PRESEP AND PEDIASAT OXIMETRY CATHETERS AND VIGILEO ARTERIAL PRESSURE CARDIAC OUTPUT/OXIMETRY MONITOR
Applicant
Edwards Lifesciences, LLC
Product Code
DQE · Cardiovascular
Decision Date
Feb 28, 2006
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 870.1230
Device Class
Class 2
Attributes
Pediatric
Indications for Use
The PreSep Oximetry and PediaSat Oximetry Catheters are intended to provide in adults and pediatrics the means for infusion of solutions, measuring pressure and taking blood samples through the distal, proximal and medial lumens. The PreSep Oximetry and PediaSat Oximetry Catheters also provide the means for continuously monitoring oxygen saturation using an Edwards Lifesciences oximetry monitor. The dilator included with either the PreSep Oximetry or PediaSat Oximetry Catheter is intended to be used in adults and pediatric patients for enlarging the opening in a vessel for preparation of percutaneous entry of the catheter. The Vigileo Arterial Pressure Cardiac Output/Oximetry Monitor is intended to measure arterial pressure cardiac output and oximetry. The monitor also calculates hemodynamic and oxygenation parameters. When connected to an Edwards oximetry catheter, the monitor measures oximetry in adults and pediatrics.
Device Story
System comprises PreSep/PediaSat Oximetry Catheters and Vigileo APCO/Oximetry Monitor. Catheters provide venous access for infusion, pressure measurement, blood sampling, and continuous oxygen saturation monitoring via fiberoptic technology. Monitor is a microprocessor-based instrument; connects to dual disposable pressure transducer (DDPT) for arterial pressure cardiac output (APCO) measurement; connects to oximetry catheters for oxygen saturation. Monitor calculates derived parameters: cardiac index, stroke volume, stroke volume index, stroke volume variation, systemic vascular resistance, and systemic vascular resistance index. Used in clinical settings by healthcare professionals to assess hemodynamic status and oxygenation. Output displayed on monitor for clinical decision-making regarding patient oxygen delivery and consumption.
Clinical Evidence
Bench testing only. No clinical data provided. Functional testing confirmed equivalence to predicate devices.
Technological Characteristics
Fiberoptic oximetry catheters; microprocessor-based monitor; dual disposable pressure transducer (DDPT). Connectivity: monitor interfaces with catheters and pressure transducers. Software: microprocessor-based algorithm for hemodynamic parameter calculation. Sterilization: not specified.
Indications for Use
Indicated for hemodynamic monitoring and oxygen saturation measurement in adults and pediatric patients via blood sampling and catheter-based monitoring. The dilator is indicated for enlarging vessel openings for percutaneous catheter entry. The monitor is indicated for measuring arterial pressure cardiac output and oximetry to assess oxygen delivery and consumption.
Regulatory Classification
Identification
A fiberoptic oximeter catheter is a device used to estimate the oxygen saturation of the blood. It consists of two fiberoptic bundles that conduct light at a desired wavelength through blood and detect the reflected and scattered light at the distal end of the catheter.
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K053609
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## 510(k) Summary 5
| Submitter: | Edwards Lifesciences LLC<br>One Edwards Way<br>Irvine, CA 92614-5686 |
|------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Diane Peterson |
| | Project Manager, Regulatory Affairs |
| Date Prepared: | December 21, 2005 |
| Trade name: | PreSep Oximetry and PediaSat Oximetry Catheters |
| | Vigileo Arterial Pressure Cardiac Output/Oximetry<br>Monitor |
| Classification | Catheter, Oximeter, Fiberoptic (21 CFR 870.1230) |
| Name: | Single-Function, Preprogrammed Diagnostic Computer<br>(21 CFR 870.1435) |
| | Dilator, Vessel, For Percutaneous Catheterization (21<br>CFR 870.1310) |
| Predicate | Central Venous Oximetry Probe Catheter and Probe |
| Devices: | Multi-Med Multi-Lumen Central Venous Catheter |
| | Edslab Dual Lumen Regional Saturation Oximetry<br>Catheter |
| | Vigileo Arterial Pressure Cardiac Output/Oximetry<br>Monitor |
| | SDM Percuglide |
| Device<br>Description: | The PreSep Oximetry and PediaSat Oximetry Catheters<br>are used with Edwards oximetry monitors to<br>continuously measure oxygen saturation in adults and<br>pediatrics. These catheters also provide the means for<br>infusion of solutions, measuring pressure and taking<br>blood samples.<br>The dilator included with either the PreSep Oximetry or<br>PediaSat Oximetry Catheter is used to enlarge the |
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053609
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Edwards
opening in a vessel for preparation of percutaneous entry of the catheter.
The Vigileo APCO/Oximetry monitor is a microprocessor-based instrument which, when connected to a dual disposable pressure transducer (DDPT), continuously measures arterial pressure cardiac output (APCO). When connected to an Edwards oximetry catheter, the monitor measures oxygen saturation (oximetry) in adults or pediatrics. The monitor also calculates other derived parameters including cardiac index, stroke volume, stroke volume index, stroke volume variation, system vascular resistance, and systemic vascular resistance index.
