K Number
K994209
Device Name
STOCKERT V142 SERIES VENOUS CANNULAE WITH LIGHTHOUSE TIP
Date Cleared
2000-06-14

(183 days)

Product Code
Regulation Number
870.4210
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Stockert V142 Series Venous Cannulae with Lighthouse Tip are intended to be used for cannulating the major venous vessels during cardiopulmonary bypass surgery. The Stockert V142 Series Venous Cannulae with Lighthouse Tip are intended to be used for cannulating the superior or the inferior vena cava during standard cardiopulmonary bypass surgery.
Device Description
The Stockert V142 Series Venous Cannulae with Lighthouse Tip are sterile, non-pyrogenic devices, for single use only, and are not to be resterilized by the user. The devices are single stage, wire reinforced venous cannulae with a distal open lighthouse tip. They are intended to be used to can, ulate the venous vessels during cardiopulmonary bypass surgery. The product will be offered for sale in various french sizes ranging from 28 Fr to 36 Fr. The Stockert Venous Cannulae with Lighthouse Tip are composed of two components, the cannula tube and the lighthouse tip. Encapsulated within the cannulae outer wall is a helically wound stainless steel wire which allows the cannula tube to resist kinking. The length of the device is, 40 cm.
More Information

Not Found

Not Found

No
The document describes a physical medical device (venous cannulae) and its intended use and performance testing. There is no mention of software, algorithms, or any technology related to AI or ML.

Yes
The device is used to cannulate major venous vessels during cardiopulmonary bypass surgery, which is a therapeutic intervention.

No

The device is a cannula used for medical procedures (cannulating venous vessels during bypass surgery), not for diagnosing conditions. Its description and performance studies focus on physical properties and function during intervention, not on detection or analysis of medical conditions.

No

The device description clearly indicates it is a physical medical device (cannulae) made of materials like stainless steel wire and intended for surgical use, not a software application.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is used for "cannulating the major venous vessels during cardiopulmonary bypass surgery." This is a surgical procedure performed directly on the patient's body.
  • Device Description: The description details a physical device (cannula) designed to be inserted into blood vessels.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, tissue, etc.) to provide information for diagnosis, monitoring, or compatibility testing.

IVD devices are used in vitro (outside the body) to analyze samples. This device is used in vivo (inside the body) during surgery.

N/A

Intended Use / Indications for Use

The Stockert V142 Series Venous Cannulae with Lighthouse Tip are intended to be used for cannulating the major venous vessels during cardiopulmonary bypass surgery.

The Stockert V142 Series Venous Cannulae with Lighthouse Tip are intended to be used for cannulating the superior or the inferior vena cava during standard cardiopulmonary bypass surgery.

Product codes (comma separated list FDA assigned to the subject device)

DWF

Device Description

The Stockert V142 Series Venous Cannulae with Lighthouse Tip are sterile, non-pyrogenic devices, for single use only, and are not to be resterilized by the user. The devices are single stage, wire reinforced venous cannulae with a distal open lighthouse tip. They are intended to be used to can, ulate the venous vessels during cardiopulmonary bypass surgery.

The product will be offered for sale in various french sizes ranging from 28 Fr to 36 Fr.

The Stockert Venous Cannulae with Lighthouse Tip are composed of two components, the cannula tube and the lighthouse tip. Encapsulated within the cannulae outer wall is a helically wound stainless steel wire which allows the cannula tube to resist kinking. The length of the device is, 40 cm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

major venous vessels, superior or the inferior vena cava

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)

The following tests were performed to demonstrate substantial equivalency of the Stockert V142 Series Venous Cannulae with Lighthouse Tip to the Baxter Research Medical Inc. Single Stage Venous Return Cannula Wire Reinforced with Lighthouse Tip:

    1. Pressure Drop
    1. Blood Trauma
  • ന് Leak
    1. Kink Resistance
    1. Bond Strength
  • હ. Dimensional Inspection Post-sterilization and Post-aging

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.

Not Found

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.

Not Found

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

§ 870.4210 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).

