K Number
K023381
Device Name
VISION HOLLOW FIBER OXYGENATOR WITH GUARDIAN COATING
Date Cleared
2003-03-31

(174 days)

Product Code
Regulation Number
870.4350
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Vision Hollow Fiber Oxygenator with Guardian™ Coating is indicated for use in procedures requiring the extracorporeal oxygenation of and carbon dioxide removal from human blood. It is designed to operate at a blood flow rate of one (1.0) to eight (8.0) liters per minute for periods of up to six (6.0) hours.
Device Description
The Gish Vision Hollow Fiber Oxygenator with Guardian™ Coating consists of a hollow fiber membrane oxygenator and extracorporeal heat exchanger. The hollow fiber membrane consists of a polypropylene gas permeable mat. The unique mat design increases the interaction between blood and gas, creating a highly efficient blood oxygenator. The heat exchanger consists of a one piece, stainless steel bellows configured heat exchanger as the primary element to effect heat exchange. This element is encased by a polycarbonate housing, which directs the blood through the outside convolutions of the stainless steel bellows, and therefore effects heat exchange while minimizing priming volume. All materials of the heat exchanger are biocompatible and coated with a proprietary coating. The device allows for trapping and removal of air. Oxygenated blood is delivered to the patient through the tubing and appropriate cannula. Blood flow is driven by a roller pump or centrifugal pump connected through the tubing. The Gish Vision Hollow Fiber Oxygenator with Guardian™ Coating may be purchased separately or pre-connected with tubing and other components of an extracorporeal circuit.
More Information

Not Found

No
The description focuses on the physical components and function of a blood oxygenator and heat exchanger, with no mention of AI or ML.

Yes
This device is used for extracorporeal oxygenation and carbon dioxide removal from human blood, which is a therapeutic intervention for patients requiring support for respiratory or cardiac function.

No

The device description indicates it is an "extracorporeal oxygenator" and "heat exchanger" used for oxygenating blood and removing carbon dioxide, which are therapeutic functions, not diagnostic ones.

No

The device description clearly outlines physical components such as a hollow fiber membrane oxygenator, extracorporeal heat exchanger, polypropylene gas permeable mat, stainless steel bellows, and polycarbonate housing. These are hardware components, not software.

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

Here's why:

  • Intended Use: The intended use clearly states "extracorporeal oxygenation of and carbon dioxide removal from human blood." This describes a process that happens outside the body to treat the blood, not a test performed on a sample of blood or other biological material to diagnose a condition.
  • Device Description: The description details a physical device that interacts directly with blood flow, including membranes, heat exchangers, and tubing. This is consistent with a therapeutic device used in a medical procedure, not a diagnostic test kit or instrument.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting analytes, or providing diagnostic information.

Therefore, the Vision Hollow Fiber Oxygenator with Guardian™ Coating is a therapeutic medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Vision Hollow Fiber Oxygenator is indicated for use in procedures requiring the extracorporeal oxygenation of and carbon dioxide removal from human blood. It is designed to operate at a blood flow rate of one (1.0) to eight (8.0) liters per minute for periods of up to six (6.0) hours.

Product codes

DTZ

Device Description

The Gish Vision Hollow Fiber Oxygenator with Guardian™ Coating consists of a hollow fiber membrane oxygenator and extracorporeal heat exchanger. The hollow fiber membrane consists of a polypropylene gas permeable mat. The unique mat design increases the interaction between blood and gas, creating a highly efficient blood oxygenator. The heat exchanger consists of a one piece, stainless steel bellows configured heat exchanger as the primary element to effect heat exchange. This element is encased by a polycarbonate housing, which directs the blood through the outside convolutions of the stainless steel bellows, and therefore effects heat exchange while minimizing priming volume. All materials of the heat exchanger are biocompatible and coated with a proprietary coating.

The device allows for trapping and removal of air. Oxygenated blood is delivered to the patient through the tubing and appropriate cannula. Blood flow is driven by a roller pump or centrifugal pump connected through the tubing. The Gish Vision Hollow Fiber Oxygenator with Guardian™ Coating may be purchased separately or pre-connected with tubing and other components of an extracorporeal circuit.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

human blood

Indicated Patient Age Range

Not Found

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

The Vision Hollow Fiber Oxygenator with Guardian™ Coating has been subjected to extensive safety, performance, and validations prior to release. Final testing for the systems includes various performance tests designed to ensure that the device meets all of its functional requirements and performance specifications. Safety tests have further been performed to ensure the device complies with applicable industry and safety standards.
A review of literature pertaining to the safety and effectiveness has been conducted. Appropriate safequards have been incorporated in the design of the Vision Hollow Fiber Oxygenator with Guardian™ Coating.
The conclusion drawn from these tests is that the Vision Hollow Fiber Oxygenator with Guardian™ Coating is equivalent in safety and efficacy to its predicated devices.

Key Metrics

Not Found

Predicate Device(s)

K961530

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

Summary

MAR 3 1 2003

This summary of 510(k)-safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR part 807.92.

