(3 days)
Not Found
No
The document describes a physical medical device (cannula) with a coating to reduce platelet adhesion. There is no mention of software, algorithms, data processing, or any terms related to AI/ML.
No
The device facilitates blood flow during cardiopulmonary bypass surgery by cannulating the vena cava and right atrium, but it does not directly treat a disease or condition. Its primary function is to enable the bypass procedure, and the X-coating aims to reduce platelet adhesion, which is a performance enhancement related to the device's function, not a therapeutic action on the patient's body.
No
This device is a venous return cannula used in cardiopulmonary bypass surgery. Its stated purpose is to facilitate the circulation of blood and reduce platelet adhesion, which are therapeutic and supportive functions, not diagnostic.
No
The device is a physical cannula with a coating, not a software program. The description details the physical structure, materials, and intended use as a hardware component in a medical procedure.
Based on the provided text, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
- Device Function: The description clearly states that this device is a venous return cannula used in cardiopulmonary bypass procedures. Its function is to drain blood from the patient's body to a heart/lung machine and then return it. The X-coating is intended to reduce platelet adhesion on the blood-contacting surfaces of the device itself.
- No Sample Analysis: The device does not analyze any samples taken from the patient. It is a medical device that interacts directly with the patient's blood flow during surgery.
Therefore, the X-coated TenderFlow™ Pediatric Venous Return Cannula is a medical device, specifically a surgical instrument/accessory, and not an in vitro diagnostic device.
N/A
Intended Use / Indications for Use
The X-coating is intended to reduce the adhesion of platelets to the blood contacting surfaces of the device during cardiopulmonary bypass procedures.
The X-coated TenderFlow™ Pediatric Venous Return Cannula is indicated for use in dual cannulation of the superior and inferior vena cava and single cannulation of the right atrium during cardiopulmonary bypass surgery.
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 X-coated pediatric venous return cannulae discussed in this submission are used in open heart surgery. During open heart surgery blood is drained into a venous cannula just upstream of the heart, at the superior / inferior vena cava and right atrium. The cannula is connected to tubing that routes the blood to a heart / lung machine where the blood is pumped and oxygenated. The blood then continues through this perfusion circuit back to the outlet side of the heart (the patient's aorta), where the blood re-enters the patient's circulatory system via the ascending aorta through an arterial cannulae. Platelets adhesion is reduced while blood travels through this circulatory path on the surface covered with X-coat polymer.
The design of cannulae and catheters is such that they meet their stated intended use, and provide an acceptable level of performance and safety to the patients. Except for the X-coat application, the design and material of the X-coated cannulae will remain the same as the unmodified cannulae. The X-coat application does not affect the cannulae design.
Venous cannulae contained in this submission are structured as straight, or slightly curved, flexible tubes which are inserted into the heart to circulate blood. Depending on the location of cannulation, size, and clinicians' preference, there is a range of design variations. These features include, but are not limited, wire reinforcement, various stylets used to help guide the cannula, tip formation (conical vs. angled), number of drainage baskets (two stage), luers, and connectors.
The generic materials for these cannulae will remain the same. The X-coat application reduces the platelet adhesion.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
superior and inferior vena cava, right atrium, aorta
Indicated Patient Age Range
Pediatric
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)
The performance evaluations of the cannulae were conducted to demonstrate its equivalence to the uncoated cannulae:
- Hemolysis
- Bond Strength
- Leak testing
- Pull strength testing
- Flex testing
- Accelerated aging / Shelf life test
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.
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
6. 510(k) Summary
APR - 3 2009
| 6. 510(k) Summary | ||
|---|---|---|
| 6.1. | Submitter Information | |
| 6.2. | Device Names, Predicate Device Names, and Predicate Device 510(k) Numbers: 2 | |
| 6.3. | Statement of Identical Intended Use(s)/Indications: | |
| 6.4. | Principles of Operation and Technology: | |
| 6.5. | Design and Materials: | |
| 6.6. | Performance Evaluations: | |
| 6.7. | Substantial Equivalence Comparison: | |
| 6.7.1. Intended Use: | ||
| 6.7.2. Principles of Operation and Technology: | ||
| 6.7.3. Design and Materials: | ||
| 6.7.4. Substantial Equivalence Summary: | ||
| 6.8. | Additional Safety Information | |
| 6.9. | Conclusion |
1
| 6.1. | Submitter Information | |
|---|---|---|
| 510(k) Submitter: | Terumo Cardiovascular Systems Corporation | |
| 6200 Jackson Road, | ||
| Ann Arbor, MI 48103 | ||
| Primary Contact Name: | Christina Thomas, | |
| Manager, Regulatory Affairs | ||
| Tel: 1(800)262-3304, Extension 6278 | ||
| Fax: (734)741-6030 | ||
| Secondary Contact Name: | Steven Arick, | |
| Director, Regulatory Affairs | ||
| Tel: 1(800)262-3304, Extension 6292 | ||
| Fax: (734)741-6030 | ||
| Date Prepared: | March 30, 2009 |
6.2. Device Names, Predicate Device Names, and Predicate Device 510(k) Numbers:
| Name of the
Unmodified Device | 510(k) Number of
Sponsor's
Unmodified Device | Clearance date | Name of the Modified
Device |
|---------------------------------------------------|----------------------------------------------------|----------------|---------------------------------------------------------------|
| TenderFlow™
Pediatric Venous
Return Cannula | K062597 | 1994-02-22 | X-coated
TenderFlow™
Pediatric Venous
Return Cannula |
These devices are substantially equivalent in intended use, materials, design, technology, principles of operation, and performance.
