Cleared Special

K042175 - HEPARINASE HR ACT CONTROL, MODEL 550-12

K042175 is an FDA 510(k) clearance for HEPARINASE HR ACT CONTROL, manufactured by Medtronic Vascular. The device is a Class 2 Hematology device with product code GGN cleared through the Special 510(k) pathway after a 68-day FDA review.

K042175 · Medtronic Vascular · Hematology device
Download Printable Device Report (PDF) Official FDA 510(k) Summary (PDF)
Optimized for regulatory review, auditing and printing
Oct 2004
Decision
68d
Days
Class 2
Risk

K042175 is an FDA 510(k) clearance for the HEPARINASE HR ACT CONTROL, MODEL 550-12. Classified as Plasma, Coagulation Control (product code GGN), Class II - Special Controls.

Submitted by Medtronic Vascular (Minneapolis, US). The FDA issued a Cleared decision on October 18, 2004 after a review of 68 days - a notably fast clearance cycle.

This device falls under the Hematology FDA review panel, regulated under 21 CFR 864.5425 - the FDA hematology device framework. As a Special 510(k), this submission covers a manufacturer modification to an existing cleared device rather than a new device introduction.

Device pattern: Iterative device modification. Low regulatory complexity profile. This Special 510(k) clearance confirms that the manufacturer's modifications remained within the established regulatory envelope of the original cleared device.

FDA 510(k) Submission Details - K042175

510(k) Number K042175 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received August 11, 2004
Decision Date October 18, 2004
Days to Decision 68 days
Submission Type Special
Review Panel Hematology (HE)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
45d faster than avg
Panel avg: 113d · This submission: 68d
Pathway characteristics
Modification to existing cleared device.

GGN Device Classification - Class 2, Special Controls

Product Code GGN Plasma, Coagulation Control
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 864.5425
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most Hematology devices follow this clearance model.

Regulatory Peers - GGN Plasma, Coagulation Control

All 98
Devices cleared under the same product code (GGN) and FDA review panel - the closest regulatory comparables to K042175.
PEFAKIT APC-R FACTOR V LEIDEN CONTROLS
K042760 · Pentapharm , Ltd. · Dec 2004
CONTROL PLASMA N, PROC CONTROL PLASMA
K042333 · Dade Behring, Inc. · Dec 2004
CONTROL PLASMA N AND CONTROL PLASMA P
K042209 · Dade Behring, Inc. · Oct 2004
PURPLE/BLACK HEPARIN ASSAY CONTROL
K042206 · Medtronic Vascular · Oct 2004
LYPHOCHEK HEMOSTASIS CONTROL
K040275 · Bio-Rad · Feb 2004
LYPHOCHEK COAGULATION CONTROL, LEVEL 4, MODEL 743
K032611 · Bio-Rad · Sep 2003
K042175 · HEPARINASE HR ACT CONTROL, MODEL 550-12
Download PDF FDA Summary Medtronic Vascular