← Product Code [DWF](/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DWF) · K961717

# NMI RETROGRADE CARDIOPLEGIA CANNULA-RCCS (K961717)

_Naltiac Medical, Inc. · DWF · Jul 18, 1996 · Cardiovascular · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DWF/K961717

## Device Facts

- **Applicant:** Naltiac Medical, Inc.
- **Product Code:** [DWF](/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DWF.md)
- **Decision Date:** Jul 18, 1996
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 870.4210
- **Device Class:** Class 2
- **Review Panel:** Cardiovascular
- **Attributes:** Therapeutic

## Indications for Use

The NMI Retrograde Cardioplegia Cannulae-RCCS are intended for use in perfusing blood or Cardioplegia solutions via the coronary sinus during cardiopulmonary surgery.

## Device Story

Cannula for retrograde cardioplegia delivery during cardiopulmonary surgery. Device features PVC body, polyurethane balloon cuff, polycarbonate/polyethylene stopcocks, polypropylene clamps, PVC luer connectors, and stainless steel guidewire. Placed in coronary sinus by surgeon; self-inflating cuff secures position. Pressure monitoring port allows real-time monitoring of infusion pressure. Enables retrograde delivery of cardioplegic solution to myocardium to induce cardiac arrest and metabolic preservation. Bench testing confirms performance metrics comparable to predicate.

## Clinical Evidence

Bench testing only. Evaluated pressure drop across flow rates (100-500 ml/min) in saline and bovine blood at 4°C and 40°C, pressure monitoring port accuracy, balloon burst pressure, guide collapse, leak testing, tubing bond strength, and luer connection compliance. Package integrity and shipping simulation testing performed per ASTM standards.

## Technological Characteristics

Materials: PVC body, polyurethane balloon, polycarbonate/polyethylene stopcocks, polypropylene clamps, stainless steel guidewire. 14 French size. Features: self-inflating cuff, pressure monitoring port, suture ring. Luer fittings meet ANSI/HIMA MD70.1-1983. Packaging tested per ASTM F1140-88. Sterilization: Ethylene Oxide (SAL 10⁻⁶).

## Regulatory 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.

## Predicate Devices

- Research Medical, Inc. Retrograde Cardioplegia Cannula ([K880103](/device/K880103.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.
>
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K961717
JUL 18 1996

# Summary of Safety and Effectiveness
NMI RETROGRADE CARDIOPLEGIA CANNULA - RCCS

## I. General Information

A. Generic Name: Retrograde Cardioplegia Cannula
B. Trade Name of Device: NMI Retrograde Cardioplegia Cannula-RCCS
C. Applicant's Name and Address: Naltiac Medical, Inc.
17194 Preston Rd, Suite 123-206
Dallas, TX 75248
D. Pre-market Notification Number: Not yet assigned

## II. Indications For Use

The NMI Retrograde Cardioplegia Cannulae-RCCS are intended for use in perfusing blood or Cardioplegia solutions via the coronary sinus during cardiopulmonary surgery.

## III. Device Description

The NMI Retrograde Cardioplegia Cannulae are fabricated with polyvinyl chloride bodies (PVC) and polyurethane balloon cuffs, polycarbonate/polyethylene stopcocks, polypropylene clamps, PVC female luer connectors, and stainless steel guidewires. The features of the device include: self-inflating cuff, pressure monitoring port with 3-way stopcock on lumen extension, suture ring, and 14 French size. The cannulae are placed in the coronary sinus in order to infuse cardioplegia in a retrograde fashion to the myocardium. This practice both arrests the heart and preserves metabolic function during surgery.

## IV. Device Classification: Class II

## V. Safety and Effectiveness

Substantial Equivalence: This device has been shown to be substantially equivalent to the Research Medical, Inc. Retrograde Cardioplegia Cannula # K880103

## VI. Other Safety and Effectiveness Data:

Materials: Fluid contact materials of construction comply with Tripartite Biocompatibility Guidance for external devices, blood path direct, short term use
Sterilization: Validated 100% Ethylene Oxide sterilization cycle (Overkill Method) SAL 10⁻⁶
Pyrogenicity: Non-Pyrogenic per USP Pyrogen test (LAL)

## Functional Testing

Pressure Drop / Saline
NMI cannulae average pressure drops range at flow rates between 100 and 500 ml/min = 11 to 76 mmHg at 4°C
RMI cannulae average pressure drops range at flow rates between 100 and 500 ml/min = 7 to 97 mmHg at 4°C

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Pressure Drop / Saline
NMI cannulae average pressure drops range at flow rates between 100 and 500 ml/min = 6 to 60 mmHg at 40°C

RMI cannulae average pressure drops range at flow rates between 100 and 500 ml/min = 6 to 97 mmHg at 40°C

Pressure Drop / Bovine Blood (@25% Hematocrit)
NMI cannulae average pressure drops range at flow rates between 100 and 500 ml/min = 22 to 121 mmHg at 4°C

RMI cannulae average pressure drops range at flow rates between 100 and 500 ml/min = 14 to 127 mmHg at 4°C

NMI cannulae average pressure drops range at flow rates between 100 and 500 ml/min = 11 to 77 mmHg at 40°C

RMI cannulae average pressure drops range at flow rates between 100 and 500 ml/min = 12 to 91 mmHg at 40°C

Pressure Monitoring Port:
NMI cannulae 0.5 to 0.9 mmHg for downstream pressures of 10 to 80 mmHg

RMI cannulae 0.6 to 0.9 mmHg for downstream pressures of 10 to 80 mmHg

Balloon Burst:
Greater than 130 mmHg

Guide Collapse:
Less than predicate device

Balloon Device:
Greater than predicate device

Leak Test Requirements:
No leaks at 10 psi air on NMI Device @ 4°C and 40°C

Tubing Bond Strength:
Exceeds 0.4 lb tensile strength @ 4°C and 40°C

Luer Connections:
Meets ANSI/HIMA MD70.1-1983 for Medical Materials Luer Taper Fittings

Package Integrity:
Tyvek/Mylar passed burst test in accordance with ASTM F1140-88

Shipping &amp; Distribution Testing:
Passed Distribution Simulation Test per ASTM 40169 Standard

Accelerated Aging
One year - No affects on performance

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**Source:** [https://fda.innolitics.com/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DWF/K961717](https://fda.innolitics.com/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DWF/K961717)

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