K Number
K200358
Device Name
Fem-Flex II Femoral Arterial Cannula, Fem-Flex II Femoral Venous Cannula, Femoral Venous Cannula, FemTrak Femoral Venous Cannula
Date Cleared
2020-03-13

(29 days)

Product Code
Regulation Number
870.4210
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Edwards Lifesciences Femoral Access Cannulae are intended for use in situations which require rapid femoral venous and arterial access for short-term (≤ 6 hours) cardiopulmonary bypass. Vessel access (venous or arterial) is left to the discretion of the physician. Femoral access cannulae may be used in pediatric populations or adult populations based on flow rate requirements and individual patient anatomy. Please consult labeling to determine pressure drop related to flow rates.
Device Description
The Edwards Femoral Access Venous and Arterial Cannulae are wire-reinforced thin-wall polyurethane or PVC cannulae. The wire reinforcement is intended to prevent kinking during use. The clear proximal section of the cannula is unreinforced for clamping and terminates in either a barbed connector for ¼" or 3/8" tubing connection. The cannulae are available in various sizes and lengths. Each cannula is furnished with one, or in some cases two, dilator(s). In the case of cannulae supplied with two dilators, one is solid and the other is hollow. The hollow dilator will pass over guidewires up to 0.038" (0.97 mm) in diameter. The guidewire, when used, facilitates percutaneous insertion, or insertion under direct visualization. The cannulae tips are tapered for easy insertion. Some cannulae feature incremental depth markings to aid in proper placement and positioning. Some versions have, as an additional aid to placement, the clear tip section of the cannula contain two radiopaque barium strips for visualization. Edwards Femoral Access Cannulae are intended to provide a means of draining the blood flow (venous), or cardiopulmonary bypass procedures. Each Edwards Lifesciences device is packaged sterile and non-pyrogenic in a sealed, peel-type pouch.
More Information

No
The device description and performance studies section do not mention any AI or ML components or capabilities. The changes described are limited to modifications to the Instructions for Use.

No
The device is described as an access cannula for cardiopulmonary bypass procedures, facilitating blood drainage and return. It's an instrumental device for facilitating blood flow during bypass, rather than actively treating a condition itself.

No
Explanation: The device is described as cannulae intended for rapid femoral venous and arterial access for short-term cardiopulmonary bypass, which is a therapeutic rather than a diagnostic function.

No

The device description clearly details physical components such as wire-reinforced polyurethane or PVC cannulae, dilators, and radiopaque barium strips, indicating it is a hardware medical device.

Based on the provided information, 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 or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Edwards Lifesciences Femoral Access Cannulae are described as devices intended for accessing blood vessels (femoral venous and arterial) for the purpose of cardiopulmonary bypass. They are physical tools used to facilitate a medical procedure.
  • Lack of Diagnostic Testing: The description does not mention any testing of samples, analysis of biological markers, or providing diagnostic information. The device's function is purely mechanical and procedural.

Therefore, the device falls under the category of a medical device used for a therapeutic procedure, not an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

Edwards Lifesciences Femoral Access Cannulae are intended for use in situations which require rapid femoral venous and arterial access for short-term (≤ 6 hours) cardiopulmonary bypass. Vessel access (venous or arterial) is left to the discretion of the physician. Femoral access cannulae may be used in pediatric populations or adult populations based on flow rate requirements and individual patient anatomy. Please consult labeling to determine pressure drop related to flow rates.

Product codes

DWF

Device Description

The Edwards Femoral Access Venous and Arterial Cannulae are wire-reinforced thin-wall polyurethane or PVC cannulae. The wire reinforcement is intended to prevent kinking during use. The clear proximal section of the cannula is unreinforced for clamping and terminates in either a barbed connector for ¼" or 3/8" tubing connection. The cannulae are available in various sizes and lengths. Each cannula is furnished with one, or in some cases two, dilator(s). In the case of cannulae supplied with two dilators, one is solid and the other is hollow. The hollow dilator will pass over guidewires up to 0.038" (0.97 mm) in diameter. The guidewire, when used, facilitates percutaneous insertion, or insertion under direct visualization. The cannulae tips are tapered for easy insertion. Some cannulae feature incremental depth markings to aid in proper placement and positioning. Some versions have, as an additional aid to placement, the clear tip section of the cannula contain two radiopaque barium strips for visualization. Edwards Femoral Access Cannulae are intended to provide a means of draining the blood flow (venous), or cardiopulmonary bypass procedures. Each Edwards Lifesciences device is packaged sterile and non-pyrogenic in a sealed, peel-type pouch.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Femoral

Indicated Patient Age Range

pediatric populations or adult populations

Intended User / Care Setting

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)

No functional/safety testing was performed for the Femoral Access Venous and Arterial Cannulae. The only changes being made are modifications to the Instructions for Use. The devices, with the proposed modification statements, have the identical design, materials, technology, and operating principles as the current legally marketed version of the devices, and as such no performance testing was conducted. The current legally marketed version of the Femoral Access Venous and Arterial Cannulae complies will all applicable design practices and regulations and was most recently cleared by FDA via K140208 (SE March 5, 2014) for modifications of its packaging.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K140208

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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).

