(202 days)
No
The device description and intended use focus on physical components and chemical processes (ion exchange) for water purification, with no mention of AI or ML.
No
The device is described as supplying dialysis-grade water, which is a component of the dialysis process but not the therapeutic device itself. It is a water purification system, not a device that directly treats a medical condition.
No
This device, Aqua Pure's D.I. Exchange Tanks for Dialysis, is described as providing dialysis-grade water through ion exchange for use in dialysis and related systems. Its function is to purify water, not to diagnose a medical condition or disease.
No
The device description clearly states it is a physical tank filled with resin and includes hardware components like connectors, a head, standpipe, fill port, and distributor basket.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is to supply dialysis grade water for use in dialysis, concentrate preparation systems, dialyzer reuse systems, and rinsing of sterilants. This is a water purification system for medical procedures, not a device used to examine specimens derived from the human body to provide information for diagnosis, monitoring, or treatment.
- Device Description: The device is a water purification system using ion exchange resin. This aligns with its intended use as a water treatment component.
- Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
- Analyzing biological samples (blood, urine, tissue, etc.)
- Detecting or measuring analytes in biological samples
- Providing diagnostic information
- Using reagents or assays for biological analysis
The device is a component of a water treatment system used in a medical setting, but its function is to purify water, not to perform in vitro diagnostic testing.
N/A
Intended Use / Indications for Use
The Aqua Pure DI exchange tanks are used according to current AAMI standards (RD 62) and are intended to supply dialysis grade water, for use in dialysis, concentrate preparation systems, dialyzer reuse systems and rinsing of sterilants. The exchange tanks can be used for either primary water purification or to supply emergency backup water purification for dialysis units. The D.I. exchange tanks for dialysis are only one part of a complete water treatment system and must be used in conjunction within a water treatment system with appropriate pre-treatment and post-treatment.
Product codes
FIP
Device Description
Aqua Pure's D.I. Exchange Tanks for Dialysis are FRP tanks filled with mixed bed resin. Widget connectors are used in conjunction with a machined PVC schedule 80 head, stand pipe, fill port, and distributor basket. Our tanks are designed to supply AAMI standard water for dialysis through ion exchange. The D.I. exchange tanks are based on the Ameriwater Dialysis Deionizer Exchange Tanks K991519.
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)
Not Found
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s)
Ameriwater Dialysis Deionizer Exchange Tanks
Reference Device(s)
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information
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.
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K072158 - 510(k) Pre-market Notification D.I. Exchange Tanks for Dialysis
1. Submitter: Aqua Pure Staubach Barror Water systems Inc. FEB 21 2008 495 Rotterdam Ind. Park Schenectady, NY 12306 Contact Person: Jarrod Staubach V.P. / Quality Manager Tel:(518)355-4390 November 26, 2007 Date prepared: 2. Device name: D.I. Exchange Tanks for Dialysis. 3. Device Classification: Class II Medical Device under 21 CFR $876.5665 4. Predicate Device: Ameriwater Dialysis Deionizer Exchange Tanks
510(k) Summary
-
- Device Description: Aqua Pure's D.I. Exchange Tanks for Dialysis are FRP tanks filled with mixed bed resin. Widget connectors are used in conjunction with a machined PVC schedule 80 head, stand pipe, fill port, and distributor basket. Our tanks are designed to supply AAMI standard water for dialysis through ion exchange. The D.I. exchange tanks are based on the Ameriwater Dialysis Deionizer Exchange Tanks K991519.
-
- Indications for use: The Aqua Pure DI exchange tanks are used according to current AAMI standards (RD 62) and are intended to supply dialysis grade water, for use in dialysis, concentrate preparation systems, dialyzer reuse systems and rinsing of sterilants. The exchange tanks can be used for either primary water purification or to supply emergency backup water purification for dialysis units. The D.I. exchange tanks for dialysis are only one part of a complete water treatment system and must be used in conjunction within a water treatment system with appropriate pretreatment and post-treatment.
1
K472158
PAGE 2 OF 2
-
- Comparison with predicate device: Aqua Pure's D.I. Exchange Tanks for Dialysis are substantially equivalent to the currently marketed Ameriwater Dialysis Deionizer Tanks, and have not altered the fundamental scientific technologies or materials used in the predicate device. The intended use of the D.I. Exchange Tanks for Dialysis is the same as the intended use of the predicate device K991519.
| Tank parts and
manufacturers. | Ameriwater Dialysis
Deionizer Exchange
Service | Aqua Pure D.I. Exchange
Tanks for Dialysis |
|---------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|
| Tank type and manufacturer | FRP tanks manufactured from
Park International | FRP tanks manufactured from Park
International |
| Resin type and manufacturer | MBD-10 Resin manufactured by
ResinTech | MBD-10 Resin manufactured by
ResinTech |
| Audio alarm type | Resi-Lite 1 megohm audio/visual
alarm positioned between worker
and polisher | Resi-Lite 1 megohm audio/visual
alarm positioned between worker
and polisher |
| Interconnecting tubing | High purity PVC interconnecting
tubing | High purity PVC interconnecting
tubing |
| Connectors | Widget connectors made of
glass filled Noryl | Widget connectors made of
glass filled Noryl |
| Heads and fill plugs | PVC schedule 80 machined head
with PVC schedule 80 fill plug. | PVC schedule 80 machined head
with PVC schedule 80 fill plug. |
| Stand pipe and distributor
baskets | PVC schedule stand pipe and
distributor basket. | PVC schedule stand pipe and
distributor basket. |
2
DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle with three lines representing its wings.
FEB 2 1 2008
Food and Drug Administration 9200 Corporate Boylevard Rockville MD 20850
Mr. Jarrod J. Staubach Vice President/Quality Manager Staubach Barror Water Systems, Inc. (DBA: Aqua Pure) 495 Rotterdam Industrial Park SCHENECTADY NY 12306
K072158 Re:
Trade/Device Name: D.I. Exchange Tanks for Dialysis Regulation Number: 21 CFR §876.5665 Regulation Name: Water purification system for hemodialysis Regulatory Class: II Product Code: FIP Dated: January 2, 2008 Received: February 5, 2008
Dear Mr. Staubach:
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 Rederal Register.
3
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 fisting (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 Center for Devices and Radiological Health's (CDRH's) 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 | |
| Other | 240-276-0100 |
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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/cdrb/industry/support/index.html.
Sincerely vours.
Nancy C Brogdon
Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
4
Indications for Use
510(k) Number: K072158
Device Name: D.I. Exchange Tanks for Dialysis
Indications for Use: The Aqua Pure DI exchange tanks are used according to current AAMI standards (RD 62) and are intended to supply dialysis grade water, for use in dialysis, concentrate preparation systems, dialyzer reuse systems and rinsing of sterilants. The exchange tanks can be used for either primary water purification or to supply emergency backup water purification for dialysis units. The D.I. exchange tanks for dialysis are only one part of a complete water treatment system and must be used in conjunction within a water treatment system with appropriate pre-treatment and post-treatment.
Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR
Over-The-Counter Use (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
(vers 6/25/05)
Halut Reiner
(Division Sign-Off) Division of Reproductive, Abdominal and Radiological Devices 510(k) Number
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