K Number
K020997
Device Name
APEX PH.I.S.I.O. ADULT HOLLOW FIBER MEMBRANE OXYGENATOR
Manufacturer
Date Cleared
2002-04-04

(7 days)

Product Code
Regulation Number
870.4350
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Apex Ph.I.S.I.O Adult Hollow Fiber Membrane Oxygenator is intended to be used in adult surgical procedures requiring extracorporeal gas exchange support and blood temperature control for periods of up to 6 hours.
Device Description
The Apex Ph.I.S.I.O Adult Hollow Fiber Membrane Oxygenator is a cardiopulmonary bypass blood oxygenator with an integral heat exchanger.
More Information

Not Found

No
The summary describes a physical medical device (oxygenator) and its performance testing, with no mention of software, algorithms, or AI/ML capabilities.

Yes.
The device provides extracorporeal gas exchange support, which is a therapeutic intervention for patients requiring cardiopulmonary bypass.

No

Explanation: The device is an oxygenator used for extracorporeal gas exchange and temperature control during surgical procedures, which is a therapeutic function, not a diagnostic one.

No

The device description clearly states it is a "cardiopulmonary bypass blood oxygenator with an integral heat exchanger," which are physical hardware components. The performance studies also describe testing of physical device characteristics like gas transfer, pressure drop, and mechanical integrity.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states the device is used in "adult surgical procedures requiring extracorporeal gas exchange support and blood temperature control." This describes a device used on the patient's blood outside the body during surgery, not a device used to test samples of blood or other bodily fluids in vitro (in a lab setting).
  • Device Description: The description as a "cardiopulmonary bypass blood oxygenator with an integral heat exchanger" further confirms its function in supporting the patient's circulation and gas exchange during surgery, not for diagnostic testing.
  • Lack of IVD Characteristics: There is no mention of analyzing samples, detecting analytes, or providing diagnostic information based on testing bodily fluids.

IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnostic, monitoring, or screening purposes. This device's function is to directly support physiological processes during surgery.

N/A

Intended Use / Indications for Use

The Apex Ph.I.S.I.O Adult Hollow Fiber Membrane Oxygenator is intended to be used in adult surgical procedures requiring extracorporeal gas exchange support and blood temperature control for periods of up to 6 hours.

Product codes

DTZ

Device Description

The Apex Ph.I.S.I.O Adult Hollow Fiber Membrane Oxygenator is a cardiopulmonary bypass blood oxygenator with an integral heat exchanger.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

adult

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

NONCLINICAL TEST RESULTS: Applicable tests were carried out in accordance with the requirements of ISO 10993-1:1997 and the FDA May 1, 1995 Memorandum on the use of the ISO 10993 standard for biocompatibility testing of raw materials. Tests were performed on devices accelerated aged to an equivalent of two years real time aging. Sterility, pyrogenicity, EO residuals and package integrity testing were also conducted. The results of testing met established specifications.

IN VITRO TEST RESULTS: In vitro testing was carried out in accordance with the requirements of ISO 7199 and the Guidance for Cardiopulmonary Bypass Oxygenators 510(k) submissions - Final Guidance for Industry and FDA Staff November 13, 2000 to provide the data necessary to demonstrate compliance of the predicate device with safety and effectiveness requirements. The D 903 Avant 2 Ph.I.S.I.O. Oxygenator was aged to 2 years and tested for gas transfer characteristics, pressure drop, plasma leakage data, operating blood volume, heat exchanger performance evaluation, hemolysis/cell depletion, mechanical integrity and leaking/flaking test. The results of these tests met established specifications. The modifications made to the Apex Ph.I.S.I.O. Oxygenator do not affect the performance of the device; therefore, the functional and biocompatibility parameters exhibited by D 903 Avant 2 Ph.I.S.I.O. apply to Apex Ph.I.S.I.O.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K014080, K020351

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.4350 Cardiopulmonary bypass oxygenator.

(a)
Identification. A cardiopulmonary bypass oxygenator is a device used to exchange gases between blood and a gaseous environment to satisfy the gas exchange needs of a patient during open-heart surgery.(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Guidance for Cardiopulmonary Bypass Oxygenators 510(k) Submissions.”

