OXY-1 System

FDA 510(k) K200109 · Abiomed, Inc.

Substantially Equivalent

510(k) numberK200109

Submission

Device name
OXY-1 System
Applicant
Abiomed, Inc.
Danvers, MA, US
Received
January 17, 2020
Decision date
October 23, 2020
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
DTZ – Oxygenator, Cardiopulmonary Bypass
Device class
Class II (moderate risk)
Regulation
21 CFR 870.4350
Specialty
Cardiovascular
Life-sustaining
Yes

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K250821Horizon AF Plus System (Integrated A.L. One AF Plus OXYGENATOR and Horizon CVR)…DTZ · Traditional Eurosets S.R.L12/12/2025SE
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K240666Affinity Fusion Oxygenator with Integrated Arterial Filter and Balance Biosurface…DTZ · Traditional Medtronic Perfusion Systems07/10/2024SE
K241352Affinity NT Oxygenator and Uncoated Cardiotomy/ Venous Reservoir (541); Affinity NT…DTZ · Special Medtronic, Inc.06/12/2024SE
K231652D100 Kids; D101 KidsDTZ · Special Sorin Group Italia S.R.L.11/16/2023SE
K231773Quantum Perfusion Blood Oxygenator with Integrated AF and Sensor VT75-C1U, Quantum…DTZ · Traditional Qura S.R.L11/08/2023SE
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More from Chalice Medical , Ltd.

510(k)DeviceDecision
K25276614Fr Low Profile Introducer KitDYB · Special 10/08/2025SE
K241708Abiomed 14Fr Low Profile Introducer KitDYB · Traditional 08/06/2024SE
K221294preCARDIA Occlusion SystemMJN · Traditional 06/30/2023SESU
K223161OXY-1 SystemDTZ · Traditional 02/23/2023SE
K222113Abiomed 14Fr Low Profile Introducer SetDYB · Traditional 10/13/2022SE
K202330Impella XR Sheath SetDYB · Traditional 12/07/2020SE
K201116Abiomed 23 Fr SheathDYB · Traditional 06/15/2020SE
K192769Impella CP IntroducerDYB · Traditional 11/18/2019SE
K112892Impella 2.5 Plus CatheterPBL · Special 09/06/2012SESU
K110845Impella Controller with Flow ControlKFM · Special 04/27/2011SE

Questions and answers

When was OXY-1 System cleared by the FDA?

OXY-1 System (K200109) received a 510(k) decision of Substantially Equivalent on October 23, 2020, 280 days after the submission was received.

What is the product code of K200109?

The FDA product code is DTZ – Oxygenator, Cardiopulmonary Bypass, a Class II (moderate risk) device regulated under 21 CFR 870.4350.