K Number
K993060
Device Name
GAS FILTER
Date Cleared
2000-03-28

(197 days)

Product Code
Regulation Number
870.4270
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Gas Filter is intended to remove particulate matter from medical gases flowing into the cardiopulmonary bypass circuit for periods up to 6 hours.
Device Description
The proposed gas filter and the Gish filter are each made of materials that are commonly used in cardiopulmonary bypass devices and circuits. The Gish filter is made of ABS, and Versapor (Acrylic); the proposed devices are made of hydrophobic laminated glass media, Versapor (Acrylic) and polypropylene.
More Information

Not Found

No
The summary describes a physical gas filter with no mention of software, algorithms, or data processing, which are typically associated with AI/ML.

No.
The device is a gas filter intended to remove particulate matter from medical gases, not to directly treat a disease or condition in a patient. It is part of a cardiopulmonary bypass circuit, which is a life support system, but the filter itself does not provide therapy.

No
The device is a gas filter, which removes particulate matter from medical gases. It does not diagnose medical conditions.

No

The device description clearly states it is a physical gas filter made of materials like ABS, Versapor, and polypropylene, which are hardware components.

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

Here's why:

  • Intended Use: The intended use is to "remove particulate matter from medical gases flowing into the cardiopulmonary bypass circuit." This describes a device that physically filters gases used in a medical procedure, not a device that analyzes samples taken from the body (like blood, urine, or tissue) to diagnose a condition.
  • Device Description: The description focuses on the materials used for filtration and the physical structure of the filter. This aligns with a medical device used in a circuit, not an analytical instrument or reagent.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting biomarkers, or providing diagnostic information based on in vitro testing.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. This gas filter does not fit that description.

N/A

Intended Use / Indications for Use

The proposed gas filter and the Gish filter are intended to remove particulate matter from the gases flowing into the cardiopulmonary bypass circuit.
The Gas Filter is intended to remove particulate matter from medical gases flowing into the cardiopulmonary bypass circuit for periods up to 6 hours.

Product codes

JOD

Device Description

During extracorporeal circulation, it is necessary to adequately provide for blood gas maintenance. Typically, the circuitry that enables gas to be introduced to the blood flow contains a gas filtration device. The proposed gas filter and the Gish filter each utilize a physical barrier that mechanically entraps and separates particulate matter from the flow of gas, thereby preventing such matter from entering into, and contaminating the extracorporeal fluid.

The proposed device and the Gish filter are each made of materials that are commonly used in cardiopulmonary bypass devices and circuits. The Gish filter is made of ABS, and Versapor (Acrylic); the proposed devices are made of hydrophobic laminated glass media, Versapor (Acrylic) and polypropylene. The differences in these materials raise no new issues of safety or effectiveness.

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)

Evaluations of the gas filter demonstrated an acceptable level of performance.
Filtration efficiency not tested due to certification from original manufacturer of 99.98% efficiency of 0.3 um particle removal.

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

Not Found

Predicate Device(s)

K832935

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.4270 Cardiopulmonary bypass cardiotomy suction line blood filter.

(a)
Identification. A cardiopulmonary bypass cardiotomy suction line blood filter is a device used as part of a gas exchange (oxygenator) system to filter nonbiologic particles and emboli (a blood clot or a piece of foreign material flowing in the bloodstream which will obstruct circulation by blocking a vessel) out of the blood. This device is intended for use in the cardiotomy suction line.(b)
Classification. Class II (performance standards).

0

K993060

Gas Filter

510(k) Submission:Component 0008-00313
Predicate Device:Gish Biomedical Gas Filter (K832935)

Intended Use:

The proposed gas filter and the Gish filter are intended to remove particulate matter from the gases flowing into the cardiopulmonary bypass circuit.

Principle of Operation/Technology:

During extracorporeal circulation, it is necessary to adequately provide for blood gas maintenance. Typically, the circuitry that enables gas to be introduced to the blood flow contains a gas filtration device. The proposed gas filter and the Gish filter each utilize a physical barrier that mechanically entraps and separates particulate matter from the flow of gas, thereby preventing such matter from entering into, and contaminating the extracorporeal fluid.

Design/Materials:

The proposed device and the Gish filter are each made of materials that are commonly used in cardiopulmonary bypass devices and circuits. The Gish filter is made of ABS, and Versapor (Acrylic); the proposed devices are made of hydrophobic laminated glass media, Versapor (Acrylic) and polypropylene. The differences in these materials raise no new issues of safety or effectiveness.

Performance:

Evaluations of the gas filter demonstrated an acceptable level of performance.

Filtration efficiency not tested due to certification from original Note: manufacturer of 99.98% efficiency of 0.3 um particle removal.

Conclusion:

In summary, the gas filter submitted in this 510(k) is substantially equivalent in intended use, design, technology/principles of operation, and performance to the cleared Gish filter (K832935).

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Additional Safety Information

Sterilization conditions have been validated in accordance with AAMI guidelines to provide a Sterility Assurance Level (SAL) of 10 to the negative sixth.

Ethylene oxide residuals will not exceed the maximum residue limits imposed for Part 821 of Title 21 in the Federal Register of June 23, 1978 (or as finalized or amended).

The expiration dating of the submitted components is controlled by the component with the shortest expiry that is included in a kit, or two years; whichever is the shortest duration.

Conclusion

The gas filter submitted in this 510(k) is substantially equivalent in intended use, design, technology/principles of operation, materials and performance to the cleared device indicated within. Differences between the submitted gas filter and the corresponding cleared device do not raise any new issues of safety or effectiveness.

Olson Medical Sales' statement that this device is substantially equivalent to any other device is done solely to comply with the requirements of the Federal Food, Drug and Cosmetic Act and is not intended to be the basis for a patent infringement action.

This Summary of Safety and Effectiveness was prepared on September 9, 1999.

This Summary was prepared by:
-------------------------------------

Garry A. Courtney Regulatory Affairs Specialist

This Summary was prepared for:

OLSON MEDICAL SALES 28 Howe Street Ashland, MA 01721 Phone: 508-881-2250 Fax: 508-881-4858

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Image /page/2/Picture/2 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 2 8 2000

Olson Medical Sales, Inc. C/O Mr. Gary A. Courtney Regulatory Affairs Associate Terumo Medical Corporation 125 Blue Ball Road 21921 Elkton, MD

K993060 Re: Gas Filter 0008-00313 Requlatory Class: II (two) Product Code: JOD Date: January 7, 2000 Received: January 10, 2000

Dear Mr. Courtney:

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 requlations 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 Requlation (QS) for Medical Devices: General requlation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Druq 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 regulations.

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Page 2 - Mr. Gary A. Courtney

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" (21CFR 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,

Sox Lare & Lamperlee
James E. Dillard III

James E. Dillard III Director Division of Cardiovascular, Respiratory, And Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

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K993060 510(k) Number:

Components For Cardiovascular Procedure Kit - Gas Filter Device Name:

Indications For Use:

The Gas Filter is intended to remove particulate matter from medical gases flowing into the cardiopulmonary bypass circuit for periods up to 6 hours.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Ketle G. Capers, M.D.
(Division Sign-Off)

Division of Cardiovascular, Respiratory, and Neurological Devices

510(k) Number ________________________________________________________________________________________________________________________________________________________________ વવાયું