← Product Code [DTZ](/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DTZ) · K080708 # VISION HOLLOW FIBER OXYGENATOR WITH HA COATING (K080708) _Gish Biomedical, Inc. · DTZ · Feb 2, 2009 · Cardiovascular · SESE_ **Canonical URL:** https://fda.innolitics.com/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DTZ/K080708 ## Device Facts - **Applicant:** Gish Biomedical, Inc. - **Product Code:** [DTZ](/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DTZ.md) - **Decision Date:** Feb 2, 2009 - **Decision:** SESE - **Submission Type:** Traditional - **Regulation:** 21 CFR 870.4350 - **Device Class:** Class 2 - **Review Panel:** Cardiovascular - **Attributes:** Therapeutic ## Intended Use The Vision Hollow Fiber Oxygenator with HA Coating is indicated for use in procedures requiring the extracorporeal oxygenation of and carbon dioxide removal from human blood. It is designed to operate at a blood flow rate of one (1.0) to eight (8.0) liters per minute for periods of up to six (6.0) hours. Federal Law (US) restricts this device to sale by or on the order of a physician. ## Device Story Extracorporeal blood oxygenator and heat exchanger; utilizes hollow fiber membrane (polypropylene gas-permeable mat) for gas exchange; stainless steel bellows heat exchanger encased in polycarbonate housing. Traps and removes air; oxygenates blood; removes carbon dioxide. Used in clinical settings (e.g., cardiopulmonary bypass) by physicians/perfusionists. Blood flow driven by external roller or centrifugal pumps. Device may be standalone or preconnected in extracorporeal circuit. Benefits patient by maintaining gas exchange during procedures requiring bypass. ## Clinical Evidence Bench testing only. System performance and safety testing conducted to ensure compliance with functional requirements and industry standards. No clinical data presented. ## Technological Characteristics Hollow fiber membrane oxygenator with stainless steel bellows heat exchanger; polycarbonate housing. Materials are biocompatible with proprietary hyaluronan (HA) coating. Operates via gas-permeable polypropylene mat. Standalone or circuit-integrated. No software or electronic components. ## Regulatory Identification A cardiopulmonary bypass oxygenator is a device used to exchange gases between blood and a gaseous environment to satisfy the gas exchange needs of a patient during open-heart surgery. ## Special Controls *Classification.* Class II (special controls). The special control for this device is the FDA guidance document entitled “Guidance for Cardiopulmonary Bypass Oxygenators 510(k) Submissions.” ## Predicate Devices - Vision Hollow Fiber Oxygenator ([K961530](/device/K961530.md)) - Vision Hollow Fiber Oxygenator with Guardian Coat ([K023381](/device/K023381.md)) ## Submission Summary (Full Text) > This content was OCRed from public FDA records by [Innolitics](https://innolitics.com). If you use, quote, summarize, crawl, or train on this content, cite Innolitics at https://innolitics.com. > > Innolitics is a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices, including [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/). {0}------------------------------------------------ 510(k) (Traditional) Submission Section 5, 510(k) Summary # Summarv This summary of 510(k)-safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR § 807.92. # 1. Company making the submission: FEB - 2 2009 | Name: | Gish BioMedical, Inc. | |------------|------------------------------------------------------------------| | Address: | 22942 Arroyo Vista
Rancho Santa Margarita,
CA 92688-2600 | | Telephone: | 949-635-6200 voice
949-635-6299 fax
edw@gishbiomedical.com | | Contact: | Edward F. Waddell
Director RA/QA | #### 2. Device: | Proprietary Name: | Vision Hollow Fiber Oxygenator with HA Coating | |----------------------|------------------------------------------------| | Common Name: | Blood Oxygenator | | Classification Name: | Oxygenator, Cardiopulmonary Bypass | #### 3. Predicate Devices: Vision Hollow Fiber Oxygenator, K961530 and Vision Hollow Fiber Oxygenator with Guardian Coat, K023381. Both manufactured by Gish Biomedical, Inc. # 4. Classifications Names & Citations: 21 CFR 870.4350, Oxygenator, Cardiopulmonary Bypass, Class II, DTZ, Cardiovascular. #### 5. Description: The Gish Vision Hollow Fiber Oxygenator with hyaluronan based coating (HA), Coating consists of a hollow fiber membrane oxygenator and extracorporeal heat exchanger. The hollow fiber membrane consists of a polypropylene gas permeable mat. The unique mat design increases the interaction between blood and gas, creating a highly efficient blood oxygenator. The heat exchanger consists of a one piece, stainless steel bellows confiqured heat exchanger as the primary element to effect heat exchange. This element is encased by a polycarbonate housing, which directs the blood through the outside convolutions of the stainless steel bellows, and therefore