(29 days)
No reference devices were used in this submission.
No
The document describes a mechanical device for extracorporeal circulation and filtration, with no mention of AI or ML capabilities.
Yes
Explanation: The device is intended to be used in an extracorporeal perfusion circuit to oxygenate, remove carbon dioxide, and cool/warm blood, as well as filter microemboli, during cardiopulmonary bypass procedures. These functions are directly involved in treating physiological conditions, thus qualifying it as a therapeutic device.
No
This device is designed to oxygenate, remove carbon dioxide, and filter blood during cardiopulmonary bypass procedures, and to collect and return blood to the patient. It performs therapeutic functions rather than diagnosing conditions.
No
The device description clearly outlines physical components like an oxygenator, integrated arterial filter, heat exchanger, and cardiotomy/venous reservoir, all designed for use in an extracorporeal perfusion circuit. There is no mention of software as the primary or sole component.
Based on the provided text, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use/Indications for Use: The intended use clearly describes the device's function in an extracorporeal perfusion circuit to oxygenate, remove carbon dioxide, cool/warm blood, and filter microemboli during cardiopulmonary bypass procedures. It also describes its use for collecting and returning blood. These are all functions performed outside the body on blood that is temporarily removed, processed, and returned.
- Device Description: The description reinforces the extracorporeal nature of the device, detailing its components and how they interact with blood in a circuit outside the patient's body.
- Lack of IVD Characteristics: There is no mention of the device being used to analyze samples (blood, tissue, etc.) to provide information about a patient's health status, diagnose conditions, or monitor treatment. IVDs are typically used for testing and analysis, not for directly processing and returning blood to the patient in this manner.
The device is a medical device used in a surgical procedure, but it does not fit the definition of an In Vitro Diagnostic device.
N/A
Intended Use / Indications for Use
The Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance Biosurface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass procedures up to 6 hours in duration. The Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance Biosurface is designed to filter from the circuit microemboli larger than the specified micron size for periods up to six hours during cardiopulmonary bypass surgery.
The Affinity Fusion Cardiotomy/Venous Reservoir with Balance Biosurface is intended to be used in an extracorporeal perfusion circuit to collect venous and cardiotomy suctioned blood during routine cardiopulmonary procedures up to 6 hours in duration. The CVR is also intended for use during vacuum assisted venous drainage (VAVD) procedures. The Affinity Fusion Cardiotomy/Venous Reservoir with Balance Biosurface is also intended for use after open heart surgery to collect autologous blood from the chest and to aseptically return the blood to the patient for blood volume replacement.
The Affinity Fusion oxygenator with integrated arterial filter and Cortiva bioactive surface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass (CPB) procedures up to 6 hours in duration. The Affinity Fusion oxygenator with integrated arterial filter and Cortiva bioactive surface is designed to filter from the circuit microemboli larger than the specified micron size for periods up to 6 hours during CPB surgery.
The Affinity Fusion cardiotomy/venous reservorr with Balance biosurface is intended to be used in an extracorporeal perfusion circuit to collect venous and cardiotomy suctioned blood during routine cardiopulmonary procedures up to 6 hours in duration. The CVR is also intended for use during vacuum-assisted venous drainage (VAVD) procedures. The Affinity Fusion cardiotomy/venous reservoir with Balance biosurface is also intended for use after surgery to collect autologous blood from the chest and to aseptically return the blood volume replacement.
