K Number
K021287
Date Cleared
2002-05-07

(14 days)

Product Code
Regulation Number
870.4400
Panel
CV
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Trillium™ AFFINITY NT CVR with Trillium BioPassive Surface is indicated for use in the extracorporeal perfusion circuit to collect venous and Cardiotomy suctioned blood during cardiopulmonary bypass procedures.

Device Description

The Trillium™ AFFINITY NT CVR with Trillium BioPassive Surface is a hardshell collection reservoir for venous blood and for blood recovered from Cardiotomy ouction room of for renease ices. The blood recovered by intracardiac suction ouslow and venthoular devices enters the reservoir through the top and passes through a filter media. The design of the reservoir is such that if, under normal operating a lume of less than 1000ml and if there is no foaming of the recovered blood, there is no blood contact with the open cell polyurethane defoamer. Venous there to ho blood comugh the top of the reservoir and is mixed with the filtered blood. As with the recovered Cardiotomy blood, under normal operating volume of less than 1000ml if there is no foaming of the venous blood entering the reservoir, there is no blood contact with the defoamer.

AI/ML Overview

Here's an analysis of the provided information, structured according to your request:

1. Table of Acceptance Criteria and Reported Device Performance

The provided text for K021287 does not explicitly state specific acceptance criteria in terms of numerical performance thresholds (e.g., a certain percentage of accuracy, sensitivity, or specificity). Instead, it relies on a determination of "substantial equivalence" to a predicate device.

However, based on the determination of substantial equivalence, we can infer the implicit "acceptance criteria" are that the new device, Trillium™ AFFINITY NT CVR with Filter with Trillium BioPassive Surface, performs at least as safely and effectively as the predicate devices and does not raise new safety or effectiveness concerns.

Acceptance Criterion (Inferred)Reported Device Performance
Biocompatibility: No significant adverse biological effects compared to predicate."The biocompatibility [...] demonstrated that when compared to the predicate devices, the Trillium™ AFFINITY NT CVR does not significantly affect safety and effectiveness."
In vitro Bench Testing: Performance (e.g., blood collection, filtration, defoaming) is comparable to predicate, with no new safety/effectiveness concerns."The [...] in vitro bench testing demonstrated that when compared to the predicate devices, the Trillium™ AFFINITY NT CVR does not significantly affect safety and effectiveness."
Substantial Equivalence: No new technological characteristics that raise new types of safety or effectiveness questions, and existing ones are assessed by acceptable scientific methods."The Trillium™ AFFINITY NT CVR has 'no new technological characteristics (e.g., materials and manufacturing processes)' from the currently marketed Cardiotomy/Venous Reservoir."
"This technological characteristic 'could affect the safety and effectiveness of the device'. However, these 'technological characteristics do not raise new types of safety or effectiveness questions'. In addition, 'there are acceptable scientific methods which exist for assessing effects of these new technological characteristics'."
"Performance data [...] demonstrate that the Trillium™ AFFINITY NT CVR is substantially equivalent to other marketed extracorporeal cardiopulmonary bypass devices."

2. Sample Size Used for the Test Set and Data Provenance

The provided summary does not specify a sample size for a test set in clinical trials or performance studies involving human subjects. The evaluation appears to be based on biocompatibility and in vitro bench testing.

  • Sample Size: Not specified for any "test set" in the context of clinical performance. The testing mentioned is "biocompatibility and in vitro bench testing."
  • Data Provenance: Not explicitly stated, but the submission is for a US FDA 510(k) clearance, implying the testing was conducted to US regulatory standards. It's likely a combination of preclinical lab studies. The text does not indicate retrospective or prospective clinical data.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

This information is not applicable or provided in the context of this 510(k) submission. The device is a physical medical device (venous reservoir), not an AI/diagnostic software. Therefore, there's no "ground truth" establishment by experts in the typical diagnostic sense. The "ground truth" for material compatibility and functional performance would be established through established scientific and engineering testing protocols.

4. Adjudication Method for the Test Set

This is not applicable or provided. As stated above, this is a physical medical device, and the evaluation relies on biocompatibility and bench testing, not expert adjudication of diagnostic outcomes.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No, an MRMC comparative effectiveness study was not done. This type of study is typically performed for diagnostic devices or AI systems where human readers interpret medical images or data. The device in question is a component of an extracorporeal perfusion circuit.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

No, a standalone performance study in the context of an algorithm or AI system was not done. This device is a physical medical device.

7. The Type of Ground Truth Used

The "ground truth" for this device's evaluation is primarily based on:

  • Established scientific and engineering metrics: For biocompatibility (e.g., cytotoxicity, hemocompatibility, sensitization testing) and in vitro bench testing (e.g., flow rates, filtration efficiency, defoaming effectiveness, structural integrity).
  • Comparison to predicate device performance: The "ground truth" for safety and effectiveness is largely anchored to the established performance profile of the predicate devices. If the new device performs equivalently or better in these established tests, it meets the "ground truth" for substantial equivalence.

8. The Sample Size for the Training Set

This information is not applicable or provided. The device is a physical product, not a machine learning model, so there is no "training set" in this context.

9. How the Ground Truth for the Training Set Was Established

This information is not applicable or provided. As there is no training set for a machine learning model, there is no ground truth established for one.

§ 870.4400 Cardiopulmonary bypass blood reservoir.

(a)
Identification. A cardiopulmonary bypass blood reservoir is a device used in conjunction with short-term extracorporeal circulation devices to hold a reserve supply of blood in the bypass circulation.(b)
Classification. Class II (special controls), except that a reservoir that contains a defoamer or filter is classified into the same class as the defoamer or filter. The device, when it is a cardiopulmonary bypass blood reservoir that does not contain defoamers or blood filters, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.