K Number
K081560
Device Name
VASCUTEK CANNULA GRAFT, MODEL CGS2008S
Manufacturer
Date Cleared
2009-02-10

(252 days)

Product Code
Regulation Number
870.4210
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This device is intended to be used in axillary arterial perfusion during cardiopulmonary bypass procedures. These devices are indicated for up to 6 hours of use.
Device Description
The Vascutek Cannula Graft is a modified device design. It is a combination of a Terumo Soft-Flow® Aortic Cannula (K934127) and a Vascutek SEALPTFE Wrap graft (K041528). It is intended for use in perfusion during cardiopulmonary bypass procedures. The reason for the modification is summarised as follows. Direct introduction of a cannula tip into a patient's blood vessel may cause tissue trauma during attachment of the patient to a cardiopulmonary bypass machine. Replacement of the cannula tip with a softer, SEALPTFE Wrap vascular graft, maybe less traumatic and be preferred by some surgeons. This is the design rationale for the Vascutek Cannula Graft. There are no new materials used in the Vascutek Cannula Graft, other than the use of medical grade adhesive to create the bond between the Terumo Soft-Flow® Cannula (K934127) and Vascuteks SEALPTFE Wrap graft (K041528). Both predicate devices use materials with an extensive history of use in cardiovascular and other medical applications and have been thoroughly tested historically for their respective 510(k) clearances. All materials used in the manufacture of the Vascutek Cannula Graft are biocompatible and non-toxic. The physical properties of the combined predicate devices i.e. the Terumo Soft-Flow® Aortic Cannula (K934127) and the Vascutek SEALPTFE Wrap graft (K041528) remain unchanged and the point of attachment of the component devices has been tested and shown to be suitable for the intended use. The Vascutek Cannula Graft is a finished product, provided sterile for single use only. The overall length of the Vascutek Cannula Graft is approximately 50 cm and the cannula and graft portions are both 8 mm in diameter. The Vascutek Cannula Graft is only available in a single model i.e. a CGS2008S.
More Information

No
The device description focuses on a physical modification of existing components and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

Yes
The device is used to facilitate axillary arterial perfusion during cardiopulmonary bypass procedures, which is a medical intervention intended to treat or manage a physiological condition.

No

This device is a surgical tool designed for use in axillary arterial perfusion during cardiopulmonary bypass procedures, aimed at reducing tissue trauma. It does not perform any diagnostic function.

No

The device description clearly describes a physical medical device, a combination of a cannula and a graft, intended for surgical use. There is no mention of software.

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

Here's why:

  • Intended Use: The intended use is for "axillary arterial perfusion during cardiopulmonary bypass procedures." This describes a surgical procedure involving the circulatory system, not the examination of specimens derived from the human body.
  • Device Description: The device is a combination of a cannula and a vascular graft, designed to be inserted into a blood vessel. This is a surgical implant/instrument, not a device used to test samples.
  • No mention of testing specimens: The entire description focuses on the physical properties, materials, and surgical application of the device. There is no mention of analyzing blood, tissue, or any other biological specimen.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information about a person's health. This device's function is to facilitate blood flow during surgery.

N/A

Intended Use / Indications for Use

"This device is intended to be used in axillary arterial perfusion during cardiopulmonary bypass procedures. These devices are indicated for up to 6 hours of use."

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

DWF

Device Description

The Vascutek Cannula Graft is a modified device design. It is a combination of a Terumo Soft-Flow® Aortic Cannula (K934127) and a Vascutek SEALPTFE Wrap graft (K041528). It is intended for use in perfusion during cardiopulmonary bypass procedures. The reason for the modification is summarised as follows. Direct introduction of a cannula tip into a patient's blood vessel may cause tissue trauma during attachment of the patient to a cardiopulmonary bypass machine. Replacement of the cannula tip with a softer, SEALPTFE Wrap vascular graft, maybe less traumatic and be preferred by some surgeons. This is the design rationale for the Vascutek Cannula Graft.

There are no new materials used in the Vascutek Cannula Graft, other than the use of medical grade adhesive to create the bond between the Terumo Soft-Flow® Cannula (K934127) and Vascuteks SEALPTFE Wrap graft (K041528). Both predicate devices use materials with an extensive history of use in cardiovascular and other medical applications and have been thoroughly tested historically for their respective 510(k) clearances. All materials used in the manufacture of the Vascutek Cannula Graft are biocompatible and non-toxic.

The physical properties of the combined predicate devices i.e. the Terumo Soft-Flow® Aortic Cannula (K934127) and the Vascutek SEALPTFE Wrap graft (K041528) remain unchanged and the point of attachment of the component devices has been tested and shown to be suitable for the intended use.

The Vascutek Cannula Graft is a finished product, provided sterile for single use only.

