(186 days)
The Baxter Accura System is indicated for continuous solute and/or fluid removal in patients with acute renal failure or fluid overload. The Baxter Accura System may also be used in Therapeutic Plasma Exchange (TPE) therapies.
The Accura System hardware consists of blood pumps, scales and various monitoring detectors and alarms designed for Continuous Renal Replacement Therapy (CRRT) and Therapeutic Plasma Exchange Therapy. This device was developed to provide pump assisted Slow Continuous Ultrafiltration (SCUF), Continuous Veno-Venous Hemofiltration (CVVH), Continuous Veno-Venous Hemodialysis (CVVHD) and Continuous Veno-Venous Hemodiafiltration (CVVHDF); four modalities used for treating acute renal failure and/or fluid overload. Additionally, the Accura System was developed to provide the pump assisted Therapeutic Plasma Exchange (TPE) therapy.
The Baxter Accura System is a medical device for Continuous Renal Replacement Therapy (CRRT) and Therapeutic Plasma Exchange (TPE) therapies. The provided summary states "All functions of the Baxter Accura System were tested and validated according to design specifications. Based on the validation results, all functions meet their respective required specifications." However, specific numerical acceptance criteria and reported device performance metrics are not detailed in the provided document.
Therefore, the table below will reflect the general statement of compliance rather than explicit numbers.
1. Table of Acceptance Criteria and Reported Device Performance
| Acceptance Criteria | Reported Device Performance |
|---|---|
| Device functions meet design specifications | All functions meet their respective required specifications |
| Components of disposable tubing set meet biological requirements | Met ISO 10993-1: Biological Evaluation of Medical devices – Part: Guidance on selection of tests |
| Sterilization cycle validated | Based upon ANSI/AAMI/ISO 11135:1994 "Medical Devices - Validation and Routine Control of Ethylene Oxide Sterilization" |
| Compliance with applicable IEC 60601 standards | Meets IEC 60601-1, IEC 60601-1-1, IEC 60601-1-2, IEC 60601-1-4, and IEC 60601-2-16 |
2. Sample Size Used for the Test Set and Data Provenance
The document does not explicitly state the "sample size used for the test set" in terms of patient data or the number of units tested.
The validation was conducted on the "functions of the Baxter Accura System" and "components of the disposable tubing set," implying laboratory or engineering testing rather than human subject data.
Data Provenance: Not applicable as no clinical (human subject) data was used for performance validation. The validation appears to be entirely technical/engineering in nature.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications
Not applicable. The validation was based on engineering design specifications, biological requirements (ISO 10993-1), and sterilization standards (ANSI/AAMI/ISO 11135), and safety standards (IEC 60601), not on expert consensus regarding clinical ground truth.
4. Adjudication Method for the Test Set
Not applicable. There is no mention of an adjudication process as the validation was against predefined technical specifications and standards.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
No. The document explicitly states "Clinical Data: N/A". This device validation did not involve human readers or a comparative effectiveness study with or without AI assistance.
6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study
Not applicable. This device is a medical system for physical therapies (CRRT, TPE) and does not involve an algorithm with standalone performance metrics in the way an AI-driven diagnostic tool would. Its performance is related to its mechanical and electrical functions and compliance with safety standards.
7. Type of Ground Truth Used
The "ground truth" for this device's validation were:
- Design Specifications: All functions were tested and validated against their specific design requirements.
- International Standards:
- Biological requirements per ISO 10993-1.
- Sterilization cycle validation per ANSI/AAMI/ISO 11135:1994.
- Electrical safety and general standards per IEC 60601 series.
8. Sample Size for the Training Set
Not applicable. This product is a physical medical device (hardware and disposable tubing set) and its validation did not involve a "training set" in the context of machine learning or AI algorithms. The testing was for compliance with engineering specifications and regulatory standards.
9. How the Ground Truth for the Training Set Was Established
Not applicable, as there was no training set in the context of machine learning or AI. The "ground truth" for the device's development and validation was established through engineering design, international standards, and regulatory requirements.
