510(k) Report

510(k) · Cleared

Recalled · Class II · 2013

Affinity Pediatric Arterial Filter, Model S4014 and with Carmeda Bioactive Surface, Model CB4014

K071253510(k) TraditionalCleared Jul 3, 200760-day reviewClass II21 CFR 870.4260Recalls 2

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

Medtronic Vascular · DTM Filter, Blood, Cardiopulmonary Bypass, Arterial Line

Cleared on Jul 3, 2007 as substantially equivalent to K943917 (Terumo Medical Corp., 1995) and 2 other predicates after a 60-day review. Its family tree reaches back 1 generation to 1995. 7 later devices descend from it. It has been recalled 2 times.

Decided
Jul 3, 2007
Review
60 days
Class
Class II
Product code
DTM
Recalls
2
Predicates
3

Its longest line of descent runs back 1 generation to K943917 (1995). 3 ancestors in all. 7 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2000: 1 other ancestor1995: 1 other ancestor2026: 3 descendants cleared2011: 1 descendant cleared2012: 1 descendant cleared2014: 1 descendant cleared2025: 1 descendant clearedK943917 · Capiox Arterial Filter · Terumo Medical Corp. · 19951995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant3 generations forward: 2 descendants4 generations forward: 1 descendant5 generations forward: 1 descendant K943917 · Capiox Arterial Filter · Terumo Medical Corp. · 19950+5
  1. Root · 1 generation backK943917 Capiox Arterial FilterTerumo Medical Corp. · 1995
  2. This deviceK071253 Affinity Pediatric Arterial Filter, Model S4014 and with Carmeda…Medtronic Vascular · 2007
  3. Descendant · cites it directly · 5 of its ownK111972 Affinity CP Centrifugal Pump, Resting Heart Sys.,Myotherm…Medtronic, Inc. · 2011
  4. Descendant · 2 generations on · 4 of its ownK120988 DLP Single Stage Venous Cannula, DLP Right Angle Single Stage Venous…Medtronic, Inc. · 2012 · Recalled
  5. Descendant · 3 generations on · 2 of its ownK140165 MC2 Two-Stage Venous Cannula, Oval MC2 Two-Stage Venous Cannula…Medtronic, Inc. · 2014
  6. Descendant · 4 generations on · 1 of its ownK251258 MC2™ Two-Stage Venous Cannula; MC2X™ Three-Stage Venous CannulaMedtronic, Inc. · 2025
  7. Descendant · 5 generations on · 0 of its ownK262052 Tri Stage Venous CannulaeSorin Group Italia S.R.L. · 2026

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2011: 12012: 12014: 12025: 12026: 3
2011high 3 (2026) · low 0 (2013)2026

Most influential descendants

Showing 5 of 7 · See all
  • K111972Affinity CP Centrifugal Pump, Resting Heart Sys.,Myotherm Cardioplegia Deliv.,Affinity…Medtronic, Inc. · 2011 · cites it directly5descendants
  • K120988DLP Single Stage Venous Cannula, DLP Right Angle Single Stage Venous Cannula, DLP Single…Medtronic, Inc. · 2012 · 2 generations on4descendants
  • K140165MC2 Two-Stage Venous Cannula, Oval MC2 Two-Stage Venous Cannula, Thin Wall Two-Stage…Medtronic, Inc. · 2014 · 3 generations on2descendants
  • K251258MC2™ Two-Stage Venous Cannula; MC2X™ Three-Stage Venous CannulaMedtronic, Inc. · 2025 · 4 generations on1descendant
  • K262052Tri Stage Venous CannulaeSorin Group Italia S.R.L. · 2026 · 5 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K943917Capiox Arterial FilterTerumo Medical Corp.1995—
0 (this device)K071253Affinity Pediatric Arterial Filter, Model S4014 and with Carmeda Bioactive…Medtronic Vascular2007—
+1K111972Affinity CP Centrifugal Pump, Resting Heart Sys.,Myotherm Cardioplegia…Medtronic, Inc.2011—
+2K120988DLP Single Stage Venous Cannula, DLP Right Angle Single Stage Venous Cannula…Medtronic, Inc.20122
+3K140165MC2 Two-Stage Venous Cannula, Oval MC2 Two-Stage Venous Cannula, Thin Wall…Medtronic, Inc.2014—
+4K251258MC2™ Two-Stage Venous Cannula; MC2X™ Three-Stage Venous CannulaMedtronic, Inc.2025—
+5K262052Tri Stage Venous CannulaeSorin Group Italia S.R.L.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
200010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
201210
201410
202510
202630
FIG. 1 — Lineage of K071253, 1995–2026Source: 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 510(k) 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 DTM? 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 DTM device