The overall length of the Vascutek Cannula Graft is approximately 50 cm and the cannula and graft portions are both 8 mm in diameter. The Vascutek Cannula Graft is only available in a single model i.e. a CGS2008S.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

axillary arterial

Indicated Patient Age Range

Not Found

Intended User / Care Setting

hospital operating theatres by suitably qualified surgeons

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)

Studies were undertaken, specifically to address the attachment site of the Terumo Soft-Flow® Cannula (K934127) and the Vascutek SEALPTFE Wrap graft (K041528). Testing consisted of tensile strength and leak testing. Results demonstrated that the strength of the attachment of the two combined devices was greater than the tensile strength of the predicate Terumo Soft-Flow® Cannula itself (K934127). No leakage was observed demonstrating equivalence to both predicate devices. These results were also demonstrated after 2 years accelerated ageing of the Vascutek Cannula Graft.

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.

K934127, K041528

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

§ 870.4210 Cardiopulmonary bypass vascular catheter, cannula, or tubing.

(a)
Identification. A cardiopulmonary bypass vascular catheter, cannula, or tubing is a device used in cardiopulmonary surgery to cannulate the vessels, perfuse the coronary arteries, and to interconnect the catheters and cannulas with an oxygenator. The device includes accessory bypass equipment.(b)
Classification. Class II (performance standards).

0

K081560

510(k) SUMMARY

FEB 1 0 2009

VASCUTEK CANNULA GRAFT

Date prepared: 20th of May 2008 Revised: 10th February 2009

Page 1 of 4

Common/Usual Name :Cardiopulmonary bypass vascular catheter, cannula, or tubing
Proprietary Name(s) :Vascutek Cannula Graft (Model Number: CGS2008S)
Classification Name :Catheter, Cannula and Tubing, Vascular, Cardiopulmonary
Bypass
Classification :The Food and Drug Administration has classified these devices
as Class II devices under classification 21 CFR 870.4210.
Classification, DWF.
Applicant and :
510(k) submitterKaren Kelso
Regulatory Affairs Manager
Vascutek Ltd.
Newmains Avenue
Inchinnan Industrial Estate
Renfrewshire, Scotland
PA4 9RR, United Kingdom
Phone: +44 (141) 814 5527
Fax: +44 (141) 814 3431

Device Predicates:

| Predicate Device
Name | Common Name | Classification | FDA Clearance
Date | 510(k) |
|---------------------------------|-----------------------------------------------------------------------|----------------|------------------------|---------|
| Terumo Soft-Flow®
Cannula | Cardiopulmonary
bypass vascular
catheter, cannula,
or tubing | Class II DWF | 22nd February
1994 | K934127 |
| Vascutek SEALPTFE
Wrap graft | Vascular graft,
prosthesis | Class II DSY | 14th September
2004 | K041528 |

Device Description:

The Vascutek Cannula Graft is a modified device design. It is a combination of a Terumo Soft-Flow® Aortic Cannula (K934127) and a Vascutek SEALPTFE Wrap graft (K041528). It is intended for use in perfusion during cardiopulmonary bypass procedures. The reason for the modification is summarised as follows. Direct introduction of a cannula tip into a patient's blood vessel may cause tissue trauma during attachment of the patient to a Replacement of the cannula tip with a softer, cardiopulmonary bypass machine

1

1

SEALPTFE Wrap vascular graft, maybe less traumatic and be preferred by some surgeons. This is the design rationale for the Vascutek Cannula Graft.

There are no new materials used in the Vascutek Cannula Graft, other than the use of medical grade adhesive to create the bond between the Terumo Soft-Flow® Cannula (K934127) and Vascuteks SEALPTFE Wrap graft (K041528). Both predicate devices use materials with an extensive history of use in cardiovascular and other medical applications and have been thoroughly tested historically for their respective 510(k) clearances. All materials used in the manufacture of the Vascutek Cannula Graft are biocompatible and non-toxic.

The physical properties of the combined predicate devices i.e. the Terumo Soft-Flow® Aortic Cannula (K934127) and the Vascutek SEALPTFE Wrap graft (K041528) remain unchanged and the point of attachment of the component devices has been tested and shown to be suitable for the intended use.

The Vascutek Cannula Graft is a finished product, provided sterile for single use only.

The overall length of the Vascutek Cannula Graft is approximately 50 cm and the cannula and graft portions are both 8 mm in diameter. The Vascutek Cannula Graft is only available in a single model i.e. a CGS2008S.

Intended Use:

The intended use of the Vascutek Cannula Graft is:

"This device is intended to be used in axillary arterial perfusion during cardiopulmonary bypass procedures. These devices are indicated for up to 6 hours of use".

This intended use is substantially equivalent to the intended use of the Terumo Soft-Flow® Aortic Cannula predicate device, K934127 i.e. arterial perfusion during cardiopulmonary bypass.

Principles of Operation and Technology:

Cardiopulmonary bypass temporarily takes over the function of the heart and lungs when patients are undergoing surgery. Cardiopulmonary bypass maintains the circulation of blood and the oxygen content of the patient's body. Cardiopulmonary bypass consists of two main functional units, the pump and the oxygenator, which removes oxygen deprived blood from a patient's body and replaces it with oxygen-rich blood through a series of tubes. Arterial cannulae are commonly used to enable connection of the patient to a cardiopulmonary bypass machine.

