K Number
K191402
Device Name
Heater-Cooler System 3T
Date Cleared
2020-02-25

(277 days)

Product Code
Regulation Number
870.4250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Heater-Cooler System 3T is used to circulate water through heat exchangers to warm or cool a patient during cardiopulmonary bypass procedures lasting 6 hours or less.
Device Description
The 3T System is an independent (i.e., independent of the water supply) 3-circuit heating/cooling base unit that includes three water circuits (two circuits for the patient supplied by one tank (for the heating/cooling blanket, the oxygenator) and one interchangeable heating/cooling circuit for cardioplegia. If required, patient and cardioplegia circuits can be switched off separately, in order to increase the activated functional group's heating and/or cooling performance. The following optional components and accessories are also available for the 3T System: - 1. Heating-cooling blankets; - 2. Water circuit tubing; and - 3. Various cables. The 3T System includes a disposable aerosol collection set that consists of a canister connected to the 3T System and the user facility's vacuum source that captures emissions that are drawn from the tank using negative pressure created by the user facility's vacuum.
More Information

Not Found

No
The summary describes a mechanical heating and cooling system with no mention of AI or ML capabilities. The performance studies focus on physical and microbiological testing.

Yes.
The device is used to warm or cool a patient during cardiopulmonary bypass procedures, which directly affects the patient's physiological state for therapeutic purposes.

No

Explanation: The device description and intended use clearly state that the 3T system is used to circulate water to warm or cool a patient during medical procedures. There is no mention of diagnostic functions, such as detecting, identifying, or monitoring a patient's condition.

No

The device description clearly outlines a physical heating/cooling base unit with multiple water circuits, optional hardware components (blankets, tubing, cables), and a disposable aerosol collection set. The performance studies also focus on hardware-related aspects like emission reduction, heating/cooling performance, corrosion, and cleaning/disinfection of physical components. This is not a software-only device.

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 to "circulate water through heat exchangers to warm or cool a patient during cardiopulmonary bypass procedures." This is a direct therapeutic or supportive function applied to the patient's body, not a diagnostic test performed on a sample taken from the body.
  • Device Description: The description details a system for circulating water for temperature control, including components like blankets and tubing. This aligns with a device used for patient temperature management during surgery.
  • Lack of IVD Characteristics: There is no mention of the device being used to analyze samples (blood, urine, tissue, etc.), detect markers, or provide diagnostic information about a patient's condition. The performance studies focus on the device's ability to reduce emissions, maintain temperature, and be cleaned and disinfected, all of which are relevant to a medical device used in a clinical setting but not specifically for in vitro diagnosis.

Therefore, the Heater-Cooler System 3T is a medical device used for patient temperature management during surgery, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Heater-Cooler System 3T is used to circulate water through heat exchangers to warm or cool a patient during cardiopulmonary bypass procedures lasting 6 hours or less.

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

DWC

Device Description

The 3T System is an independent (i.e., independent of the water supply) 3-circuit heating/cooling base unit that includes three water circuits (two circuits for the patient supplied by one tank (for the heating/cooling blanket, the oxygenator) and one interchangeable heating/cooling circuit for cardioplegia. If required, patient and cardioplegia circuits can be switched off separately, in order to increase the activated functional group's heating and/or cooling performance.

The following optional components and accessories are also available for the 3T System:

    1. Heating-cooling blankets;
    1. Water circuit tubing; and
    1. Various cables.
      The 3T System includes a disposable aerosol collection set that consists of a canister connected to the 3T System and the user facility's vacuum source that captures emissions that are drawn from the tank using negative pressure created by the user facility's vacuum.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

The Company conducted performance testing that verified the modifications made to the 3T System reduced the risk of transmission of aerosolized mycobacteria. Testing including the following:

Testing to Verify Reduction in Emission: Microbiological and orthogonal assay testing during all phases of device operation to evaluate device emissions; Microbiological testing to verify that the hydrophobic filter of the disposable aerosol collection set's canister adequately prevents contamination of the user facility's vacuum source; and Microbiological and orthogonal assay testing to verify the seven-day use period of the disposable aerosol collection set.

Aerosol Collection Set Testing: Testing to verify the chemical resistance of the materials in this disposable Aerosol Collection Set, the integrity and efficacy of the disposable Aerosol Collection Set, and the integrity of the packaging design of the disposable Aerosol Collection Set

Heating and Cooling Testing: Testing to verify the performance of the heating and cooling functions of the 3T System using a patient simulator circuit.

Corrosion and Erosion Testing: Testing to evaluate the chemical resistance of the metallic and plastic component and materials of the 3T System.

Cleaning, Disinfection, and Preservation of the Water Circuit: Validation testing of the cleaning, disinfection, and water preservation instructions provided in the 3T System Operating Instructions per FDA Guidance "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling" demonstrated an intermediate level of disinfection. Long-term testing (58 weeks) of the cleaning, disinfection, and water preservation instructions verified that the instructions adequately prevent contamination of the device.

Cleaning and Disinfection of 3T System Surfaces: Validation testing of the 3T System surface cleaning instructions provided in the 3T System Operating Instructions.

Transportation and Storage: Testing of the transportation and shipping packaging of the 3T System.

Qualification of the Disinfection and Drying Process used in Production: Process validation testing of the production disinfection and drying processes.

Human Factors Testing: Human factors validation testing of the 3T System Operating Instructions.

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.

K052601

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

§ 870.4250 Cardiopulmonary bypass temperature controller.

