Affinity Pixie Arterial Filter with Balance Biosurface

FDA 510(k) K100646 · Medtronic, Inc.

Substantially Equivalent

510(k) numberK100646

Submission

Device name
Affinity Pixie Arterial Filter with Balance Biosurface
Applicant
Medtronic, Inc.
Minneapolis, MN, US
Received
March 5, 2010
Decision date
December 16, 2010
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
DTM – Filter, Blood, Cardiopulmonary Bypass, Arterial Line
Device class
Class II (moderate risk)
Regulation
21 CFR 870.4260
Specialty
Cardiovascular
Life-sustaining
Yes

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K122760Affinity AF100 Arterial Filter with Balance BiosurfaceDTM · Traditional Medtronic, Inc.12/07/2012SE
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K253203Retrograde Coronary Sinus Perfusion CannulaeDWF · Traditional 02/19/2026SE
K253998Clearview Intracoronary ShuntsDWF · Special 01/20/2026SE
K251744Affinity Pixie™ Arterial Filter with Balance™ Biosurface; Affinity® Pediatric Arterial…DTM · Special 01/16/2026SE
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Questions and answers

When was Affinity Pixie Arterial Filter with Balance Biosurface cleared by the FDA?

Affinity Pixie Arterial Filter with Balance Biosurface (K100646) received a 510(k) decision of Substantially Equivalent on December 16, 2010, 286 days after the submission was received.

What is the product code of K100646?

The FDA product code is DTM – Filter, Blood, Cardiopulmonary Bypass, Arterial Line, a Class II (moderate risk) device regulated under 21 CFR 870.4260.