Performance:

Studies were undertaken, specifically to address the attachment site of the Terumo Soft-Flow® Cannula (K934127) and the Vascutek SEALPTFE Wrap graft (K041528). Testing consisted of tensile strength and leak testing. Results demonstrated that the strength of the attachment of the two combined devices was greater than the tensile strength of the

2

2

predicate Terumo Soft-Flow® Cannula itself (K934127). No leakage was observed demonstrating equivalence to both predicate devices. These results were also demonstrated after 2 years accelerated ageing of the Vascutek Cannula Graft.

Substantial Equivalence:

The Vascutek Cannula Graft is substantially equivalent in intended use, design and materials, performance, principles of operation and technology to the predicate devices, which are summarised below. This is shown comprehensively in Table 2, Section 10 of this pre-market notification.

Intended Use:

Vascutek's Cannula Graft and the Terumo Soft-Flow® Cannula predicate device (K934127) share the same intended use, i.e. both are indicated for arterial perfusion during bypass surgery for up to 6 hours.

The Vascutek Cannula Graft and both predicate devices are intended for prescription use only.

Design and Materials:

The design of the Vascutek Cannula Graft is the same as the predicate devices i.e. it is a combination of a Terumo Soft-Flow® Cannula and a Vascutek SEALPTFE Wrap graft. The only difference is the replacement of the PVC tip of the Terumo Soft-Flow® Cannula (K934127) with a Vascutek SEALPTFE Wrap graft (K041528). As stated previously, the replacement of the cannula tip with a softer, SEALPTFE Wrap vascular graft, maybe less traumatic and be preferred by some surgeons.

The materials of the Vascutek Cannula Graft are the same as the predicate devices i.e. PVC (Terumo Soft-Flow® Cannula) and gelatin sealed ePTFE (Vascutek SEALPTFE Wrap graft).

There are therefore no new materials other than the medical grade adhesive used at the point of attachment, which has undergone comprehensive biocompatibility testing, which demonstrates that it is biocompatible and non-toxic.

Performance:

Studies on the performance of the attachment site demonstrated that the strength of the attachment of the two combined devices was greater than the predicate Terumo Soft-Flow® Cannula itself (K934127). No leakage was observed demonstrating equivalence to both predicate devices. These results were also demonstrated after 2 years accelerated ageing of the Vascutek Cannula Graft.

3

3

Principles of Operation and Technology:

Both the Vascutek Cannula Graft and the predicate Terumo Soft-Flow® Cannula (K934127) are used in open heart surgery to return oxygenated blood to the patient.

The Vascutek Cannula Graft and both predicate devices are intended only for use in hospital operating theatres by suitably qualified surgeons.

The Vascutek Cannula Graft and both predicate devices are provided sterile by ethylene oxide for single use only.

Addition Information:

Vascutek Cannula Grafts are packaged using the same materials as those used for Vascuteks other vascular graft products and the Vascutek SEALPTFE Wrap graff predicate device (K041528).

Vascutek has conducted testing on aged and non-aged Vascutek Cannula Grafts to demonstrate stability of the materials and found the Vascutek Cannula Graft to be stable over the expiry of the product i.e. 2 years.

Substantial Equivalence Summary:

In summary, the Vascutek Cannula Graft is substantially equivalent in intended use, design and materials, performance, principles of operation and technology to the predicate devices

Conclusion:

In conclusion, the Vascutek Cannula Graft is substantially equivalent to the predicate devices in commercial distribution and results of non-clinical tests demonstrate that the device is as safe, as effective, and performs as well as the predicate devices.

Karari Kebo

Signature

Signature

10-2-09
Date

4

Image /page/4/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three stripes forming its wing and tail feathers. The eagle faces to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the left side of the logo.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 0 2009

Vascutek Ltd. c/o Ms. Karen Kelso Regulatory Affairs Manager Newmains Avenue Inchinnan Industrial Estate Renfrewshire, Scotland PA4 9RR, United Kingdom

Re: K081560

Vascutek Cannula Graft Regulation Number: 21 CFR 870.4210 Regulation Name: Catheter, Cannula and Tubing Vascular, Cardiopulmonary Bypass Regulatory Class: Class II (two) Product Code: DWF Dated: January 19, 2009 Received: January 22, 2009

Dear Ms. Kelso:

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.

5

Page 2 - Ms. Karen Kelso

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 (240) 276-0120. 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/cdrh/industry/support/index.html.

Sincerely yours,

Bram D. Zuckerman, M.D.

Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Indications for Use

510(k) Number (if known): Koll 1360

Device Name:

Vascutek Cannula Graft

Indications for Use:

This device is intended to be used in axillary arterial perfusion during cardiopulmonary bypass procedures. These devices 好 -are indicated for up to 6 hours of use.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

of _

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF

NEEDED)

Conqurrence of CDRH, Office of Device Evaluation (ODE) and and the comments of the states of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comm (Division Sign Off) Page __ Division of Caralovasoural Devices 510(k) Number 6081560

(Posted November 13, 2003)