K211125 - Syringe Pump
K211125 - Syringe Pump
K211125 - Syringe Pump
Dhiraj Bizzul
Sr. Manager, Regulatory Affairs
One Baxter Parkway
Deerfield, Illinois 60015
Re: K211125
Trade/Device Name: Novum IQ Syringe Pump
Regulation Number: 21 CFR 880.5725
Regulation Name: Infusion pump
Regulatory Class: Class II
Product Code: FRN, LZH
Dated: May 18, 2022
Received: June 1, 2022
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
801); medical device reporting (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-reporting-
combination-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-devices/medical-device-safety/medical-device-reporting-
mdr-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/medical-
devices/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-devices/device-advice-comprehensive-regulatory-
assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE
by email ([email protected]) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
Courtney H. Lias -S
Courtney H. Lias, Ph.D.
Office Director
OHT3: Office of GastroRenal, ObGyn,
General Hospital and Urology Devices
Office of Product Evaluation and Quality
Center for Devices and Radiological Health
Enclosure
DEPARTMENT OF HEALTH AND HUMAN SERVICES Form Approved: OMB No. 0910-0120
Food and Drug Administration Expiration Date: 06/30/2023
Indications for Use See PRA Statement below.
Device Name
Novum IQ Syringe Pump
The Novum IQ Syringe Pump is intended to deliver an infusion through the following clinically accepted routes of
administration: intravenous, arterial, enteral and subcutaneous.
The Novum IQ Syringe Pump is intended to be used in conjunction with legally marketed and compatible administration
sets, syringes, and medications provided by the user.
The Novum IQ Syringe Pump is suitable for patient care in hospitals and outpatient health care facilities.
The Novum IQ Syringe Pump is intended for use on adults, pediatrics and neonates.
The Novum IQ Syringe Pump is intended to aid in the reduction of operator interaction through guided programming,
including a way to automate the programming of infusion parameters and documentation of infusion therapies when
integrated with an Electronic Medical Record (EMR) system. This automation is intended to aid in the reduction of
programming errors.
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
[email protected]
“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.”
FORM FDA 3881 (6/20) Page 1 of 1 PSC Publishing Services (301) 443-6740 EF
510(k) Summary
Owner:
Contact Person:
Dhiraj Bizzul
Sr. Manager, Global Regulatory Affairs
35212 W. Illinois Route 120
Round Lake, IL 60073
Telephone: (847) 909-6828
Fax: (224) 270-4119
PREDICATE DEVICE:
The Novum IQ Syringe Pump is a general purpose, syringe-based, smart pump within the
Novum IQ infusion platform. The Novum IQ syringe pump offers various programmable
delivery modes to address specific patient care needs. The delivery modes available to
support the patient are determined by how the Novum IQ Syringe Pump and its
associated drug library are configured. The Novum IQ syringe pump is capable of
delivering fluids in syringes ranging in size from 1 mL – 60 mL.
The Novum IQ Syringe Pump is a system that provides delivery of fluids into a patient in
a controlled manner, as identified in 21 CFR 880.5725. The system includes a software
controlled, electromechanical syringe pump used for the controlled administration of
fluids including pharmaceutical drugs, parenteral nutrition, blood and blood products, and
enteral nutrition through compatible syringes and administration sets at user selectable
rates and volumes.
The Novum IQ Syringe Pump is intended to be used for the controlled administration of
fluids. These include pharmaceutical drugs, parenteral nutrition, blood and blood
products, and enteral nutrition. The Novum IQ Syringe Pump is intended to deliver an
infusion through the following clinically accepted routes of administration: intravenous,
arterial, enteral, and subcutaneous. The Novum IQ Syringe Pump is intended to be used
in conjunction with legally marketed and compatible administration sets, syringes, and
medications provided by the user.
The Novum IQ Syringe Pump is suitable for patient care in hospitals and outpatient
health care facilities. The Novum IQ Syringe Pump is intended for use on adults,
pediatrics, and neonates.
The Novum IQ Syringe Pump is intended to aid in the reduction of operator interaction
through guided programming, including a way to automate the programming of infusion
parameters and documentation of infusion therapies when integrated with an Electronic
Medical Record (EMR) system. This automation is intended to aid in the reduction of
programming errors. The Novum IQ Syringe Pump is intended to be used by trained
healthcare professionals.
The Novum IQ Syringe Pump is designed to detect and react to situations that could
impact patient safety. When a situation that could impact patient safety is detected, the
syringe infusion pump will notify the clinician with a visual alert and an audible alarm
tone.
The Novum IQ Syringe Pump is intended to be used for the controlled administration of
fluids. These include pharmaceutical drugs, parenteral nutrition, blood and blood
products, and enteral nutrition. The Novum IQ Syringe Pump is intended to deliver an
infusion through the following clinically accepted routes of administration: intravenous,
arterial, enteral, and subcutaneous. The Novum IQ Syringe Pump is intended to be used
in conjunction with legally marketed and compatible administration sets, syringes, and
medications provided by the user.