(a)
Identification. A cardiopulmonary bypass temperature controller is a device used to control the temperature of the fluid entering and leaving a heat exchanger.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

February 25, 2020

LivaNova Deutschland GmbH % Scott Light Senior Manager, Regulatory Affairs LivaNova USA, Inc. 14491 West 65th Way Arvada. Colorado 80004

Re: K191402

Trade/Device Name: Heater-Cooler System 3T Regulation Number: 21 CFR 870.4250 Regulation Name: Cardiopulmonary Bypass Temperature Controller Regulatory Class: Class II Product Code: DWC Dated: January 17, 2020 Received: January 17, 2020

Dear Scott Light:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Actinclude 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

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requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-devices/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance)and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Fernando Aguel Assistant Director Division of Circulatory Support, Structural and Vascular Devices Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement on last page

510(k) Number (if known)

K191402

Device Name

Heater-Cooler System 3T

Indications for Use (Describe)

The Heater-Cooler System 3T is used to circulate water through heat exchangers to warm or cool a patient during cardiopulmonary bypass procedures lasting 6 hours or less.

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

X Prescription Use (Part 21 CFR 801 Subpart D)

□ Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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.

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510(k) SUMMARY

LivaNova's Heater-Cooler System 3T

Submitter's Name, Address, Telephone Number, Contact Person and Date Prepared

LivaNova Deutschland GmbH Lindberghstrasse 25 D-80939 München, Germany

Contact Person:

Bryan Olin, Ph.D. Senior Vice President, Clinical, Quality, and Regulatory Affairs

Date Prepared: February 20, 2020

Name of Device and Name/Address of Sponsor:

Heater-Cooler System 3T LivaNova Deutschland GmbH Lindberghstrasse 25 D-80939 München, Germany

Common or Usual Name:

Cardiopulmonary bypass temperature controller

Classification Name:

21 CFR 870.4250; Product Code DWC

Predicate Device:

Stöckert Heater-Cooler System 3T (K052601)

Intended Use / Indications for Use

The Heater-Cooler 3T System (3T System) is used to circulate water through heat exchangers to warm or cool a patient during cardiopulmonary bypass procedures lasting 6 hours or less.

Device Description

The 3T System is an independent (i.e., independent of the water supply) 3-circuit heating/cooling base unit that includes three water circuits (two circuits for the patient supplied by one tank (for the heating/cooling blanket, the oxygenator) and one interchangeable heating/cooling circuit for cardioplegia. If required, patient and cardioplegia circuits can be switched off separately, in order to increase the activated functional group's heating and/or cooling performance.

The following optional components and accessories are also available for the 3T System:

    1. Heating-cooling blankets;
    1. Water circuit tubing; and

4

    1. Various cables.
      The 3T System includes a disposable aerosol collection set that consists of a canister connected to the 3T System and the user facility's vacuum source that captures emissions that are drawn from the tank using negative pressure created by the user facility's vacuum.

Technological Characteristics

The technological characteristics of the Final Configuration 3T System are similar to the cleared 3T System (K052601), with a number of minor modifications to the hardware, software and labeling of the device. Both devices employ an independent (i.e., independent of the water supply) heating/cooling base unit that includes three water circuits (two circuits for the patient supplied by one tank (for the heating/cooling blanket, the oxygenator) and one interchangeable heating/cooling circuit for cardioplegia. Both devices can also be used with the same types of optional components and accessories, including heating-cooling blankets and various cables and tubing.

Performance Data

The Company conducted performance testing that verified the modifications made to the 3T System reduced the risk of transmission of aerosolized mycobacteria. Testing including the following:

| Testing to Verify

Reduction in EmissionMicrobiological and orthogonal assay testing during all phases of device operation to evaluate device emissions; Microbiological testing to verify that the hydrophobic filter of the disposable aerosol collection set's canister adequately prevents contamination of the user facility's vacuum source; and Microbiological and orthogonal assay testing to verify the seven-day use period of the disposable aerosol collection set.
Aerosol Collection Set
TestingTesting to verify the chemical resistance of the materials in this disposable Aerosol Collection Set, the integrity and efficacy of the disposable Aerosol Collection Set, and the integrity of the packaging design of the disposable Aerosol Collection Set
Heating and Cooling
TestingTesting to verify the performance of the heating and cooling functions of the 3T System using a patient simulator circuit.
Corrosion and Erosion
TestingTesting to evaluate the chemical resistance of the metallic and plastic component and materials of the 3T System.
Cleaning, Disinfection,
and Preservation of the
Water CircuitValidation testing of the cleaning, disinfection, and water preservation instructions provided in the 3T System Operating Instructions per FDA Guidance "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling" demonstrated an intermediate level of disinfection. Long-term testing (58 weeks) of the cleaning, disinfection, and water preservation instructions verified that the instructions adequately prevent contamination of the device.
Cleaning and
Disinfection of 3T
System SurfacesValidation testing of the 3T System surface cleaning instructions provided in the 3T System Operating Instructions.
Transportation and
StorageTesting of the transportation and shipping packaging of the 3T System.
Qualification of the
Disinfection and DryingProcess validation testing of the production disinfection and drying processes

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Process used in Production
Human Factors Testing• Human factors validation testing of the 3T System Operating Instructions.

Substantial Equivalence

The Final Configuration 3T System has very similar indications for use as the cleared 3T System. In addition, the Final Configuration and cleared 3T Systems have the same fundamental scientific technology, and similar technological characteristics. As explained in the attached 510(k) notice, the minor differences discussed do not raise new or different questions of safety or effectiveness. Furthermore, performance and validation testing demonstrate that the modified 3T System is as safe and effective as the predicate device. Thus, the Company maintains that the Final Configuration 3T System is substantially equivalent to its predicate device.