510(k) Report

De Novo · Granted

Granted

Acumen Assisted Fluid Management (AFM) Software Feature

DEN190029De NovoGranted Nov 13, 2020529-day reviewClass II21 CFR 870.5600

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Edwards Lifesciences · QMS Adjunctive Open Loop Fluid Therapy Recommender

Granted on Nov 13, 2020 as a new device type through De Novo after a 529-day review. 15 later devices descend from it.

Decided
Nov 13, 2020
Review
529 days
Class
Class II
Product code
QMS
Recalls
None

15 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2022: 2 descendants cleared2023: 4 descendants cleared2025: 4 descendants cleared2024: 3 descendants cleared2026: 2 descendants cleared2020202220242026
  1. This deviceDEN190029 Acumen Assisted Fluid Management (AFM) Software FeatureEdwards Lifesciences · 2020
  2. Descendant · cites it directly · 14 of its ownK213682 HemoSphere Advanced Monitor, HemoSphere Swan-Ganz Module, HemoSphere…Edwards Lifesciences, LLC · 2022
  3. Descendant · 2 generations on · 7 of its ownK223865 HemoSphere Advanced Monitor, HemoSphere ClearSight Module, Acumen…Edwards Lifesciences, LLC · 2023
  4. Descendant · 2 generations on · 6 of its ownK223651 Cerebral Adaptive Index (CAI) AlgorithmEdwards Lifesciences, LLC · 2023
  5. Descendant · 2 generations on · 6 of its ownK223127 HemoSphere Advanced Monitoring Platform, HemoSphere ForeSight…Edwards Lifeciences, LLC · 2022
  6. Descendant · 3 generations on · 5 of its ownK230612 Edwards Algorithm for Measurement of Blood HemoglobinEdwards Lifesciences, LLC · 2023

Showing 5 of 15 descendants. See all descendants

Descendants cleared per year

2022: 22023: 42024: 32025: 42026: 2
2022high 4 (2023) · low 2 (2022)2026

Most influential descendants

Showing 5 of 15 · See all
  • K213682HemoSphere Advanced Monitor, HemoSphere Swan-Ganz Module, HemoSphere Oximetry Cable…Edwards Lifesciences, LLC · 2022 · cites it directly14descendants
  • K223865HemoSphere Advanced Monitor, HemoSphere ClearSight Module, Acumen Assisted Fluid…Edwards Lifesciences, LLC · 2023 · 2 generations on7descendants
  • K223651Cerebral Adaptive Index (CAI) AlgorithmEdwards Lifesciences, LLC · 2023 · 2 generations on6descendants
  • K223127HemoSphere Advanced Monitoring Platform, HemoSphere ForeSight Oximeter cableEdwards Lifeciences, LLC · 2022 · 2 generations on6descendants
  • K230612Edwards Algorithm for Measurement of Blood HemoglobinEdwards Lifesciences, LLC · 2023 · 3 generations on5descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)DEN190029Acumen Assisted Fluid Management (AFM) Software FeatureEdwards Lifesciences2020—
+1K213682HemoSphere Advanced Monitor, HemoSphere Swan-Ganz Module, HemoSphere Oximetry…Edwards Lifesciences, LLC2022—
+2K223865HemoSphere Advanced Monitor, HemoSphere ClearSight Module, Acumen Assisted…Edwards Lifesciences, LLC2023—
+2K223651Cerebral Adaptive Index (CAI) AlgorithmEdwards Lifesciences, LLC2023—
+2K223127HemoSphere Advanced Monitoring Platform, HemoSphere ForeSight Oximeter cableEdwards Lifeciences, LLC2022—
+3K230612Edwards Algorithm for Measurement of Blood HemoglobinEdwards Lifesciences, LLC2023—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202220
202340
202430
202540
202620
FIG. 1 — Lineage of DEN190029, 2020–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA De Novo database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in QMS? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new QMS device

  1. #1 K233984 Acumen Assisted Fluid Management (AFM)…score 16.5 · 30 generations · no Class I recall
Get a 510(k) Report

Does it have a predicate?

De Novo decisions do not claim a predicate device.

What descends from it? (15)

See all 15

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K213682HemoSphere Advanced Monitor, HemoSphere Swan-Ganz Module, HemoSphere Oximetry Cable…Edwards Lifesciences, LLC202214

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K213682 (Edwards Lifesciences, LLC, 2022) has gone furthest, with 14 descendants of its own.

How does its category compare?

All QMS devices

QMS Adjunctive Open Loop Fluid Therapy Recommender: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · QMS

1in 2024

2020: 12024: 1
2007high 1 (2020) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QMS

Too few QMS 510(k)s in any year since 2007 to give a median.

Recalls per year · QMS

No recall names QMS since 2007.

Adverse event reports per year · QMS

No MAUDE report names QMS since 2007.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20201—00
20210—00
20220—00
20230—00
20241—00
20250—00
20260—0—

What is it indicated for?

The Edwards Lifesciences Acumen Assisted Fluid Management (AFM) software feature provides the clinician with physiological insight into a patient's estimated response to fluid therapy and the associated hemodynamics. The Acumen AFM software feature is intended for use in surgical patients ≥18 years of age, that require advanced hemodynamic monitoring. The Acumen AFM software feature offers suggestions regarding the patient's physiological condition and…

Read the full statement (110 words)

The Edwards Lifesciences Acumen Assisted Fluid Management (AFM) software feature provides the clinician with physiological insight into a patient's estimated response to fluid therapy and the associated hemodynamics. The Acumen AFM software feature is intended for use in surgical patients ≥18 years of age, that require advanced hemodynamic monitoring. The Acumen AFM software feature offers suggestions regarding the patient's physiological condition and estimated response to fluid therapy. Acumen AFM fluid administration suggestions are offered to the clinician; the decision to administer a fluid bolus is made by the clinician, based upon review of the patient's hemodynamics. No therapeutic decisions should be made based solely on the Assisted Fluid Management suggestions.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “DEN190029: Acumen Assisted Fluid Management (AFM) Software Feature.” Lineage record from FDA De Novo data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/DEN190029

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026