The PreSep Oximetry and PediaSat Oximetry Catheters i Intended Use: are intended to provide in adults and pediatrics the means for infusion of solutions, measuring pressure and taking blood samples through the distal, proximal and medial lumens. The PreSep Oximetry and PediaSat Oximetry Catheters also provide the means for continuously monitoring oxygen saturation using an Edwards Lifesciences oximetry monitor.
> The dilator included with either the PreSep Oximetry or i PediaSat Oximetry Catheter is intended to be used in adults and pediatric patients for enlarging the opening in a vessel for preparation of percutaneous entry of the catheter.
> The Vigileo Arterial Pressure Cardiac Output/Oximetry Monitor is intended to measure arterial pressure cardiac output and oximetry. The monitor also calculates hemodynamic and oxygenation parameters. When i connected to an Edwards oximetry catheter, the monitor measures oximetry in adults and pediatrics.
The PreSep Oximetry and PediaSat Oximetry Comparative Catheters, dilator and the Vigileo Arterial Pressure Analysis: Cardiac Output/Oximetry Monitor have been demonstrated to be as safe and effective as the predicate devices for their intended use i
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059609
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Image /page/2/Picture/1 description: The image shows a logo with the word "Edwards" written below it. The logo consists of a large letter "E" with a design inside of it. The design appears to be a combination of circles and lines, creating a complex and abstract pattern within the letter. The logo and the word "Edwards" are both in black and white.
The PreSep Oximetry and PediaSat Oximetry Functional/Safety Catheters, dilator and the Vigileo Arterial Pressure Testing: Cardiac Output/Oximetry Monitor have successfully undergone functional testing. These products have been shown to be equivalent to the predicate devices. The PreSep Oximetry and PediaSat Oximetry Conclusion: Catheters, dilator and the Vigileo Arterial Pressure Cardiac Output/Oximetry Monitor are substantially
equivalent to the predicate devices.
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Public Health Service
Image /page/3/Picture/2 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" around the perimeter. Inside the circle is a stylized symbol of three abstract human figures.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
FEB 2 8 2006
Edwards Lifesciences LLC c/o Ms. Diane Peterson Project Manager, Regulatory Affairs One Edwards Way Irvine, CA 92614
## Re: K053609
Trade Name: Vigileo APCO/Oximetry Monitor (MIHM1 & MIHM1P), PediaSat Oximetry Catheter Kit, and PreSep - Central Venous Oximetry Catheter Kit Regulation Number: 21 CFR § 870.1230, 21 CFR § 870.1310, and 21 CFR §870.1435 Regulation Name: Fiberoptic Oximeter Catheter, Vessel Dilator for Percutaneous Vessel Dilation, and Single-Function, Preprogrammed Diagnostic Computer Regulatory Class: II (two) Product Code: DQE, DRE, and DXG Dated: December 21, 2005 Received: December 27, 2005
## Dear Ms. Peterson:
We have reviewed your Section 510(k) premarket notification of intent to market the device w & nove and 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, do nots that hat t (Act) that do not require approval of a premarket approval application (PMA). 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
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Page 2 - Ms. Diane Peterson
Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that I Dri- 3 issuation of a build with other requirements of the Act that IDA has made a decermination administered by other Federal agencies. You must of any it catal statutes and regalations and limited to: registration and listing (21 Comply with an the Her e requirements)01); good manufacturing practice requirements as set CFN in the quality systems (DS) regulation (21 CFR Part 820); and if applicable, the electronic forth in the quality bystems (Sections 531-542 of the Act); 21 CFR 1000-1050. product radiation control provisions (beting your device as described in your Section 510(k) This letter will anow you to begin manical equivalence of your device of your device to a legally prematicated 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), please If you desire specific acrise at (240) 276-0120. Also, please note the regulation entitled, eonading by reference to premarket notification" (21CFR Part 807.97). You may obtain Whisoranding of reference to premassionsibilities under the Act from the Division of Small other general informational and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely yours,
B/Zimmerman for
Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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## Indications for Use Statement 4
510(k) Number (if known): KOS3609
Device Name: PreSep Oximetry Catheters PediaSat Oximetry Catheters PediaSal Oximetry Gatheloro
Vigileo Arterial Pressure Cardiac Output/Oximetry Monitor
Indications for Use:
The PreSep Oximetry and PediaSat Oximetry Catheters are indicated for The PreSep Oximelly and I Calabat Oximony of Ediatrics through blood sampling.
hemodynamic monitoring in adults and pediatrics through blood sampling. nemodynamio monitoring and oxygen saturation measurement.
The dilator, included with each catheter, is indicated for enlarging the opening in The difator, included wn of percutaneous entry of the catheter.
The Vigileo Arterial Pressure Cardiac Output /Oximetry Monitor is indicated for i he Vigiled Altenal Fressure Oardiae Output Foximal output and continuously measuring nemouynamic parsumption. When connected to an
oximetry to assess oxygen delivery and consumption. When end oximelly to assess oxygen doll. By and or monitor measures oximetry in adults and pediatrics.
Over-The-Counter Use AND/OR Prescription Use _____________________________________________________________________________________________________________________________________________________________ (21 CFR 807 Subpart C) (Part 21 CFR 801 Subpart D)
(Please do not WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Bhummana
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Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.