K Number
K042797
Device Name
WRO 300 WATER PURIFICATION SYSTEM FOR HEMODIALYSIS
Date Cleared
2005-03-09

(152 days)

Product Code
Regulation Number
876.5665
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Gambro WRO 300 Water Purification System is intended to be used as a dialysis accessory device in conjunction with one dialysis machine to produce water used to prepare and dilute dialysis concentrate to form dialysis fluid by using the reverse osmosis concept.
Device Description
The Gambro WRO 300 water purification unit is designed to be used as a dialysis accessory device to produce water used to prepare and dilute dialysis concentrate to form dialysis fluid by using the reverse osmosis concept. It is intended for use in conjunction with one dialysis machine, provided that the input flow and pressure demands correspond to the output of the WRO 300 unit.
More Information

Not Found

No
The summary describes a water purification system using reverse osmosis, with no mention of AI or ML capabilities in its intended use, device description, or performance studies.

No
The device is a water purification system intended to be used as a dialysis accessory device, not a therapeutic device itself. Its function is to produce purified water for dialysis, rather than directly treat a medical condition.

No

Explanation: The device is described as a water purification system intended to produce water for dialysis fluid, acting as a dialysis accessory device. It does not perform any diagnostic functions like detecting, monitoring, or diagnosing diseases.

No

The device description clearly states it is a "water purification unit" and describes a physical process (reverse osmosis), indicating it is a hardware device with a physical function, not software only.

Based on the provided information, the Gambro WRO 300 Water Purification System is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to produce purified water for preparing dialysis fluid. This water is used in conjunction with a dialysis machine to treat a patient, not to perform a diagnostic test on a sample taken from a patient.
  • Device Description: The description reinforces the purpose of producing water for dialysis, again not for diagnostic testing.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in biological samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions

The device is clearly described as a dialysis accessory device that purifies water for use in the dialysis process. This is a therapeutic support function, not a diagnostic one.

N/A

Intended Use / Indications for Use

The Gambro WRO 300 Water Purification System is intended to be used as a dialysis accessory device in conjunction with one dialysis machine to produce water used to prepare and dilute dialysis concentrate to form dialysis fluid by using the reverse osmosis concept.

Product codes (comma separated list FDA assigned to the subject device)

FIP

Device Description

The Gambro WRO 300 water purification unit is designed to be used as a dialysis accessory device to produce water used to prepare and dilute dialysis concentrate to form dialysis fluid by using the reverse osmosis concept. It is intended for use in conjunction with one dialysis machine, provided that the input flow and pressure demands correspond to the output of the WRO 300 unit.

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

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

The Gambro WRO 300 water purification unit is designed to be used as a dialysis accessory device to produce water used to prepare and dilute dialysis concentrate to form dialysis fluid by using the reverse osmosis concept. It is intended for use in conjunction with one dialysis machine, provided that the input flow and pressure demands correspond to the output of the WRO 300 unit. Testing verified that the reverse osmosis method used in the WRO 300 produces purified water for use in Dialysis.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K811678

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 876.5665 Water purification system for hemodialysis.

(a)
Identification. A water purification system for hemodialysis is a device that is intended for use with a hemodialysis system and that is intended to remove organic and inorganic substances and microbial contaminants from water used to dilute dialysate concentrate to form dialysate. This generic type of device may include a water softener, sediment filter, carbon filter, and water distillation system.(b)
Classification. Class II (special controls). The device, when it is a water purification subsystem disinfectant, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

0

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS CAMBRO WRO 300(K) SUMMAN OF SHE ATION SYSTEM FOR HEMODIALYSIS 510(k) Number: __ K 042797_

MAR 9 - 2005

A. Submitter's Information

Name:Gambro Renal Products
Address:10810 West Collins Avenue
Lakewood, Colorado 80215
USA
Phone:303-542-5075
Fax:303-542-5138
Contact:Rod J. Rylands
Quality and Regulatory Director
Gambro Renal Products International Sales

