K Number
K071854
Device Name
AQUADEX FLEXFLOW SYSTEM
Date Cleared
2007-09-07

(64 days)

Product Code
Regulation Number
876.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Aquadex FlexFlow™ System is indicated for: • Temporary (up to 8 hours) ultrafiltration treatment of patients with fluid overload who have failed diuretic therapy, and • Extended (longer than 8 hours) ultrafiltration treatment of patients with fluid overload who have failed diuretic therapy and require hospitalization. All treatments must be administered by a health care provider, under physician prescription, both of whom having received training in extracorporeal therapies.
Device Description
The Aquadex FlexFlow System removes excess fluid from the patient in fluid overload by ultrafiltration of blood across a hollow-fiber hemofilter at the clinician selected rate. The system is comprised on a console mounted on a cart, proprietary software and accessories (venous access catheters, extensions and a blood pump circuit). Patient access is obtained via either peripheral or central venous veins.
More Information

No
The document explicitly states "Mentions AI, DNN, or ML: Not Found" and the device description focuses on mechanical ultrafiltration and software for control, without mentioning any AI/ML capabilities.

Yes

The device is marketed for "temporary (up to 8 hours) ultrafiltration treatment" and "extended (longer than 8 hours) ultrafiltration treatment" for patients with fluid overload, actively treating a medical condition.

No
The Aquadex FlexFlow System is indicated for removing excess fluid (ultrafiltration treatment) from patients, which is a therapeutic treatment. It does not diagnose conditions.

No

The device description explicitly states the system is comprised of a console mounted on a cart, proprietary software, and accessories (catheters, extensions, blood pump circuit), indicating it includes significant hardware components beyond just software.

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

Here's why:

  • IVDs are used to examine specimens from the human body. The Aquadex FlexFlow System directly treats the patient by filtering their blood. It does not analyze samples taken from the patient.
  • The intended use describes a treatment. The system is used for "ultrafiltration treatment of patients with fluid overload." This is a therapeutic intervention, not a diagnostic test.
  • The device description details a blood filtration system. It describes a "hollow-fiber hemofilter" and a "blood pump circuit," which are components of an extracorporeal blood treatment system.

Therefore, the Aquadex FlexFlow System is a therapeutic medical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Aquadex FlexFlow™ System is indicated for:
• Temporary (up to 8 hours) ultrafiltration treatment of patients with fluid overload who have failed diuretic therapy, and
• Extended (longer than 8 hours) ultrafiltration treatment of patients with fluid overload who have failed diuretic therapy and require hospitalization.
All treatments must be administered by a health care provider, under physician prescription, both of whom having received training in extracorporeal therapies.

Product codes

KDI

Device Description

The Aquadex FlexFlow System removes excess fluid from the patient in fluid overload by ultrafiltration of blood across a hollow-fiber hemofilter at the clinician selected rate. The system is comprised on a console mounted on a cart, proprietary software and accessories (venous access catheters, extensions and a blood pump circuit). Patient access is obtained via either peripheral or central venous veins.

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

All treatments must be administered by a health care provider, under physician prescription, both of whom having received training in extracorporeal therapies.

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)

Regression testing was performed to verify and validate the software change and to generate data in support adding the UF 250blood circuit. Bench tests were performed to validate the incorporation of the UF 250 Blood Circuit. The data demonstrated the Aquadex FlexFlow System continues to be safe and effective

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

Not Found

Predicate Device(s)

K070512

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.”

0

¥071854

SEP - 7 2007

  • 2007

Page 11/1

Attachment C 510K Summary Safety and Effectiveness 510(k) Summary (Prepared on June 3rd, 2007)

This 510(k) Summary is submitted in accordance with 21 CFR 807.92.

