K Number
K141938
Device Name
SPECTRA OPTIA APHERESIS SYSTEM, SPECTRA OPTIA EXCHANGE SET (DISPOSABLE BLOOD TUBING SET)
Manufacturer
Date Cleared
2015-03-23

(249 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Spectra Optia Apheresis System, a blood component separator, may be used to perform therapeutic plasma exchange. The Spectra Optia Apheresis System, a blood component separator, may be used to perform Red Blood Cell Exchange (RBCX) procedures for the transfusion management of Sickle Cell Disease in adults and children.
Device Description
The Spectra Optia Apheresis System is comprised of three subsystems: the apheresis machine (or equipment), embedded software, and a single-use disposable blood tubing set. The modifications described in this submission enhance the disposable set's manufacturability and usability during therapeutic plasma and red blood cell exchange procedures. Spectra Optia Machine and Embedded Software: The Spectra Optia Apheresis System is an automated, centrifugal, blood component separation device that uses pumps, valves and sensors to control and monitor a disposable, plastic extracorporeal circuit, during therapeutic apheresis procedures. The system's embedded software controls pump flow rates and centrifuge speed to establish and maintain the required plasma/cellular interface, and ensure patient safety. Disposable Blood Tubing Set: The disposable Spectra Optia Exchange Set (Catalog No. 10220) is provide sterile and is intended for single-use only. The set is invasive, in that patients are connected to the disposable using a needle or other blood access device (catheter, port, etc.). The patient's blood comes into direct contact with the biocompatible plastics that comprise the set. Key components of the set include the [1] centrifuge channel (inside which the patient's blood is separated into its components), [2] the plastic cassette that integrates the tubing/defines the fluid path for ease of installation and use and, [3] the pre-attached waste bag into which the diseased blood component is collected.
More Information

Not Found

No
The description focuses on automated control of pumps, valves, and sensors based on established parameters, not on learning or adaptive algorithms. The software controls flow rates and centrifuge speed to maintain a plasma/cellular interface, which is a deterministic process based on physical principles, not AI/ML.

Yes.
The device is used to perform therapeutic plasma exchange and Red Blood Cell Exchange (RBCX) procedures for the transfusion management of Sickle Cell Disease.

No

Explanation: The device is described as a "blood component separator" and is used for therapeutic procedures like plasma exchange and red blood cell exchange, not for identifying or diagnosing a disease or condition.

No

The device description explicitly states that the system is comprised of three subsystems: the apheresis machine (equipment), embedded software, and a single-use disposable blood tubing set. This indicates the presence of significant hardware components beyond just software.

Based on the provided text, the Spectra Optia Apheresis System is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is for performing therapeutic plasma exchange and red blood cell exchange procedures. These are therapeutic procedures performed on the patient's blood outside the body, but the purpose is to treat a condition in the patient, not to diagnose a condition.
  • Device Description: The device is described as a "blood component separator" that uses centrifugal force to separate blood components. It's a system for processing blood for therapeutic purposes.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze blood or other biological samples to provide information for diagnosis, monitoring, or screening. The focus is on separating and removing specific blood components.

IVD devices are typically used to examine specimens (like blood, urine, tissue) in vitro (outside the body) to provide information about a person's health status, such as detecting diseases, monitoring treatment, or screening for conditions. The Spectra Optia system's function is therapeutic blood processing, not diagnostic analysis.

N/A

Intended Use / Indications for Use

The Spectra Optia Apheresis System, a blood component separator, may be used to perform therapeutic plasma and red blood cell exchange procedures.

The Spectra Optia Apheresis System, a blood component separator, may be used to perform therapeutic plasma exchange.

The Spectra Optia Apheresis System, a blood component separator, may be used to perform Red Blood Cell Exchange (RBCX) procedures for the transfusion management of Sickle Cell Disease in adults and children.

Product codes

LKN

Device Description

The Spectra Optia Apheresis System is comprised of three subsystems: the apheresis machine (or equipment), embedded software, and a single-use disposable blood tubing set. The modifications described in this submission enhance the disposable set's manufacturability and usability during therapeutic plasma and red blood cell exchange procedures.