B. Device Information

| Classification name: | Water Purification System For
Hemodialysis [21 CFR 876.5665] |
|------------------------------------|-----------------------------------------------------------------|
| Common or usual name: | Water Purification System For
Hemodialysis |
| Proprietary Name(s): | WRO 300 Water Purification System
For Hemodialysis |
| Product Code Classification Panel: | FIP/Gastroenterology-Urology |
| Device Classification: | Class II per 21 CFR 876.5665 |
| C. Predicate Device Information | |

Predicate Device Name:Gambro WRO 10-01
FDA Clearance:K811678

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510(K) SUMMARY OF SAFETY AND EFFECTIVENESS GAMBRO WRO 300 WATER PURIFICATION SYSTEM FOR HEMODIALYSIS 510(k) Number: _ Ko42797

D. Substantial Equivalence

The proposed Gambro WRO 300 Water Purification System is substantially Fire proposed Gambro WRO 10-01 Water Purification System. The current Cambro WRO 10-01 Water Purification System has been cleared for marketing / sale in the United States under 510K Notification – K811678.

E. Device Description

The Gambro WRO 300 water purification unit is designed to be used as a dialysis The Gallerice to produce water used to prepare and dilute dialysis concentrate aooosory arried to proving the reverse osmosis concept. It is intended for use in conjunction with one dialysis machine, provided that the input flow and pressure demands correspond to the output of the WRO 300 unit.

F. Indications For Use

The Gambro WRO 300 Water Purification System is intended to be used as a dialysis accessory device in conjunction with one dialysis machine to produce water used to prepare and dilute dialysis concentrate to form dialysis fluid by using the reverse osmosis concept.

G. Summary of Non-Clinical Tests Submitted

The Gambro WRO 300 water purification unit is designed to be used as a dialysis accessory device to produce water used to prepare and dilute dialysis concentrate to form dialysis fluid by using the reverse osmosis concept. It is intended for use in conjunction with one dialysis machine, provided that the input flow and pressure demands correspond to the output of the WRO 300 unit. Testing verified that the reverse osmosis method used in the WRO 300 produces purified water for use in Dialysis.

H. Summary of Clinical Tests Submitted - Not Applicable

signature

7 October 2004

Rod J. Rylands Quality and Regulatory Director Gambro Renal Products International Sales

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Image /page/2/Picture/2 description: The image shows a circular seal with text around the perimeter and a stylized bird in the center. The text around the perimeter appears to be the name of a government department or agency. The bird in the center has three lines extending from its head, possibly representing wings or feathers.

MAR 9 - 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Thomas B. Dowell Regulatory Project Manager Gambro® Renal Products 10810 W. Collins Avenue LAKEWOOD CO 80215

Re: K042797

Trade/Device Name: Gambro WRO 300 Water Purification System for Hemodialysis Regulation Number: 21 CFR §876.5665 Regulation Name: Water purification system for hemodialysis Regulatory Class: II Product Code: 78 FIP Dated: March 2, 2005 Received: March 4, 2005

Dear Mr. Dowell:

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 (Premarket Approval), 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 (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 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 one of the following numbers, based on the regulation number at the top of this letter:

21 CFR 876.xxxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxxx(Obstetrics/Gynecology)240-276-0115
21 CFR 892.xxxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). You may obtain other general information on your responsibilities under the Act 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/industry/support/index.html.

Sincerely yours,

Nancy C. Higdon

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)K042797
Device NameGambro WRO 300 Water Purification System
Indications for UseThe Gambro WRO 300 Water Purification System is intended to be used as a dialysis accessory device in conjunction with one dialysis machine to produce water used to prepare and dilute dialysis concentrate to form dialysis fluid by using the reverse osmosis concept.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801. 109)OROver-The-Counter Use
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(Division Sign-Off)Vance C. Bragdon
Division of Reproductive, Abdominal, and Radiological Devices
510(k) NumberK042797