6.3. Statement of Identical Intended Use(s)/Indications:
TCVS asserts that the intended use(s)/indications for the X-coated TenderFlow™ Pediatric Venous Return Cannula are the same intended use(s)/indications that currently exist for the unmodified TenderFlow™ Pediatric Venous Return Cannula.
These devices are indicated for up to 6 hours of use.
6.4. Principles of Operation and Technology:
The X-coated pediatric venous return cannulae discussed in this submission are used in open heart surgery.
2
During open heart surgery blood is drained into a venous cannula just upstream of the heart, at the superior / inferior vena cava and right atrium. The cannula is connected to tubing that routes the blood to a heart / lung machine where the blood is pumped and oxygenated. The blood then continues through this perfusion circuit back to the outlet side of the heart (the patient's aorta), where the blood re-enters the patient's circulatory system via the ascending aorta through an arterial cannulae. Platelets adhesion is reduced while blood travels through this circulatory path on the surface covered with X-coat polymer.
6.5. Design and Materials:
The design of cannulae and catheters is such that they meet their stated intended use, and provide an acceptable level of performance and safety to the patients. Except for the X-coat application, the design and material of the X-coated cannulae will remain the same as the unmodified cannulae. The X-coat application does not affect the cannulae design.
Venous cannulae contained in this submission are structured as straight, or slightly curved, flexible tubes which are inserted into the heart to circulate blood. Depending on the location of cannulation, size, and clinicians' preference, there is a range of design variations. These features include, but are not limited, wire reinforcement, various stylets used to help guide the cannula, tip formation (conical vs. angled), number of drainage baskets (two stage), luers, and connectors.
The generic materials for these cannulae will remain the same.
6.6. Performance Evaluations:
The performance of the X-coated Cannulae will remain the same as the unmodified cannulae. The X-coat application does not affect the functional cannulae performance. The X-coat application reduces the platelet adhesion.
The following performance evaluations of the cannulae were conducted to demonstrate its equivalence to the uncoated cannulae.
- . Hemolysis
- . Bond Strength
- o Leak testing
- o Pull strength testing
- o Flex testing
- Accelerated aging / Shelf life test .
3
6.7. Substantial Equivalence Comparison:
6.7.1. Intended Use:
The intended use of the modified device will remain the same as the predicate device.
6.7.2. Principles of Operation and Technology:
The principle of operation & technology used in the modified device will remain the same as the predicate device.
6.7.3. Design and Materials:
The design and materials, except for the X-coat application, will remain the same.
6.7.4. Substantial Equivalence Summary:
In summary, the X-coated cannulae and the uncoated cannulae are substantially equivalent in intended use, principles of operation and technology, design, and performance. Any noted differences between the devices do not raise new issues of safety and effectiveness.
6.8. Additional Safety Information
- Sterilization conditions have been validated in accordance with AAMI guidelines to . provide a Sterility Assurance Level (SAL) of 10-6.
- . Post-sterilization release for use will be determined in consideration of maximum Ethylene Oxide, Ethylene Chlorohydrin and Ethylene Glycol (as appropriate) residue limits and maximum levels of patient exposure in accordance with EN ISO 10993-7 and AAMI TIR-19.
- Biocompatibility studies were conducted using the same materials or combination of . materials for predicate devices as recommended in the FDA General Program Memorandum #G95-1 (5/1/95): Use of International Standard ISO 10993: 2003, "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing." [External Communicating Devices, Circulating Blood, Limited Exposure (≤ 24 hours) Contact Duration]. The blood contacting materials were found to be biocompatible,
- Terumo has conducted material characterization studies including physio-chemical . profiles of aged and non-aged devices to demonstrate stability of the materials, and found the materials to be stable over the expiry of the product.
4
6.9. Conclusion
In summary, the X-coated pediatric venous return cannulae are substantially equivalent in intended use, principles of operation and technology, design and performance to the uncoated pediatric venous return cannulae.
5
Image /page/5/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" are arranged in a circle around the eagle. The eagle is black, and the text is also black. The logo is simple and recognizable.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Terumo Cardiovascular Systems c/o Ms. Christina Thomas Manager, Regulatory Affairs 6200 Jackson Road Ann Arbor, MI 48103
APR - 3 2009
Re: K090878
X-coated TenderFlow™ Pediatric Venous Return Cannula Regulation Number: 21 CFR 870.4210 Regulation Name: Catheter, Cannula and Tubing Vascular Cardiopulmonary Bypass Regulatory Class: Class II Product Code: DWF Dated: March 30, 2009 Received: March 31, 2009
Dear Ms. Thomas:
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.
6
Page 2 - Ms. Christina Thomas
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 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,
Bram D. Zuckerman, M.D. Division Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
7
510(k) Number (if known):
Device Name: X-coated TenderFlow™ Pediatric Venous Return Cannula
Indications For Use:
The X-coating is intended to reduce the adhesion of platelets to the blood contacting surfaces of the device during cardiopulmonary bypass procedures.
The X-coated TenderFlow™ Pediatric Venous Return Cannula is indicated for use in dual cannulation of the superior and inferior vena cava and single cannulation of the right atrium during cardiopulmonary bypass surgery.
These devices are indicated for up to 6 hours of use.
OR
Christina Romero
Christina Thomas Manager, Regulatory Affairs Terumo Cardiovascular Systems
Prescription Use ×
Over-The-Counter Use
(Per 21 CFR 801.109)
(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
ecmors
(Division Sign-Off) Division of Cardiovascular Devices 510(k) Number Ko90878
CONFIDENTIAL
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