The Novum IQ Syringe Pump is suitable for patient care in hospitals and outpatient
health care facilities. The Novum IQ Syringe Pump is intended for use on adults,
pediatrics and neonates.
The Novum IQ Syringe Pump is intended to aid in the reduction of operator interaction
through guided programming, including a way to automate the programming of infusion
parameters and documentation of infusion therapies when integrated with an Electronic
Medical Record (EMR) system. This automation is intended to aid in the reduction of
programming errors. The Novum IQ Syringe Pump is intended to be used by trained
healthcare professionals.
DEVICE COMPARISON AND SUBSTANTIAL EQUIVALENCE:
Alarms Per IEC 60601-1-8 Not known The subject device is designed
according to current FDA recognized
standards. Both the subject and
predicate devices have similar alarms
and alarm priorities, as such, any
difference in alarm setting to the
predicate do not raise different
questions of the safety and
effectiveness.
Table 5. Comparison of Features/Functions and Performance Specifications
Drug Library Number of Care Areas: 32 Number of Care Areas: 16 While the devices have different
Capacity capacity, both allow for user defined
Number of Drugs: 5000 Number of Drugs: 4608 differentiation. This difference does
Number of Clinical Advisories: 800 Number of Clinical Advisories (Drug Alerts): not raise different questions of safety
Information Not Known and effectiveness.
Number of Modifiers: 1000
Number of Modifiers: N/A
Table 5. Comparison of Features/Functions and Performance Specifications
Storage Storage temperature: Store at controlled room temperature 15° to Functional and performance tests
Temperature 14 to 120°F (-10 to 49°C), 10 to 95% relative 30°C (59° to 86°F). support the storage conditions for the
humidity non-condensing subject device. These differences do
not raise different questions of safety
and effectiveness.
Approximate 102mm H x 240mm W x 161mm D 160x270x145 mm Human Factors studies support the
Size physical dimensions and Form Factor
for the subject device. These
differences do not raise different
questions of safety and effectiveness.
Approximate 2.8 kg (6.2lb) 4.5 lb Human Factors studies support the
Weight weight of the subject device. This
difference does not raise different
questions of safety and effectiveness.
Auto- Yes No The subject device allows automated
programming population of infusion delivery
information from an EMR in addition
to manually programming infusions
through the pump interface.
Automated data transfer using
establish protocols does not raise
different questions of safety and
effectiveness as infusion programming
is confirmed by the clinician prior to
starting an infusion.
Table 5. Comparison of Features/Functions and Performance Specifications
As recommended by FDA guidance, “Infusion Pumps Total Product Life Cycle” issued
December 2, 2014, Baxter has developed a Safety Assurance Case (SAC) to demonstrate
that hazardous situations resulting from the design, intended use, and reasonably
foreseeable misuse of the device have been appropriately mitigated.
The stated goal of the safety assurance case is to document that the design of the Novum
IQ Syringe Pump is adequately safe for its intended use. The assurance case defined the
device system, including the indications for use, patient populations, use environments,
and system specifications. The supporting assurance arguments confirmed that:
• potential risks have been mitigated and the residual risk is acceptable,
• design verification and validation of the device is acceptable,
• device reliability is acceptable,
• the device meets clinically valid essential performance.
Performance testing of the Novum IQ Syringe Pump was verified against requirements
for performance, physical attributes, environmental conditions, safety, and to provide
objective evidence that the device intended use is met.
• Validation demonstrated that design inputs and user needs were met. Verification
involves testing of both subsystem and system level requirements against pre-
defined and approved protocols containing validated test methods and established
acceptance criteria. System verification including software verification
demonstrated that design outputs meet design input requirements, connectivity
requirements, interface requirements and cyber security requirements. System
verification also includes testing of interfaces with other devices or accessories
that are intended to be used with the system.
• Cleaning and Disinfection validation was performed according to FDA Guidance
Reprocessing Medical Devices in Health Care Settings: Validation Methods and
Labeling issued March 17, 2015.
• Wireless functionality was implemented according to FDA Guidance Radio
Frequency Wireless Technology in Medical Devices, issued August 14, 2013.
• Software verification and validation was performed according to Guidance for the
Content of Premarket Submission for Software Contained in Medical Devices,
issued May 11, 2005 and Infusion Pumps Total Life Cycle, issued December 2,
2014. The software is considered a major level of concern. Software testing
included code review, static analysis, unit testing, integration testing, and
regression testing.
• Cybersecurity verification and information was performed and provided
according to FDA’s Guidance for Content of Premarket Submissions for
Management of Cybersecurity in Medical Devices, issued October 18, 2018, and
FDA’s draft Guidance Postmarket Management of Cybersecurity in Medical
Devices, issued December 28th 2016.
• Interoperability was assessed and testing in accordance with FDA’s Guidance on
Design Considerations and Pre-Market Submission Recommendations for
Interoperable Medical Device, issued September 6, 2017.
Electrical safety, EMC and essential performance testing was successfully completed
according to the following standards and associated methods:
CONCLUSION:
The Novum IQ Syringe Pump has been verified and validated against design input
requirements, user needs, and intended uses. The subject device is substantially
equivalent to the predicate device.
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