Product codes (comma separated list FDA assigned to the subject device)
DTZ, DTM, DTN
Device Description
The Affinity Fusion Oxygenator is intended to be used in an extracorporeal perfusion blood circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass procedures up to 6 hours in duration. The Affinity Fusion Oxygenator contains both an integrated arterial filter and integrated heat exchanger. The Affinity Fusion Oxygenator is a microporous, hollow-fiber, gas-exchange devices available with Cortiva BioActive Surface or Balance Biosurface bonded to the blood contacting surface of the integrated arterial filter is designed to filter from the circuit microemboli larger than the specified micron size from the circuit for periods up to six hours during cardiopulmonary bypass surgery. Some models of the Affinity Fusion Oxygenator are packaged with an Affinity Fusion Cardiotomy/Venous Reservoir (CVR) with Balance Biosurface which is designed to be an integral part of a cardiopulmonary bypass circuit for use during cardiac surgery. The Affinity Fusion CVR is designed to collect venous and cardiotomy suctioned blood during routine cardiopulmonary procedures up to six (6) hours in duration. Additionally, the Affinity Fusion CVR may be used during vacuum assisted venous drainage (VAVD) procedures and collect autologous blood from the chest and to aseptically return the blood to the patient for blood volume replacement during open heart surgery.
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)
Operation and performance qualification, biocompatibility rationale and the design characterization activities were completed, and they have led to the conclusion that no newly emerging hazards or risks were identified.
Operation qualification and performance qualification was carried out to provide objective evidence that the manufacturing process consistently produces product that meets predetermined requirements under challenge and normal operating conditions respectively, including pressure integrity, burst, torgue and insertion depth testing.
The bond between the new material and adhesive was evaluated utilizing the interfacial surface, geometry, material and adhesive compatibility. This evaluation indicated improved bond performance relative to the current material. The PQ torque data for the new TMA serves as an approximation of the long-term shelf-life performance of the TMA bond.
A biocompatibility assessment was carried out to demonstrate that new material, which is currently used in the Affinity Pixie CVR Oxygenator, is biocompatible per the ISO 10993 standard and does not require new biocompatibility testing. The unique interaction of the new material with the adhesive is non-patient contacting. The new TMA creates a seal preventing contact with the circulating blood volume, and this interference fit has been verified through the part specifications, along with random sampling and statistical modeling.
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.
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.
No reference devices were used in this submission.
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
Image /page/0/Picture/0 description: The image shows 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 in blue, with the words "U.S. FOOD & DRUG ADMINISTRATION" in blue as well. The FDA is a federal agency responsible for regulating and supervising the safety of food, drugs, and other products.
Medtronic Inc. Aj Thakkar Sr. Regulatory Affairs Specialist 7611 Northland Drive Minneapolis, Minnesota 55428 04/06/2023
Re: K230640
Trade/Device Name: Affinity Fusion™ Oxygenator System Regulation Number: 21 CFR 870.4350 Regulation Name: Cardiopulmonary Bypass Oxygenator Regulatory Class: Class II Product Code: DTZ Dated: March 7, 2023 Received: March 8, 2023
Dear Aj Thakkar:
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 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
1
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 mediation-emitting products, including information about labeling regulations, please see Device Advice (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. Kathleen M. Digitally signed by Grunder -S Date: 2023.04.06 for Nicole Gillette 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
2
510(k) Number (if known)
Device Name
Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance™ Biosurface (Model BB811)
Indications for Use (Describe)
The Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance Biosurface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass procedures up to 6 hours in duration.
The Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance Biosurface is designed to filter from the circuit microemboli larger than the specified micron size for periods up to six hours during cardiopulmonary bypass surgery.
| 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) Number (if known)
Device Name
Affinity Fusion Oxygenator with Integrated Arterial Filter and Cardiotomy/Venous Reservoir with Balance™ Biosurface (Model BB841)
Indications for Use (Describe) Oxygenator with Integrated Arterial Filter
The Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance Biosurface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass procedures up to 6 hours in duration.
The Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance Biosurface is designed to filter from the circuit microemboli larger than the specified micron size for periods up to six hours during cardiopulmonary bypass surgery.
Cardiotomy/Venous Reservoir
The Affinity Fusion Cardiotomy/Venous Reservoir with Balance Biosurface is intended to be used in an extracorporeal perfusion circuit to collect venous and cardiotomy suctioned blood during routine cardiopulmonary procedures up to 6 hours in duration. The CVR is also intended for use during vacuum assisted venous drainage (VAVD) procedures.
