K Number
K082515
Device Name
ASAHI REXEED-SX/LX DIALYZERS, MODELS: 13SX, 15SX, 18SX, 21SX, 25SX, 13LX, 15LX, 18LX, 21LX
Date Cleared
2008-10-03

(31 days)

Product Code
Regulation Number
876.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
A. REXEED-SX/LX Dialyzers is intended for use for hemodialysis treatment of patients who have chronic or acute renal failure. B. REXEED SX/LX Dialyzers must be used in accordance with the instructions for a physician familiar with hemodialysis and familiar with the conditions of the patient. C. REXEED SX/LX Dialyzers have been tested in vitro under single use conditions.
Device Description
The line of Asahi REXEED-SX/LX Dialyzers is a family of high permeability hollow fiber dialyzers intended for the treatment of patients with acute or chronic renal failure. REXEED-SX/LX Dialyzers are designed for single use. REXEED-SX/LX Dialyzers are constructed of hollow fiber (polysulfone) membranes, housed within a plastic casing of styrene-butadiene block copolymer and are subject to electron beam irradiation prior to shipment. This Special 510(k) describes the following modifications: - Change in wall thickness of the polysulfone REXEED-SX/LX hollow fibers to 35 um, compared to 45 um for the existing predicate APS/REXEED - Change in priming procedure to REXEED-SX/LX priming procedure (drytype) from APS/REXEED priming procedure (wet-type) - Change in sterilization type to electron beam irradiation REXEED-SX/LX Dialyzers, compared to gamma radiation for the existing predicate APS/REXEED - Change in use to REXEED-SX/LX is available for single use from APS/REXEED which is available for single use and reuse.
More Information

Not Found

No
The document describes a physical medical device (dialyzer) and modifications to its materials, manufacturing process, and intended use. There is no mention of software, algorithms, data processing, or any terms related to AI/ML.

Yes
The REXEED-SX/LX Dialyzers are intended for hemodialysis treatment of patients with renal failure, which is a therapeutic intervention.

No

Explanation: The device is a dialyzer used for hemodialysis treatment, which is a therapeutic process for renal failure. It does not mention any function related to diagnosing a condition or disease.

No

The device description clearly states it is a physical medical device (hollow fiber dialyzers) constructed of specific materials and subject to sterilization. It does not mention any software component.

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

Here's why:

  • Intended Use: The intended use is for "hemodialysis treatment of patients who have chronic or acute renal failure." This describes a therapeutic treatment performed on a patient, not a diagnostic test performed on a sample taken from a patient.
  • Device Description: The device is a "hollow fiber dialyzer" used in hemodialysis. This is a physical device that filters blood, not a reagent or instrument used to analyze a biological sample.
  • 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 specific substances (analytes) in those samples
    • Providing information for diagnosis, monitoring, or prognosis of a disease or condition

While the device is "tested in vitro under single use conditions," this refers to testing the performance of the device itself outside of a living organism, not performing a diagnostic test on a patient sample.

Therefore, the REXEED-SX/LX Dialyzer is a medical device used for treatment, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

  • REXEED-SX/LX Dialyzers is intended for use for hemodialysis treatment of patients who have chronic or acute renal failure.
  • REXEED SX/LX Dialyzers must be used in accordance with the instructions for a physician familiar with hemodialysis and familiar with the conditions of the patient.
  • REXEED SX/LX Dialyzers have been tested in vitro under single use conditions.

Product codes

KDI

Device Description

The line of Asahi REXEED-SX/LX Dialyzers is a family of high permeability hollow fiber dialyzers intended for the treatment of patients with acute or chronic renal failure. REXEED-SX/LX Dialyzers are designed for single use. REXEED-SX/LX Dialyzers are constructed of hollow fiber (polysulfone) membranes, housed within a plastic casing of styrene-butadiene block copolymer and are subject to electron beam irradiation prior to shipment.

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)

K001250, K041726, K051187

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.”

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K08251/5
1 of 2

A.0 510(k) Summary of Safety and Effectiveness

A.1 Submitter Information

OCT - 3 2008

Company Name and Address:Contact Name:
Asahi Kasei Kuraray Medical Company, Ltd.David L. West, PhD, MPH
9-1, Kanda MitoshirochoVice President, Medical Device Development
Chiyoda-ku, Tokyo 101-84821801 Rockville Pike, Suite 300
JapanRockville, MD 20852
Telephone: 301-272-3113
Fax: 301-272-004
Email: david.west@quintiles.com

A.2 Date Prepared: August 29, 2008

A.3 Name of Device

  • 3.1 Trade Name: Asahi REXEED-SX/LX Dialyzers
  • Common Name: High Flux Hemodialysis Membrane Dialyzer or High 3.2 Flux Hollow Fiber Dialyzer

3.3 Classification Name, Class, Product Code and Panel

| Classification Name and

Regulation NumberClassProduct CodePanel
High Permeability Hemodialysis
Systems, Title 21 Code of Federal
Regulations § 876.5860IIKDIGastroenterology
and Urology

A.4 Substantial Equivalence Claimed to Predicate Device

APS/REXEED, cleared for commercial distribution via 510(k) Premarket Notifications K001250 dated August 16, 2000; K041726 dated July 23, 2004; and K051187 dated June 8, 2005.

