(83 days)
No
The device description and performance studies focus on mechanical filtration and physical properties, with no mention of AI/ML terms or functionalities.
No.
The device facilitates air bubble removal from blood in a cardiopulmonary bypass circuit, which is a supportive function rather than directly treating a medical condition or disease within the body.
No
The device is described as facilitating air bubble removal from blood in a cardiopulmonary bypass circuit, and its performance evaluations focus on functional equivalence for this purpose (e.g., air removal efficiency, hemolytic effect, pressure drop). It does not mention any function related to diagnosing a condition or disease.
No
The device description clearly outlines physical components like a housing, lid assembly, ports, and a screen filter, indicating it is a hardware device.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is to "facilitate air bubble removal from the blood flowing through a cardiopulmonary bypass circuit." This is a therapeutic or supportive function within a medical procedure, not a diagnostic test performed on a sample outside the body.
- Device Description: The description details a physical device designed to filter blood within a circuit. It doesn't describe components or processes typically associated with in vitro diagnostic testing (e.g., reagents, assays, analysis of biological samples).
- Lack of IVD Indicators: There is no mention of analyzing biological samples, detecting specific substances, or providing diagnostic information. The focus is purely on a mechanical function within a medical circuit.
In vitro diagnostics are tests performed on samples taken from the human body (like blood, urine, or tissue) to detect diseases, conditions, or infections. This device operates directly on blood within a medical circuit during a procedure, which falls outside the scope of IVD.
N/A
Intended Use / Indications for Use
The Capiox® Bubble Trap with X-coating is a device intended to facilitate air bubble removal from the blood flowing through a cardiopulmonary bypass circuit for up to 6 hours.
Product codes
KRL
Device Description
The Capiox® Bubble Trap with X-coating is comprised of a single outer housing with no inner housing. This outer housing is cylindrical in shape and has a slight conical-shaped lid assembly affixed to the upper area of the cylinder. The lid assembly has an air vent (purge) port on the top outer surface to facilitate air removal during use. The blood inlet port is positioned along the upper-side_axis_of_the_cylinder_housing_and_allows_for the entry of blood ... The base_of the housing contains the blood outlet port.
The cylinder housing contains a screen filter assembly through which blood will pass through for filtration of air bubbles. After the blood has been filtered, it then exits the assembly via the blood outlet port.
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
Terumo Corporation, in conjunction with Terumo Cardiovascular Systems Corporation, conducted the following in-vitro performance evaluations to demonstrate the functional equivalence of the Capiox® Bubble Trap with X-coating™ to the predicate (non-coated) BT15 Bubble Trap.
The following tests were performed:
- Air Removal Efficiency
- Hemolytic Effect Upon Cellular Components of Blood
- Pressure Drop
- Mechanical Integrity/Leakage Evaluation
- Prime Volume
An in-vivo animal study was conducted by Terumo Cardiovascular Systems and Sierra Biomedical Laboratories in 1999 to evaluate the X-Coating material. No adverse conditions were identified.
Key Metrics
Not Found
Predicate Device(s)
Capiox® Bubble Trap (K911632)
Reference Device(s)
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information
Not Found
§ 870.4205 Cardiopulmonary bypass bubble detector.
(a)
Identification. A cardiopulmonary bypass bubble detector is a device used to detect bubbles in the arterial return line of the cardiopulmonary bypass circuit.(b)
Classification. Class II (performance standards).
0
TERUMO
Submitter Information:
This submission was prepared in March 2009 by:
Garry A. Courtney, MBA, RAC Manager, Regulatory Affairs Terumo Cardiovascular Systems Corporation 125 Blue Ball Road Elkton, MD 21921 Telephone: 1-800-283-7866, Ext. 7420 Fax: 410-398-6079
This submission was prepared for:
Ashitaka Factory of Terumo Corporation 150 Maimaigi-cho, Fujinomiya City Shizuoka Prefecture 418-0015 Japan Facility Registration No. 9681834
Device Names/Classifications:
Proprietary Name Capiox® Bubble Trap with X-coating
Classification Name Detector, Bubble, Cardiopulmonary Bypass (KRL) Common Name Bubble Trap
Predicate Device(s):
The device submitted in this 510(k) maintains characteristics that are substantially equivalent to the following devices:
- Capiox® Bubble Trap (K911632). .
Intended Use:
The Capiox® Bubble Trap with X-coating is a device intended to facilitate air bubble removal from the blood flowing through a cardiopulmonary bypass circuit for up to 6 hours.