0

510(k) Pre-Market Notification: Stockert Venous Cannulae with Lighthouse Tip

K 994209

27

JUN 1 4 2000
510(k) Summary
SUBMITTER:Stockert Instrumente GmbH
Division of Sorin Biomedica SpA
Lilienthalalle 5-7
D-80939 Munich Germany
APPLICANT:COBE Cardiovascular, Inc.
Division of Sorin Biomedica SpA
14401 W. 65th Way
Arvada, Colorado 80004-3599 USA
CONTACT PERSON:Lynne Leonard
Regulatory Affairs Manager
COBE Cardiovascular, Inc.
Arvada, Colorado USA
Phone: (303) 467-6586
Fax: (303) 467-6429
DATE PREPARED:November 22, 1999
DEVICE TRADE NAME:Stockert V142 Series Venous Cannulae with Lighthouse Tip
COMMON/USUAL NAME:Cardiovascular Venous Cannulae
CLASSIFICATION NAME:Cardiopulmonary Bypass Vascular Catheter, Cannula or Tubing
PREDICATE DEVICE:Baxter Research Medical Inc. Single Stage Venous Return Cannula
Wire Reinforced with Lighthouse Tip

DEVICE DESCRIPTION:

The Stockert V142 Series Venous Cannulae with Lighthouse Tip are sterile, non-pyrogenic devices, for single use only, and are not to be resterilized by the user. The devices are single stage, wire reinforced venous cannulae with a distal open lighthouse tip. They are intended to be used to can, ulate the venous vessels during cardiopulmonary bypass surgery.

The product will be offered for sale in various french sizes ranging from 28 Fr to 36 Fr.

The Stockert Venous Cannulae with Lighthouse Tip are composed of two components, the cannula tube and the lighthouse tip. Encapsulated within the cannulae outer wall is a helically wound stainless steel wire which allows the cannula tube to resist kinking. The length of the device is, 40 cm.

INDICATIONS FOR USE

The Stockert V142 Series Venous Cannulae with Lighthouse Tip are intended to be used for cannulating the major venous vessels during cardiopulmonary bypass surgery.

STATEMENT OF TECHNICAL CHARACTERISTICS COMPARISON

The Stockert Venous Cannulae with Lighthouse Tip are substantially equivalent to the Baxter Research Medical Inc. Single Stage Venous Return Cannula Wire Reinforced with Lighthouse Tip. The devices are both single stage, wire reinforced venous return cannulae with an open lighthouse tip on the distributed and

1

without a connector on the proximal end. The Stockert Venous Cannulae are 40 cm in length, accept a 3/8" connector, and will be offered in sizes from 28 Fr. The Baxter RMM Venous Cannual cre 35 to 40 cm in length, accept a 3/8" connector, and are offered in sizes from 26 Fr to 40 Fr.

The following tests were performed to demonstrate substantial equivalency of the Stockert V142 Series Venous Cannulae with Lighthouse Tip to the Baxter Research Medical Inc. Single Stage Venous Return Cannula Wire Reinforced with Lighthouse Tip:

    1. Pressure Drop
    1. Blood Trauma
  • ന് Leak
    1. Kink Resistance
    1. Bond Strength
  • હ. Dimensional Inspection Post-sterilization and Post-aging

্থ

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized design featuring three curved lines that resemble a human figure or a symbol representing health and well-being.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 1 4 2000

Ms. Lynne Leonard Requlatory and Clinical Affairs Manager COBE Cardiovascular, Inc. 14401 W. 65th Way Arvada, CO 80004-3599

Re: K994209 Stockert V142 Series Venous Cannulae with Light Regulatory Class: II (two) Product Code: DWF Dated: May 12, 2000 Received: May 15, 2000

Dear Ms. Leonard:

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

3

Page 2 - Ms. Leonard

This letter will allow you to begin marketing your device as described in rnis feecer were notification. The FDA finding of substantial your of the premains wire to a legally marketed predicate device results equivalence or 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 Additionally, for questions on the promotion and (301) 594-4648. (Jos) of your device, please contact the Office of Compliance at Also, please note the regulation entitled, "Misbranding (301) 594-4639. by reference to premarket notification" (21CFR 807.97). Other general by reference to promresponsibilities 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,

Brian E. Harvey

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

4

Indications For Use

510(k) Number (if known): K994209

Device Name:

Stockert V142 Series Venous Cannulae with Lighthouse Tip

Indications For Use:

The Stockert V142 Series Venous Cannulae with Lighthouse Tip are intended to be used for cannulating the superior or the inferior vena cava during standard cardiopulmonary bypass surgery.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Beve R. Couperle E. Hany
(Division Sign-Off)

Division of Cardiovascular, Respiratory, and Neurological Devices

C(k) Number

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use