Spectra Optia Machine and Embedded Software: The Spectra Optia Apheresis System is an automated, centrifugal, blood component separation device that uses pumps, valves and sensors to control and monitor a disposable, plastic extracorporeal circuit, during therapeutic apheresis procedures. The system's embedded software controls pump flow rates and centrifuge speed to establish and maintain the required plasma/cellular interface, and ensure patient safety.

Disposable Blood Tubing Set: The disposable Spectra Optia Exchange Set (Catalog No. 10220) is provide sterile and is intended for single-use only. The set is invasive, in that patients are connected to the disposable using a needle or other blood access device (catheter, port, etc.). The patient's blood comes into direct contact with the biocompatible plastics that comprise the set. Key components of the set include the [1] centrifuge channel (inside which the patient's blood is separated into its components), [2] the plastic cassette that integrates the tubing/defines the fluid path for ease of installation and use and, [3] the pre-attached waste bag into which the diseased blood component is collected.

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

adults and children.

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)

Comprehensive verification testing confirmed that the new needleless access port performed as designed. A broad range of activities were conducted, including mechanical testing, biocompatibility testing, and evaluations of the modified Exchange Set's sterility, packaging and shelf life.

Simulated-use testing demonstrated that the IV Filter on the AC Line and the Larger Vent Bag are functionally compatible with the system's embedded software and that the linear line length of air in the AC Line during an AC bag empty event is reduced when the IV Filter is installed. Specifically, no air was able to travel past the IV Filter, using the modified Exchange Set, during an "AC Bag Empty Event". For the unmodified set, the length of air measured in the AC line averaged 13.3 inches (S.D.: 1.3 inches), compared to 0 inches in the modified set.

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.

Spectra Optia Exchange Set (K071079, K132429)

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

N/A

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized symbol that resembles three human profiles facing to the right, stacked on top of each other.

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

March 23, 2015

Terumo BCT, Inc. Nicholas Wong Regulatory Affairs Specialist 10811 West Collins Avenue Lakewood, CO 80215-4440

Re: K141938

Trade/Device Name: Spectra Optia Apheresis System Regulation Number: None Regulation Name: None Regulatory Class: Unclassified Product Code: LKN Dated: February 5, 2015 Received: February 6, 2015

Dear Nicholas Wong,

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

1

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 contact the Division of Industry and Consumer Education 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education 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.

Benjamin R. Fisher -S

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K141938

Device Name Spectra Optia Apheresis System

Indications for Use (Describe)

The Spectra Optia Apheresis System, a blood component separator, may be used to perform therapeutic plasma exchange.

The Spectra Optia Apheresis System, a blood component separator, may be used to perform Red Blood Cell Exchange (RBCX) procedures for the transfusion management of Sickle Cell Disease in adults and children.

Type of Use (Select one or both, as applicable)

☑ Prescription Use (Part 21 CFR 801 Subpart D)
☐ Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

510(K) SUMMARY 7

| Owner/Manufacturer: | Terumo BCT
10811 W. Collins Avenue
Lakewood, Colorado 80215
877-339-4228 |
|----------------------------|-----------------------------------------------------------------------------------|
| Contact Person: | Nicholas Wong
Regulatory Affairs Specialist |
| Date of Preparation: | March 20, 2015 |
| Trade Name of Device: | Spectra Optia® Apheresis System |
| Common Name: | Apheresis Device or System |
| Classification Name: | Automated Blood Cell Separator, Therapeutic |
| Classification Regulation: | Unclassified |
| Product Code: | LKN |
| Predicate Device: | Spectra Optia Exchange Set (K071079, K132429) |

Device Description: The Spectra Optia Apheresis System is comprised of three subsystems: the apheresis machine (or equipment), embedded software, and a single-use disposable blood tubing set. The modifications described in this submission enhance the disposable set's manufacturability and usability during therapeutic plasma and red blood cell exchange procedures.

Spectra Optia Machine and Embedded Software: The Spectra Optia Apheresis System is an automated, centrifugal, blood component separation device that uses pumps, valves and sensors to control and monitor a disposable, plastic extracorporeal circuit, during therapeutic apheresis procedures. The system's embedded software controls pump flow rates and centrifuge speed to establish and maintain the required plasma/cellular interface, and ensure patient safety.

