Cleared Traditional

MODEL 10200 PREMATURE INFANT INCUBATOR (K862921) - FDA 510(k) Clearance

Class II General Hospital device cleared through predicate-based substantial equivalence - typically does not require clinical trials.

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Apr 1987
Decision
243d
Days
Class 2
Risk

K862921 is an FDA 510(k) clearance for the MODEL 10200 PREMATURE INFANT INCUBATOR. Classified as Warmer, Infant Radiant (product code FMT), Class II - Special Controls.

Submitted by Rotem Industries C/O Medsys, Inc. (Rutherford, US). The FDA issued a Cleared decision on April 1, 1987 after a review of 243 days - an extended review cycle.

This device falls under the General Hospital FDA review panel, regulated under 21 CFR 880.5130 - the FDA general hospital device framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: Standard predicate-based submission. Standard predicate reliance. This clearance follows a standard predicate-based equivalence path within the General Hospital review framework, consistent with the majority of Class II 510(k) submissions.

View all Rotem Industries C/O Medsys, Inc. devices

Submission Details

510(k) Number K862921 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received August 01, 1986
Decision Date April 01, 1987
Days to Decision 243 days
Submission Type Traditional
Review Panel General Hospital (HO)
Summary -
Third-party Review No - reviewed directly by FDA
Regulatory Context
Review time vs. panel average
114d slower than avg
Panel avg: 129d · This submission: 243d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

Device Classification

Product Code FMT Warmer, Infant Radiant
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 880.5130
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most General Hospital devices follow this clearance model.