The Affinity Fusion Cardiotomy/Venous Reservoir with Balance Biosurface is also intended for use after open heart surgery to collect autologous blood from the chest and to aseptically return the blood to the patient for blood volume replacement.
| 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."
4
510(k) Number (if known)
Device Name
Affinity Fusion Oxygenator with Integrated Arterial Filter and Cortiva™ BioActive Surface (Model CB811)
Indications for Use (Describe)
The Affinity Fusion oxygenator with integrated arterial filter and Cortiva bioactive surface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass (CPB) procedures up to 6 hours in duration.
The Affinity Fusion oxygenator with integrated arterial filter and Cortiva bioactive surface is designed to filter from the circuit microemboli larger than the specified micron size for periods up to 6 hours during CPB surgery.
| 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."
5
510(k) Number (if known)
Device Name
Affinity Fusion Oxygenator with Integrated Arterial Filter and Cortiva™ BioActive Surface and Cardiotomy/Venous Reservoir with Balance™ Biosurface (Model CB841)
Indications for Use (Describe) Oxygenator with Integrated Arterial Filter
The Affinity Fusion oxygenator with integrated arterial filter and Cortiva bioactive surface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass (CPB) procedures up to 6 hours in duration.
The Affinity Fusion oxygenator with integrated arterial filter and Cortiva bioactive surface is designed to filter from the circuit microemboli larger than the specified micron size for periods up to 6 hours during CPB surgery.
Cardiotomy/Venous Reservoir
The Affinity Fusion cardiotomy/venous reservorr with Balance biosurface is intended to be used in an extracorporeal perfusion circuit to collect venous and cardiotomy suctioned blood during routine cardiopulmonary procedures up to 6 hours in duration. The CVR is also intended for use during vacuum-assisted venous drainage (VAVD) procedures.
The Affinity Fusion cardiotomy/venous reservoir with Balance biosurface is also intended for use after surgery to collect autologous blood from the chest and to aseptically return the blood volume replacement.
| 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."
6
510(k) Summary
Submitter
| Date Prepared: | March 7, 2023 |
|---|---|
| Applicant: | Medtronic, Inc. |
| Medtronic Perfusion Systems | |
| 7611 Northland Drive | |
| Minneapolis, MN 55428 | |
| Establishment Registration Number: 2184009 | |
| Contact Person: | Aj Thakkar |
| Senior Regulatory Affairs Specialist | |
| Medtronic Perfusion Systems | |
| Phone: 508-452-4897 | |
| Email: aj.thakkar@medtronic.com | |
| Alternate Contact: | Ryan Calabrese |
| VP, Regulatory Affairs | |
| Medtronic Perfusion Systems | |
| Phone: 763-526-3515 | |
| Email: ryan.s.calabrese@medtronic.com |
Device
| Model
Nos. | Trade Name | Common Name | Classification
Name | Class | Classification
Panel | Regulation
(21 CFR) | Product
Code |
|---------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------|---------------------------------------------------------------------------------------------|----------|-------------------------|----------------------------------|-------------------|
| CB811 | Affinity Fusion
Oxygenator with
Integrated Arterial
Filter and Cortiva™
BioActive Surface | Oxygenator | Cardiopulmonary
bypass oxygenator | Class II | Cardiovascular | 870.4350
870.4260 | DTZ
DTM |
| CB841 | Affinity Fusion
Oxygenator with
Integrated Arterial
Filter and Cortiva™
BioActive Surface and
Cardiotomy/
Venous Reservoir
With Balance™ Biosurface | Oxygenator | Cardiopulmonary
bypass oxygenator
and
Cardiopulmonary
bypass blood
reservoir | Class II | Cardiovascular | 870.4350
870.4260
870.4400 | DTZ
DTM
DTN |
| BB811 | Affinity Fusion
Oxygenator with
Integrated Arterial Filter
and Balance Biosurface | Oxygenator | Cardiopulmonary
bypass oxygenator | Class II | Cardiovascular | 870.4350 | DTZ |
7
| BB841 | Affinity Fusion
Oxygenator with
Integrated Arterial Filter
And Cardiotomy/Venous
Reservoir with Balance
Biosurface | Oxygenator | Cardiopulmonary
bypass oxygenator
and
Cardiopulmonary
bypass blood
reservoir | Class II | Cardiovascular | 870.4350
870.4260
870.4400 | DTZ
DTM
DTN |
| ------- | ----------------------------------------------------------------------------------------------------------------------------------- | ------------ | --------------------------------------------------------------------------------------------- | ---------- | ---------------- | ---------------------------------- | ------------------- |
|---|
Predicate Device
| Trade Name | 510(k) | Clearance Date |
|---|---|---|
| Affinity Fusion Oxygenator | K203111 | September 16, 2021 |
No reference devices were used in this submission.
