equal to a Lower Soft Limit. | Starting Rate must be greater than or equal to a Lower Soft Limit. | |
| | Lower Soft Limit must be greater than or equal to a Lower Hard Limit. | Lower Soft Limit must be greater than or equal to a Lower Hard Limit. | |
| | Lower Hard Limit must be less than or equal to a Lower Soft Limit | Lower Hard Limit must be less than or equal to a Lower Soft Limit | |
| | All Rates and Drug Library Limits must fall within the operational range of the compatible pump. | All Rates and Drug Library Limits must fall within Spectrum Pump operational range of 0.5 to 999 mL/hr. | |

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| Characteristic | Subject Device | Predicate Device (K173084)¹ | Discussion of Differences |
|----------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Security Roles | Drug Library Roles (customer) Read only User Full Access User Administrati…