← Product Code [CAC](/submissions/AN/subpart-f%E2%80%94therapeutic-devices/CAC) · K942844

# LEVEL 1 BLOOD STREAM RECOVERY SYSTEM (K942844)

_Level 1 Technologies, Inc. · CAC · Apr 26, 1996 · Anesthesiology · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/AN/subpart-f%E2%80%94therapeutic-devices/CAC/K942844

## Device Facts

- **Applicant:** Level 1 Technologies, Inc.
- **Product Code:** [CAC](/submissions/AN/subpart-f%E2%80%94therapeutic-devices/CAC.md)
- **Decision Date:** Apr 26, 1996
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 868.5830
- **Device Class:** Class 2
- **Review Panel:** Anesthesiology
- **Attributes:** Therapeutic

## Indications for Use

Collection of patient's shed blood for Autotransfusion.

## Device Story

System collects shed blood for autotransfusion; utilizes vacuum/air flow principle of operation; components include aspiration handtool, tubing, collection chamber, and filter; used in clinical settings; operated by healthcare professionals; output is collected, filtered blood for reinfusion; benefits patient by facilitating autologous blood transfusion; fluid path components are sterile and biocompatible.

## Clinical Evidence

No clinical data; safety and effectiveness established via predicate device comparison and bench testing of biocompatibility (USP Class III/VI).

## Technological Characteristics

Materials: PVC, Acrylic, Polyethylene, PET, Polypropylene, Polyester, Polyurethane, ABS. Fluid path components meet USP Class VI/III toxicity standards. Operation: Vacuum/air flow. Sterilization: Sterile fluid path. Manufacturing: GMP compliant, Class 100,000 clean room assembly.

## Regulatory Identification

An autotransfusion apparatus is a device used to collect and reinfuse the blood lost by a patient due to surgery or trauma.

## Submission Summary (Full Text)

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2 510(k) SUMMARY K942844

510(k) Submission, continued: Level 1 BloodStream Recovery System APR 30 1996

## g. Summary of Safety and Effectiveness

Collection of patient's shed blood for Autotransfusion has been proven safe and effective by the predicate devices cited. The Level 1 BloodStream Recovery System is safe and effective as it employs the same method of operation (vacuum/air flow) for the same indicated use. Construction of fluid path components is of bio-compatible plastics as in the predicate devices, and as in those devices, the fluid path is sterile. The Level 1 BloodStream Recovery System may be used with the same anti-coagulant and standard blood administration sets currently used with those devices.

Patient safety is assured through the use of non-toxic materials which meet USP Class III or Class VI toxicity tests.

|  Aspiration handtool | PVC, Acrylic, or Polyethylene  |
| --- | --- |
|  Aspiration tubing | PVC or Polyethylene/PVC  |
|  Collection Chamber | PET, Polyethylene or Acrylic  |
|  Chamber Cap | PET or Polyethylene  |
|  Filter | Polyester/polyurethane  |
|  Filter Frame | Polypropylene  |
|  Pump Tubing | PVC  |
|  Male Luer | Acrylic  |
|  Female Luer | Co-polyester  |
|  Filter Bag | PVC  |
|  Filter Mesh | Polyester  |
|  Bag Tubing | PVC  |
|  Spike Port | PVC  |
|  Anti-Cogulant Tubing | PVC  |
|  Bag Spike | ABS  |

All product will be manufactured as per GMP.s.
All fluid path components are to be assembled in a Class 100,000 clean room or better.

CONFIDENTIAL
LEVEL 1 TECHNOLOGIES INC.

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**Source:** [https://fda.innolitics.com/submissions/AN/subpart-f%E2%80%94therapeutic-devices/CAC/K942844](https://fda.innolitics.com/submissions/AN/subpart-f%E2%80%94therapeutic-devices/CAC/K942844)

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