Cleared Traditional

K920178 - CARDIOTOMY RESERVOIR W/20 MICRON FILITER

K920178 is an FDA 510(k) clearance for CARDIOTOMY RESERVOIR W/20 MICRON FILITER, manufactured by Lifestream Int'L, Inc.. The device is a Class 2 Cardiovascular device with product code DTN cleared through the Traditional 510(k) pathway after a 485-day FDA review.

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May 1993
Decision
485d
Days
Class 2
Risk

K920178 is an FDA 510(k) clearance for the CARDIOTOMY RESERVOIR W/20 MICRON FILITER. Classified as Reservoir, Blood, Cardiopulmonary Bypass (product code DTN), Class II - Special Controls.

Submitted by Lifestream Int'L, Inc. (The Woodlands, US). The FDA issued a Cleared decision on May 13, 1993 after a review of 485 days - an unusually long review period, suggesting complex equivalence evaluation.

This device falls under the Cardiovascular FDA review panel, regulated under 21 CFR 870.4400 - the FDA cardiovascular device oversight framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: High-complexity regulatory submission. Elevated predicate reliance profile. The extended review timeline suggests the FDA required additional documentation before confirming substantial equivalence - a pattern common in complex or first-of-kind Cardiovascular submissions.

View all Lifestream Int'L, Inc. devices

FDA 510(k) Submission Details - K920178

510(k) Number K920178 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received January 14, 1992
Decision Date May 13, 1993
Days to Decision 485 days
Submission Type Traditional
Review Panel Cardiovascular (CV)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
360d slower than avg
Panel avg: 125d · This submission: 485d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

DTN Device Classification - Class 2, Special Controls

Product Code DTN Reservoir, Blood, Cardiopulmonary Bypass
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 870.4400
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 Cardiovascular devices follow this clearance model.

Regulatory Peers - DTN Reservoir, Blood, Cardiopulmonary Bypass

All 135
Devices cleared under the same product code (DTN) and FDA review panel - the closest regulatory comparables to K920178.
ATR-2900DF (WITH DEPTH FILTER)/CAP-35DF (WITH DEPTH FILTER)
K936286 · Gish Biomedical, Inc. · Feb 1994
EL2-SERIES BLOOD COLLECTION REERVOIR
K930154 · Electromedics, Inc. · Jul 1993
BARD(R) BLOOD CARDIOPLEGIA HEAT EXCHANGER/TUBE SET
K930299 · C.R. Bard, Inc. · Jun 1993
PLEUR-EVAC CARDIOTOMY RESERVOIR
K925046 · Deknatel, Inc. · Apr 1993
ELECTROMEDICS EL-SERIES CARDIOTOMY RESERVOIR
K926250 · Electromedics, Inc. · Feb 1993
VENOUS RESERVOIR W/CARDIOTOMY FILTER
K915573 · Baxter Healthcare Corp · Dec 1992