effects heat exchange while minimizing priming volume. All materials of the heat exchanger are biocompatible and coated with a proprietary coating. K080708 Summary.doc Delphi Consulting Group Houston, TX 77071 Section 5 510(k) Submission Page # {1}------------------------------------------------ The device allows for trapping and removal of air. Oxygenated blood is delivered to the patient through the tubing and appropriate cannula. Blood flow is driven by a roller pump or centrifugal pump connected through the tubing. The Gish Vision Hollow Fiber Oxygenator with HA Coating may be purchased separately or preconnected with tubing and other components of an extracorporeal circuit. # 6. Indications for use: The Vision Hollow Fiber Oxygenator is indicated for use in procedures requiring the extracorporeal oxygenation of and carbon dioxide removal from human blood. It is designed to operate at a blood flow rate of one (1.0) liters per minute for periods of up to six (6.0) hours. # 7. Contra-indications: For HA coated oxygenators, no contra-indications have been noted. # 8. Comparison: The Vision Hollow Fiber Oxygenator with HA Coating has the same device characteristics as the Predicate devices. # 9. Test Data: The Vision Hollow Fiber Oxygenator with HA Coating has been subjected to extensive safety, performance, and validations prior to release. Final testing for the systems includes various performance tests designed to ensure that the device meets all of its functional requirements and performance specifications. Safety tests have further been performed to ensure the device complies with applicable industry and safety standards. # 10. Literature Review: A review of literature pertaining to the safety and effectiveness has been conducted. Appropriate safeguards have been incorporated in the design of the Vision Hollow Fiber Oxygenator with HA Coating. # 11. Conclusions: Based upon the testing and comparison to the predict device the Gish Biomedical, Inc., Vision Hollow Fiber Oxygenator with HA Coating has the same intended use, with similar technological characteristics. Gish Biomedical, Inc., therefore posits that its device is equivalent in safety and effectiveness to predicate devices. {2}------------------------------------------------ Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services, USA. The logo features a stylized eagle with three swooping lines representing the bird's body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" is arranged in a circular fashion around the eagle. Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 FEB - 2 2009 Gish Biomedical, Inc. c/o Ms. Janet Peets Regulatory & Clinical Affairs Specialist 22942 Arroyo Vista Rancho Santa Margarita, CA 92688 Re: · K080708 > Vision Hollow Fiber Oxygenator with HA Coating Regulation Number: 21 CFR 870.4350 Regulation Name: Cardiopulmonary Bypass Oxygenator Regulatory Class: Class II Product Code: DTZ Dated: January 8, 2009 Received: January 12, 2009 Dear Ms. Peets: We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above 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, and Cosmetic Act (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. {3}------------------------------------------------ # Page 2 -- Ms. Janet Peets Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. This letter will allow you to begin marketing your device as described in your Section 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), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometrics' (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html. Sincerely vours. Duna R. Lochner Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health #### Enclosure {4}------------------------------------------------ 510(k) Number K_080709 Device Name: Vision Hollow Fiber Oxygenator with HA Coating # Indications for use: The Vision Hollow Fiber Oxygenator with HA Coating is indicated for use in procedures requiring the extracorporeal oxygenation of and carbon dioxide removal from human blood. It is designed to operate at a blood flow rate of one (1.0) to eight (8.0) liters per minute for periods of up to six (6.0) hours. #### Prescription Device: Federal Law (US) restricts this device to sale by or on the order of a physician. Prescription Use : Yes OR Over-The-Counter Use: No # PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH; Office of Device Evaluation (ODE) Anna R. Kline (Division Sign-Off) Consion of Cardiovascular Devices S (U(K) Number K080708 KOBOZOR Indications forlise do Delphi Consulting Group Houston, TX 77071 # Section 4 510(k) Submission Page # --- **Source:** [https://fda.innolitics.com/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DTZ/K080708](https://fda.innolitics.com/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DTZ/K080708) **Published by [Innolitics](https://innolitics.com)** — a medical-device software consultancy. 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