K Number
K972689
Device Name
CAOW HEMOSTASIS SYSTEM
Manufacturer
Date Cleared
1998-08-27

(406 days)

Product Code
Regulation Number
870.4450
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The CAOW Hemostasis System can be used to provide hemostasis for femoral arterial and venous punctures associated with an angiogram, angioplasty, coronary stent placement or other invasive cardiac or radiological procedures.
Device Description
The CAOW Hemostasis System consists of a pole-mounted C-clamp with movable upper and lower arms. A single-use, sterile acrylic plastic pad attached to the upper arm provides hemostasis by controlled compression of the arterial puncture site.
More Information

No
The device description and intended use describe a mechanical compression system, with no mention of AI/ML or related concepts.

Yes
The device is used to provide hemostasis, which is a therapeutic intervention to stop bleeding.

No
The device is described as a hemostasis system, used to provide hemostasis by controlled compression of an arterial puncture site, which is a therapeutic function, not diagnostic.

No

The device description clearly states it consists of a pole-mounted C-clamp with movable arms and a single-use plastic pad, indicating it is a physical hardware device, not software only.

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, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The CAOW Hemostasis System is a mechanical device used to apply external compression to a puncture site to stop bleeding. It does not analyze biological samples or provide diagnostic information.
  • Intended Use: The intended use clearly states it's for providing hemostasis (stopping bleeding) for arterial and venous punctures. This is a therapeutic/procedural function, not a diagnostic one.

Therefore, the CAOW Hemostasis System falls under the category of a medical device used for a therapeutic purpose, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The CAOW Hemostasis System can be used to provide hemostasis for femoral arterial and venous punctures associated with an angiogram, angioplasty, coronary stent placement or other invasive cardiac or radiological procedures.

Product codes

74 DXC

Device Description

The CAOW Hemostasis System consists of a pole-mounted C-clamp with movable upper and lower arms. A single-use, sterile acrylic plastic pad attached to the upper arm provides hemostasis by controlled compression of the arterial puncture site.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

femoral arterial and venous punctures

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

A sterilization validation, mechanical bench testing and a clinical study demonstrated the safety and proper performance of the CAOW Hemostasis System.

Key Metrics

Not Found

Predicate Device(s)

Compressar® (K925809), ClampEase (K863427), Disco Pad and Quicklamp (K923085)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.4450 Vascular clamp.

(a)
Identification. A vascular clamp is a surgical instrument used to occlude a blood vessel temporarily.(b)
Classification. Class II (performance standards).

0

I. ... ..........................................................................................................................................................................

K972689

Attachment F

510(k) Summary Compression Apparatus On Wheels (CAOW™) Hemostasis System

General Information

| Device Generic Name: | Arterial puncture mechanical
hemostasis system |
|--------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------|
| Device Trade Name: | CAOW Hemostasis System |
| Applicant's Name and Address: | Anlam Corporation
10151 74th Street
Edmonton, Alberta T6A 2X8
Canada |
| 510(k) Number: | Compressar® (K925809; Instromedix)
ClampEase (K863427; Freud Medical
Products)
Disco Pad and Quicklamp (K923085;
TZ Medical) |
| Date of Judgement of Substantial
Equivalence Sent to Applicant: | Compressar® (K925809) - 1992
ClampEase (K863427) - 1986
Disco Pad and Quicklamp (K923085) -
1992 |

Description of Conditions for Which the Product is Indicated II.

The CAOW Hemostasis System can be used to provide hemostasis for femoral arterial and venous punctures associated with an angiogram, angioplasty, coronary stent placement or other invasive cardiac or radiological procedures.

Device Description III.

The CAOW Hemostasis System consists of a pole-mounted C-clamp with movable upper and lower arms. A single-use, sterile acrylic plastic pad attached to the upper arm provides hemostasis by controlled compression of the arterial puncture site.

1

Alternatives IV.

Alternatives for the CAOW Hemostasis System are other commercially available hemostasis products, such as compression bandages, sutures, mechanical C-clamp pad compression systems, collagen plugs, etc.

: Marketing History V.

The CAOW Hemostasis System is not in commercial distribution in the United States or elsewhere.

Potential Adverse Effects VI.

Potential adverse effects associated with the CAOW Hemostasis System are the same as those associated with other commercially available mechanical C-clamp pad compression systems.

VII. Summarv of Studies

A sterilization validation, mechanical bench testing and a clinical study demonstrated the safety and proper performance of the CAOW Hemostasis System.

VIII. Conclusion

Information presented in this 510(k) Notification demonstrated the substantially equivalency of the CAOW Hemostasis System and provides reasonable assurance that the CAOW Hemostasis System will perform in a safe and effective manner.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three human profiles incorporated into its design. The eagle is encircled by the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 27 1998

Mr. Anthony Lam Anlam Corporation 10536-101 Street T5H 2R8 CANADA

Re: K972689 CAOW Hemostasis System Regulatory Class: II (two) Product Code: 74 DXC Dated: August 11, 1998 Received: August 11, 1998

Dear Mr. Lam:

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 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). 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.

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 A substantially equivalent determination assumes compliance to 895. with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General requlation (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 regulation 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 for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

3

Page 2 - Mr. Anthony Lam

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 regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic 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/dsma/dsmamain.html".

Sincerely yours,

Thomas J. Callahan

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

Enclosure

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Attachment A

Indications for Use Statement

The indications for use recommended for the Compression Apparatus On Wheels (CAOW™) Hemostasis System are stated in the instruction manual (see Attachment B). This statement is repeated below:

The CAOW Hemostasis System can be used to provide hemostasis for femoral arterial and venous punctures associated with an angiogram, angioplasty, coronary stent placement or other invasive cardiac or radiological procedures.

TAA

(Division Sign-Off) Division of Cardiovascular, Respiratory, and Neurological Devices 1972689 510(k) Number .