Device Description
The Affinity Fusion Oxygenator is intended to be used in an extracorporeal perfusion blood circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass procedures up to 6 hours in duration. The Affinity Fusion Oxygenator contains both an integrated arterial filter and integrated heat exchanger. The Affinity Fusion Oxygenator is a microporous, hollow-fiber, gas-exchange devices available with Cortiva BioActive Surface or Balance Biosurface bonded to the blood contacting surface of the integrated arterial filter is designed to filter from the circuit microemboli larger than the specified micron size from the circuit for periods up to six hours during cardiopulmonary bypass surgery. Some models of the Affinity Fusion Oxygenator are packaged with an Affinity Fusion Cardiotomy/Venous Reservoir (CVR) with Balance Biosurface which is designed to be an integral part of a cardiopulmonary bypass circuit for use during cardiac surgery. The Affinity Fusion CVR is designed to collect venous and cardiotomy suctioned blood during routine cardiopulmonary procedures up to six (6) hours in duration. Additionally, the Affinity Fusion CVR may be used during vacuum assisted venous drainage (VAVD) procedures and collect autologous blood from the chest and to aseptically return the blood to the patient for blood volume replacement during open heart surgery.
Principles of Operation
Affinity Oxygenators are designed to be an integral part of the cardiopulmonary heart bypass circuit for use during cardiac surgery. The Affinity Oxygenators are intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass procedures up to 6 hours in duration.
The oxygenator is composed of the "fiber bundle" which is the gas exchange portion of an oxygenator. The "fiber bundle" is comprised of tiny hollow tubes, or "hollow fibers" that consist of a microporous membrane that allows for gas exchange. Blood flows over the outside surfaces of the hollow fibers while fresh gas is delivered to the inside of the fibers allowing for gas exchange.
Blood that comes from the patient is delivered through a pump to the oxygenator and other auxiliary devices, and back to the patient. The oxygenator can be connected to a heater/cooler device, recirculation circuit, cardioplegia circuit, and the main blood path. The oxygenator is under constant fluid pressure. There is pressure exerted on the blood-side of the device from the blood pump and patient, the water-
8
side of the device due to the flow of the heater-cooler for water, and the gas-side of the device due to the flow of gases through the device. The water-side of the oxygenator is connected to a heater/cooler device to enable temperature control of the blood.
Indications for Use
Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance™ Biosurface (Model BB811)
The Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance Biosurface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass procedures up to 6 hours in duration. The Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance Biosurface is designed to filter from the circuit microemboli larger than the specified micron size for periods up to six hours during cardiopulmonary bypass surgery.
Affinity Fusion Oxygenator with Integrated Arterial Filter and Cardiotomy/Venous Reservoir with Balance™ Biosurface (Model BB841)
Oxygenator with Integrated Arterial Filter
The Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance Biosurface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass procedures up to 6 hours in duration. The Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance Biosurface is designed to filter from the circuit microemboli larger than the specified micron size for periods up to six hours during cardiopulmonary bypass surgery.
Cardiotomy/Venous Reservoir
The Affinity Fusion Cardiotomy/Venous Reservoir with Balance Biosurface is intended to be used in an extracorporeal perfusion circuit to collect venous and cardiotomy suctioned blood during routine cardiopulmonary procedures up to 6 hours in duration. The CVR is also intended for use during vacuum assisted venous drainage (VAVD) procedures.
