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Recognized Consensus Standards

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Recognition List Number: 026 Publication Date: 03/18/2011 

Part B: SUPPLEMENTARY INFORMATION

Recognition Number 9-65: AAMI / ANSI / ISO 8637:2010, Cardiovascular implants and extracorporeal systems - Hemodialyzers, hemodiafilters, hemofilters, and hemoconcentrators. (ObGyn/Gastroenterology)

Date of Standard: 2010. 
Addresses of Standards Organizations:
  Association for the Advancement of Medical Instrumentation (AAMI)
  4301 North Fairfax Drive
  Suite 301
  Arlington, VA 22203
 
  American National Standards Institute (ANSI)
  25 West 43rd Street
  4th Floor
  New York, NY 10036
 
  International Organization for Standardization (ISO)*
  1, Rue de Varembe
  Case Postale 56
  CH 1211 Geneva 20, 0
  SWITZERLAND
CDRH Office and Division Associated with Recognized Standards:
OFFICE OF DEVICE EVALUATION (ODE)
Devices Affected:
Hemodialyzers, Hemoconcentrators, Hemofilters, Hemodiafilters
Processes Affected:
510(k), PMA, PDP, IDE, HDE, Quality System Regulations
Type of Standard:
 Vertical, International
Extent of Recognition:
ANSI/AAMI/ISO 8637:2010 Cardiovascular implants and artificial organs-Hemodialyzers, hemodiafilters, hemofilters, and hemoconcentrators;
With the following qualifications:
Additional testing not included in this standard may be required for marketing clearance or approval.
For 510(k) devices, testing and design requirements specified in Sections 4 and 5 should be applied in terms of comparing predicate and proposed devices and determining substantial equivalence.
For Section 4.2 Sterility, the dialysate pathway should also be sterile.
For Section 4.5.1 Clearance of hemodialyzers and hemodiafilters, clearances should be measured at blood flow rates of 200 ml/min, 300 ml/min, 400 ml/min, 500 ml/min, and maximum flow rate, when different from these rates.
For Section 4.5.2 Sieving coefficient of hemodiafilters, hemofilters and hemoconcentrators, sieving coefficients for urea and Vitamin B12 should also be measured.
For Section 4.5.3 Filtration rate, ultrafiltration coefficients (Kuf) should be computed by measuring the slope of the ultrafiltration rate (UFR) vs. transmembrane pressure (TMP) curve at UFR of 600 and 1800 ml/hr (or the maximum capability of the dialyzers that are not able to achieve 1800 ml/hr), using a minimum of four data points.
For Section 5.2 Biological safety, testing shall be carried out in accordance with FDA Blue Book Memorandum #G95-1: Use of International Standard ISO-10993, "Biological Evaluation of Medical Devices Part 1: Evaluation and Testing."
For Section 5.6.5.1.3 Test procedure, pressure drop in the blood compartment should be measured for blood flow rates of 200 ml/min, 300 ml/min, 400 ml/min, 500 ml/min, and maximum flow rate, when different from these rates.
For Section 5.6.5.2.2 Test procedure, pressure drop in the dialysate compartment should be measured for dialysate flow rates of 500 ml/min, 600 ml/min, 700 ml/min, 800 ml/min, and maximum flow rate, when different from these rates.
For Section 6 Labeling, the notes stating "in all cases above, symbols from ISO 15223 may be used where appropriate," does not apply. Symbols alone should not be used in lieu of their meaning.
For Section 6.2 Labeling on the unit containers, part e) 3) does not apply; the dialysate pathway should be sterile.
Related CFR Citations and Product Codes:
Regulation
Number
Device Name Device
Class
Product
Code
§876.5820 Dialyzer, Capillary, Hollow Fiber Class 2 FJI
§876.5820 Dialyzer, Parallel Flow Class 2 FJG
§876.5820 Dialyzer, Single Coil Class 2 FHS
§876.5820 Dialyzer, Twin Coil Class 2 FJJ
§876.5820 Filter, Blood, Dialysis Class 2 FKJ
 
Regulation
Number
Device Name Device
Class
Product
Code
§876.5860 Dialyzer, High Permeability With Or Without Sealed Dialysate System Class 2 KDI
 
Relevant Guidance:
Guidance for Industry and CDRH Reviewers, Guidance for the Content of Premarket Notifications for Conventional and High Permeability Hemodialyzers. Issued on August 7, 1998.
FDA Technical Contacts:
  Carolyn Neuland
  FDA/CDRH/ODE
  10903 New Hampshire Avenue Building 66, Room G226
  Silver Spring MD 20993
  301/796-6523
  Email: carolyn.neuland@fda.hhs.gov
  Gema Gonzalez
  FDA/CDRH/ODE
  10903 New Hampshire Avenue Building 66, Room G220
  Silver Spring MD 20993
  301/796-6519
  Email: gema.gonzalez@fda.hhs.gov
* In the United States, copies of this standard can be obtained from:
  American National Standards Institute (ANSI)*
  25 West 43rd Street
  4th Floor
  New York, NY 10036
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