Cardiotomy Reservoir W/20 Micron Filiter

FDA 510(k) K920178 · Lifestream Int'L, Inc.

Substantially Equivalent

510(k) numberK920178

Submission

Device name
Cardiotomy Reservoir W/20 Micron Filiter
Applicant
Lifestream Int'L, Inc.
The Woodlands, TX, US
Received
January 14, 1992
Decision date
May 13, 1993
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
DTN – Reservoir, Blood, Cardiopulmonary Bypass
Device class
Class II (moderate risk)
Regulation
21 CFR 870.4400
Specialty
Cardiovascular

Other 510(k)s with product code DTN

510(k)DeviceApplicantDecision
K251783Inspire HCR and HCR DUAL cardiotomy reservoirsDTN · Traditional Sorin Group Italia S.R.L.12/22/2025SE
K241206Quantum Perfusion Hybrid SystemDTN · Traditional Spectrum Medical S.R.L.07/18/2024SE
K241053MVR™ Venous Reservoir Bag 800 mL; MVR™ Venous Reservoir Bag 1600 mL; MVR™ Venous…DTN · Special Medtronic Cardiac Surgery05/15/2024SE
K223361BMR 1900 PhisioDTN · Traditional Sorin Group Italia S.R.L.06/10/2023SE
K170583Intersept Filtered Cardiotomy Reservoir with Cortiva BioActive SurfaceDTN · Special Medtronic, Inc.03/17/2017SE
K161733Inspire SVR 1200, Inspire 6F C, Inspire 8F CDTN · Traditional Sorin Group Italia S.R.L.03/08/2017SE
K153143Capiox Advance Hardshell ReservoirDTN · Special Terumo Cardiovascular Systems Corporation12/02/2015SE
K151110Intersept Filtered Cardiotomy ReservoirDTN · Special Medtronic, Inc.05/27/2015SE
K141432Neonatal Venous Hardshell Cardiotomy Reservior, Pediatric Venous Hardshell Cardiotomy…DTN · Special Maquet Cardiopulmonary, AG07/07/2014SE
K141233Affinity Pixie Oxygenation System with; Carmeda Bioactive Surface, Balance BiosufaceDTN · Special Medtronic, Inc.06/12/2014SE

More from Medtronic, Inc.

510(k)DeviceDecision
K964571Vision Cardioplegia Delivery SystemDTR · Traditional 08/08/1997SE
K962354Diomed 15, 30, 60 Surgical Diode LaserGEX · Traditional 09/11/1996SE
K920618Autotransfusion Suction SetCAC · Traditional 03/12/1993SE
K913181Autologous Blood Processing SystemCAC · Traditional 05/20/1992SE
K914396Surgi Light Non-Contact FibersGEX · Traditional 12/23/1991SE
K912045TMP Pressure Isolatorr, TMP Pressure Monitor SystDXS · Traditional 10/31/1991SE
K911523Modification to Model 90-1460 Laser AdapterGEX · Traditional 04/22/1991SE
K910726Light-Touch and Surgi Light FibersGEX · Traditional 03/29/1991SE
K904491TMP Left Atrial Pressure Cath Cat.# 100-00X-000DQO · Traditional 02/01/1991SE
K903709Surgimedics, SLP Laparoscopic Cholangiogram CathGBZ · Traditional 10/26/1990SE

Questions and answers

When was Cardiotomy Reservoir W/20 Micron Filiter cleared by the FDA?

Cardiotomy Reservoir W/20 Micron Filiter (K920178) received a 510(k) decision of Substantially Equivalent on May 13, 1993, 485 days after the submission was received.

What is the product code of K920178?

The FDA product code is DTN – Reservoir, Blood, Cardiopulmonary Bypass, a Class II (moderate risk) device regulated under 21 CFR 870.4400.