K Number
K131964
Device Name
BIO-CONSOLE 560 EXTRACORPOREAL BLOOD PUMPING CONSOLE
Manufacturer
Date Cleared
2013-07-24

(27 days)

Product Code
Regulation Number
870.4380
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Medtronic centrifugal blood pumping system is intended to pump blood through the extracorporeal bypass circuit for extracorporeal support for periods appropriate to cardiopulmonary bypass procedures (up to 6 hours).
Device Description
The Bio-Console® 560 Extracorporeal Blood Pumping Console is an electromechanical, software-controlled device intended to allow the user to control a Bio-Pump® or Affinity® CP centrifugal blood pump that is used to return the blood to the body of a patient on cardiopulmonary bypass. As part of the blood pumping circuit, the patient's blood is typically pumped through an oxygenator and a filter on its return path to the patient. The Bio-Console 560 is a reusable non-sterile device.
More Information

No
The summary describes a standard electromechanical, software-controlled blood pumping console and does not mention any AI or ML capabilities. The performance studies focus on software verification and validation against a predicate device, not on the performance of an AI/ML algorithm.

Yes
The device is intended to pump blood through an extracorporeal bypass circuit for cardiopulmonary bypass procedures, which is a therapeutic intervention.

No

The device is described as an "Extracorporeal Blood Pumping Console" intended to "pump blood through the extracorporeal bypass circuit." Its function is to control a centrifugal blood pump, which is a therapeutic action, not a diagnostic one.

No

The device description explicitly states it is an "electromechanical, software-controlled device," indicating it includes hardware components in addition to software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the device is for "pumping blood through the extracorporeal bypass circuit for extracorporeal support." This is a direct interaction with the patient's blood outside the body for therapeutic support during surgery, not for analyzing a sample of blood or other bodily fluid to diagnose a condition.
  • Device Description: The description reinforces this by explaining it controls a blood pump to return blood to the patient.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing a sample (blood, urine, tissue, etc.)
    • Detecting or measuring specific substances (analytes) in a sample
    • Providing information for diagnosis, monitoring, or screening of a disease or condition.

This device is a medical device used in a surgical setting for direct patient support, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Medtronic centrifugal blood pumping system is intended to pump blood through the extracorporeal bypass circuit for extracorporeal support for periods appropriate to cardiopulmonary bypass procedures (up to 6 hours).

Product codes

DWA

Device Description

The Bio-Console® 560 Extracorporeal Blood Pumping Console is an electromechanical, software-controlled device intended to allow the user to control a Bio-Pump® or Affinity® CP centrifugal blood pump that is used to return the blood to the body of a patient on cardiopulmonary bypass. As part of the blood pumping circuit, the patient's blood is typically pumped through an oxygenator and a filter on its return path to the patient. The Bio-Console 560 is a reusable non-sterile device.

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

Software verification and validation testing confirms the function of the Bio-Console 560 and its software-controlled functional characteristics are substantially equivalent to the predicate device. All test data obtained satisfied the documented product and performance specification.

Key Metrics

Not Found

Predicate Device(s)

Bio-Console® 560 Extracorporeal Blood Pumping Console (K080824)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.4380 Cardiopulmonary bypass pump speed control.

(a)
Identification. A cardiopulmonary bypass pump speed control is a device used that incorporates an electrical system or a mechanical system, or both, and is used to control the speed of blood pumps used in cardiopulmonary bypass surgery.(b)
Classification. Class II (performance standards).

0

JUL 2 4 2013

510(k) Summary of Safety and Effectiveness

Date Prepared:June 26, 2013
Applicant:Medtronic. Inc.
Medtronic Perfusion Systems
7611 Northland Drive
Brooklyn Park, MN 55428
Establishment Registration No. 2184009
Contact Person:Lisa Stone
Principal Regulatory Affairs Specialist
Medtronic, Inc.
Cardiovascular
8200 Coral Sea Street NE, MVS 83
Mounds View, MN 55112
Phone: (763) 514-9866
Fax: (763) 367-8147
Email: lisa.j.stone@medtronic.com
Trade Name:Bio-Console® 560 Extracorporeal Blood Pumping Console
Common Name:Cardiopulmonary bypass pump speed control
Classification Name:Control, Pump Speed, Cardiopulmonary Bypass
Classification:Class II, 21 CFR 870.4380
Product Code:DWA
Name of Predicate Device:Bio-Console® 560 Extracorporeal Blood Pumping Console
(K080824)

Device Description

The Bio-Console® 560 Extracorporeal Blood Pumping Console is an electromechanical, software-controlled device intended to allow the user to control a Bio-Pump® or Affinity® CP centrifugal blood pump that is used to return the blood to the body of a patient on cardiopulmonary bypass. As part of the blood pumping circuit, the patient's blood is typically pumped through an oxygenator and a filter on its return path to the patient. The Bio-Console 560 is a reusable non-sterile device.

1

Intended Use

The Medtronic centrifugal blood pumping system is intended to pump blood through the extracorporeal bypass circuit for extracorporeal support for periods appropriate to cardiopulmonary bypass procedures (up to 6 hours).

Comparison to the Predicate Device

The Bio-Console 560 has the same intended use, hardware design and basic software as the previously cleared Bio-Console 560. The only change to the device is the incorporation of software enhancements to correct anomalies and to incorporate IEC 60601-1 (3d Edition) compliant alarm and alert tones.

Summary of Performance Data

Software verification and validation testing confirms the function of the Bio-Console 560 and its software-controlled functional characteristics are substantially equivalent to the predicate device. All test data obtained satisfied the documented product and performance specification.

Conclusion

Based upon the technical information, intended use, and in-vitro verification and validation information for the Bio-Console 560 software enhancements addressed in this submission, the Bio-Console 560 has been shown to be substantially equivalent to the currently marketed predicate device.

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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" arranged around the perimeter. Inside the circle is a stylized symbol that resembles a caduceus, a traditional symbol of medicine, but with three wavy lines instead of snakes.

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

July 24, 2013

Medtronic, Inc. Lisa Stone 8200 Coral Sea Street NE Mounds View, MN 55112

Re: K131964

Trade/Device Name: Bio-Console 560 Extracorporeal Blood Pumping Console Regulation Number: 21 CFR 870.4380 Regulation Name: Cardiopulmonary bypass pump speed control Regulatory Class: Class II Product Code: DWA Dated: June 26, 2013 Received: June 27, 2013

Dear Lisa Stone:

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 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

3

Page 2 - Lisa Stone

forth in the quality systems (OS) regulation (2) 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 contact the Division of Small Manufacturers. International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

M.A. Stilleman

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

Enclosure

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510(k) Number: K131964

Bio-Console® 560 Extracorporeal Blood Pumping Console

Indications for use:

The Medtronic centrifugal blood pumping system is intended to pump blood through the extracorporeal bypass circuit for extracorporeal support for periods appropriate to cardiopulmonary bypass procedures (up 10 6 hours).

Prescription Use X (Part 21 CFR 801 Subpart D) OR Over-The-Counter-Use (Part 21 CFR 801 Subpart C)

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

Concurrence of CDRH. Office of Device Evaluation (ODE)

M. A. Lillehem