  1. #1 K251744 Affinity Pixie™ Arterial Filter with Balance™…score 11.0 · 2 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (3)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K943917Capiox Arterial Filter
Summary page 1
…Regulation Number: 21 CFR 870.4260 Product Code: DTM Classification: Class LI Predicate Devices Terumo Capiox Arterial Filter, AF02, Pediatric (K943917) Medtronic Affinity® Arterial Filter (K952532) Medtronic Affinity® Arterial Filter, Carmeda® Coated (K000379) Device Descr…
Terumo Medical Corp.1995—
*K952532Affinity Arterial Blood Filter
Summary page 1
…Code: DTM Classification: Class LI Predicate Devices Terumo Capiox Arterial Filter, AF02, Pediatric (K943917) Medtronic Affinity® Arterial Filter (K952532) Medtronic Affinity® Arterial Filter, Carmeda® Coated (K000379) Device Description The AFFINITY® Pediatric Arterial Filter…
Avecor Cardiovascular, Inc.19951
*K000379Modofication to Afffinity 38 Micro Arterial Blood Filter with Carmeda Bioactive Surface…
Summary page 1
…evices Terumo Capiox Arterial Filter, AF02, Pediatric (K943917) Medtronic Affinity® Arterial Filter (K952532) Medtronic Affinity® Arterial Filter, Carmeda® Coated (K000379) Device Description The AFFINITY® Pediatric Arterial Filters are single-use, sterile, nonpyrogenic devices designed to fil…
Medtronic Vascular2000—

Also cleared against K943917: 3 other devices →

What descends from it? (7)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K111972Affinity CP Centrifugal Pump, Resting Heart Sys.,Myotherm Cardioplegia Deliv.,Affinity…Medtronic, Inc.20115
K251744Affinity Pixie™ Arterial Filter with Balance™ Biosurface; Affinity® Pediatric Arterial…Medtronic20260

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

Recalls of this device

DateClassRecallRoot causeReason
Jun 14, 2013Class IIZ-1966-2013Employee errorMedtronic is recalling 148 Affinity Pediatric Arterial Filters from 2 manufacturing lots because a limited quantity of filters may have a small breach in the filter media that may allow unwanted particulate or gaseous emboli to pass…
May 9, 2008Not classifiedZ-1921-2008Nonconforming Material/ComponentMedtronic is recalling selected Carmeda-coated cardiopulmonary bypass (CPB) products (e.g., oxygenators, reservoirs, pumps, cannulae and tubing packs) that were manufactured with contaminated heparin. Medtronic's heparin supplier recently…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • 1 of the 3 ancestors has a recall of any class.
  • Of its descendants, K111972 (Medtronic, Inc., 2011) has gone furthest, with 5 descendants of its own.
  • 3 other devices also cite its predicate K943917.

How does its category compare?

All DTM devices

DTM Filter, Blood, Cardiopulmonary Bypass, Arterial Line: FDA decisions, review times, recalls and adverse event reports over 20 years. 2007, this device’s year, is highlighted.

FDA decisions per year · DTM

2in 2024

2007: 32008: 12009: 52010: 22011: 12012: 22013: 12023: 12024: 22026 (partial year): 1
2007high 5 (2009) · low 0 (2014)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DTM

246in 2009

2007: 60 days median2009: 246 days median
2007high 246 (2009) · low 60 (2007)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · DTM

1in 2019

2008: 12019: 1
2007high 1 (2008) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · DTM

4in 2024

2007: 82008: 22010: 32011: 82012: 62013: 92014: 642015: 342016: 272017: 152018: 232019: 52020: 12021: 12022: 42024: 4
2007high 64 (2014) · low 0 (2009)2025

MAUDE reports naming product code DTM, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
200736008
20081—12
2009524600
20102—03
20111—08
20122—06
20131—09
20140—064
20150—034
20160—027
20170—015
20180—023
20190—15
20200—01
20210—01
20220—04
20231—00
20242—04
20250—00
20261—0—

What is it indicated for?

AFFINITY® Pediatric Arterial Filter is indicated for use in cardiopulmonary bypass procedures up to 6 hours in duration for the removal of particulate and gaseous microemboli.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K071253: Affinity Pediatric Arterial Filter, Model S4014 and with Carmeda Bioactive Surface, Model CB4014.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K071253

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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