Disposable Blood Tubing Set: The disposable Spectra Optia Exchange Set (Catalog No. 10220) is provide sterile and is intended for single-use only. The set is invasive, in that patients are connected to the disposable using a needle or other blood access device (catheter, port, etc.). The patient's blood comes into direct contact with the biocompatible plastics that comprise the set. Key components of the set include the [1] centrifuge channel (inside which the patient's blood is separated into its components), [2] the plastic cassette that integrates the tubing/defines the fluid path for ease of installation and use and, [3] the pre-attached waste bag into which the diseased

4

blood component is collected. Modifications to the FDA-cleared Exchange Set are described in the following table.

ModificationReason for ChangeFunctional Impact of Change
1The set's current Vent Bag
will be replaced with a slightly
larger bag.Ease of Manufacturing –
almost all other Terumo
BCT-manufactured
disposable sets are made
with the larger Vent Bag.None – the original and new
vent bags are functionally
equivalent.
2A Needleless Injection Port
will be provided on the set's
Return Line.Enhance system/set
usability, by reducing the
opportunity for needle-stick
injuries.None - like the original
return line injection port, the
needleless injection port
allows the operator to sample
or administer fluids during
the procedure.
3A Sterile Barrier (IV) Filter
will be added to the set's
Anticoagulant (AC) Line.The filter allows air from an
empty AC container to be
vented, improving the
system's usability.Air from an empty AC
container does not enter the
centrifuge and cause an
unwanted system alarm.

Table 1: Modifications to the Disposable Spectra Optia Exchange Set

Intended Use/Indications for Use:

Intended Use:

The Spectra Optia Apheresis System, a blood component separator, may be used to perform therapeutic plasma and red blood cell exchange procedures.

Indication for Use:

The Spectra Optia Apheresis System, a blood component separator, may be used to perform therapeutic plasma exchange.

The Spectra Optia Apheresis System, a blood component separator, may be used to perform Red Blood Cell Exchange (RBCX) procedures for the transfusion management of Sickle Cell Disease in adults and children.

Technological Comparison: The modified Spectra Optia Exchange Set does not in any way change the system's fundamental scientific technology or principle of operation; that is, the separation of blood into its components using centrifugation.

Substantial Equivalence: The modified disposable set's substantial equivalence to its predicate is summarized below.

5

Image /page/5/Picture/0 description: The image shows the word "TERUMOBCT" in green font. The letters are bold and sans-serif. The word appears to be a logo or brand name.

Table 2: Key Similarities – Unmodified vs. Modified Spectra Optia Exchange Set

AttributeComparison
1Intended Use /
LabelingThe modifications to the Spectra Optia Exchange Set do not change the
Spectra Optia Apheresis System's intended use. The disposable set's
Instructions for Use have been modified to describe the proper use of the new
needleless injection port.
2Essential
TechnologyThe modifications to the disposable blood tubing set do not alter the Spectra
Optia System's essential technology.
3MaterialsThe Spectra Optia Exchange Set, in both its original and modified
configurations, is comprised of well-characterized, biocompatible materials.
4Sterility /
ManufacturingThe original and modified Exchange Sets are sterilized in the same way and
are manufactured using almost identical processes. Manufacturing procedures
have been modified to reflect the use of the larger vent bag, the addition of the
needleless access port/manifold to the set's Return Line, and the new IV filter
on the AC line.
5Clinical
PerformanceComprehensive verification testing confirmed that the new needleless access
port performed as designed. A broad range of activities were conducted,
including mechanical testing, biocompatibility testing, and evaluations of the
modified Exchange Set's sterility, packaging and shelf life.

Simulated-use testing demonstrated that the IV Filter on the AC Line and the
Larger Vent Bag are functionally compatible with the system's embedded
software and that the linear line length of air in the AC Line during an AC bag
empty event is reduced when the IV Filter is installed. Specifically, no air was
able to travel past the IV Filter, using the modified Exchange Set, during an
"AC Bag Empty Event". For the unmodified set, the length of air measured in
the AC line averaged 13.3 inches (S.D.: 1.3 inches), compared to 0 inches in
the modified set. |