← Product Code [DWF](/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DWF) · K964393

# CHASE RETROGRADE CARDIOPLEGIA CANNULA (K964393)

_Chase Medical, Inc. · DWF · Apr 23, 1997 · Cardiovascular · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DWF/K964393

## Device Facts

- **Applicant:** Chase Medical, Inc.
- **Product Code:** [DWF](/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DWF.md)
- **Decision Date:** Apr 23, 1997
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 870.4210
- **Device Class:** Class 2
- **Review Panel:** Cardiovascular
- **Attributes:** Therapeutic

## Indications for Use

The Chase Retrograde Cardioplegia Cannula is intended for use in perfusing blood or cardioplegia solutions via the coronary sinus during cardiopulmonary bypass surgery.

## Device Story

Dual lumen 14 FR cannula; used during cardiopulmonary bypass surgery. Primary lumen infuses blood/cardioplegia; secondary lumen monitors pressure via stopcock/female luer lock. Distal tip features soft, low-pressure balloon; inflates automatically via differential infusion pressures; deflates spontaneously upon flow cessation. Includes stylet for transatrial placement in coronary sinus. Operated by surgical team in OR. Provides localized cardioplegia delivery to heart muscle; facilitates myocardial protection during bypass.

## Clinical Evidence

Bench testing only. No clinical data provided. Testing included leak testing at 10 psi (4°C and 40°C), tubing bond strength (>10 lb tensile), luer connection compliance (ANSI/HIMA MD70.1-1983), package integrity (ASTM F1140-88), and shipping/distribution vibration/drop tests.

## Technological Characteristics

14 FR dual-lumen cannula; materials identical to predicate. Features distal low-pressure balloon, pressure monitoring lumen, and stylet. Luer connections meet ANSI/HIMA MD70.1-1983. Sterilization via Ethylene Oxide (Overkill Method, SAL 10⁻⁶). Packaging: Tyvek/Polymylar.

## 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 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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K964393 APR 23 1997

# SUMMARY OF SAFETY AND EFFECTIVENESS

## CHASE RETROGRADE CARDIOPLEGIA CANNULA

### I. General Information

A. Generic Name: Retrograde Cardioplegia Cannula
B. Trade Name of Device: CHASE Retrograde Cardioplegia Cannula
C. Applicant's Name and Address: CHASE Medical Inc.
1876 Firman Drive.
Richardson, Texas 75081
D. Pre-market Notification Number: Not yet assigned

### II. Indications for Use

The Chase Retrograde Cardioplegia Cannula is intended for use in perfusing blood or cardioplegia solutions via the coronary sinus during cardiopulmonary bypass surgery.

### III. Device Description

The Chase Retrograde Cardioplegia Cannula is a dual lumen 14 FR cannula. The cannula body contains a primary lumen for infusing blood or cardioplegia solutions and a secondary pressure monitoring lumen that begins at the cannula's tip and terminates in a stopcock with a female luer lock. During infusions, differential pressures occurring within the cannula automatically inflate a soft, low pressure balloon located near the cannula's distal tip. When flow ceases, the balloon spontaneously deflates. A stylet is also provided to aid transatrial cannula placement within the coronary sinus.

### IV. Device Classification: Class II

### V. Safety and Effectiveness

Substantial Equivalence: The device is substantially equivalent to the Research Medical Retrograde Cardioplegia Cannula (K880103).

### VI. Other Safety and Effectiveness Data

Materials: All material are identical to the predicate device.
Sterilization: Validated 100% Ethylene Oxide sterilization cycle (Overkill Method) SAL 10⁻⁶

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# SUMMARY OF SAFETY AND EFFECTIVENESS

## Functional Testing

All functional characteristics of the Chase Retrograde Cardioplegia Cannula are non-differentiable as compared with the predicate because both devices have the exact same fit, form, and material composition.

Leak Test Requirements:
No leaks at 10 psi air on CHASE device at 4°C and 40°C

Tubing Bond Strength:
Exceeds 10 lb. tensile strength @ 4°C and 40°C

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

Package Integrity:
Tyvek/Polymylar passed burst test per ASTM F1140-88

Shipping &amp; Distribution Testing:
Per National Safe Transit Ass. vibration and drop tests

Accelerated Aging:
Two year shelf life

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**Source:** [https://fda.innolitics.com/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DWF/K964393](https://fda.innolitics.com/submissions/CV/subpart-e%E2%80%94cardiovascular-surgical-devices/DWF/K964393)

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