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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 and Human Services logo. To the right of that is the FDA logo, which consists of the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, and then the word "ADMINISTRATION" in a smaller font size below that.

March 13, 2020

Edwards Lifesciences LLC Anna Califato Senior Specialist One Edwards Way Irvine, California 92614

Re: K200358

Trade/Device Name: Fem-Flex II Femoral Arterial Cannula, Fem-Flex II Femoral Venous Cannula, Femoral Venous Cannula, FemTrak Femoral Venous Cannula Regulation Number: 21 CFR 870.4210 Regulation Name: Cardiopulmonary Bypass Vascular Catheter, Cannula, Or Tubing Regulatory Class: Class II Product Code: DWF Dated: February 12, 2020 Received: February 13, 2020

Dear Anna Califato:

We have reviewed vour 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 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

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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 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-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 DHT2B: Division of Circulatory Support, Structural and Vascular Devices OHT2: 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

510(k) Number (if known) K200358

Device Name Femoral Access Venous and Arterial Cannulae

Indications for Use (Describe)

Edwards Lifesciences Femoral Access Cannulae are intended for use in situations which require rapid femoral venous and arterial access for short-term (≤ 6 hours) cardiopulmonary bypass. Vessel access (venous or arterial) is left to the discretion of the physician. Femoral access cannulae may be used in pediations or adult populations based on flow rate requirements and individual patient anatomy. Please consult labeling to determine pressure drop related to flow rates.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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

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510(k) Summary

Submitter:Edwards Lifesciences LLC
Contact Person:Anna Califato, Senior Specialist, Regulatory Affairs
One Edwards Way
Irvine, CA 92614
(949) 250-5083
Date Prepared:February 12, 2020
Trade Name:Fem-Flex II Femoral Arterial Cannula
Trade Name:Fem-Flex II Femoral Venous Cannula
Trade Name:Femoral Venous Cannula
Trade Name:FemTrak Femoral Venous Cannula
Classification Name:Catheter, Cannula and Tubing, Vascular, Cardiopulmonary Bypass
21 CFR Part 870.4210, Product Code DWF, Class II
Predicate Device:K140208 Femoral Access Venous and Arterial Cannulae
Device Description:The Edwards Femoral Access Venous and Arterial Cannulae are wire-
reinforced thin-wall polyurethane or PVC cannulae. The wire
reinforcement is intended to prevent kinking during use. The clear
proximal section of the cannula is unreinforced for clamping and
terminates in either a barbed connector for ¼" or 3/8" tubing connection.
The cannulae are available in various sizes and lengths. Each cannula is
furnished with one, or in some cases two, dilator(s). In the case of
cannulae supplied with two dilators, one is solid and the other is hollow.
The hollow dilator will pass over guidewires up to 0.038" (0.97 mm) in
diameter. The guidewire, when used, facilitates percutaneous insertion,
or insertion under direct visualization. The cannulae tips are tapered for
easy insertion.
Some cannulae feature incremental depth markings to aid in proper
placement and positioning. Some versions have, as an additional aid to
placement, the clear tip section of the cannula contain two radiopaque
barium strips for visualization. Edwards Femoral Access Cannulae are
intended to provide a means of draining the blood flow (venous), or
cardiopulmonary bypass procedures. Each Edwards Lifesciences device
is packaged sterile and non-pyrogenic in a sealed, peel-type pouch.
Indications For Use:Edwards Lifesciences Femoral Access Cannulae are intended for use in
situations which require rapid femoral venous and arterial access for
short-term (≤ 6 hours) cardiopulmonary bypass. Vessel access (venous
or arterial) is left to the discretion of the physician.
Femoral access cannulae may be used in pediatric populations or adult
populations based on flow rate requirements and individual patient
anatomy. Please consult labeling to determine pressure drop related to
flow rates.
Comparative Analysis:The subject devices are comparable to the predicate devices in intended
use, fundamental scientific technology, design, principles of operation,
and functional performance as no changes have been made to the
devices. The only changes being made are modifications to the
Instructions for Use.
Functional/Safety
Testing:No functional/safety testing was performed for the Femoral Access
Venous and Arterial Cannulae. The only changes being made are
modifications to the Instructions for Use.
The devices, with the proposed modification statements, have the
identical design, materials, technology, and operating principles as the
current legally marketed version of the devices, and as such no
performance testing was conducted.
The current legally marketed version of the Femoral Access Venous and
Arterial Cannulae complies will all applicable design practices and
regulations and was most recently cleared by FDA via K140208 (SE
March 5, 2014) for modifications of its packaging.
Conclusion:The Femoral Access Venous and Arterial Cannulae are identical, and
therefore substantially equivalent to the named predicate device based
on technological comparison, principle of operation, and intended use.
There are no new questions of safety and effectiveness.

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