# K030696: Retrograde Coronary Sinus Perfusion Cannula with NO Pressure Line (15 French, Manual and Auto Inflate)

- Pathway: 510(k) (Special)
- Applicant: Medtronic Perfusion Systems
- Decided: Apr 11, 2003 after 36 days
- Product code: DWF (Catheter, Cannula And Tubing, Vascular, Cardiopulmonary Bypass)
- Device class: 2
- Regulation: 21 CFR 870.4210
- Recalls of this device: none
- Data: FDA decisions to Oct 25, 2026; recalls to Oct 12, 2026

## Lineage
Longest line of descent: 1 generation back to K860149 (1986). 2 ancestors in all.
2 later devices descend from it; 2 cite it directly.
0 of 5 devices in its family (counting itself) have a Class I recall.

## Predicates on the family tree (from the FDA summary)
- K860149: Venous Perfusion Cannula W/Cuff Cat. NO. 94015, Dlp, Inc. (1986) Summary page 1.
- K901074: Code #94315 Retrograde Coronary Sinus Perf Cannula, Dlp, Inc. (1990) Summary page 1.

## Most influential descendants
- K132995: DLP Retrograde Coronary Sinus Perfusion Cannula Without Pressure Monitoring Line, DLP Retrograde Coronary Sinus Perfusio (2013), 0 descendants of its own
- K123762: DLP Retrograde Coronary Sinus Perfusion Cannula with Auto-Inflate Cuff (2013), 0 descendants of its own

## Indications for use
The Retrograde Coronary Sinus Perfusion cannula is intended for use during cardiopulmonary bypass surgery for the delivery of cardioplegia retrograde through the coronary sinus up to six hours or less.

Source page: https://510kreport.com/device/K030696
Methodology: https://510kreport.com/methodology