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510(k) Data Aggregation

    K Number
    K020998
    Date Cleared
    2002-04-04

    (7 days)

    Product Code
    Regulation Number
    870.4360
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Sarns™ Centrifugal Pump with X-Coating is indicated as an extracorporeal blood pump for use in cardiopulmonary bypass procedures only, and for use exclusively with Sarns centrifugal control systems. The device may be used for up to 6 hours.

    Device Description

    The device is a hardshell housing that contains a blood compartment and a non-blood compartment. Within the blood compartment is a rotating mechanism that imparts centrifugal force upon blood as it enters the device. The centrifugal force moves the blood out of the device via the outlet port. The non-blood compartment is designed to magnetically couple with a pump console so that it can be electrically driven by the console. The materials of construction for the Sarns™ Centrifugal Pump with X-Coating are the exact same materials that are used in the predicate uncoated Sarns™ Centrifugal Pump except for the addition of X-coating to the subject device.

    AI/ML Overview

    The provided text describes the Sarns™ Centrifugal Pump with X-Coating, which is a medical device used in cardiopulmonary bypass procedures. The submission focuses on demonstrating substantial equivalence to an existing predicate device (the uncoated Sarns™ Centrifugal Pump) rather than presenting detailed performance criteria and studies for a novel device. Therefore, the response will focus on the comparison to the predicate device as described in the provided document.

    Here's a breakdown based on your requested information:

    1. Table of Acceptance Criteria and Reported Device Performance

    For this submission, the "acceptance criteria" are essentially the performance characteristics of the predicate device, and the "reported device performance" is how the X-Coating device compared to it. The goal was to show no clinically significant performance differences.

    Performance AspectAcceptance Criteria (Predicate Device Performance)Reported Device Performance (Sarns™ Centrifugal Pump with X-Coating)
    Intended UseExtracorporeal blood pump for cardiopulmonary bypass, exclusively with Sarns centrifugal control system. Duration: up to 6 hours.Same as predicate device.
    Principles of Operation & TechnologyCentrifugal force to propel blood.Same as predicate device (utilizes centrifugal force).
    Design and MaterialsHardshell housing with blood/non-blood compartments, rotating mechanism, magnetically couples to pump console.Same as predicate device, except for the addition of X-Coating. The difference in materials did not raise new safety or effectiveness issues.
    Long Duration Circulation EvaluationPerformance characteristics of the uncoated Sarns™ Centrifugal Pump.Comparisons demonstrated no clinically significant performance differences between the two devices.
    Priming VolumePerformance characteristics of the uncoated Sarns™ Centrifugal Pump.Comparisons demonstrated no clinically significant performance differences between the two devices.
    De-priming VolumePerformance characteristics of the uncoated Sarns™ Centrifugal Pump.Comparisons demonstrated no clinically significant performance differences between the two devices.
    Air Handling EfficiencyPerformance characteristics of the uncoated Sarns™ Centrifugal Pump.Comparisons demonstrated no clinically significant performance differences between the two devices.
    Hemolytic Effects on Cellular Blood ComponentsPerformance characteristics of the uncoated Sarns™ Centrifugal Pump.Comparisons demonstrated no clinically significant performance differences between the two devices.
    Mechanical IntegrityPerformance characteristics of the uncoated Sarns™ Centrifugal Pump.Comparisons demonstrated no clinically significant performance differences between the two devices.
    Strength of Tubing ConnectionPerformance characteristics of the uncoated Sarns™ Centrifugal Pump.Comparisons demonstrated no clinically significant performance differences between the two devices.
    Sterilization Assurance Level (SAL)10⁻⁶ (AAMI guidelines).Validated in accordance with AAMI guidelines to provide a SAL of 10⁻⁶.
    Ethylene Oxide ResiduesNot to exceed maximum residue limits (Federal Register of June 23, 1978).Will not exceed proposed maximum residue limits.
    BiocompatibilityMeets ISO 10993 standards for blood-contacting devices (Limited Exposure ≤ 24 hours).Blood-contacting materials found to be biocompatible according to FDA General Program Memorandum #G95-1 (Use of International Standard ISO 10993).

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not explicitly state the sample sizes for each performance evaluation (e.g., number of pumps tested for circulation, priming volume, etc.). However, it refers to "performance evaluations" and "comparisons," implying a controlled testing environment.

    • Sample Size: Not explicitly stated in the provided text.
    • Data Provenance: The studies were conducted by Terumo Cardiovascular Systems Corporation. The nature of these tests (e.g., laboratory bench testing, in-vitro, ex-vivo) is implied for performance evaluations like hemolytic effects and mechanical integrity, but not explicitly stated. It is considered retrospective in the sense that the predicate device's established performance serves as the benchmark for the comparative study.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications

    Not applicable. This submission relies on direct performance comparisons against a predicate device and established engineering/biological standards, not expert interpretation of diagnostic images or clinical outcomes that would require a ground truth panel. The "ground truth" for each performance criterion is the measured performance of the predicate device.

    4. Adjudication Method for the Test Set

    Not applicable. There's no mention of an adjudication method as the performance evaluations are objective measurements and comparisons against established specifications/predicate performance.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, What Was the Effect Size of How Much Human Readers Improve with AI vs Without AI Assistance

    Not applicable. This device is a cardiopulmonary bypass pump, not an AI-assisted diagnostic tool.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    Not applicable. This is a medical device, not an algorithm. The performance evaluations are intrinsic to the device's function.

    7. The Type of Ground Truth Used

    The ground truth is based on:

    • Predicate Device Performance: The established performance characteristics of the uncoated Sarns™ Centrifugal Pump for most operational aspects (flow, pressure, hemodynamics, etc.).
    • AAMI Guidelines & ISO Standards: For sterilization and biocompatibility.
    • Federal Regulations: For Ethylene Oxide residues.

    8. The Sample Size for the Training Set

    Not applicable. This is not a machine learning or AI device that requires a "training set." The device is evaluated based on its physical and biological performance characteristics.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable, as there is no training set.

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