0

Special 510(k) March 27, 2002

APR - 4 2002
510(k) SUMMARY
SUBMITTER:Dideco S.p.A.
86, Via Statale 12 Nord
41037 Mirandola (MO) Italy
CONTACT PERSON:Luigi Vecchi
Phone: 011 39 0535 29811
Fax: 011 39 0535 25229
DATE PREPARED:March 27, 2002
DEVICE TRADE NAME:Apex Ph.I.S.I.O Adult Hollow Fiber
Membrane Oxygenator
COMMON NAME:Hollow Fiber Oxyenator
CLASSIFICATION NAME:Cardiopulmonary Bypass Oxygenator.
PREDICATE DEVICE:Apex Adult Hollow Fiber Membrane
Oxygenator (K014080)
Dideco D 903 Avant 2 Ph.I.S.I.O Adult
Hollow Fiber Oxygenator (K020351)

DEVICE DESCRIPTION:

The Apex Ph.I.S.I.O Adult Hollow Fiber Membrane Oxygenator is a cardiopulmonary bypass blood oxygenator with an integral heat exchanger.

INDICATION FOR USE:

The Apex Ph.I.S.I.O Adult Hollow Fiber Membrane Oxygenator is intended to be used in adult surgical procedures requiring extracorporeal gas exchange support and blood temperature control for periods of up to 6 hours.

TECHNOLOGICAL CHARACTERISTICS:

The Apex Ph.I.S.I.O Adult Hollow Fiber Membrane Oxygenator is identical in design, operating principles and control mechanisms to the Apex Adult Hollow Fiber Membrane Oxygenator predicate device. The only modification made to the device is the biocompatible phosphorylcholine coating treatment added to all blood contact surfaces. The fundamental scientific technology is unchanged from the predicate device. The coating is identical to the phosphorylcholine coating used on the D 903 Avant 2 Ph.I.S.I.O. predicate device. The oxygenator is ethylene oxide sterilized and has a nonpyrogenic fluid path. It is for single use only.

1

NONCLINICAL TEST RESULTS:

Applicable tests were carried out in accordance with the requirements of ISO 10993-1:1997 and the FDA May 1, 1995 Memorandum on the use of the ISO 10993 standard for biocompatibility testing of raw materials. Tests were performed on devices accelerated aged to an equivalent of two years real time aging. Sterility, pyrogenicity, EO residuals and package integrity testing were also conducted. The results of testing met established specifications.

IN VITRO TEST RESULTS:

In vitro testing was carried out in accordance with the requirements of ISO 7199 and the Guidance for Cardiopulmonary Bypass Oxygenators 510(k) submissions - Final Guidance for Industry and FDA Staff November 13, 2000 to provide the data necessary to demonstrate compliance of the predicate device with safety and effectiveness requirements. The D 903 Avant 2 Ph.I.S.I.O. Oxygenator was aged to 2 years and tested for gas transfer characteristics, pressure drop, plasma leakage data, operating blood volume, heat exchanger performance evaluation, hemolysis/cell depletion, mechanical integrity and leaking/flaking test. The results of these tests met established specifications. The modifications made to the Apex Ph.I.S.I.O. Oxygenator do not affect the performance of the device; therefore, the functional and biocompatibility parameters exhibited by D 903 Avant 2 Ph.I.S.I.O. apply to Apex Ph.I.S.I.O.

CONCLUSION:

The Apex Ph.I.S.I.O. is substantially equivalent to the predicate device. Biocompatibility studies demonstrate that the device is biocompatible according to its intended use. Additional testing has also demonstrated the effectiveness of production techniques to assure that Apex Ph.I.S.I.O. is sterile and non-pyrogenic.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR - 4 2002

Mr. Barry Sall, RAC Senior Regulatory Consultant DIDECO S.R.A. c/o Parexel International Corporation 195 West Street Waltham, MA 02451-1163

K020997 Re:

Trade Name: APEX PH.I.S.I.O. Adult Hollow Fiber Membrane Oxygenator Regulation Number: 21 CFR 870.4350 Regulation Name: Cardiopulmonary bypass oxygenator. Regulatory Class: Class II (two) Product Code: DTZ Dated: March 27, 2002 Received: March 28, 2002

Dear Mr. Sall:

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.

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 (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

3

Page 2 - Mr. Barry Sall, RAC

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 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4646. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained 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/dsma/dsmamain.html

Sincerely yours,

signature

Bram D. Zuckerman, M.D. Acting Director Division of Cardiovascular and Respiratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

510(k) Number (if known): - KOZO997

Device Name: APEX Ph.I.S.I.O. Adult Hollow Fiber Membrane Oxygenator.

Indications For Use:

The Apex Ph.I.S.I.O Adult Hollow Fiber Membrane Oxygenator is intended to be used in adult surgical procedures requiring extracorporeal gas exchange support and blood temperature control for periods of up to 6 hours.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division of Cardiovascula
510(k) Number K020997
Devices

Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter Use_

(Optional format 1-2-96)