The Affinity Fusion Cardiotomy/Venous Reservoir with Balance Biosurface is also intended for use after open heart surgery to collect autologous blood from the chest and to aseptically return the blood to the patient for blood volume replacement.
Affinity Fusion Oxygenator with Integrated Arterial Filter and Cortiva™ BioActive Surface (Model CB811)
The Affinity Fusion oxygenator with integrated arterial filter and Cortiva bioactive surface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass (CPB) procedures up to 6 hours in duration.
The Affinity Fusion oxygenator with integrated arterial filter and Cortiva bioactive surface is designed to filter from the circuit microemboli larger than the specified micron size for periods up to 6 hours during CPB surgery.
9
Affinity Fusion Oxygenator with Integrated Arterial Filter and Cortiva™ BioActive Surface and Cardiotomy/Venous Reservoir with Balance™ Biosurface (Model CB841)
Oxygenator with Integrated Arterial Filter
The Affinity Fusion oxygenator with integrated arterial filter and Cortiva bioactive surface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass (CPB) procedures up to 6 hours in duration.
The Affinity Fusion oxygenator with integrated arterial filter and Cortiva bioactive surface is designed to filter from the circuit microemboli larger than the specified micron size for periods up to 6 hours during CPB surgery.
Cardiotomy/Venous Reservoir
The Affinity Fusion cardiotomy/venous reservoir with Balance biosurface is intended to be used in an extracorporeal perfusion circuit to collect venous and cardiotomy suctioned blood during routine cardiopulmonary procedures up to 6 hours in duration. The CVR is also intended for use during vacuumassisted venous drainage (VAVD) procedures.
The Affinity Fusion cardiotomy/venous reservoir with Balance biosurface is also intended for use after open heart surgery to collect autologous blood from the chest and to aseptically return the blood to the patient for blood volume replacement.
Comparison of Technological Characteristics with the Predicate Device
A comparison of the modified product to the currently marketed predicate products (K203111) indicates the following similarities:
- Intended Use / Indications for use
- Contraindications
- . Operating Principle
- Mechanism of action
- Performance
- . Shelf Life
- Packaging configuration and Materials
- Sterilization process and requirements
- Did not require clinical data to verify safety and efficacy
When compared to the predicate devices, the Affinity Fusion Oxygenator Devices presented in this submission have the following differences:
- Temperature Monitoring Adapter (TMA) insert component material and insertion depth
Performance Data
Operation and performance qualification, biocompatibility rationale and the design characterization activities were completed, and they have led to the conclusion that no newly emerging hazards or risks were identified.
10
Operation Qualification and Performance Qualification (OQ/PQ)
Operation qualification and performance qualification was carried out to provide objective evidence that the manufacturing process consistently produces product that meets predetermined requirements under challenge and normal operating conditions respectively, including pressure integrity, burst, torgue and insertion depth testing.
Design Characterization
The bond between the new material and adhesive was evaluated utilizing the interfacial surface, geometry, material and adhesive compatibility. This evaluation indicated improved bond performance relative to the current material. The PQ torque data for the new TMA serves as an approximation of the long-term shelf-life performance of the TMA bond.
Biocompatibility Assessment
A biocompatibility assessment was carried out to demonstrate that new material, which is currently used in the Affinity Pixie CVR Oxygenator, is biocompatible per the ISO 10993 standard and does not require new biocompatibility testing. The unique interaction of the new material with the adhesive is non-patient contacting. The new TMA creates a seal preventing contact with the circulating blood volume, and this interference fit has been verified through the part specifications, along with random sampling and statistical modeling.
Conclusion
Medtronic has demonstrated through testing completed that the modifications made to the Affinity Fusion Oxygenator System described in this submission result in a substantially equivalent device because the fundamental scientific principle, operating principle, design features and intended use are unchanged from the predicate device.