A.5 Device Description

The line of Asahi REXEED-SX/LX Dialyzers is a family of high permeability hollow fiber dialyzers intended for the treatment of patients with acute or chronic renal failure. REXEED-SX/LX Dialyzers are designed for single use. REXEED-SX/LX Dialyzers are constructed of hollow fiber (polysulfone) membranes, housed within a plastic casing of styrene-butadiene block copolymer and are subject to electron beam irradiation prior to shipment.

Company Confidential Page 49 of 104

1

Image /page/1/Picture/0 description: The image shows a handwritten text that reads "K082575 2 of 2". The text is written in a bold, black font, and the numbers are clearly visible. The phrase "2 of 2" indicates that this is the second page of a two-page document.

This Special 510(k) describes the following modifications:

  • 트 Change in wall thickness of the polysulfone REXEED-SX/LX hollow fibers to 35 um, compared to 45 um for the existing predicate APS/REXEED
  • Change in priming procedure to REXEED-SX/LX priming procedure (drytype) from APS/REXEED priming procedure (wet-type)
  • Change in sterilization type to electron beam irradiation REXEED-SX/LX Dialyzers, compared to gamma radiation for the existing predicate APS/REXEED
  • 트 Change in use to REXEED-SX/LX is available for single use from APS/REXEED which is available for single use and reuse.

A.6 Intended Use and Indications for Use

  • REXEED-SX/LX Dialyzers is intended for use for hemodialysis treatment 트 of patients who have chronic or acute renal failure.
  • REXEED SX/LX Dialyzers must be used in accordance with the instructions for a physician familiar with hemodialysis and familiar with the conditions of the patient.
  • 로 REXEED SX/LX Dialyzers have been tested in vitro under single use conditions.

Evaluation of Design Modifications A.7

As the basis for Asahi Kasei Kuraray Medical's device evaluation studies and overall process for managing medical device risk, the company has performed a risk analysis using procedures based on ISO 14971(2000) "Medical Devices - Application of Risk Management to Medical Devices". The risk analysis method used to assess the impact of the modification was Failure Modes and Effects Analysis (FMEA). Design verification tests based on the result of risk analysis and design input were performed to verify those modifications. All test results meet the acceptance criteria, and proved that those modifications to be appropriate.

A.8 Conclusion:

Asahi Kasei Kuraray Medical made modifications to the original APS/REXEED cleared under K001250 K041726 and K051187, resulting in the REXEED-SX/LX Dialyzers. The information and data provided in this Special 510(k) Premarket Notification establish that the REXEED-SX/LX is substantially equivalent in intended use/indications for use, design, principle of operation, technology, materials, specifications, and performance to the existing unmodified APS/REXEED cleared under K001250, K041726 and K051187.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized image of an eagle with three lines representing its wings.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Asahi Kasei Kuraray Medical Co., Ltd. % David L. West, Ph.D., MPH Vice President, Medical Device Development Quintiles Consulting 1801 Rockville Pike, Suite 300 ROCK VILLE MD 20852

OCT - 3 2008

Re: K082515

Trade/Device Name: Asahi REXEED-SX/LX Dialyzers Regulation Number: 21 CFR §876.5860 Regulation Name: High permeability hemodialysis system Regulatory Class: II Product Code: KDI Dated: August 29, 2008 Received: September 3, 2008

Dear Dr. West:

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

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 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). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometrics' (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/cdrh/industry/support/index.html.

Sincerely yours,

loque M. Whang

Joyce M. Whang, Ph.D. Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

K082515

Statement of Indications for Use 6.0

510(k) Number (if known): Unknown

Device Name: Asahi REXEED-SX/LX Dialyzers

Indications for Use:

  • A. REXEED-SX/LX Dialyzers is intended for use for hemodialysis treatment of patients who have chronic or acute renal failure.
  • B. REXEED SX/LX Dialyzers must be used in accordance with the instructions for a physician familiar with hemodialysis and familiar with the conditions of the patient.
  • C. REXEED SX/LX Dialyzers have been tested in vitro under single use conditions.

Prescription Use: X (21 CFR § 801 Subpart D) AND/OR Over-the-Counter Use: (21 CFR §07 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Huls Rem
(Division Sign-Off)

Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number

Special 510(k) - Asahi REXEED-SX/LX Dialyzers August 29, 2008

Company Confidential Page 22 of 104