1. Company making the submission:

CompanyorCorrespondent (contract):
Name:Gish BioMedical,Delphi Consulting Group
Address:Inc.11874 South Evelyn Circle
22942 Arroyo VistaHouston, TX 77071-3404
Rancho Santa
Telephone:Margarita713-723-4080 voice
CA 92688-2600775-429-9524 fax
Contact:949-635-6200 voiceharvey@delphiconsulting.com
949-635-6299 faxJ. Harvey Knauss
Edward F. WaddellConsultant
Director RA/QA

2. Device:

Proprietary Name:Vision Hollow Fiber Oxygenator with Guardian™ Coating
Common Name:Blood Oxygenator
Classification Name:Oxygenator, Cardiopulmonary Bypass

3. Predicate Devices:

Vision Hollow Fiber Oxygenator, Gish Biomedical, Inc., K961530.

4. Classifications Names & Citations:

21 CFR 870.4350, Oxygenator, Cardiopulmonary Bypass, Class II, DTZ, Cardiovascular.

5. Description:

The Gish Vision Hollow Fiber Oxygenator with Guardian™ Coating consists of a hollow fiber membrane oxygenator and extracorporeal heat exchanger. The hollow fiber membrane consists of a polypropylene gas permeable mat. The unique mat design increases the interaction between blood and gas, creating a highly efficient blood oxygenator. The heat exchanger consists of a one piece, stainless steel bellows configured heat exchanger as the primary element to effect heat exchange. This element is encased by a polycarbonate housing, which directs the blood through the outside convolutions of the stainless steel bellows, and therefore effects heat

1

exchange while minimizing priming volume. All materials of the heat exchanger are biocompatible and coated with a proprietary coating.

The device allows for trapping and removal of air. Oxygenated blood is delivered to the patient through the tubing and appropriate cannula. Blood flow is driven by a roller pump or centrifugal pump connected through the tubing. The Gish Vision Hollow Fiber Oxygenator with Guardian™ Coating may be purchased separately or pre-connected with tubing and other components of an extracorporeal circuit.

6. Indications for use:

The Vision Hollow Fiber Oxygenator is indicated for use in procedures requiring the extracorporeal oxygenation of and carbon dioxide removal from human blood. It is designed to operate at a blood flow rate of one (1.0) to eight (8.0) liters per minute for periods of up to six (6.0) hours.

7. Contra-indications:

For heparin coated oxygenators (HFOE), heparin has been reported, on rare occasions, to induce thrombocytopenia. Since patients undergoing cardiopulmonary bypass are routinely systemically heparinized, and although the amount of heparin contributed by this device is very small in comparison to the typical dose given, caution should be exercised when using this device in patients with known or suspected heparin sensitivity.

8. Comparison:

The Vision Hollow Fiber Oxygenator with Guardian ™ Coating has the same device characteristics as the Predicate devices.

9. Test Data:

The Vision Hollow Fiber Oxygenator with Guardian™ Coating has been subjected to extensive safety, performance, and validations prior to release. Final testing for the systems includes various performance tests designed to ensure that the device meets all of its functional requirements and performance specifications. Safety tests have further been performed to ensure the device complies with applicable industry and safety standards.

10. Literature Review:

A review of literature pertaining to the safety and effectiveness has been conducted. Appropriate safequards have been incorporated in the design of the Vision Hollow Fiber Oxygenator with Guardian™ Coating.

11. Conclusions:

The conclusion drawn from these tests is that the Vision Hollow Fiber Oxygenator with Guardian™ Coating is equivalent in safety and efficacy to its predicated devices.

2

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 3 1 2003

Gish Biomedical, Inc. c/o Mr. J. Harvey Knauss Delphi Consulting Group 11874 South Evelyn Circle Houston, TX 77071-3404

Re: K023381

Vision Hollow Fiber Oxygenator with Coating Regulation Number: 21 CFR 870.4350 Regulation Name: CPB Oxygenator Regulatory Class: Class II (two) Product Code: DTZ Dated: January 21, 2003 Received: January 23, 2003

Dear Mr. Knauss:

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.

3

Page 2 - Mr. J. Harvey Knauss

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. 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), 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) you may obtain. 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 vours.

Ara Hunkur for
Prem D. Zuckerman, M.D.

ram D. Fuckerman. N Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

510(k) Number K

Device Name: Vision Hollow Fiber Oxygenator with Guardian™ Coating

Indications for use:

The Vision Hollow Fiber Oxygenator with Guardian™ Coating is indicated for use in procedures requiring the extracorporeal oxygenation of and carbon dioxide removal from human blood. It is designed to operate at a blood flow rate of one (1.0) to eight (8.0) liters per minute for periods of up to six (6.0) hours.

Prescription Device:

Federal Law (US) restricts this device to sale by or on the order of a physician.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription UseOROver-The-Cour
(Division Sign-Off)
Division of Cardiovascular Devices
510(k) NumberK023381

(Per 21 CFR 801.109)

Over-The-Counter Use -----------

15