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NOV 1 8 2002
Auge 1/2
510(K) SUMMARY
| Submitter's Name: | David E. Curtin, RAC |
|---|---|
| Address: | 1620 Waukegan Rd. MPGR-A2E |
| Phone: | (847) 473-6079 |
| Fax: | (847) 473-6952 |
| Contact: | David E. Curtin |
| Date Prepared: | 5/14/02 |
| Trade Name: | Baxter Accura System Therapy |
| Common Name: | Blood Pumping, Ultrafiltration Control and Fluid ReplacementSystem for Continuous Renal Replacement Therapy |
| Classification Name: | High Permeability Hemodialysis System per 21 CFR 876.5860 |
| Equivalent Predicate: | PRISMATM System (K993064, K981681, K946279)Diapact CRRT (K973322)Bm11 Blood Monitor Pump Disposable Tubing Set(K911315/A) |
| Device Description: | The Accura System hardware consists of blood pumps, scalesand various monitoring detectors and alarms designed forContinuous Renal Replacement Therapy (CRRT) andTherapeutic Plasma Exchange Therapy. This device wasdeveloped to provide pump assisted Slow ContinuousUltrafiltration (SCUF), Continuous Veno-VenousHemofiltration (CVVH), Continuous Veno-VenousHemodialysis (CVVHD) and Continuous Veno-VenousHemodiafiltration (CVVHDF); four modalities used fortreating acute renal failure and/or fluid overload. Additionally,the Accura System was developed to provide the pump assistedTherapeutic Plasma Exchange (TPE) therapy. |
| Intended Use: | The Baxter Accura System is indicated for continuous soluteand/or fluid removal in patients with acute renal failure or fluidoverload. The Baxter Accura System may also be used inTherapeutic Plasma Exchange (TPE) therapies. |
| Summary of theTechnologicalCharacteristicsCompared to the | The general design and material of the Baxter Accura Systemis similar to the PRISMAT™ CFM System currentlymarketed by Gambro Renal Care Products, and cleared underK993064, K981681 and K946279 and to the Diapact CRRTmachine marketed by B. Braun Medical and cleared underK973322. |
| Predicate Device: | The technological characteristics displayed by the subjectBaxter Accura System are similar to the predicate devices anddo not raise any new types of safety and effectiveness issues,when compared to the PRISMAT™ CFM System or DiapactCRRT. |
| Clinical Data: | N/A |
| Conclusions Drawnfrom Tests: | All functions of the Baxter Accura System were tested andvalidated according to design specifications. Based on thevalidation results, all functions meet their respective requiredspecifications. Additionally, components of the disposabletubing set have met the biological requirements of ISO 10993-1: Biological Evaluation of Medical devices – Part: Guidanceon selection of tests. The validation of the sterilization cyclefor the Baxter Accura System disposable tubing set is basedupon the ANSI/AAMI/ISO 11135:1994 "Medical Devices -Validation and Routine Control of Ethylene OxideSterilization".Additionally, the Baxter Accura™ System meets the followingapplicable IEC 60601 general and particular standards: IEC60601-1, IEC 60601-1-1, IEC 60601-1-2, IEC 60601-1-4, andIEC 60601-2-16. |
| Additional |
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KO21615
510(k) Premarket Notification Baxter Accura System Page 2 of 2
| Information | |
|---|---|
| Requested by FDA: | None to date |
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DEPARTMENT OF HEALTH & HUMAN SERVICES
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Image /page/2/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three lines forming its body and wings. The eagle is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA". The text is arranged in a circular fashion around the eagle.
