K Number
K101153
Device Name
QUADROX-ID ADULT DIFFUSION MEMBRANE OXYGENATOR WITH SOFTLINE COATING, MODEL: BE-HMOD 70000-USA, BEQ-HMOD 70000-USA, HMOD
Date Cleared
2010-12-08

(229 days)

Product Code
Regulation Number
870.4350
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The QUADROX-iD Adult diffusion membrane oxygenator is intended for use in an extracorporeal circulation during cardiopulmonary bypass in cardiac surgery. Within the specified flow rate range, the device oxygenates the blood, removes carbon dioxide from the blood and regulates the blood temperature. The application duration is limited to 6 hours. Responsibility for deciding whether to use an oxygenator rests solely with the attending physician.
Device Description
The QUADROX-iD Adult diffusion membrane oxygenator with BIOLINE Coating and with SOFTLINE Coating is a blood-gas exchanger with integrated heat exchanger.
More Information

Not Found

No
The summary describes a mechanical blood-gas exchanger and heat exchanger. There is no mention of AI or ML in the intended use, device description, or performance studies.

Yes.
The device is intended for use in extracorporeal circulation during cardiopulmonary bypass to oxygenate blood, remove carbon dioxide, and regulate blood temperature, which are therapeutic interventions.

No

The device is an oxygenator used in cardiopulmonary bypass to oxygenate blood and remove carbon dioxide, which is a therapeutic function, not a diagnostic one.

No

The device description clearly states it is a "blood-gas exchanger with integrated heat exchanger," which are physical hardware components, not software. The performance studies also focus on testing physical attributes like integrity, performance, biocompatibility, and sterility.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is used in an extracorporeal circulation during cardiopulmonary bypass in cardiac surgery. It oxygenates blood, removes carbon dioxide, and regulates temperature outside the body.
  • IVD Definition: 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 does not perform such tests.
  • Device Description: The description confirms it's a blood-gas exchanger with an integrated heat exchanger, which aligns with its function in extracorporeal circulation, not diagnostic testing.

The device is a medical device used for therapeutic support during surgery, not for diagnosing conditions.

N/A

Intended Use / Indications for Use

The QUADROX-iD Adult diffusion membrane oxygenator is intended for use in an extracorporeal circulation during cardiopulmonary bypass in cardiac surgery. Within the specified flow rate range, the device oxygenates the blood, removes carbon dioxide from the blood and regulates the blood temperature. The application duration is limited to 6 hours.

Responsibility for deciding whether to use an oxygenator rests solely with the attending physician.

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

DTZ, DTR

Device Description

The QUADROX-iD Adult diffusion membrane oxygenator with BIOLINE Coating and with SOFTLINE Coating is a blood-gas exchanger with integrated heat exchanger.

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

Adult

Intended User / Care Setting

attending physician

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)

Non-clinical Testing:
The QUADROX-iD Adult Diffusion Membrane Oxygenator with BIOLINE COATING and SOFLTINE Coating has been tested to and met the requirements of ISO 10993-1 Biological evaluation of medical devices · Padt 1: Evaluation and testing as well as the requirements of ISO 7199 Cardiovascular implants and artificial organs - Bloodgas exchangers (oxygenators).

The following areas have been tested and / or evaluated:

  • Integrity
  • Performance
  • Biocompatibility
  • Sterility

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.

K082117, K090511, K061628, K071774

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

§ 870.4350 Cardiopulmonary bypass oxygenator.

(a)
Identification. A cardiopulmonary bypass oxygenator is a device used to exchange gases between blood and a gaseous environment to satisfy the gas exchange needs of a patient during open-heart surgery.(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Guidance for Cardiopulmonary Bypass Oxygenators 510(k) Submissions.”

0

MAQUET
GETINGE GROUP

101123

· DEC - 8 2010

510(k) Summarv

[as required by 21 CFR 807.92(c)]

Submitter

MAQUET Cardiopulmonary AG Hechinger Strasse 38 72145 Hirrlingen Germany

Contact Person

Katrin Schwenkglenks Phone: 011 49 7478 921 151 Fax: 011 49 7478 921 8667

Date Prepared

April 19, 2010

Device Trade Name

QUADROX-iD Adult diffusion membrane oxygenator with BIOLINE Coating and with SOFTLINE Coating

Common/Usual Name

Classification Names

Oxygenator with integrated heat exchanger

Cardiopulmonary bypass oxygenator (21 CFR 870.4350 - Product Code: DTZ) Cardiopulmonary bypass heat exchanger (21 CFR 870.4240 - Product Code: DTR)

Legally Marketed Devices

QUADROX-i Adult microporous membrane Oxygenator with SOFTLINE Coating (K082117),

QUADROX-i Adult microporous membrane Oxygenator with BIOLINE Coating (K090511), QUADROX-D diffusion membrane oxygenator with SAFELINE Coating (K061628) and with BIOLINE Coating (K071774).

