K Number
K971520
Device Name
S3 CYCLIC RPM CONTROL
Date Cleared
1997-09-10

(138 days)

Product Code
Regulation Number
870.4370
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Stöckert S3 Cyclic RPM Control Module is an accessory to the S3 Cardiopulmonary Bypass System Console which allows for the cyclicapm control offan;S3:pump.
Device Description
The Stöckert S3 Cyclic RPM Control Module is an accessory module to the Stöckert S3 (cardiopulmonary bypass) Perfusion System, and is intended to allow the roller pump or double head pump to operate in the pulsed flow mode. The predicate and predecessor device to the S3 Cyclic RPM Control Module is the Stöckert-Shiley CAPS PFC 100 S Control unit (K883456). Similar devices have been used for many years for this same intended purpose. The new S3 Cyclic RPM Control Module is a simple upgrade of the technological aspects of the predicate device, e.g., the software controls and have been updated and the control and display panels have been updated for user convenience in operating the system.
More Information

Not Found

No
The description focuses on updated software controls and user interface for pulsed flow operation, with no mention of AI or ML terms or concepts.

No
The device is an accessory to a cardiopulmonary bypass system, allowing for pulsed flow operation of a pump. It does not directly treat a disease or condition but rather regulates the function of another device that is used during a medical procedure.

No

Explanation: The device is described as an accessory module for a cardiopulmonary bypass system that controls a pump to operate in a pulsed flow mode. It is a control device for a medical system, not a device used to diagnose a medical condition.

No

The device is described as an "accessory module" and mentions "control and display panels have been updated," indicating it includes hardware components beyond just software.

Based on the provided text, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to control the cyclic RPM of a pump within a cardiopulmonary bypass system. This is a device used during a medical procedure on a patient, not for testing samples outside the body to diagnose or monitor a condition.
  • Device Description: The description clearly states it's an accessory to a cardiopulmonary bypass system, which is used for supporting circulation and oxygenation during surgery.
  • Lack of IVD Indicators: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information based on in vitro testing.

Therefore, the Stöckert S3 Cyclic RPM Control Module is a medical device used in a clinical setting for patient support during surgery, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Stöckert S3 Cyclic RPM Control Module is an accessory to the S3 Cardiopulmonary Bypass System Console which allows for the cyclic rpm control of an S3 pump.

Product codes

74 DWB

Device Description

The Stöckert S3 Cyclic RPM Control Module is an accessory module to the Stöckert S3 (cardiopulmonary bypass) Perfusion System, and is intended to allow the roller pump or double head pump to operate in the pulsed flow mode. The predicate and predecessor device to the S3 Cyclic RPM Control Module is the Stöckert-Shiley CAPS PFC 100 S Control unit (K883456). Similar devices have been used for many years for this same intended purpose. The new S3 Cyclic RPM Control Module is a simple upgrade of the technological aspects of the predicate device, e.g., the software controls and have been updated and the control and display panels have been updated for user convenience in operating the system.

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

Information supplied in this premarket notification to support a determination of substantial equivalence for this device included descriptive information about the design, materials, and intended use of the device, as well as extensive testing results characterizing device performance. Testing included electrical testing, functional acceptance testing, and software verification and validation testing. The Stöckert S3 Perfusion System, including the Cyclic RPM Control Module, conforms with the applicable requirements of IEC 601, and IEC 62a. The manufacturing facility is ISO 9001 certified, and the device holds the CE mark in the European Union.

Key Metrics

Not Found

Predicate Device(s)

K883456

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.4370 Roller-type cardiopulmonary bypass blood pump.

(a)
Identification. A roller-type cardiopulmonary bypass blood pump is a device that uses a revolving roller mechanism to pump the blood through the cardiopulmonary bypass circuit during bypass surgery.(b)
Classification. Class II (performance standards).

0

KII>CO

SEP 1 0 1997

Appendix F

510(k) Summary

1

510(k) Summary

STÖCKERT S3 PERFUSION SYSTEM CYCLIC RPM CONTROL MODULE

1.Date Prepared:April 24, 1997
2.Submitter:Stöckert Instrumente, GmbH
Lilienthalallee 5-7
D-80939 Munich, Germany
3.Contact:Helmut Höfl
011-49-89-32301-0
4.Device Name:Stöckert S3 Perfusion System
Cyclic RPM Control Module
5.Device Classification:Class II, 21 CFR 870.4370

Device Description and Comparison to Predicate Products: 6.

The Stöckert S3 Cyclic RPM Control Module is an accessory module to the Stöckert S3 (cardiopulmonary bypass) Perfusion System, and is intended to allow the roller pump or double head pump to operate in the pulsed flow mode. The predicate and predecessor device to the S3 Cyclic RPM Control Module is the Stöckert-Shiley CAPS PFC 100 S Control unit (K883456). Similar devices have been used for many years for this same intended purpose. The new S3 Cyclic RPM Control Module is a simple upgrade of the technological aspects of the predicate device, e.g., the software controls and have been updated and the control and display panels have been updated for user convenience in operating the system.

2

Information supplied in this premarket notification to support a determination of substantial equivalence for this device included descriptive information about the design, materials, and intended use of the device, as well as extensive testing results characterizing device performance. Testing included electrical testing, functional acceptance testing, and software verification and validation testing. The Stöckert S3 Perfusion System, including the Cyclic RPM Control Module, conforms with the applicable requirements of IEC 601, and IEC 62a. The manufacturing facility is ISO 9001 certified, and the device holds the CE mark in the European Union.

Page F-2

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three heads, representing the department's mission to protect the health of all Americans and provide essential human services. The words "HUMAN SERVICES • USA" and "DEPARTMENT" are arranged in a circular fashion around the eagle symbol. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20856

Stöckert Instrumente GmbH SEP 1 0 1997 c/o Ms. Rosina Robinson Staff Consultant Medical Device Consultants, Inc. 49 Plain Street North Attleboro, Massachusetts 02760

Re: K971520 Stöckert S3 Cyclic RPM Control Module Requlatory Class: II (Two) Product Code: 74 DWB Dated: August 6, 1997 Received: August 8, 1997

Dear Ms. Robinson:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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, labelinq, and prohibitions aqainst misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act

4

Page 2 - Ms. Rosina Robinson

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diaqnostic devices), please contact the Office of Compliance at (301) 594-4648. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html."

Sincerely yours,

Thomas J. Callahon

Thomas J. Callahan, Ph.D. Director Division of Cardiovascular, Respiratory, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

k 97 1520 510(k) Number (if known): _

Device Name: Stöckert S3 Bypass System Cyclic RPM Control Module_

Indications For Use:

The Stöckert S3 Cyclic RPM Control Module is an accessory to the S3 Cardiopulmonary Bypass System Console which allows for the cyclicapm control offan;S3:pump.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Bette R. Semperele

Division Sign-Off) Wision of Cardiovascular, Respiratory, and Neurological Devices

510(k) Number

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Format 1-2-96)

Stöckert S3 Cyclic RPM Control Module 510(k)

4/24/97

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