Trade Names:Aquadex FlexFlow™ System
Manufacturer:CHF Solutions, Inc., Suite 170 - 7601 Northland Drive,
Brooklyn Park, MN 55428
Official
Contact:Chris Scavotto
QA Director
Telephone: 763-463-4621
Fax: 763-463-4606
Device
Generic Name:Ultrafiltration (Aquapheresis) System
Classification:High permeability dialysis systems - classified as Class II
Predicate
Devices:Aquadex FlexFlow System
(K070512)
Device
Description:The Aquadex FlexFlow System removes excess fluid from the patient in fluid
overload by ultrafiltration of blood across a hollow-fiber hemofilter at the
clinician selected rate. The system is comprised on a console mounted on a
cart, proprietary software and accessories (venous access catheters,
extensions and a blood pump circuit). Patient access is obtained via either
peripheral or central venous veins.
Indication
for Use:The Aquadex FlexFlow™ System is indicated for:
• Temporary (up to 8 hours) ultrafiltration treatment of patients with fluid
overload who have failed diuretic therapy, and
• Extended (longer than 8 hours) ultrafiltration treatment of patients with
fluid overload who have failed diuretic therapy and require hospitalization.
All treatments must be administered by a health care provider, under
physician prescription, both of whom having received training in
extracorporeal therapies.
Safety &
Performance:Regression testing was performed to verify and validate the software change
and to generate data in support adding the UF 250blood circuit. Bench tests
were performed to validate the incorporation of the UF 250 Blood Circuit. The
data demonstrated the Aquadex FlexFlow System continues to be safe and
effective
Conclusion:Based on the similar intended use, patient population, technology
characteristics, and performance as assessed with bench testing the alternate
UF 250 blood circuit (PN A1600) has been shown to be safe and effective, is
substantially equivalent and considered acceptable for the intended use.

1

Image /page/1/Picture/0 description: The image shows the logo for the Department of Health & Human Services (HHS) of the United States. The logo consists of a stylized graphic of an eagle or bird-like figure with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the graphic.

Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850

SEP - 7 2007

Mr. Chris Scavotto Director of Quality Assurance CHF Solutions, Inc. 7601 Northland Drive, Ste. 170 BROOKLYN PARK MN 55428

Re: K071854

Trade/Device Name: Aquadex FlexFlow™ System (Blood Circuit UF250) Regulation Number: 21 CFR §876.5860 Regulation Name: High permeability hemodialysis system Regulatory Class: II Product Code: KDI Dated: August 8, 2007 Received: August 10, 2007

Dear Mr. Scavotto:

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 devenes , 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 F F A may publish further announcements concerning your device in the Federal Register.

Image /page/1/Picture/10 description: The image is a circular seal or logo. The text "1906-2006" is at the top of the seal. The letters "FDA" are in the center of the seal, and the word "Centennial" is below the letters. There are stars around the perimeter of the seal.

Protecting and Promoting Public Health

2

Page 2 -

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.

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.xxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxx(Obstetrics/Gynecology)240-276-0115
21 CFR 894.xxx(Radiology)240-276-0120
Other240-276-0100

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 from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150

or at its Internet address http://www.fda.gov/cdrl/industry/support/index.html.

Sincerely yours.

Nancy C. Hogdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

INDICATIONS FOR USE STATEMENT (Page 1 of 1)

K07 | 854 510(k) Number (if known):

Device Name: Aquadex FlexFlow™ System

FDA's Statement of the Indication For Use for Device:

The Aquadex FlexFlow™ System is indicated for:

  • Temporary (up to 8 hours) ultrafiltration treatment of patients with fluid overload . who have failed diuretic therapy, and
  • Extended (longer than 8 hours) ultrafiltration treatment of patients with fluid . overload who have failed diuretic therapy and require hospitalization.

All treatments must be administered by a health care provider, under physician prescription, both of whom having received training in extracorporeal therapies.

(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
(Division Sign-Off)
Division of Reproductive, Abdominal, and Radiological Devices
510(k) NumberK091854

CHF Solutions, Inc. Aquadex FlexFlow UF 250 Blood Circuit