Page 1 of 3

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Device Description

The QUADROX-iD Adult diffusion membrane oxygenator with BIOLINE Coating and with SOFTLINE Coating is a blood-gas exchanger with integrated heat exchanger.

Indications for Use

The QUADROX-iD Adult diffusion membrane oxygenator is intended for use in an extracorporeal circulation during cardiopulmonary bypass in cardiac surgery. Within the specified flow rate range, the device oxygenates the blood, removes carbon dioxide from the blood and regulates the blood temperature. The application duration is limited to 6 hours.

Responsibility for deciding whether to use an oxygenator rests solely with the attending physician.

Statement of Technical Comparison

The QUADROX-iD Adult diffusion membrane oxygenator with BIOLINE Coating and with SOFTLINE Coating is comparable to the QUADROX-i Adult micropyrons membrane oxygenator with BIOLINE Coating and with Softline Coating with the only exception that the QUADROX-iD Adult diffusion membrane oxygenator has a diffusive oxygenation membrane instead of a microporous oxygenation membrane. However, the diffusion membrane is the same as with the QUADROX-D diffiusion membrane oxygenator. Besides this difference the QUADROX iD Adult diffusion membrane oxygenator with SOFTLINE Coating and with BIOLINE Coating is comparable in design, method of operation, components, packaging, and fundamental scientific technology as compared to the QUADROX, Adult microporous membrane oxygenator with Softline Coating and with BIOLINE Coating.

Non-clinical Testing

The QUADROX-iD Adult Diffusion Membrane Oxygenator with BIOLINE COATING and SOFLTINE Coating has been tested to and met the requirements of ISO 10993-1 Biological evaluation of medical devices · Padt 1: Evaluation and testing as well as the requirements of ISO 7199 Cardiovascular implants and artificial organs - Bloodgas exchangers (oxygenators).

Determination of Substantial Equivalence

Evaluation and testing on safety and effectiveness was executed to demonstrate that the QUADROX-ID Adult diffusion membrane oxygenator with SOFTLINE Coating and with BIOLINE Coating described in this submission is substantially equivalent to the QUADROX-i Adult microporous membrane Oxygenator with Softline Coating and with BIOLINE Coating.

2

Image /page/2/Picture/0 description: The image shows the logo for Maquet Getinge Group. The word "MAQUET" is in large, bold, sans-serif font on the top line. Below that, "GETINGE GROUP" is in a smaller, sans-serif font.

The following areas have been tested and / or evaluated:

  • Integrity .
    • Performance .

.

  • Biocompatibility -
    .

  • . Sterility

Conclusion

.

.

.

.

.

The data given demonstrate that the QUADROX-iD Adult diffusion membrane oxygenator with SOFLTINE Coating and with BIOLINE Coating is substantially equivalent to the named predicate devices which currently hold market clearance.

3

Image /page/3/Picture/0 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States of America. The seal features a stylized caduceus, a symbol often associated with healthcare, with three intertwined snakes and a staff. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the caduceus.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 10903 New Hampshire Avenue i Document Mail Center - WO66-G609 Silver Spring, MD 20993-0002

Maquet Cardiopulmonary AG c/o Ms. Katrin Schwenkglenks Hechinger Straße 38 D-72145 Hirrlingen, Germany

DEC - 8 2010

Re: K101153

Trade/Device Name: QUADROX-iD Adult diffusion membrane oxygenator with BIOLINE Coating, art. codes: BE-HMOD 70000-USA, BEQ-HMOD 70000-USA; and QUADROX-iD Adult diffusion membrane oxygenator with SOFTLINE Coating, art. codes: HMOD 70000-USA

Regulation Number: 21 CFR 870.4350

Regulation Name: Cardiopulmonary bypass oxygenator

Regulatory Class: II

Product Code: DTZ, DTR

Dated: November 30, 2010

Received: December 2, 2010

Dear Ms. Schwenkglenks:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean

4

Page 2 - Ms. Katrin Schwenkglenks

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

smma R.V.hmn

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Indications for Use

DEC - 8 2010

510(k) Number (if known): _ K10 |153

Device Name: QUADROX-iD Adult diffusion membrane oxygenator with BIOLINE Coating and with SOFTLINE Coating

Indications for Use:

The QUADROX-iD Adult diffusion membrane oxygenator is intended for use in an extracorporeal circulation during cardiopulmonary bypass in cardiac surgery. Within the specified flow rate range, the device oxygenates the blood, removes carbon dioxide from the blood and regulates the blood temperature. The application duration is limited to 6 hours.

Responsibility for deciding whether to use an oxygenator rests solely with the attending physician.

Prescription Use × (Part 21 CFR 801 Subpart D)

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

DMAR R. Vic/m
(Division Sign-Off)

Page 1 of 1

Division of Cardiovascular Devices

510(k) Number K101153