Principles of Operation and Technology:
The Capiox® Bubble Trap with X-coating is comprised of a single outer housing with no inner housing. This outer housing is cylindrical in shape and has a slight conical-shaped lid assembly affixed to the upper area of the cylinder. The lid assembly has an air vent (purge) port on the top outer surface to facilitate air removal during use. The blood inlet port is positioned along the upper-side_axis_of_the_cylinder_housing_and_allows_for the entry of blood ... The base_of_the housing contains the blood outlet port.
The cylinder housing contains a screen filter assembly through which blood will pass through for filtration of air bubbles. After the blood has been filtered, it then exits the assembly via the blood outlet port.
Design and Materials:
The materials that are used in the construction of the Capiox® Bubble Trap with X-coating include polycarbonate, polyester screen, polyurethane, polyethylene and X-CoatingTM.
JUN - 8 2009
11 09060
1
Performance Evaluations:
Terumo Corporation, in conjunction with Terumo Cardiovascular Systems Corporation, conducted the following in-vitro performance evaluations to demonstrate the functional equivalence of the Capiox® Bubble Trap with X-coating™ to the predicate (non-coated) BT15 Bubble Trap.
The following tests were performed, and are presented on the ensuing pages:
- Air Removal Efficiency .
- Hemolytic Effect Upon Cellular Components of Blood
- Pressure Drop .
- Mechanical Integrity/Leakage Evaluation
- Prime Volume ●
Substantial Equivalence Comparison:
In demonstrating substantial equivalence of the Capiox® Bubble Trap with X-coating" to the predicate (non-coated) BT15 Bubble Trap, a comparative study and/or assessment was performed in each of the following areas:
- Intended use
- Duration of use/6-hour use
- Product labeling
- Operation and technology of the devices
- Product design
- Materials used in device construction
- Design performance
Substantial Equivalence Statement:
The Capiox® Bubble Trap with X-coating is substantially equivalent in intended use, duration of use, labeling, operation and technology, design, materials, and performance to the predicate (non-coated) Capiox® Bubble Trap device.
Additional Safety Information:
- Sterilization conditions for the Capiox® Bubble Trap with X-coating " are validated in . accordance with applicable standards to provide a Sterility Assurance Level (SAL) of 10°. Terumo further asserts that the ethylene oxide residues will not exceed stated or implied maximum residue limits at the time of product distribution.
- . The X-Coating material that is applied to the blood-contacting surfaces of the devices was evaluated in an in-vivo animal study conducted by Terumo Cardiovascular Systems and Sierra Biomedical Laboratories in 1999. No adverse conditions were identified.
Conclusion:
Based upon the comparative studies and analyses, Terumo Corporation concludes that the Capiox® Bubble Trap with X-coating" is substantially equivalent to the predicate (non-coated) Capiox® Bubble Trap device. It is further concluded that any recognized differences noted during the assessments do not raise new issues of patient/user safety or product effectiveness.
2
Image /page/2/Picture/0 description: The image shows the text "DEPARTMENT OF HEALTH & HUMAN SERVICES". The text is in a bold, sans-serif font. The words are arranged on a single line. There is a logo to the left of the text.
Public Health Service
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JUN = 8 2009
Terumo Cardiovascular Systems c/o Mr. Garry Courtney Manager, Quality Systems 125 Blue Ball Rd. Elkton, MD 21921
Re: K090698
Capiox Bubble Trap with X-coating Regulation Number: 21 CFR 870.4205 Regulation Name: Detector, Bubble, Cardiopulmonary Bypass Regulatory Class: Class II Product Code: KRL Dated: May 7, 2009 Received: May 13, 2009
Dear Mr. Courtney:
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 - Mr. Garry A. Courtney
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 equivatence 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 (240) 276-0120. 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,
. Vochner
\ Bram D. Zuckerman, M.D. Division Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
4
TTERUMO
SECTION 4 Indications for Use
Unknown at time of submission Ko 906 18 510(k) Number (if known):
Capiox® Bubble Trap with X-coating™ Device Name:
Indications for Use:
The Capiox® Bubble Trap with X-coating " is a device intended to facilitate air bubble removal from the blood flowing through a cardiopulmonary bypass circuit for up to 6 hours.
Prescription Use --- XX (Part 21 CFR 801 Subpart D) OROver-The-Counter Use (Part 21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
una D. V. M.
(Division Sign-Off) Division of Cardiovascular Devices
510(k) Number_Ko 90678