NOV 1 8 2002
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
David E. Curtin, RAC Associate Director, Regulatory Affairs Renal Division Baxter Healthcare Corporation -1620 Waukegan Road MCGAW PARK IL 60085-6730 Re: K021615 Trade/Device Name: Baxter Accura System. Model 5M5660 Regulation Number: 21 CFR 876.5860 Regulation Name: High permeability hemodialysis system Regulatory Class: II Product Code: 78 KDI Dated: August 19, 2002 Received: August 20, 2002
Dear Mr. Curtin:
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 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 (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (sections 531-542 of the Act); 21 CFR 1000-1050.
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This letter will allow you to begin marketing your device as described in your 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), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter:
| 8xx.1xxx | (301) 594-4591 |
|---|---|
| 876.2xxx, 3xxx, 4xxx, 5xxx | (301) 594-4616 |
| 884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx | (301) 594-4616 |
| 892.2xxx, 3xxx, 4xxx, 5xxx | (301) 594-4654 |
| Other | (301) 594-4692 |
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" (21 CFR 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,
Henry C. Brogdon
Nancy C. Brogdon Director, Division of Reproductive. Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Indications for Use Statement
510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________
Device Name: Baxter Accura System for Continuous Renal Replacement Therapy
Indications For Use:
The Baxter Accura System is indicated for continuous solute and/or fluid removal in patients with acute renal failure or fluid overload. The Baxter Accura System may also be used in Therapeutic Plasma Exchange (TPE) therapies.
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Daniel A. Chapman
Division Signof Reproductive
Prescription Use
(Per 21 CFR 801.109)
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§ 876.5860 High permeability hemodialysis system.
(a)
Identification. A high permeability hemodialysis system is a device intended for use as an artificial kidney system for the treatment of patients with renal failure, fluid overload, or toxemic conditions by performing such therapies as hemodialysis, hemofiltration, hemoconcentration, and hemodiafiltration. Using a hemodialyzer with a semipermeable membrane that is more permeable to water than the semipermeable membrane of the conventional hemodialysis system (§ 876.5820), the high permeability hemodialysis system removes toxins or excess fluid from the patient's blood using the principles of convection (via a high ultrafiltration rate) and/or diffusion (via a concentration gradient in dialysate). During treatment, blood is circulated from the patient through the hemodialyzer's blood compartment, while the dialysate solution flows countercurrent through the dialysate compartment. In this process, toxins and/or fluid are transferred across the membrane from the blood to the dialysate compartment. The hemodialysis delivery machine controls and monitors the parameters related to this processing, including the rate at which blood and dialysate are pumped through the system, and the rate at which fluid is removed from the patient. The high permeability hemodialysis system consists of the following devices:(1) The hemodialyzer consists of a semipermeable membrane with an in vitro ultrafiltration coefficient (K
uf ) greater than 8 milliliters per hour per conventional millimeter of mercury, as measured with bovine or expired human blood, and is used with either an automated ultrafiltration controller or anther method of ultrafiltration control to prevent fluid imbalance.(2) The hemodialysis delivery machine is similar to the extracorporeal blood system and dialysate delivery system of the hemodialysis system and accessories (§ 876.5820), with the addition of an ultrafiltration controller and mechanisms that monitor and/or control such parameters as fluid balance, dialysate composition, and patient treatment parameters (e.g., blood pressure, hematocrit, urea, etc.).
(3) The high permeability hemodialysis system accessories include, but are not limited to, tubing lines and various treatment related monitors (e.g., dialysate pH, blood pressure, hematocrit, and blood recirculation monitors).
(b)
Classification. Class II. The special controls for this device are FDA's:(1) “Use of International Standard ISO 10993 ‘Biological Evaluation of Medical Device—Part I: Evaluation and Testing,’ ”
(2) “Guidance for the Content of 510(k)s for Conventional and High Permeability Hemodialyzers,”
(3) “Guidance for Industry and CDRH Reviewers on the Content of Premarket Notifications for Hemodialysis Delivery Systems,”
(4) “Guidance for the Content of Premarket Notifications for Water Purification Components and Systems for Hemodialysis,” and
(5) “Guidance for Hemodialyzer Reuse Labeling.”